RoyalNurse

RoyalNurse

CVICU, ER

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All Content by RoyalNurse

  1. Nurses against Narcotic Abuse

    RoyalNurse posted a topic in General Nursing

    As an Emergency Room Nurse for 5 years, and a Critical Care Nurse for 3, I still think the most harmful disease by far is prescription drug abuse. And with the advent of patient satisfaction driving...

  2. Hyperkalemia and order of meds

    RoyalNurse posted a topic in Emergency

    Okay, your patient's K+ is 7.2, and he is in ARF. You have orders to give him calcium chloride, sodium bicarb, insulin and D50. What order do you give these meds in? I always put the calcium in a 50...

  3. Why isnt Emergency Nursing listed under critical care?

    RoyalNurse posted a topic in Emergency

    I've always been curious about the perception that emergency nursing isn't critical care nursing. It qualifies as such for the CCRN, but it's included with "Camp Nursing" on this website. :)...

  4. Lateral violence

    RoyalNurse posted a topic in Emergency

    Has anyone here had a successful outcome when it comes to stopping lateral violence in the ED amongst nurses? There's a big problem where I work now, the management is turning a blind eye, and HR...

  5. Free standing ER good or bad?

    RoyalNurse replied to nurseblondie44's topic in Emergency

    I work at a free-standing, the nurses all have a ton of experience and are really smart. It's actually a little harder to work in a free-standing because you don't have the back-up like the hospital....

  6. Professionalism as an LPN

    RoyalNurse posted a topic in LPN, LVN Corner

    Hi everyone,I just wanted to get some opinions from some LPNs on a topic.I recently worked with an LPN who was assigned to 6 "urgent-care" patients, I was the charge nurse. My duties included...

  7. Professionalism as an LPN

    RoyalNurse replied to RoyalNurse's topic in LPN, LVN Corner

    I get it of it's a stable telemetry situation, or med-surg situation, but this was a emergency room/urgent care situation, we didnt know who was coming in, and what they would need. Then the...

  8. R.N. Going To Massage Therapy School

    RoyalNurse replied to smilingrn1's topic in Nurse Entrepreneurs, Innovators

    So cool, good for you!! I'm a VA RN, graduated from massage therapy school last August, I now work at a Massage Envy in VA for experience, my plan is to become a subcontractor for the nursing homes...

  9. Future Shortage in Bedside Nurses

    RoyalNurse replied to westieluv's topic in Patient Safety Issues

    Not so much passé, as just plain unsafe. I am a BSN nurse, I've done ICU, telemetry and ER for the past 5 years, and have found myself in increasingly worsening working conditions. No lunch break...

  10. Lost my first nursing job... now how do I find another?

    RoyalNurse replied to 071911's topic in Diploma, ADN, BSN

    Do you have to list this job? It doesn't sound like you really got that much experience from it anyway. What you really have to do is figure out what your negative thoughts are that are holding...

  11. What would you say to this shocking patient statement?

    RoyalNurse replied to aboucherrn's topic in Patient, Colleague Relations

    I'm sorry to say, but you're just as "bad" as she is. You're judging her based on a preconceived notion about what an"professional patient" is. It's none of your business why she left AMA before,...

  12. So frustrated with IV starts!!

    RoyalNurse replied to NeoPediRN's topic in Emergency

    I pretend I'm performing surgery on the vein, I visualize what the vein really looks like, and imagine sliding the catheter right in:). The visualization helps me with nerves and negative self-talk....

  13. ARDS + prone position

    RoyalNurse posted a topic in CCU, Coronary, Cardiac

    Hi everyone, I searched the forum, and haven't seen any postings on this since 2002, so I'm bringing this up again: :) 1. Do you typically prone ARDS patients on your unit? 2. If so, do you prone...

  14. Why I'm sick of the ED

    RoyalNurse posted a topic in Emergency

    1. When I try to delegate things to an ED tech because I'm busy medicating, assessing, triaging, or discharging patients, I get attitude, or "I'll get to it" while they're chatting someone up. That's...

  15. Magnesium for torsades

    RoyalNurse posted a topic in Emergency

    How fast do you administer 2 grams Magnesium for Torsades? I've had MDs tell me to push it in fast, but I looked it up, and its supposed to be over 15 minutes minimum. How do you do

  16. Magnesium for torsades

    RoyalNurse replied to RoyalNurse's topic in Emergency

    Good point :) But can't you send them into

  17. add your funny TRIAGE complaints from pts

    RoyalNurse replied to er nursing's topic in Emergency

    Guy comes in with a distraught wife who can barely contain herself: "Coffee-ground stools". No blood visualized in stools, just

  18. Favorite exhibit booth (other than allnurses.com of course)

    RoyalNurse posted a topic in Critical Care

    Hi everyone, What was your favorite booth? I loved the Zoll/CPR booth, and the Cheetah non-invasive cardiac output. Also liked the Hill-Rom massage session, could use another one

  19. Starting IV's in babies/kids

    RoyalNurse posted a topic in Emergency

    Hi everyone, I'm 0 for 4 so far in starting IVs in little kids (under 3), I can do 4 and up. I can get a flash return, but something happens when I try to advance in these little kids. I try to get...

  20. Changing one's spots

    RoyalNurse replied to heartbeep's topic in General Nursing

    Exactly. This is something I have had to work on. It's hard, especially when it's the same person coming back after not taking their BP/DM/CHF meds with fluid on their lungs, or with a diastolic...

  21. Working with EMTs vs CNAs/techs

    RoyalNurse posted a topic in Emergency

    Hi again, I worked as a CNA for 5 years, then graduated and worked with CNAs as an RN for 2 years in a CVICU. I became very comfortable with the CNA/RN relationship. Then I moved to the ED, and...

  22. Working with EMTs vs CNAs/techs

    RoyalNurse replied to RoyalNurse's topic in Emergency

    It probably is rude, but when you already have 4 patients waiting for you, and the goal is to get the new patient "on the board" within 10 minutes of arrival, and you have to know how they sound/look...

  23. Help! Need Your Thoughts and Maybe Pep Talks!

    RoyalNurse replied to MeganAK's topic in Emergency

    I've been in the ER for a few months now, and it's a big transition for me as far as teamwork goes. I used to work on a very cohesive unit where everyone would help with a new admit, intubation,...

  24. Working with EMTs vs CNAs/techs

    RoyalNurse replied to RoyalNurse's topic in Emergency

    You know what, I am guilty of doing that: blowing off the paramedic/EMT when they bring the patient in and are trying to give me report. It just seemed to waste time when I'm trying to get their...

  25. Healthcare crisis solution

    RoyalNurse posted a topic in Emergency

    Instead of spending billions (or is it a trillion yet?) on insurance for the un- and underinsured, and mandating everyone have insurance coverage, why don't we spend federal money on more free...