ErNrsLynzzie

ErNrsLynzzie

Pediatric Emergency Medicine/Trauma

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All Content by ErNrsLynzzie

  1. Injury from teenage psych patient

    ErNrsLynzzie posted a topic in Psychiatric

    I was injured about a week ago by a 17yo, 240lb, autistic patient who was brought into our ER for new violent behavior and not sleeping in 3 days. He was restrained during the midnight shift both...

  2. Resigning after Workers Comp Leave

    ErNrsLynzzie posted a topic in Nursing Career

    I'm looking for advice. I have been on Worker's Comp leave after a serious attack from a patient. I have just received clearance to return to my current job. During this time, a position opened up at...

  3. Bad experience - is this typical?

    ErNrsLynzzie replied to keikei's topic in Emergency

    This is absolutely not the standard of care. Patients are triaged based upon seriousness of condition and THEN by time. It's never the other way around. Unfortunately, sometimes things get out of...

  4. Getting Sick at Work

    ErNrsLynzzie replied to meaganellise's topic in General Nursing

    Oh yes! Bad asthmatic and I've landed myself in a trauma bay now and then - - always kinda weird when it's your own ER. Last time I was the trauma nurse too - that got

  5. PTSD after patient attack

    ErNrsLynzzie posted a topic in Emergency

    On March 8th I was attacked by a teenage psych patient. He'd been in the ER for 12+ hours before I took over his care. He was very large, autistic and in psychosis. He barely responded to our B52...

  6. PTSD after patient attack

    ErNrsLynzzie replied to ErNrsLynzzie's topic in Emergency

    I agree in that he was in a highly defensive state. I did everything in my power to try to be a calming force in the room. We trialed him without restraints and it was unsuccessful every time - he...

  7. worst death you've seen

    ErNrsLynzzie replied to Darkfield's topic in General Nursing

    Deaths are always hard.... I work in a peds ER/level 1 trauma center so we are faced with it far more often than we'd like. Luckily, it's not all the time but it's frequent. The worst are the most...

  8. Injured by patient's family?

    ErNrsLynzzie posted a topic in Health, Stress Management

    Recently I was participating in a code on a child and approx 20 family members arrived. They quickly split into sides and began verbally and physically fighting. Suddenly, a family member began...

  9. Conscious Sedation in the ER

    ErNrsLynzzie replied to Silktea3's topic in Emergency

    I work in a very busy pediatric ER and we commonly use Ketamine and Versed for conscious sedation. Ketamine alone often has nasty side effects, using the versed helps to lesson the reactions...

  10. What do you do when a child passes?

    ErNrsLynzzie replied to jstradley's topic in Pediatric

    Not taking it home is definitely a challenge. This is why I said "don't take it home too often". Sometimes it hits you hard - a child you've grown to know suddenly dies and the staff is left grieving...

  11. Support stockings or knee-high support socks?

    ErNrsLynzzie replied to SeattleU08's topic in General Nursing

    From what I've reasarched - wearing knee highs cuts off circulation at the knee level which isn't good. If you feel like you need to wear them - either wear a low-compression level knee high or any...

  12. protocol for pediatric triage

    ErNrsLynzzie replied to ermickie's topic in Emergency

    Another possible triage guide is SAMPLE: Signs/Symptoms Allergies Medications Past Medical History Last Meal/Last Diaper Events Other ideas are the PAT (pediatric assessment triangle) which is used...

  13. morphine IV

    ErNrsLynzzie replied to breaking_dawn's topic in Emergency

    With peds we base it on kg with a max of 15mg per dose. Generally I put it on a med pump for 10-15 minutes. I always have an SpO2 monitor on them and BVM/Sx at BS. I never run morphine without IV...

  14. Who numbs for needlesticks?

    ErNrsLynzzie replied to care4kids's topic in Pediatric

    Currently we have only Painease available without order. Unfortunately, being in an ER, we have to prep for blood cultures on almost every patient and according to our policy, we don't use Painease...

  15. What do you do when a child passes?

    ErNrsLynzzie replied to jstradley's topic in Pediatric

    I work in a pediatric ER/Trauma center where we see far too much violence and chronic illness in children. I have to agree, there are times where a child passing away may be for the better for they...

  16. Anyone taking the CPEN

    ErNrsLynzzie replied to needsmore$'s topic in Emergency

    I took and passed the CPEN just today. I used the ENA Core Curriculum of Pediatric Emergency Nursing. The majority of the test is analysis of different situations, like "a 2 year old presents with etc...

  17. New Peds nurse and i keep getting sick!

    ErNrsLynzzie posted a topic in First Year After Licensure

    i'm a new nurse, just graduated in may, and i work in a large children's hospital emergency room. i've been there over a year now (first as a student nurse now an RN) and i continue to get sick almost...

  18. Does your ED/ER hire new grads? (and related ?s)

    ErNrsLynzzie replied to beachbum3's topic in Emergency

    1. Yes - they do. More so on the floors but we do hire in the ER too. They place preference on those who've worked as a Student Nurse Associate (aka PCA, Nurses's Aid) in the ER already. 2. They...

  19. New Peds nurse and i keep getting sick!

    ErNrsLynzzie replied to ErNrsLynzzie's topic in First Year After Licensure

    Well, not new to the state, but I moved from a small northern town and started working in the Detroit Metro area. I too never called in and now it's all the time! Thanks for your

  20. character scrubs

    ErNrsLynzzie replied to newestlilnurse2b's topic in Pediatric

    most of mine have come from allheart.com, lifeuniform.com ONLY when on sale, and

  21. Long hospital orientation...

    ErNrsLynzzie replied to KyPinkRN's topic in First Year After Licensure

    oh my goodness yes! ours adopted a nursing residency program - 22 weeks of classroom, lectures, and unit training! it went on FOREVER! parts were good, parts were boring, and others pointless. But i...

  22. On flight to Europe... "we need a nurse"!

    ErNrsLynzzie replied to RNcDreams's topic in General Nursing

    I work in an ER so things happen suddenly a lot - but not just in the ER. One time I was working an art fair and right across from my booth, an elderly woman just collapsed. It can happen anywhere...

  23. Pediatric Staff Education

    ErNrsLynzzie replied to pedcentral's topic in Pediatric

    As far as initiating, we do lots of practice on anything from arm boards to wax pieces first. The pediatric patient is no still target so we ensure the staff member is comfortable with the equipment...

  24. Pediatric Staff Education

    ErNrsLynzzie replied to pedcentral's topic in Pediatric

    Information regarding initiating or monitoring? What exactly are you looking

  25. first pedi code

    ErNrsLynzzie replied to laurainri's topic in Emergency

    Codes are never easy - period. I work in a Children's ER and we have codes almost daily. It's horrible, sad, and beats morale down something terrible. But, what i have seen is a togetherness among the...