olddog1

olddog1

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About olddog1

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  1. Lavage and the GI bleed

    Thanks to all for your responses. My patient was 104 (yes that is correct) and had vomited coffee ground emesis x1- she came in with it on her gown. I felt like I was torturing her for no good reason because, as was stated by others, it wasn't going ...
  2. Lavage and the GI bleed

    Does anyone know the current thinking on "lavage til clear" for an upper GI bleed? Is this still recommended; does it actually work; aren't there more current and effective therapies.
  3. Anyone currently studying for the CEN exam??

    Congrats to all even thinking of taking the CEN. Even if it's only for "personal satisfaction" sometimes that's all you get in this profession. I took a review course offered by ENA and don't think I would have done so well without it. It really help...
  4. Stupidest reason to go to ER

    Broken FAKE fingernail. She got a work excuse and Vicoden. And we wonder why people come to us with stupid stuff!
  5. A Generation of Wimps?

    Does anyone else have a problem with all our focus on pain? I agree that we should make people as comfortable as we can and think anyone in a terminal state should have access to any and all meds available to them, but we've gone a little overboard. ...
  6. New director is a nazi

    I appreciate all the dialogue and even thank those of you who blasted my use of the "N" word (being from the south, I have to say that I never realized Nazi was the "N" word...we have a different one that's equally if not more offensive to me!) All o...
  7. New director is a nazi

    Wow! Certainly didn't mean to offend as many as I did. For that I do apologize. I compared her to a Nazi because of her dictatorial leadership style not because I am insensitive to the plight of millions persecuted by this group. That being said, I d...
  8. New director is a nazi

    My new director is driving me crazy! She had a meltdown at the last staff mtg; came in yelling at us and said we had lowered the bar for professionalism so far we'd never get it back, told us we were all getting a written corrective action in our per...
  9. how does your triage work?

    HI, Re: HIPPA and calling pts, we just started using raffle tickets; we keep one part and the pt gets the other, then we call them by the last 3 numbers. Of course, now pts think they get a prize with their visit. I guess the next thing is to provid...
  10. Hoping to transition well to ER

    welcome to ed nursing! I'll share some things I've noticed in less successful new ed nurses: 1. Be an active member of the team and try to see and do as much as possible in your orientation period. If not, you'll be surprised how fast that time flies...