I myself was also a MA for quite a few years before I became an RN. I now like to refer to my MA days as, "When I was young and didn't know any better." Not because I was stupid, but because I truly...
Hi everyone, All of us at work decided to put together a scheduling committee to set guidelines for our dept. I was just wondering what does everyone else do as far as rotating weekends, how many can...
Thanks GingerSue for that idea. We want to eventually go to self scheduling. We just need to get together and get guidelines set first, see how they work and then maybe we will be able to do
Jen2 replied to LoriAlabamaRN's topic in Emergency
You aint kiddin sista! When the attending physician wrote for 1mg of morphine I told him he was out of his mind and if it was a scrotum I'll bet he'd write for a dilaudid PCA. He then smiled and...
Jen2 replied to LoriAlabamaRN's topic in Emergency
I can understand what you are saying and why you take offense to such comments. I noticed from your public profile that you are still a student. It has not been long ago myself when I was a student...
I agree with joining ENA. I also have subcriptions to AJN, RN, Nursing 2006, and nursing made incedibly easy. I don't always get to read them all from cover to cover, but it is nice to have them as...
I feel for you. I had an experience once where a patient actually made me cry, because he was so ignorant to me, and I had never felt as low as he made me feel in my life. This guy was Islamic...
I do this also but I add an ABC + Neuro assessment + focus assessment I usually start out with my focus assessment, then move on to neuro and ABC's. 1300: Pt brought to room 15 cc: midsternal chest...
Had a doc do this to me once with versed as he was sewing up a head lac and it was me the lowly RN that told him, "If you want to give more than this you need to go to the OR." The OR was phoned and...
I once had a patient yell at the top of her lungs in the ED that I could not come near her because I fu#$@d her husband. I then had to go in the room across from her and administer antibiotics to a 4...
1) We're not talking about ventilated patients in the ICU.2) Neuro patients in my OR get pentothal. 3) Trauma patients, particularly unstable ones, NEVER get propofol. They get etomidate, possible...
I went to the ER as a new grad and I love every minute of it. I externed in med/surg and ER while in nursing school and have about 10 years of experience in the medical field doing other things so I...
We are supposed to do q 1 hour vitals on all patients and use our discretion for critical patients which I follow the q 5 x's 2, then q 15x's 2, then q 30 x's 2 and so on. It is unrealistic I think...
I think this is a common problem in many ER's across the country. Just last week we had patients waiting to be seen for 6 hours. One of our regular dilaudid/phenergan cocktail craving junkies was in...
Your welcome. I love him so much and I think that we are proof that it can happen naturally and two can be professional about it. When we met. I was just getting out of a five year relationship with...
Hmmm, we don't generally have the neurosurgeons setting standards for the anesthesia department. No but you stated that it was inappropriate to use Propfol for head bleeds and traumas, when in fact...
Here's mine: At the most miserable point in my life I decided to go to nursing school. I had been datingthe same jerk for 4 years. He was a teacher and as about as childish as his students. When he...
Wrong on several levels. Propofol should be reserved for anesthesia providers. Head bleeds and trauma? Gimme a break. Yet another example of propofol being used by the wrong people. I am not so sure...
I work with three amazing women Docs in the ED. Two are attendings and one is a resident. All three were nurses before going to med school. They do everything for the patient including taking out...
I hate giving Adenosine. I am too afraid the heart won't start again. I hate Dilantin just because I had a patient have anaphylaxis (SP?) from it before. I hate Nipride. It's just something about a...
Hello fellow nurses! I am an ED nurse in a very busy Level 1 Trauma Center. It is hospital policy that if a pregnant patient comes in through triage and is less than 20 weeks pregnant, she must be...
Our ED docs intubate constantly in the Level 1 where I work. When I work a twelve hour shift we usually end up with at least 4 intubations. I would never push the drug in an office setting where I...
You understand that some people may be quite sick according to some standards and may very well be admitted with that pneumonia, but your idea of sick is just after a chest is cracked you get to use...