WonderRN

WonderRN

ED

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All Content by WonderRN

  1. What exactly do you do as an ER nurse?

    WonderRN replied to vegnurse21's topic in Emergency

    :heartbeat Love it!! Wow, the experience. You brought tears to my eyes.

  2. Signs, Triads, and Other Terms

    WonderRN replied to midge121787's topic in Emergency

    Ok, Lunah.... Did you pull that all out of your brain, or did you reference your book?!?!? Cause if you just rattled that off without looking, you are GOOD! :bowingpur ok, i remember that...

  3. ER. A Clinic?

    WonderRN replied to JSlice.'s topic in Emergency

    Yep, not a new thing. Many reasons people use the ED for non-emergent symptoms: no insurance (and in the ED, no payment required upfront.... or, EVER) sick and no established PCP- and can't establish...

  4. new to ER - more questions....

    WonderRN replied to jotond's topic in Emergency

    just like Portcity rn said, if the UA is relevant to the pt's symptoms I would make sure the doc knew it wasn't resulted yet. if its not relevant, then I wouldn't mention it and cancel it. We have a...

  5. NRB & COPD your input please

    WonderRN replied to crb613's topic in Emergency

    I know many have already weighed in on this issue, but I'll give my 2 cents.... NRB for all hypoxic patients regardless of history. They need oxygen first and foremost, you can fix the acidosis later....

  6. Care of the patient with stroke sxs >5 hrs PTA

    WonderRN posted a topic in Emergency

    I'm a new grad in the ED, and I need some help in understanding what to expect in the nursing care of those individuals with stroke like symptoms who are assumed to have ischemic stroke and who are...

  7. ER Warm Fuzzies

    WonderRN replied to Escape5's topic in Emergency

    BOOOOOOOOOOO

  8. Lasix and CRF

    WonderRN posted a topic in Emergency

    So I am still a relatively new nurse, and I have a question about Lasix and CRF.... I had a patient last night that had pulmonary edema secondary to ESRD. His last dialysis was just the day before,...

  9. Lasix and CRF

    WonderRN replied to WonderRN's topic in Emergency

    aaahh....ok,

  10. Help with decreasing ED wait times ...

    WonderRN replied to RNSurf's topic in Emergency

    at our ED, we have one nurse that does vitals, allergies, and primary complaint only, then assigns acuity. Takes 5 min or less. If there is an open room, they go right back. If not, they go to the...

  11. Any info on St Louis hospital's ER's?

    WonderRN replied to Gator-ER-RN's topic in Illinois Nursing

    St. John's, Barnes, and Saint Louis University Hospital (SLUH) are all Level 1 trauma centers. St. John's sees a more affluent population, for the most part. It is locally referred to as "the palace...

  12. Floor nurse to ER nurse. Help please!

    WonderRN replied to BrayaRN's topic in Emergency

    Not constructive or helpful, really. You've never had a patient that moaned and groaned when she saw you in her line of site, but was then talking, laughing on the phone, ambulating around the room...

  13. Passed the CPEN today!

    WonderRN replied to Lunah's topic in Emergency

    Congrats!...... and by the way, thanks for all your posts on this forum. You are always encouraging and are an excellent resource for all us new ED

  14. Involuntary commits in ED and VS requirements??

    WonderRN replied to welnet66's topic in Emergency

    Q4 whether or not they are medically cleared. Unless the initial set was unstable or they are an intentional ingestion. We take all the vital sign machines, cords, "stuff" out of the psych rooms and...

  15. New Grad in ER with unsafe practice - Advice please?

    WonderRN replied to R!XTER's topic in Emergency

    Great add about the docs.... I was going to add that after I posted too, but thought I had already said too much There is one doc I work with that I used to always place myself strategically in the...

  16. New Grad in ER with unsafe practice - Advice please?

    WonderRN replied to R!XTER's topic in Emergency

    I would DEFINITELY interview for the job. New grad jobs in the ED are hard to find. I started as a new grad in a community ED 9 mos ago. I am thriving. I would ignore the advice that says you should...

  17. Looking to get ready to take TNCC

    WonderRN replied to magg1107's topic in Emergency

    When do you take yours? I take mine July 28/29th..... I'll tell you how it went after I take it, and see if I can give you any pointers, since I will be freshly certified (i hope:uhoh21:) Good

  18. tPA Question

    WonderRN replied to punkstar's topic in Emergency

    EDValerieRN, I just gave TPA for the first time the other night. I was really scared, because I know the risk of hemorrhage..... The patient had improvement after the bolus and halfway through the...

  19. ED RN considerations for ESRD pts

    WonderRN posted a topic in Dialysis, Renal, Urology

    Hello. I am a new RN and I work in the ED at a city hospital in which many of our pts have comorbidities, including ESRD on dialysis. I am trying to educate myself more about this very complicated...

  20. ED preceptors - who are the best?

    WonderRN replied to Footballnut's topic in Emergency

    I am a new grad in the ER with 7mos experience- 3 mos of which have been on my own. I work in a community hospital in a city- we do not do trauma except the walk-in traumas, we have quite a large...

  21. Care of the patient with stroke sxs >5 hrs PTA

    WonderRN replied to WonderRN's topic in Emergency

    Lunah- What about medication for pain after their CT is negative for hemorrhagic stroke (and ischemic stroke is assumed?) My patient kept complaining of a severe

  22. Care of the patient with stroke sxs >5 hrs PTA

    WonderRN replied to WonderRN's topic in Emergency

    i forgot to mention that he did get an EKG right away.... Came back to the room, hooked up to the monitor and vitals by tech and EKG by tech, I started IV and got labs, quick assessment, MD at...

  23. Antiemetics... Can someone give me the lowdown?

    WonderRN posted a topic in Emergency

    so I am a new grad in the ED, and I was wondering if someone could give me the lowdown on the antiemetics...Zofran, Reglan, and Compazine.... I've read my drug book, but I find it is less helpful than...

  24. Vastus Lateralis

    WonderRN replied to chelynn's topic in Emergency

    So this B52 thing, mix together in one syringe? Can't imagine them letting you get 3 sticks. Also, the other day I gave someone a solumedrol injection in the ventrogluteal, did my landmarks- did...

  25. Did I get the job?

    WonderRN replied to angielynn1972's topic in General Nursing

    I would not take it as a bad sign that he has not called yet. Sometimes it takes a while for them to make their decisions, longer than they expect. I would definitely call them on Monday to see what...