Wow ... I've been MIA for a couple months of busy work ... and this is still an issue. Had one of the worst days ever a couple weeks ago ... computers were down ... had a structure fire ......
Love ER ... Hate ER ... would never want to work anywhere else (for now at least) what you hear on these boards is a lot of venting. we deal with some crazy stuff from all sides ... bosses, fellow...
Had a patient come into ER last week with same complaint ... we also sent him home ... the ER does not have the facilities or expertise to do a paracentesis...all we'll do is give a referal...the LTC...
First ... if I'm "saving" the syringe is always labled. And I save it only if I think the original ordered dose won't be enough (or if I'm supposed to be giving to effect (0.5 dilaudid repeat x 4 to...
Our docs tend to use narcs (grr) ... but one started using imitrex ... until 2 weeks in a row the patient died! (Unknown, pre-existing aneurisms that blew). Please just know that it is not an...
Guess what we get to do now .... we have a sheet on every door with every 30 minutes marked out ... we must go into the room ... ask 4 questions ... and initial. At this point it's "practice" .. they...
susi_q replied to nursejennie76's topic in Emergency
We normallly only document for admits ... even then, I can get a little relaxed about it. However ... we just had one of our FFs claim that he had >$1000 in his wallet that was missing (picked up...
Hey Trauma ... do I work with you? I think our managers use the same consultant at least! That is word for word what we have to say! The looks I get from patients are priceless! (Of course, if we do...
Thanks everyone ... I guess I wasn't too far off in my rant ... y'all seem to be thinking along the same lines as I have been ... maybe I'll take Larry's suggestion ... wear a button that says "in...
:angryfire Need to rant a minute ... then would appreciate your suggestions... Our most esteemed powers that be have said that for each patient we bring to a bed...we need to ask them "what is the...
susi_q replied to WSU_Ally_RN's topic in Emergency
Our docs are calling it the "heck if we know what's wrong ... lets make sure to CYA and watch em for a couple extra hours" Our case managers are drilling into us and the docs that it is for 23 hours...
susi_q replied to Happy-ER-RN's topic in Emergency
Maybe I'm just a bit left of center (well, of course I am...I work ER) ... but I like the questions. I like explaining (isn't that kind of like teaching???). I like the admiration ... but always...
Question then ... why have them breath thru their nose? Do they hold the neb in front of their nose? If the neb is in their mouth and they are nose breathing ... it would still carry to Lido to their...
susi_q replied to WSU_Ally_RN's topic in Emergency
I'd be interested in hearing how someone likes it, as well. Our ED is expanding ... and will now include a CDU. The ER staff will be required to rotate between the various levels including the CDU....
Funny you should mention the Hurricane spray. That was the primary reason she sited for switching to lido. Had never even heard of methemoglobinemia ... but apparently that is a serious risk found...