ErNrsLynzzie

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 physically and chemically. He required high doses of m...

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 a hospital within the same medical center in an ER...

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 control - paging different specialties, waiting on the...

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 interesting....

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 attempts as, despite being 4 pointed, he still tried t...

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 became extremely violent towards others and himself. ...

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 unexpected - SIDS and trauma seem to cause the most g...

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 spraying dog repellent spray and then our security used ...

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 (hallucinations, screaming, crying, etc). We monitor VS q5m...

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 and wondering why. This is why I cry at work. You ...

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 level compression full hose. I wear full strength k...

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 before you lay hands on the patients. It involves vi...

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 fluids simultaneously (like through a lock). I have gi...

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 with blood cultures. And frankly, having practiced w...

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 suffer terribly with their illnesses. It's always ha...

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 etc what do you do first". I'm ENPC and PALS cert...

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 every single month. everything from pneumonia to ...

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 prefer new grads June and January only, but make some r...

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 encouragement.

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

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 guess it proves to help retention so we shall see -...

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 anytime. Obviously if you don't work in an ER, you ma...

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 first. The staff member is asked to demonstrate "in...

Information regarding initiating or monitoring? What exactly are you looking for??

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 staff. The chaplains are always willing to talk, ...