northshore08

northshore08

Emergency, outpatient

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All Content by northshore08

  1. 02 10L via nonrebreather...always applied if possible MI/Cardiac issue?

    northshore08 replied to NotFlo's topic in General Nursing

    You were right. According to your description, pt was not in any respiratory distress. No need for hi flo O2; and COPD hx was another point in your favor. EMS gives O2 short term and doesn't have to...

  2. Mandated

    northshore08 replied to nsaids_nurse420's topic in General Nursing

    This is absolute craziness. I guess I have lived in a sheltered world. I have never heard of or been told I could not go home after a shift ended, wilth the rare exception of staying for a hurricane...

  3. Anyone use Ntrous Oxide in their ED?

    northshore08 replied to EDMISSYRN's topic in Emergency

    Does your local EMS use nitrous? You may be able to get policies/procedures from them. I haven't seen it used in any ED I have worked in. I like the idea of using it for I&D; and since it's used...

  4. Anyone use Ntrous Oxide in their ED?

    northshore08 replied to EDMISSYRN's topic in Emergency

    Nitrous oxide is used by EMS in ambulances all over the country. I have not met any anesthetists that ride with the paramedics, have

  5. Grossest Thing You've Ever Seen

    northshore08 replied to sicushells's topic in General Nursing

    You can get sicker and involved with yuckier stuff in landscaping....think about tetorifice immunizations, fungal infections and various forms of manure used for fertilizer.....Just thinkin'...

  6. We can't go on divert!

    northshore08 replied to RNcDreams's topic in Emergency

    In my honest opinion, your ED medical director and other ED doctors need to go to administration. I've never been in a facility that allowed the nursing supervisor to make diversion decisions. I feel...

  7. Your least favorite patient.

    northshore08 replied to errn7's topic in Emergency

    exactly! so funny! i should post that one at work....and when i come in the room with your im injection (which i mixed with lido so it wouldn't hurt), do not jump off the stretcher and run to the...

  8. Nursing, God's Work

    northshore08 replied to Nurse Nevada's topic in General Nursing

    An interesting thread to bump, eliaswarah. I'm inclined to do as Marie did and converse in smilies. It would be easier. But I feel God called me to be a nurse as well, and that His hand has been on...

  9. Everyone's laughing except me.

    northshore08 replied to RNcDreams's topic in General Nursing

    I would have told the doc in front of everyone that we could go to the anatomy class together, since he could not locate it either! (That's my mouth shooting off again!!) And laugh it off with...

  10. Changing jobs

    northshore08 replied to nursejennie76's topic in Emergency

    Honey, if you can get the scalp vein, go for it and show me how!! That other nurse was just jealous, and I bet that wasn't the first time you had had a run-in with her. :argue: Sounds like you made...

  11. Is a backboard for transport only, or immobilization while in the ER?

    northshore08 replied to vampireslayer's topic in Emergency

    Zippy, you are not reading the posts that are responding to you. Your descriptions of pt care are centered in prehospital(read before the ED)and in spinal cord units. I think you don't get it. You are...

  12. Is a backboard for transport only, or immobilization while in the ER?

    northshore08 replied to vampireslayer's topic in Emergency

    Zippy, I read the whole paper at the link you posted for the British Orthopaedic Association. It was very interesting and is a great resource document for pts with documented spinal cord injury, from...

  13. Is a backboard for transport only, or immobilization while in the ER?

    northshore08 replied to vampireslayer's topic in Emergency

    In the community hospital EDs I have worked in the US, removing the pt from the backboard signals freedom to move. No matter how clear you try to be with the pt and with ancillary personnel (read...

  14. Male RN-assist with pelvic exams?

    northshore08 replied to walnuttree91's topic in Emergency

    1. I don't think ENW was referring to pts as beggars. I believe you misunderstood the posting. 2. Pts always have a choice and we as nurses understand that to the nth degree. 3. Perhaps you should...

  15. Is a backboard for transport only, or immobilization while in the ER?

    northshore08 replied to vampireslayer's topic in Emergency

    Quick pubmed search: http://www.ncbi.nlm.nih.gov/pubmed/11310463 http://www.ncbi.nlm.nih.gov/pubmed/16246337 http://publicsafety.com/article/article.jsp?id=3437&siteSection=7 (this is a good...

  16. Triage question- what would you do?

    northshore08 replied to StealthyQ's topic in Emergency

    I reread the original post. Triage nurse was a man. Pt was a woman. I would have done the same questioning that kmoonshine did, while I: 1. Offered a female triage nurse, or 2. Offered the charge...

  17. Shoes Blues.....

    northshore08 replied to rideslikethewind's topic in Scrubs, Uniforms, Gear

    One of the techs at work has a pair. Really funny looking, but she swears by them and states nothing gets tangled in them and that they don't tip. But you have to go be fitted for them by a trained...

  18. Shoes Blues.....

    northshore08 replied to rideslikethewind's topic in Scrubs, Uniforms, Gear

    Current favorites are Easy Spirit Walkers; I have two pairs I rotate. After about 8-10 months, I have to put in a set of insoles, first the regular ones and then the gelsoles. Then I can replace the...

  19. Grossest Thing You've Ever Seen

    northshore08 replied to sicushells's topic in General Nursing

    Hygiene Queen, you ROCK! Too many nursing personnel are afraid (or too lazy) to go there. Your patients and coworkers are

  20. Hurricane coming: evacuate or stay and work?

    northshore08 replied to FroggyMama's topic in General Nursing

    I hate hurricanes. I have worked in southern coastal areas for most of my nursing career. Like all the other nurses posted here, I signed the contract requiring me to be present and ready to stay for...

  21. Cussed out by a family member

    northshore08 replied to jschut's topic in General Nursing

    Julie, do not isolate yourself with this family member. File an incident report with your administrators and request they meet with him to determine if there are any real unresolved issues causing...

  22. Nursing and Spirituality

    northshore08 replied to vlmusicalsound's topic in General Nursing

    Suesquatch, that is a great post. vlmusical, quite a few nursing theorists discuss spirituality; I think your early nursing school texts are preparing you to hear about them. Look up Martha Rogers...

  23. Letting a pt on suicide precautions out of their room to ambulate.

    northshore08 replied to november17's topic in General Nursing

    You are right, and the OP did the right thing. I agree completely with you that many sitters have no training; since this one was evidently not familiar with psych patients on suicide watch. The...

  24. Carrying an order

    northshore08 replied to ari3sdog's topic in General Nursing

    Does your facility have a protocol for skin tears or basic wound care? If not, you should be okay with basic wound care until the am. BTW, we don't use bandaids on skin tears. We wash gently with...

  25. Hep B titer

    northshore08 replied to Nrsstudent09's topic in General Nursing

    I approached my doctor for a booster several years ago after a titer came back negative. He refused, and explained that the series I had received gave me all the immunity I needed, even though the...