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ED, Ortho, LTC
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hollysunshine has 18 years experience and specializes in ED, Ortho, LTC.

I am an RN, currently working in the ED. I have been an RN for 5 years, with 13 years experience as an LPN

hollysunshine's Latest Activity

  1. hollysunshine

    Lining and labing in the waiting room

    We have triage protocols that are complaint driven. Anyone not being seen for crisis or urgent care gets lined and labbed. We can give IV/PO narcs, antiemetics, and fluids. I've really only given Zofran. Makes me too nervous to give IV Dilaudid to someone that I can't keep my eye on. Our triage area is fairly far removed from the waiting area and behind several closed doors. I've given Percs to some orthopedic injuries that we couldn't get back right away. The triage protocols were designed by our group of docs.
  2. hollysunshine

    Scheduling in the ED

    We self schedule 8 weeks at a time with the following rules: 3 Mondays 3 Fridays 5 W/E shifts We have a holiday package (A or B) that flips each year. We get one request off per week.
  3. hollysunshine

    How often do EMS crews show up to your dept unannounced?

    They show up unannounced all day long. We only get called on the box if the pt is critical or the medics are requesting the doc to order a med they can't give just based off protocol, like Cardizem.
  4. hollysunshine

    Hourly Rounding in the ED

    I think we might be at the same hospital. We got an email about the 5 P's. Can't remember the 5th one either.
  5. hollysunshine

    Hourly Rounding in the ED

    We just started this in my ED about a month ago. I was already seeing my patients at least every hour, but now we have to document that we updated the plan of care with the patient. We only actually have to document every 2 hours. The nurses document rounds on the odd hours and the techs on the even hours. I guess we have to have documentation that someone has seen the patient every hour. I'm sure it all goes back to those precious Press Ganey scores. Sometimes I feel like more of my time is spent doing documentation than patient care.
  6. hollysunshine

    24 Things ER Nurses Know All Too Well

    #? No, I can't give everyone of your family members a work note because they came with you to get your stitches out.
  7. I recently had an 18 y.o. female come in via EMS. She had been seen several days before and given a script for Cipro for a UTI. She got it filled at the pharmacy and when she got home, realized the cap had a crack in it. She didn't think she should take it, so came back to the ED for a new script.
  8. hollysunshine

    transferring pts. from ED to floor

  9. hollysunshine

    Funny Sign in slips

    I thought I was the only one who knew about "smile oh mighty Jesus" (spinal meningitis)
  10. hollysunshine

    Funny Sign in slips

    Stomack ack Massive fever of 100.8 I'm sick. Really really sick. But my all time favorite (in fact we kept a photo-copy) "My pussy on fire and I have hair on the tongue in my mouth."
  11. hollysunshine

    eager to move on from med/surg, want to be in the er

    I was in your position 1 year ago. I left med-surg after 3 years and moved to the ED. I love it, but it was definitely an adjustment. My hospital had a 12 week fellowship program that included class time as well as orientation to the floor. We learned about things we never encountered on the floor such as drips and rhythm strips (my biggest fear). Make sure you get with an experienced preceptor who is willing to teach you. My best advice is when you start down there, keep your ears open. If I heard someone had a patient who was going to be paced, or get clot busting agents, etc., I tried to be in the room as an observer. Depending upon the area you're in, you may not get those too often, and at least you'll have some idea when you get that patient for the first time. Always ask for help when you're unsure of something. I still have things come up that I need help with, and most of my co-workers have been great. It's a great learning experience most days. Good Luck with your interview.
  12. hollysunshine

    Nurses tossing scrubs for all-white uniforms

    Our hospital has given everyone in the nursing department a clip that their badge must be attached to. It's about 2x2 and in large block letters identifies you as RN, LPN, or TECH. It seems to have helped.
  13. hollysunshine

    LPN to RN?

    I'm an LPN who just started into the actual nursing part of an LPN to RN transition program. I think it's great that you are going back to school as well. For me, working in an acute care setting has been a big help. It will help you immensely in the clinical portion of your training. I've been very lucky that the nurses on my unit mostly started out as LPNs and have been very patient with me. An acute care setting will also give you a variety of diagnoses that you don't see in LTC. Good luck!
  14. hollysunshine

    sleeping staff

    Are you kidding me? So the night shift nurses get differential and get paid to sleep? As a day shift nurse, I'd like to know what additional benefits I'm going to receive.