RoyalNurse

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 revenue for vastly underpaid hospitals, prescripti...

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 cc ns bag and run it over 5 minutes, then give D5...

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. :) Obviously most patients are not critical in the ER, but w...

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 doesn't have any policies in place. I've tried talki...

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. Patients will go to the main hospital if they "t...

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 administering any IV medications that the LPN's patients ...

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 professionalism/ scope of practice comes into practice.

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 in the area to provide massage for their residents....

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 for 12.5 hours, no one around to help with lifting a...

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 you back from being a great nurse. These thoughts...

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, your job is to provide nursing care for her during t...

I get what you're saying now, that is an exaggeration to not be able to void for 12 hours. I'm just bitter I guess. :)

This sort of angers me, mainly because I've "played the victim card" myself. I've postponed bathroom breaks to chart because I worry if I postponed charting I would be distracted later and forget, or it wouldn't be an accurate time. But I really ...

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. Sometimes I'll talk myself through it like a golf ...

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 early or late? 3. Did you see changes in oxygenation? ...

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 if I can find the tech. 2. I have to fight to use...

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 it?

Good point :) But can't you send them into V-fib?

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

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 now!

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 a good holder, I tape the arm up first on an arm b...

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 over 110...

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 started working with EMTs. It's obvious some of them ...

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 so you can triage the patient...the best time to g...

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, code, or any sticky situation, we only had 10 patients...