mybrowneyedgirl

mybrowneyedgirl BSN, RN

Emergency Room

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All Content by mybrowneyedgirl

  1. Do you struggle with differences in Trauma teams?

    Ugh! I work Level II and I have the same issues. When I am the primary nurse, I often kick extra nurses and techs out and if there's time I will let the nurses in the trauma know which person will...
  2. Starting out in Trauma

    Most ED's would pay for your certifications, and I cannot imagine and ED that wouldn't hire you on the spot based on your great passed experience and training. Good
  3. Rx drug abuse in your ED- steps you take?

    I'm not sure what is involved in this finally happening, but if someone has been detected to be a seeker, they get a letter to their home letting them know that they will no longer receive narcotics...
  4. What do you do that makes your work exceptional?

    In my opinion, the next step is putting the pieces together. No urine in the Foley after numerous hours? Make sure the doctor is aware. Came in with a low temp? Recheck rectally and be proactive...
  5. ER Nurses- How do you feel about ED volunteers?

    I love them, though I rarely get a chance to work with them because I work nights. Thanks for volunteering .I hope you love
  6. ER Wasted

    I'm sorry. I hope a new position opens up for you
  7. Chart modification after 48 hours- fraud?

    I have had to correct charts. I don't feel it's fraudulant as long as it's something I actually did do and did not chart. If they asked me to chart something as a "CYA" that didn't happen, I would...
  8. Lining and labing in the waiting room

    Wow. Never heard of that. It would make me nervous to do that. Our drug seekers would love to obtain permanent access to their veins and then run out the door before being seen by a
  9. E.D nurses "set up to fail"

    Some great points are made here. I agree with all of them. The fact is, it depends on YOU. I ran into my teacher the other day and she said she knew I'd do well in ER. It's not for every new grad....
  10. Hydralazine

    We use it in our ER but the docs seem to favor Labetolol first (and that rarely works, even after repeated doses). I love
  11. Rewards of Emergency Nursing

    EDRN10 said it very
  12. Bored in the ER?

    Also, your ED might allow you to request to be in a certain area. I prefer trauma and am often scheduled there . Other nurses avoid it so if I'm not scheduled there, I can usually trade with them to...
  13. Don't you hate those bad IV days?

    Just got over a rough slump myself. Worst part I went from horrible luck to being faced with back to back IV's on kids. Lucky for the kids and me, the slump ended with them. We all have those times...
  14. Comfortable shoes for the ER

    Asics running shoes are best for me. I have a narrow foot and a high arch. Those with wide feet seem to like New Balance. I bought Sanita and they were great for the bottom of my feet but it caused...
  15. Best thing you saw come in on New Year's Eve

    My New Years Eve was not as exciting as I hoped it would be. Saw someone whose jaw was broken with a bat and the usual drunk and vomiting. Did anyone see something more
  16. Best thing you saw come in on New Year's Eve

    Yuck! Reminds me of the time someone borrowed my trauma shears. She came back to tell me they were soaking in bleach because the doc used them to amputate toes that were barely hanging
  17. What do I need to bring?

    I have dollar store calculator for drips, ped liquid med dosing bandage scissor stethoscope two pens (one will break or get stolen) when I get there I pick up alcohol wipes, IV tape and a flush I pull...
  18. ED basics, as if there was such a thing...

    Oh wow. There is so much. The topics I would google are Rapid Sequence Intubation tools and meds (usually Succs. and Etomidate), Cath lab activation (2 to 3 large bore IVs, Oxygen, Ekg, Monitor...
  19. New Grad, new job... My First emergency!

    You did great! Usually with A-fib you will find their pulse bouncing around not steadily at one number ie 160-189-177. The only other quick assessment I might have done was a blood sugar. Congrats...
  20. Can you be an er nurse with an assoc. Degree?

    You sure can. Been doing is for 1 1/2 yrs and I love it. Go for
  21. Advice on new ER job

    It will take time, but when you can anticipate needs based on certain health complaints/conditions, you will be even more valuable. I love techs that know what typically gets ordered for Chest Pain,...
  22. Tncc

    I didn't think it was bad at all. Study your A-I assessment. Most is reviewed in class. You will be fine. And remember to always verbalize " While maintaining C-Spine
  23. Nurses/Moms-your advice, please! :)

    I would pick BSN. Offers more mgmt opportunities later. I work 3 12's midnights and it's perfect (though not ideal) for being there for my kids). Mine are older but I take them to school, sleep and...
  24. Triage shifts: how long/how many pt.'s?

    Triage can be 4 to 12 hours . We have no time requirement for triaging, just that you jump to airway and chest pain issues before stubbed
  25. Fired - what do you think...

    I'm so sorry. It does sound like a very unfair firing. It's hard but think of it as an opportunity. They were obviously not good people to work for. I hope you find a job you