littleRNthatcould

littleRNthatcould

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All Content by littleRNthatcould

  1. Perpetuating the myths

    littleRNthatcould replied to PMHNP10's topic in General Nursing

    Thank you, thank you, thank you for this one. :bowingpur If I had to count the number of times I've seen a CHF patient with a crashing BP literally stood on their head (and drowning from it) by...

  2. What was the WORST thing a patient has been brought to ER for?

    littleRNthatcould replied to SteveNNP's topic in Emergency

    Some of the worst: 18 month female with visible boot marks to her face in full arrest. Mom and boyfriend when asked about multiple bruising stated "She's learning to walk, she falls a lot." 6 month...

  3. What makes a great ER manager?

    littleRNthatcould replied to dmkm2001's topic in Emergency

    sorry..hit return before I meant to.... "hand holding"...but they do need your support. 5. Avoid gossip and cliques at all cost 6. Remember you are only one person. Some nurses will expect you to fix...

  4. What makes a great ER manager?

    littleRNthatcould replied to dmkm2001's topic in Emergency

    Honestly, I've never worked for a "good ER manager" , but I have worked with a fabulous Clinical Nurse Specialist for the ER and based on what I've seen her do, I've got a few suggestions. 1. Be...

  5. RN at triage window?

    littleRNthatcould replied to RNintheER's topic in Emergency

    I've often wondered about the whole bathroom break/missed lunch thing, although I have done it way too many times to count myself. My thought is that you can't take care of anyone if you are not...

  6. I Dislike Nursing:

    littleRNthatcould replied to Barlan's topic in General Nursing

    After I recieved my LPN years ago, I felt the same way. In my hospital LPN's were used as CNA's (which prompted me to go to RN school, but it's still a stupid waste of skilled nurses) Anyway, I was at...

  7. PHOTOGRAPHS with cellphones

    littleRNthatcould replied to embarrasingfield's topic in General Nursing

    The doctor requested the photo just to have and to study for further cases. However, the photograph was for his own personal use and not being used in the care of the patient (like surgical...

  8. PHOTOGRAPHS with cellphones

    littleRNthatcould replied to embarrasingfield's topic in General Nursing

    On the flip side, we had a patient who had an incredible looking fracture. Our physician asked permission to take a photograph with his cell phone. (Patient was 20 years old, mother present in room...

  9. ONLY 6 week orientation for New Grad?

    littleRNthatcould replied to clairebearrn's topic in Emergency

    As a rule, I'd say 6 weeks for a new grad is not nearly enough. Your previous tech experience (depending on where you worked and what was expected of you) will give you an advantage over other brand...

  10. What was the WORST thing a patient has been brought to ER for?

    littleRNthatcould replied to SteveNNP's topic in Emergency

    I wasn't working this night but this is the story I got the next day.Approx. 20 year old male riding ATV while intoxicated (favorite past-time in my state which is why WE refer to them as "after-life...

  11. new nurse in emergency nursing

    littleRNthatcould replied to mikejsmithrn's topic in Emergency

    Welcome to the wonderful and crazy world of Emergency Nursing. You sound like just the type of new grad that I would welcome with open arms to my department. That being said, some people DO benefit...

  12. Thank you for your sympathy NOT

    littleRNthatcould replied to Reigen's topic in General Nursing

    :icon_hug:You have my utmost sympathy for the loss of your father and the horrible way your employer treated you. I think it speaks volumes that an industry that is supposed to be focused on the care...

  13. Pet Un-Peeves, or what I like about Emergency Nursing

    littleRNthatcould replied to ERbunny's topic in Emergency

    Oh yes we do...Although now the ante is "upped" and you have to put your bid on what's in the tox screen!!!! "I'll see your BAL of 210 and raise you benzo's and

  14. Hospital wants to cancel contract???

    littleRNthatcould posted a topic in Travel

    I signed a contract with a large hospital in my home state. This is my first travel assignment. WHen I interviewed for the position I was told by the manager that I would not be scheduled in large...

  15. Best approach to patients and relatives complaining about "long wait."

    littleRNthatcould replied to uniquenurse's topic in Emergency

    too

  16. Best approach to patients and relatives complaining about "long wait."

    littleRNthatcould replied to uniquenurse's topic in Emergency

    What I would LIKE to do with all the complainers with minor or PCP generalized complaints: Take them on a guided tour of our ED, pointing out ventilators, codes in progess, compound/exposed fractures,...

  17. Sick to death about poor staffing level.

    littleRNthatcould replied to Djuna's topic in Emergency

    20 beds (14 of which are cardiac monitored and 3 are Trauma/Code rooms) 5 minor care beds (only open during the hours of 1300-2100) We see approximately 80-100 patients daily on the average with...

  18. Stupidest reason to go to ER

    littleRNthatcould replied to DachRN's topic in Emergency

    Not neccesarily a stupid reason to come to the ER, but: Had a woman a couple weeks ago who brought her 3 year old son in for eval due to ear pain and cough. We had just recieved 3 Level One Trauma's...

  19. Admission with abd pain & N/V/D...

    littleRNthatcould replied to jessiern's topic in General Nursing

    I normally don’t defend or advocate for these type of patient’s simply because I work in the ER and have seen this kind of behavior entirely too often. But (and this is a big but), when I was in...

  20. Do You Look Like A Nurse?

    littleRNthatcould replied to showbizrn's topic in General Nursing

    I wouldn't know, I look like a rock star......:biere::roll (only kidding, sorry, I've been awake for far too

  21. Family present during code of patient

    littleRNthatcould replied to sharonhayes's topic in Emergency

    In my facility as well it is a case by case basis. We do however experience more family members present during pediatric codes rather than adults. We have never had a problem with family members being...

  22. What Patients do to make you mad!

    littleRNthatcould replied to MichaelFloridaRN's topic in General Nursing

    Hmmm, let's see, I hate it when you have spent a good 20-30 minutes in a patients room doing education, discussing disease management, explaining what diagnositics mean ect, etc, etc so that when the...

  23. Nurses taking patient's off backboards without doctor clearnce?

    littleRNthatcould replied to the big nurse's topic in Emergency

    As a rule "NO", at least in my facility. Granted there are times when some of our rural EMS squads have been known to board and collar some patients who may not necessarily need it. Example :little...

  24. Nicknames you give patients?

    littleRNthatcould replied to andhow5's topic in Emergency

    We assign our DD's (drunk and drugged) a surrogate ER staff family member. :biere: Example "Hey, Nurse So and So, can you please ask your (brother, sister, mother, father, mamaw, papaw etc) to put...

  25. sending nurses home early

    littleRNthatcould replied to Uptoherern's topic in Emergency

    This is a major pet peeve of mine. As the OP pointed out, this is the ER, where things of an unexpected nature ARE expected. I would think that the PTB would be more than happy to pay my meager salary...