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Neuroscience, ED
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RN_in_SC specializes in Neuroscience, ED.

RN_in_SC's Latest Activity

  1. RN_in_SC

    add your funny TRIAGE complaints from pts

    "balls itch"
  2. RN_in_SC

    morphine IV

    You can dilute it with saline and push it slowly - VERY slowly on an elderly patient. Make sure you have them hooked up to a sat and pulse monitor and have 02 ready (cannula and non-breather mask) because esp in old people, narcotics make them stop breathing so well :-(
  3. RN_in_SC

    Eat Before You Get Here!

    I work in an ER. Yes, it does get VERY annoying having to explain to patients (who have only been back in a room less than an hour) that we do NOT have hot meal service like "the rest of the floors" because we are an EMERGENCY ROOM. And yes, I love it when the diabetics tell me they have not eaten all day and NEED to eat. Also, esp the younger diabetics will not take water or diet soda - they want regular soda, even when they are in the ER for hyperglycemia! (wonder why!) Late at night we do get cold lunch boxes for patients who have been there all day and are waiting all night for a bed upstairs. god forbid anyone else sees these. I had a fellow I was trying to discharge insist that he was basically owed a meal before he left because another patient (who had been there 6 hours and was waiting for a bed) had gotten a cold sandwich. I think a patient's wife almost punched me once over the food issue. She was complaining about when her husband would be released and she hadn't eaten all day and she was a diabetic, yadda yadda yadda And in all innocence and sincerity (REALLY) I said "Well, there is cafeteria across the hall". At that moment I realized she was debating lunging at me - so I quick turned on heels and walked out of the room. ***? Then (if I make the mistake of telling anyone we have some food) people don't want our crackers, soup, water, etc. It's not good enough for them. Don't you have any so-and-so (insert food item here). No, we are an ER not the grocery store. Note to future patients: PACK A LUNCH before you come in, 90% aren't that sick where this would be an issue. Family members: feel free to go out to the 12 fast food restaurants within 3 blocks of our hospital and have dinner and then come back, trust me, your loved one will still be there - and if they are allowed to eat - bring them something back. When I am trying to assess a patient and they start complaining about how they haven't eaten in 4 hours (?) - I tell them, "yeah I know - I haven't eaten in 20 hours, what's your complaint?"
  4. RN_in_SC

    A Useful Bedside Test

    I think it is hysterical when a patient freaks out about getting an IV and asks to be injected with "something to numb the area" before inserting the IV. So you are afraid of needles and you want to be stuck TWICE? Also, I was in triage and this girl with perfectly fine vitals, chatting it up with others, complained her headache was a 9/10. When I tell people "0" is no pain at all and "10" is the worst pain they could ever possibly imagine, and they tell me "5" - I am much more sympathetic. But that is just me, jaded.
  5. RN_in_SC

    vent--angry patients--your input

    We would not treat a pt who is verbally or physically abusive (unless they are AMS) I would call security and have them escorted out, esp a repeat "customer"
  6. RN_in_SC

    24 Things ER Nurses Know All Too Well

    My co-worker said the other other night - more than three complaints - and the chief complaint becomes "weakness" It is so funny how people think when they come in for some problem they might as well get "all checked out" so we have c/o combos (for adults) such as "ear infection/constipation" "abdominal pain/hang nail", "eye pain/STD check", etc.
  7. RN_in_SC

    24 Things ER Nurses Know All Too Well

    I want to know how you make the violin!
  8. RN_in_SC

    24 Things ER Nurses Know All Too Well

    While shaving my elderly STEMI pts very hairy chest, his wife asked, “I don’t mean to bother you, but can you get his back too?” Is that funny? HAHAHAHAHAHAHAHA!
  9. RN_in_SC

    24 Things ER Nurses Know All Too Well

    Well, this was supposed to be a funny, venting thread. But some people are way too serious! Lighten up - take what you need and leave the rest. As for the medication issue - we are actually "allowed" to give up to the dosage the doctor ordered, don't always have to give the whole thing. AND IT WAS A JOKE I am thinking that if you don't get it you never worked in an ER - and never could. ANd I don't know what number we are up to, but: ###. All family members (except the patient answering my questions and each one has a different answer: Ma'am where does it hurt? "Her shoulder" "It's her belly" Ma'am point to where it hurts - Family member gets up and points to shoulder Daughter "Do you think she will be admitted, because I have some phone calls to make" "Also, how long will it take for her to get a room because I haven't eaten dinner yet" Well, it's 5 0'clock now, let's let the doctor take a look at her and decide what to do.
  10. RN_in_SC

    Quick Poll

    For what? Meds? Procedures? Pathophysiology? All?
  11. RN_in_SC

    24 Things ER Nurses Know All Too Well

    Bringing luggage to the ER! It amazes me when people bring a suitcase to the ER when they come in for a cold or minor belly pain. They are only in the treatment room 5 minutes and haven't seen a doctor and ask "Do you think I will be staying overnight?" Nevermind we don't have any rooms for the sick patients.
  12. 1. Don't tell me you have abdominal pain as you eat Doritos in my triage booth. 2. If you come to the ER by ambulance, the first thing I will ask you is how you are getting home. No, we don't have people on staff to drive you home, and don't tell me you don't want to "bother" one of your family members at this hour. You had no problem bothering 911 for the back pain you've had for 3 years. 3. You DON'T get to pick your own IV site. This will irritate me and I will probably miss your IV on purpose and start your site in the place I wanted to initially to prove a point. 4. "Butterfly" is not an IV size, this word signals me to put in a larger bore needle, preferably a 16g. 5. Nausea is not a reason to come to the ER. If you are not in severe abdominal pain, are not vomitting or pooping your pants in front of me, your butt goes back to the waiting room. 6. How can you have the worst migraine of your life, but you are able to yell at me about the wait time after you just put down a magazine you were reading? 7. Don't ever say things like, "I usually get 4mg of Dilaudid." Requesting your med and dosage will promt me to squirt out half of the med before it's injected, then lie about the dose. 8. If you are allergic to Tylenol, Toradol, and Motrin, I have already assumed you are a drug seeker. 9. I don't care if you are neighbors with the GI specialist. Unless he drove you to the ER himself, you can't be that friendly. 10. Just because "my doctor sent me here," does not mean you get right back to a treatment room. This tells me you are a pain in the a$$, and he's pawning you off. 11. The louder you moan and wine, the bigger size IV needle you get. 12. Foley catheters cure psuedo-seizures and intoxicated persons. 13. If you are on more than 2 medicines at home, bring a list. Don't say, "you know, the little white pill," or ,"look it up, it's on the computer." I am NOT a pharmacist. 14. RN is not synonymous with waiter/waitress 15. Don't wine about missing breakfast when I am on the tenth hour of my shift and still haven't even peed or eaten yet. 16. Broken toes are not an emergency. We'll make you feel stupid by putting a little piece of tape down there and kicking you out. 17. I am currently inventing a trapdoor system in triage to be triggered when you say the word "toothache". 18. Cover your mouth for crying out loud when you cough, sneeze, or belch. This is just common courtesy. When you neglect to do this, I am tempted to bust butt in your room, then close the door. 19. If you tell me you have fibromyalgia or chronic fatigue syndrome, know that I'm rolling my eyes and thinking you're a loser. 20. If you list Haldol, Geodon, Xanax, and Trazadone as allergies, don't ell me you have no psych history. 21. Although you've been in the ER four times this week, you cannot list the ER doc as your family physician. 22. Do not talk to me while I'm trying to listen to your lungs. 23. Don't tell me you have no money for medicine while you have a carton of cigarettes in your purse (next to your cell phone), and each of your seven children are playing their own PSP's. 24. Gravida 7 at age 22 means you are a tramp.
  13. RN_in_SC

    A comic going to the ER

    We actually have valet parking. Funny
  14. RN_in_SC

    How do you deal with.....?

    It is no the way my co-workers treat patients that I find unprofessional. I think they all do well with the patients. It is more they way they treat each other, like we are back in High School. Thanks for your reply! Each one gives me something more to think about!
  15. RN_in_SC

    How do you deal with.....?

    Thank you all for your responses, I really appreciate them all.
  16. RN_in_SC

    How do you deal with.....?

    I have been working in the Emergency Department of a downtown hospital for 7 months. Normally things balance out with patients and I feel ok about my work, but lately things seemed to have gotten worse. Our patients are varied, but the patients we mainly see are lower-class, undereducated and often ignorant and insolent. It is my job to advocate for them, but I get glared at for hours, yelled at and treated very badly by some patients and their family members. Some patients come in with minor complaints and then have a fit (at me) when we don't do an MRI for their sore throat. Prior to this I worked in a professional environment and I am dismayed at the lack of professionalism of my co-workers. I am also at wit's end because some patients/family members think my job is to be their servant from the moment they come in the door. I understand people being very sick and I have no complaints about them, I will help them with anything. But to me it seems like some people "get off" on coming to the ER and having everyone wait on them. It is exhausting to have to do my job and deal with these life-suckers. How do you do it?

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