veetach replied to ernurse2244's topic in Emergency
good question. Sometimes you want to just go outside and scream. Step away, just for a few minutes to regroup. I understand how it feels when everything comes at you from all different directions, try...
veetach replied to Evelyn2003's topic in Emergency
>>ER's are ER's. No amount of med/surg. prep will prepare one to be proficient in the emergency room, anymore than thinking that OB/GYN floor experience is necessary due to the amount of...
veetach replied to Evelyn2003's topic in Emergency
>>I think the issues that we see are the realities are nursing education these days as well as healthcare's state and are blamed on the new grad. It isn't the inexperience that someone didnt...
veetach replied to Evelyn2003's topic in Emergency
Lilgirl, I cant agree more. In the last year I have had a new grad RN start a Cardizem drip on a patient at 60 mg/hr, (he miscalculated the drip rate) and another new grad giving Cardizem had a...
veetach replied to Evelyn2003's topic in Emergency
I will try to stay off of my soapbox, but I dont know if I can do it. LOL I do not think new grads belong in any specialty area. I have only been out of school for 10 years but I dont think they are...
Ok, here are a few from our area. I need to preface this by telling everyone that I am not native to PA. I am a westerner through and through, born in Montana and raised in Colorado. Move to PA after...
I LOVE the Fish idea. I will be bringing it to my managers attention!! Pam, I almost did the same thing on our interhospital email. I sat there reading tons of emails about how this dept or that were...
we have "panic buttons" a silent alarm direct to the police dept. One in the triage area and two in the back at the nurses desk. Our administration has told our staff to use them if necessary. About 2...
so, what did we decide was the answer for the original question of this thread?? drive through percocet window?? not a bad idea, but unfortunately illegal in my state. I think the whole concept of...
veetach replied to SouthernERNurse's topic in Emergency
I work in an ER that has 20 beds and we see 50,000+ per year. Those statistics alone tell the tale. Most of our docs are Hares. We have 2 or 3 who are tortoises but they are such good docs that no...
The administration in our hospital has been trying to phase out LPN's for the last 3 or 4 years. We still have a few, very few in our ED, and it is such a shame. I would match the LPN's in our dept...
KC, we used to have that problem until recently, when our entire hospital campus was declared a smoke free zone. Now we can tell them that they can NOT go outside to have a cigarette while they are...
veetach replied to wandernsoul's topic in Emergency
CougRN I am not sure where you are going with the article on IO's. Every PALS nurse knows that an IO is the last resort for access in a trauma or critically sick child. The child, in question on...
veetach replied to debo_lpnER's topic in Emergency
omg I have many stories: Once in the middle of the winter, I had a guy walk into our ED with 4 bandaids across the bridge of his nose and dried blood everywhere. He wanted me to call him a cab for a...
veetach replied to MAGIK GIRL's topic in Emergency
back to the original topic.... take home packs of medications. IMHO it makes my job easier, I dont have to count the narcs and they are already packaged. It helps speed up the discharge process and...
veetach replied to wandernsoul's topic in Emergency
I have worked in various ED's over the last 8 years, and have no problem sticking a foot. However I have only seen docs use scalp veins. If we cant get the IV in the ER, we usually leave the scalp...
veetach replied to marcicatherine's topic in Emergency
The flu has reached epidemic proportions in my area-southcentral PA. Our emergency room is overrun with patients with the flu. We have resorted to putting masks on every one that comes in with flu...
>>congrats on taking this next step to be a professional ED nurse. This mindset is exactly the reason why I have worked in the ER for 8 years and do not have a CEN. I AM a professional ED...
In PA you can get what is called a "Pre-hospital RN" certification trought the PA board of EMS. Try contacting your states board of EMS and ask them. The PH-Rn can work prehospital just like the...
of course, patient safety comes first. If I see another nurse making a mistake, I try to help them. If they are merely using a different technique than what I am used to, but the outcome is the same....