back2bRN

back2bRN

ER, L&D, RR, Rural nursing

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All Content by back2bRN

  1. What would you do?

    I hand them the phone and say that due to P&P they will need a ride home following the med. I stay to listen to the conversation and sometimes will dial the number. If they don't have a ride I...
  2. RN experience prior to ER triage?

    A good triage nurse makes it look easy, so everyone thinks they can do it. The fact is you should have experience and should have experienced the results of bad calls... I have worked many places, and...
  3. Ballad Of The Frequent Flier

    I'm not sure which I enjoyed more, the ballad, or the story posted by EmergencyNrse... have thought about that scenario several
  4. This whole situation is magnified by media, compounded by mass hysteria and panic with a lack of common sense thrown in there. No there is no bitterness there(insert dripping sarcasm). Just too much...
  5. Tough Enough?

    Agree with all the above, know yourself. As a nurse it is a tricky job balancing compassion, empathy with getting the job done. Be insightful, there are all sort of jobs for compassionate, easily...
  6. Normal to feel so stupid?

    In a nut shell, yes....but having said that this is just an opportunity for you to learn. You will feel less "stupid" as time goes on but it will get better. Every time I changed jobs, or got added...
  7. Have to comment, I am one of those who wear the pretty tops, colorful scrubs ect and never have I been told I am unprofessional, I find the clothes you wear don't matter, it is how you introduce...
  8. Time Management or Personal Boundaries?

    Absolutley, priortization, organization and delegation are all part of the equation, some things can wait, even if the MD thinks
  9. Ethical dilema - cancer pain

    Having experienced this with a family in denial about their mothers pain I was able to assess her in private, explain everything to her and give her the option of having analgesia or not. She ended up...
  10. Paramedics saying they are nurses---is this legal?

    In alberta nurse is a protected title. By legislation. You have to be liscenced or registered as one to call yourself one. Even the implication (by signing where the nurse is designated to sign) is...
  11. What's the ONE best nursing tip you've ever received?

    1. Patients lie, either by omission or comission. The story changes from triage to the back. 2. If your instinct says something is off, it usually is, figure it out. 3. If the ng won't go in softened...
  12. Opinion Please...problem at work

    I would give them (NM) a copy, keep the original, date given or even email to your NM. These things have a habit of being filed, right into file 13. Remember to protect your pts, protect
  13. Do Nurses eat their....lunch?

    Lunches and breaks are vital to the functioning of the nurse and the unit you work on. With my background in rural nursing it was easy to rationalize no time away. But now(as I work in a larger...
  14. Paralyzed by emotion when children are the patient?

    Sometimes you need to keep telling yourself that it is an important procedure that is being performed. You are the professional and have to" keep your head when all those around you are losing...
  15. kind of a rant

    There is no real solution. However where I work EMS does have the ability to deem transport unnecessary(and they do), within protocols of course and under medical direction. We also have a list of...
  16. Call display, answering machine and say no if you don't want to or can't go in. Call back, but decide what you are able to
  17. Need Night Shift Tips

    Sleep in and nap the first night on. 2nd night sleep til you need to get up, I take a warm relaxing bath with some breakfast when I get home. Try to keep busy all night, stocking rooms ect during...
  18. ER Nsg Neuro Assessment

    I add event to the person/place/date(season), pupils, smile, stick out tongue, nausea/vomiting, h/a, gait(if mobile), have them follow my finger with eyes, visual disturbances, any numbness/ tingling...
  19. What exactly do you do as an ER nurse?

    You name it.... although it isn't exactly as portrayed on TV, sometimes there is alot of minor things, but man I still wouldn't do anything else. It really is something that is in you. You have to...
  20. What is the best shift in the ER?

    The best shift depends on a few things. I am a morning person, so 7a-7p or 11a-11p woukd work best for me and my family. The first little bit (as a new grad )I would start on the 7a-7p simply b/c the...
  21. how have you dealt with flirting doctors.

    I have found, for me the best thing to do is simply be professional with everyone. If you are in a commited relationship then let that be how you present yourself. Talking about your spouse, kids,...
  22. Suture to laceration

    Do the follow up as directed. Be your sons' advocate and remember if it doesn't make sense, find out why. Ask questions, use your common sense and experience on your sons' behalf. Good Luck And...
  23. Full to Overflowing

    One place I worked at years ago opened up the out patient dept (after hours and on w/e), put the stable pts there and staffed it accordingly with ER nurses. Freed up alot of beds, and maintained...
  24. Propofol for conscious sedation?

    Since I work in a small facility where the docs are GP's on call I am really cautious about ketamine and propofol is a big no-no (per P&P). If in doubt follow P&P, our region has the drug...
  25. Pediatrics Question

    Totally agree with kessadawn. Kids are challenging to start IV's and get labs on. I tell them matter of fact, try to get them to voluntarily stay still (depending on developmental maturity), get all...