star77 MSN, RN

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 actually *is* realistic but you have to work at it. I...

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 is.

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 even state "nausea/vomiting" for us. Huh. And on th...

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- our rooms are set up so that anyone can be treate...

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 ago). :)

PS I couldn't live without caffeine.

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 snacks consist of snap peas (from Trader Joe's) and ...

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 going to the ICU. All of our rooms, aside from the ...

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

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. http://www.nejm.org/doi/full/10.1056/NEJMp0805791 http://www.ncbi.nlm.nih.gov/pubmed/17321311 ^^^...

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 floor in the past. Thinking about applying for a ...

(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, depending). Bicarb/D50/Insulin/Calcium/Kayexalate (for wha...

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 along, and I have tried to make things work; I feel...

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. As to pharmacologic safety, yes they're great, bu...

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 receiving. Is it a burn? Is it a penetrating? Blunt? ...

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 (not trying to be snide here, being serious): Last...

Ah yes, sorry. I stand corrected. :)

UCSF has a DNP: http://nurseweb.ucsf.edu/www/ps-dc.htm

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 subject to management's scrutiny and will have to produc...

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 institution that has a huge staff and we get a lot of t...

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 medications. She was an ICU nurse for many years, and ...

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, figure it out) but had nothing else wrong with her....

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 lateral violence). In fact, maybe people pay it f...

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 you guys write better notes anyway." Ooo-kay. (And...

31 as an RN, employed as an ED nurse. 21 as a college graduate, employed as a corporate business woman. 22 as an unemployed, disenchanted ex-corporate business woman who wanted to live outside, and became a wilderness addict, whitewater afficionado,...