taz628

taz628 BSN, RN

ER, Step-Down

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All Content by taz628

  1. special care - (aka ICU step-down) eh, it was OK, good place to start, got really boring really fast. Never really knew if the pt was going to get better or crash, so that had some excitement, but...
  2. all I know is that the MSW assigned full time to the ER I work in is more than welcome to run the show, lol. She is absolutely AMAZING and I would never, EVER want to deal with the things she has to...
  3. RN to MD, has anyone done this?

    I work with two ER docs who were RN's once upon a time. Excellent docs, one is an attending and one is a
  4. Phasing out LPN's?

    As a general thing? No way. My ER though - we definitely seem to be doing so! We have had 4 LPN's graduate with their RN and they kept them on, increased the core RN numbers and decreased LPN numbers....
  5. How many pair of scrubs do you own?

    I'm a total scrub-a-holic. I have about 16 pair of the Koi Lindsey cargo pants (looooooove them!!!!), plus Cherokee pants, and at least ONE top to go with each pair of pants - plus extras. *blushes*...
  6. Where did YOU sleep last night?

    about 40 minutes south of my work place they got hammered with snow, we got about 4" so we got lucky. :) I was preparing to stay late if I had to, but I was determined to sleep in my own bed, which I...
  7. Can and/or do nurses give chest physio?

    at my facility, chest PT is a nursing responsibility. we learn it in school, and the ICU has some nifty little gadgets to make it easier. I just use the cupped hand method. the RT's do it as well if...
  8. I have a friend who is fluent in Spanish... a few hispanic residents were talking about the nurses one day thinking no one around them could understand until my friend joined in the convo and called...
  9. A question for all you ER nurses....

    while my hospital has gone completely electronic for charting, traumas (and codes) are different stories. we're a level 1 trauma center (like the ones on TV) so we get our fair share of traumas. We...
  10. Nurse Assignments in your ER

    we're assigned to "areas" in our ED. We have blocks of rooms that accomodate different levels of acuity for the most part. Our "cardiac room" has the least amount of open beds, but is used for the...
  11. My hospital's new PPE policy!

    my hospital's new PPE policy is almost IDENTICAL to yours. however, two hours after flyers and whatnot (the bright pink ones lol) went out about reusing the masks, they said to disregard that info. We...
  12. Conscious Sedation in the ER

    we use pretty much every drug mentioned in this post - etomidate, versed/fentanyl, ketamine, and PROPOFOL (that's our main one - love using that drug!). Always have code cart nearby, usually have...
  13. What you're describing it pretty much what I just did. I spent a bit shy of a year in a step down critical care unit and jumped over to ED a few months ago. My weakest points are vents, some of the...
  14. Policy on Tattoo's & Piercings

    one of my coworkers has to wear a sleeve over a (rather nice) forearm tattoo. More pt's take notice of the sleeve than if the tattoo were exposed. *rolls eyes* I understand the concept, but some...
  15. No more mandatory overtime.....

    Our hospital is in the same boat too. However, as us nurses have discussed it to death, we've come to one conclusion -- too many loopholes in the legislation to cause any sort of major change to the...
  16. I worked in step-down prior to ER, so I saw quite a few transfers to the ICU from my floor. Of course, I can't tell you how many Rapid Responses and Codes I heard called between 0630 and 0700 from the...
  17. Average hourly pay for per diem agency RN?

    Here in Northeast PA I work 48 hours a week with 12 hours of overtime at time and a half. My rate is $45/hr and $67.50. I pay for my benefits through the company. I get 40 hours of vacation paid and a...
  18. First Aide?

    PHRN is a pre-hospital RN. It, in a nutshell, gives RNs paramedic type skills. (But nothing will ever be as good as a true blue paramedic!
  19. First Aide?

    THIS is part of the reason I received my EMT-B certification while in nursing school (Took a whole summer between 1st and 2nd year). In general, the first aide you speak of is the realm of...
  20. Preceptorship suggestions

    I'm a firm believer in challenging yourself. I went straight into a critical care environment after graduation and I"m SOOOO glad I did. I'm transferring to the ER in a few weeks and my choice to go...
  21. "eyes and nose" for I/O. 'Kay... checking the eyes and nose every two hours! Say whaaaat? lol. And yes, that was WRITTEN in a pt's chart one time. :) My peds instructor pronounced the word...
  22. basic nursing question

    at our facility we have the option "unable to assign a number" and then we can choose "behavioral cues" and leave a comment or NVPS (non-verbal, paralyzed, sedated) as the scale type if we can't...
  23. Patient Assessment

    Oh yes, you will practice like no other first. :) Heck, we were even told one day to wear tanks and shorts to practice BED BATHS on one another! (Guys and Gals separated for this one lol.) So no...
  24. The New Grad and the Interview with the ED

    When I interviewed for the ED at my hospital they asked what I thought the ED was all about - they didn't want someone interviewing because they were under the impression it was JUST LIKE all those...
  25. Minimally Invasive Back Surgery

    I believe my uncle (age 83) had it done this way. Worked out much better for him than my dad, who had invasive surgery done. My uncle had no complications. A week after my dad had his he needed a...