susi_q

susi_q

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All Content by susi_q

  1. Press Gainey AARRGGHH

    susi_q posted a topic in Emergency

    :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...

  2. Press Gainey AARRGGHH

    susi_q replied to susi_q's topic in Emergency

    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 ......

  3. ER: Are you happy there?

    susi_q replied to HRM672's topic in Emergency

    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...

  4. ER didnt treat our resident......

    susi_q replied to tatgirl's topic in General Nursing

    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...

  5. rules of injections

    susi_q replied to imahobbit's topic in General Nursing

    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...

  6. what treatment do patients who present with migraines......

    susi_q replied to froghair's topic in Emergency

    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...

  7. Press Gainey AARRGGHH

    susi_q replied to susi_q's topic in Emergency

    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...

  8. patient belongings

    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...

  9. Press Gainey AARRGGHH

    susi_q replied to susi_q's topic in Emergency

    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...

  10. Press Gainey AARRGGHH

    susi_q replied to susi_q's topic in Emergency

    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...

  11. clincal decision unit

    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...

  12. You are an ER nurse?

    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...

  13. nebulized lidocaine

    susi_q posted a topic in Emergency

    Did something new today ... well different purpose at least. Needed to put an NG down a very skittish patient ... doc said she had been reading about using nebulized lido prior to insertion, but...

  14. nebulized lidocaine

    susi_q replied to susi_q's topic in Emergency

    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...

  15. clincal decision unit

    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....

  16. nebulized lidocaine

    susi_q replied to susi_q's topic in Emergency

    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...

  17. conscious sedation

    susi_q replied to onlyER4me's topic in Emergency

    fentanyl & ketamine for CS Succs and etomidate for

  18. T system

    susi_q replied to nursejennie76's topic in Emergency

    Just curious ... what is Tsystem? Assuming it is some kind of electronic charting?

  19. SO- Patients in Gowns

    susi_q replied to Aneroo's topic in Emergency

    Ditto ... we gown and remove belongings from all psych, intoxicated, aggressive patients. Belongings are not searched though ... just bagged and

  20. I'm going to probably open a can of worms here, but I want your opinion

    susi_q replied to dspring's topic in Emergency

    Thanks Wooh ... you stated a very reasonable response. As a nurse, if I know both sides (the origin of the med ... and your possible objection to it) I will of course give you that information....

  21. patient satisfaction

    susi_q replied to RNLex's topic in Emergency

    This is so funny that you ask. Just today, had a 20ish woman come in with a new "pain". Recognized her, so pulled up some of her last charts to put in with today's chart for the doctor. On each of the...

  22. What was the MOST ridiculous thing a patient came to the ER for?

    susi_q replied to JUSTYSMOM's topic in Emergency

    Last week...call from the ambulance that they were on their way in "non-emergent" ... could hear the paramedic suppressing either a laugh or a moan ... 30 something year old woman ... coming in...

  23. I'm an ER nurse and I love my job because...

    susi_q replied to sowie's topic in Emergency

    Yup Yup to all the above... the autonomy, the ability and need of working side-by-side with the docs (respect is a great thing), the feeling of "this too shall pass" is priceless. And Yes ... stupid...

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

    susi_q replied to vegnurse21's topic in Emergency

    We do every part of the nursing process ... squared. we assess...as they come in the door, as they get to the room, as we continue to monitor, as we send 'em on (either to admit or discharge) we...

  25. pt report to ICU?

    susi_q replied to scrmblr's topic in Emergency

    I agree ... report should be short, sweet and pertinent!!! As to the OP situation though ... new onset afib will be anticoagulated ... recent GI surgery could get ugly really fast if not handled...