imanedrn

imanedrn

ED/trauma

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All Content by imanedrn

  1. Nurses at Disney

    imanedrn replied to madwife2002's topic in General Nursing

    This. Is. My. Dream. JOB!

  2. Having trouble with IV's! Can't get them to thread...

    imanedrn replied to avidhunter3's topic in General Nursing

    IBPG = International Best Practice Guidelines. Following those isn't considered "blind" -- at least in most circles, these days. Also, I wasn't advocating that you simply d/c the line and do nothing...

  3. Having trouble with IV's! Can't get them to thread...

    imanedrn replied to avidhunter3's topic in General Nursing

    We ER nurses don't understand what that

  4. "I didn't want to go into nursing because I didn't want to be labled gay"

    imanedrn replied to NurseLoveJoy88's topic in Men in Nursing

    I call all of my male nurse friends Murses. They often do the same to themselves. I think it's awesome that so many men are entering nursing. Diversity, hooray! I also prefer working with murses, esp...

  5. How long can IV push meds stay in a syringe?

    imanedrn replied to lillystarrn's topic in General Nursing

    Don't get in that habit. As nurses, we do a lot of things that we just shouldn't because it's easier. Even though I "know" what meds I'm giving to my patient, even it's just one, I try always to bring...

  6. ER's Turn Non-Emergencies Away?

    imanedrn replied to mwboswell's topic in Emergency

    Young guy in his 30s in HTN crisis. Said he couldn't afford his BP meds. Had high end watch, clothes, shoes, gold teeth How do we better educate

  7. ER's Turn Non-Emergencies Away?

    imanedrn replied to mwboswell's topic in Emergency

    It's on their face sheet. I hear docs ask it all the time r/t which physician can/will admit them. After they've been medically screened, it's acceptable to ask about payment. There is no EMTALA...

  8. ER's Turn Non-Emergencies Away?

    imanedrn replied to mwboswell's topic in Emergency

    We live in a Fast Food Nation. What else can we

  9. ER's Turn Non-Emergencies Away?

    imanedrn replied to mwboswell's topic in Emergency

    I like this question a lot! "Who's your PMD?" "I don't have one. I can't afford one." "So how do you intend to pay your ER bill? Which directly affects whether or not I get paid? You don't want me to...

  10. ER's Turn Non-Emergencies Away?

    imanedrn replied to mwboswell's topic in Emergency

    It really is an education issue. EDs are not viewed as "emergency" depts anymore. It is perfectly reasonable to come in for tooth ache x1 month at 0500 for pain meds because my dentist can't get me in...

  11. ER's Turn Non-Emergencies Away?

    imanedrn replied to mwboswell's topic in Emergency

    I LOVE THIS! The ER in which I work now does not MSO/MSE ANYONE! The one from which I came, where 1/2 of our pts were self-pay/medicaid, we MSO/MSE'd many. Of course, it's purely a financial decision....

  12. CEN's and experienced ED nurses I need your help!

    imanedrn replied to TaoMedic's topic in Emergency

    I love when the oncoming nursing home sends a patient for AMS. Then the family arrives and asks why the pt's here. "Because they're confused, right?" I ask. Family, "No..." Baseline is SO...

  13. Having trouble with IV's! Can't get them to thread...

    imanedrn replied to avidhunter3's topic in General Nursing

    When infection is in question, what "we" are concerned with should not be our primary concern. True for children, I had no idea: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5110a1.htm "Replace...

  14. Reapply a Fentanyl Patch?

    imanedrn replied to wifeandmomoftwo's topic in Patient Medications

    But why wake a physician for some basic critical thinking? I'm ALL FOR waking physicians when they need to get involved, but you don't need a new order for some tape. As a previous poster said, these...

  15. HATE my job!!!

    imanedrn replied to Anna Flaxis's topic in General Nursing

    I echo your sentiments. I know it's hard to stay positive when you do so many amazing things then get treated like nothing more than a waitress. Esp if you came from a challenge career field. I did...

  16. How do you induce passing gas post-op?

    imanedrn replied to bjaeram's topic in General Nursing

    I personally deal with a lot of GI distress. Obviously different from post-op issues, but yoga is a lifesaver for

  17. Having trouble with IV's! Can't get them to thread...

    imanedrn replied to avidhunter3's topic in General Nursing

    Stuck on minutiae here... Isn't 9 days against CDC

  18. Reserved Personality Type in Demanding Career

    imanedrn replied to wishfulthinking21059's topic in General Nursing

    I feel like I'm reading a passage through a mirror. My best advice: Don't let a test's results tell you who you ARE. Admittedly, my first year or so of nursing was difficult because I was sooo timid!...

  19. "I didn't want to go into nursing because I didn't want to be labled gay"

    imanedrn replied to NurseLoveJoy88's topic in Men in Nursing

    For every gay, male nurse, there are numerous straight, male nurses. The same is true for female gay/straight nurses. As previous posters stated or implied, there is much stigma still attached with...

  20. How long can IV push meds stay in a syringe?

    imanedrn replied to lillystarrn's topic in General Nursing

    If this is happening to you often enough, why don't you just check your IV site before drawing up the meds? It won't take you any longer, you just re-route your steps. I try to draw my meds up in...

  21. Getting antsy...is this normal? RN for two years

    imanedrn replied to KittyLovinRN's topic in General Nursing

    My experience was different than most. Like you, I'm incredibly antsy. I was even moreso before finding ER. So here's what happened to me: Jan-Oct 2008: med/surg, infectious disease HATED it, so...

  22. Get through it without laughing - dare ya

    imanedrn replied to netglow's topic in Emergency

    I chuckled at that too! After hearing that, I I TOTALLY got the humor in this! This is some VP who's talking about the ER from behind the books. He's oblivous to life in the trenches, I

  23. What is your WORST ER story?

    imanedrn replied to NurseMaybeBaby's topic in Emergency

    Pediatric code. 3 months old. Born premie, birth defects, trach'd. Hardest death I've ever witnessed, although he was probably DOA. I've gotten used to watching adults die. It's harder to watch their...

  24. reamed out for using soft wrist restraints

    imanedrn replied to newnurse012's topic in General Nursing

    I may be biased, coming from an ER, and a crazy one at that, but they are very useful and often necessary. Everyone's suggestions about trying other things first, I absolutely agree. Restraints are...

  25. reamed out for using soft wrist restraints

    imanedrn replied to newnurse012's topic in General Nursing

    You balanced legality with the patient's wishes. Sadly, the law interferes a LOT with our best nursing judgement. I can understand this situation tugging at you. It's easy to give my input without...