jayne109

jayne109 RN

ER/PDN

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All Content by jayne109

  1. Miss pronounciations of medications and medical terms!Way to Funny!!!!!!!!

    jayne109 replied to rgroyer1RNBSN's topic in Emergency

    okay, so I guess everyone driving me crazy with the word "Phenergran" is mild compared to everyone else here. It drives me crazy when even the paramedics can't pronounce Phenergan! rgroyner1rnbsn,...

  2. who does your casting and splinting?

    jayne109 replied to cjthegreat's topic in Emergency

    IN our ER, the nurses are only allowed to do the splinting with the fiberglass splinting. Only the Ortho doctors do actual Casting (cicular casting). We keep the stuff but rarely use it. We just...

  3. do you go to work sick?

    jayne109 replied to ERERER's topic in Emergency

    :yeahthat: stay home and feel better

  4. The Panels

    jayne109 replied to punkstar's topic in Emergency

    Cardiac-CBC, BMP, PT/PTT, PCXR EKG ASA and A Saline lock. Sepsis-CBC, CMP, Urine and cx, BC x 3 Chest PA (lat if stable) and fluids. CHF is Cardiac plus a BNP We also have abd pain, psych etc. that...

  5. Question about Phenergan and tachycardia SE...

    jayne109 replied to zamboni's topic in Emergency

    I haven't heard of the tachycardia issue BUT-- our policy (as of last year sometime) is that Phenergan is mixed in at least 20 ml of NS and given over 10-15 min AND never in a hand vein. I learned...

  6. Administration of blood products

    jayne109 replied to NativeSundance's topic in Emergency

    I completely agree with jmgrn65. In the ER we don't have the blood-pump tubing but on the floors they do and it works

  7. Documention in the Emergency Dept.

    jayne109 replied to UP Nurse's topic in Emergency

    YuP!! we are going through the SAME thing and it is driving me up a wall! There are laminated cards everywhere that say Revenue lost for different stuff not charted-like $1087 for not charting an...

  8. Are you afraid to go to the ER?

    jayne109 replied to scrmblr's topic in Emergency

    2 GB attacks, 2 corneal abrasions, a thumb injury and a couple of times I thought I had an appy and one was actually an ovarian torsion (before I actually worked in the ER Thank GOD). also several...

  9. Use of Diprovan in your ER

    jayne109 replied to TRAMA1RN's topic in Emergency

    The only thing we use Diprivan for is an intubated patient. No boluses. I had a nurse that wanted me to Bolus a patient that was waking up and I adamantly refused. I worked too hard for my license....

  10. Painless Injections

    jayne109 replied to joanne helfer's topic in Emergency

    I went to a pediatric conference this last year and the recipe they taught us is 0.9 ml lidocaine and 0.1 ml sodium bicarb. Inject this subcutaneously around the vein instead of a skin wheal and use...

  11. Painless Injections

    jayne109 replied to joanne helfer's topic in Emergency

    I have found using a 27 guage needle when possible really helps. I haven't had anyone complain when doing this though it is slower to

  12. Do you just turn the homeless back out onto the streets?

    jayne109 replied to HopeItWorksDNP's topic in Emergency

    We never used to have to discharge people from the ER to the streets but our city closed one men's shelter, you have to have $15 to get into one and the other you have to go into their hand up program...

  13. ED Physicians with overkill

    jayne109 replied to ThisEDRNRocks's topic in Emergency

    we have a couple of doctors like this. When I work with one of these doctors, I just put an 18 guage in the right AC of everybody because most of them get CTA Chest-he also CTs everybody. I...

  14. IV Dex for PO Dex?

    jayne109 replied to stayseerrn's topic in Emergency

    We do this all the time. It beats giving them a shot any

  15. ED triage

    jayne109 replied to fearful's topic in Emergency

    The patient approaches the desk, where they speak to a nurse that takes the chief complaint. If they are not having a life-threatening condition, then they step a few feet away to register to get...

  16. OUCH!!!! Ampule issues. Anyone else have problems?

    jayne109 replied to notyourordinarymom's topic in General Nursing

    This is how I do it as well. I got cut on my right thumb-it was actually more like I ripped my skin off the bottom third of my thumb. I got the ampule open but in the process of this, I exerted too...

  17. EJ question.

    jayne109 replied to absolut's topic in Emergency

    We had this question rise earlier this year. Management (who doesn't work the floor, much less start IV's) said that and EJ was central. We nurses FOUGHT HARD and won that it is a peripheral IV and...

  18. Rules for the ER (long)

    jayne109 replied to EDValerieRN's topic in Emergency

    Here is another rule we came up with on my shift: If you are allergic to milk, don't call an ambulance because you are nauseated and vomiting because you ate 2 big bowls of ICE CREAM 2 hours before...

  19. Appreciated in different ways...

    jayne109 replied to jack19's topic in General Nursing

    This year for Emergency nurses day, we got a car CD holder (you know that kind that hooks to your visor) that has our company logo on it. I have also gotten umbrellas, coffee cups, and we were...

  20. fear of vomit?

    jayne109 replied to maggijo's topic in General Nursing

    Honestly, AOTB, vomit, cheesy toes and some sputum make me run for the hills. I happen to be a sympathetic vomiter so if someone is gagging, I run or gag. I can'thelp it! Peppermint oil helps...

  21. Code/Trauma Debriefing

    jayne109 replied to erdaynurse's topic in Emergency

    We don't debrief but if a person feels they need that then we have an Employee assistance program that lets us have 4 visits to a psychiatrist without charge. It can be used by immediate family if...

  22. Vial meds and latex allergy

    jayne109 replied to MQ Edna's topic in General Nursing

    Here's what I do: I read the label. Since I am allergic to Latex, I read the labels and know what I can touch and what I can't. The labels almost always say latex-free or not. Our prefilled...

  23. EKGs in triage

    jayne109 replied to gmced's topic in Emergency

    we do. WE have a bed in triage but it is reserved for unresponsive pts. It is kept in a different place. If we need it for an EKG, we can use it but mostly we just sit them in the chair and get...

  24. EKGs in triage

    jayne109 replied to gmced's topic in Emergency

    We have 3 triage rooms and so anyone with CP gets one if we are full in the back. People of high risk get back automatically but a 23 y/o with chest pain gets an EKG, a doc looks at it and then they...

  25. Filling baldder for Ultrasound...do you

    jayne109 replied to tridil2000's topic in Emergency

    we do transvag when we can and put a foley in when we can't. We are doing more transvag us than we used to. I have been in the ER for almost 2 years and I can count on one hand the foleys I have...