star77

star77 MSN, RN

Emergency, Critical Care Transport

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All Content by star77

  1. How You Can Lose 50 Pounds In 90 Days

    star77 replied to Surg-OncRN's topic in General Nursing

    Actually, I've lost 50lbs in about 3-3.5 months and kept it off by doing a ketogenic diet. I eat very low carb (20-50g net per day, rare fruit, no processed foods, lots of protein and veggies). It...

  2. How do you treat headaches?

    star77 replied to Anagray's topic in Emergency

    1L NS, Toradol 30 mg, Benadryl 25-50 and Compazine 5-10. OR 1L NS, Ativan 1-2mg, Benadryl 25-50 and Compazine 5-10. Either or, depending on how bad the nausea

  3. Funny Sign In Slips

    star77 replied to TraumaInTheSlot's topic in Emergency

    I am going to quote word for word from a friend I work with: "On the manliness scale today while in triage: a FAT zero goes to the 21 year old with a chief complaint of 'hungover.' Really? Couldn't...

  4. Trauma roon in your ED... who gets it?

    star77 replied to A&OxNone's topic in Emergency

    We rotate each day. Usually there are 3 RNs in there until 3am, and the Charge RN and another float will help scribe if it gets bad. Lesser, blunt-force traumas don't always end up in the trauma bays-...

  5. New Grad Oakland Kaiser

    star77 replied to 13Virgo's topic in Emergency

    Hey 13Virgo, PM me. I didn't start there but I have a good friend who did. He LOVES it. The nurse educators run Project Heartbeat. Josh and Alan are great teachers (I took ACLS/PALS with them years...

  6. Anyone cutting sugar while working nights??

    star77 replied to MassED's topic in Emergency

    PS I couldn't live without

  7. Anyone cutting sugar while working nights??

    star77 replied to MassED's topic in Emergency

    I've gained 15 lbs from nights. I hate it. And now, I no longer snack on ANYTHING containing carbs in the ED. No chips, no cake, no cookies, no nothing. I never eat that crud at home anyway, and my...

  8. MRSA precautions in the ER?

    star77 replied to AnnieNHRN's topic in Emergency

    Flagged immediately. All patients who are admitted to the hospital are given a nasal swab, regardless of "risk" - patient could be a healthy woman on the L&D floor giving birth or a septic bomb...

  9. What was the MOST ridiculous thing a patient came to the ER for?

    star77 replied to JUSTYSMOM's topic in Emergency

    Two nights ago I was looking through what we had in the waiting room, saw one and immediately thought of this thread. One word:

  10. Explaining circumcision to mom....

    star77 replied to brentster_us's topic in Patient Education

    Yes, WHO is, but ... studies were done specifically in Subsaharan Africa, where barrier methods are not as accessible or prolific as they are in the US....

  11. OB RN with ED experience?

    star77 posted a topic in Ob/Gyn

    Just curious if you think it's possible, and have you met anyone who has done so? I'm a CEN, and I LOVE the ED, but I also really love women's health, and have floated up to help out with the L&D...

  12. What are the top 5 medications YOU administer daily?

    star77 replied to northmississippi's topic in Patient Medications

    (Saline/O2) and... Albuterol/Duoneb treatment Zofran Morphine Dilaudid Acetaminophen Followed closely by: ASA, Plavix, Heparin (bolus and drip), Nitro (bid/stat/glycerin... all of the above,...

  13. Feeling some heat after a nurse aid was fired...

    star77 replied to MassED's topic in Emergency

    Keep all of the patients as utmost importance. If it gets really bad, give a red flag to management that you've had trouble, but keep it short and professional (ie "this person and I just do not get...

  14. IV Pumps--have you used Baxter's Sigma Spectrum??

    star77 replied to AKav8trix's topic in Emergency

    Yes- I have used these in two different ERs. I have heard there is a "Level 1 override for boluses" and I have yet to see it. (BS.) I pressure bag or use our Level 1 for severely hypotensive patients....

  15. What is the nurses priority in a trauma (new to ER)

    star77 replied to Shell5's topic in Emergency

    AcBCD... Etc. (TNCC is really helpful, I'll echo this fact). And honestly, it depends on your hospital's protocol/system and resources (Level 1, Level 2...) and HOW BAD/WHAT KIND of trauma you are...

  16. ED Admissions Right At Shift Change

    star77 replied to chordringer's topic in Patient Safety Issues

    From the ED side: I can speak for myself and say I am completely mystified as to WHY bed control releases beds to us at 0615 or 1815. We hate it as much as the ICU nurses do. And, I also want to say...

  17. 2015 DNP

    star77 replied to BabyLady's topic in Doctoral Nursing Degrees

    Ah yes, sorry. I stand corrected.

  18. 2015 DNP

    star77 replied to BabyLady's topic in Doctoral Nursing Degrees

    UCSF has a DNP:

  19. Being forced to work while sick

    star77 replied to phosphorus's topic in Activism, Healthcare

    wow yosemite! you just shattered my california idealism. i guess i'm lucky here where i work - when we're sick, we're sick, although if we call in more than once in a three month period, we are...

  20. Time for some introspective criticism perhaps?

    star77 replied to eriksoln's topic in General Nursing

    I know that coming from California, I'm spoiled. We have the 4:1 staffing ratio for "urgent patients" and a 2:1 for ICUs, and often 1:1 if they are really sick. I work ER in a very good research...

  21. Becoming a nurse with being bipolar

    star77 replied to luke1985's topic in General Nursing

    I have a very close friend who is a successful FNP, attended UCSF for her MSN, graduated with highest honors, and has a history of being bipolar, hospitalizations. She is well-controlled now with...

  22. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    star77 replied to yazisizit's topic in Nursing Humor

    Honestly it wasn't so bad... But I did my first disimpaction in the ER. It was either me, or the second year resident, and honestly, I had kinda bonded with my patient, who was FOS (full of... well,...

  23. Your Dream Emergency Department...

    star77 replied to LegzRN's topic in Emergency

    1) Available inpatient rooms with RNs who WANT to fill them and are more than happy to take our ER patients. 2) Everyone likes helping out, isn't burnt out, and doesn't give anyone "the evil eye." (No...

  24. What was the MOST ridiculous thing a patient came to the ER for?

    star77 replied to JUSTYSMOM's topic in Emergency

    Dumbest: "I need a note so my kids can go to camp tomorrow." No kids with the parent, and the parent's excuse for not taking them to the pediatrician? "Well, they don't like going to the doctor, and...

  25. What is your Nursing Kryptonite?

    star77 replied to Lunah's topic in General Nursing

    I just threw up a little bit in my