taz628

taz628 BSN, RN

ER, Step-Down

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All Content by taz628

  1. Vocera Easter Eggs

    I looked up an older post about this, but there were very few responses, so I decided to start a new post! My ED started using the Vocera units recently. This past week we've all had fun learning the funny genie and the Easter eggs (Beam Me Up, Beam ...
  2. Maybe I'm just a softy, but in my little more than 2 years as a nurse I have several pt's already cemented into my mind and will never leave my memories. Just this past week I refused to leave my pt's side until he was safe into the OR. Dissected aor...
  3. Reporting to ICU

    it's the same story no matter where you go. we've got a great new intensivist who believes that ICU pts are to be in the ER for as short of time as possible - which means we often don't have time to do all the little things, just enough to stabilize ...
  4. Must see commercial for nurses

    apparently, so the story is told, we once had one of those nifty fetal heart rate ultrasound thingys in our ED. wellllll... a dad let his kiddo play with it one day without the nurses knowing. they walked out with it! so we no longer have that toy. ...
  5. Best White Scrubs

    I've had my white koi pants for almost 2 years and they are only a teeny bit dingy, nothing a light bleaching (if i weren't so lazy) wouldn't take care of though. :) the fabric seems rather thick, i think they are much less see through than other bra...
  6. My nursing program did this. We were separated, men in one group, women in another, so that it wasn't overly awkward. As others have stated, it wasn't to teach HOW to give a bed bath, it was so that we UNDERSTOOD and EMPATHIZED with the pt receiving ...
  7. Ever Refuse a MD order?

    yep - just the other day I was going to use "nursing judgement" on an order. Resident ordered 60mg toradol, IV. Called the doc up, wanted to know if she wanted 60 *IM* or *30* IV. She said she "looked it up" and that 60 IV wouldn't hurt the veins! Uh...
  8. a note in one of my work emails stated that our CNO is watching the movement out of Philadelphia to push for ALL entry level RNs to be BSN prepared. So there is a fairly serious movement for such a thing. I know the philly campus of Thomas Jefferson ...
  9. Transfer from Stepdown to ED

    This move is pretty much EXACTLY what I did. we call it "special care" but it's essentially an ICU step-down. I was there for 10 months and then transferred to the ED - where I originally REEEEEEALLY wanted to be but couldn't for various reasons. My ...
  10. Clogged feeding tubes

    ....last week... diet ginger ale... allllllll over my scrubs. but, I got that stubborn tube open! I just the rapid push/pull "agitation" with the plunger. Works for me. :)
  11. Bad code

    we don't bother with finger sticks during a code... the docs usually do some sort of lab draw (fem stick) and we ALWAYS run an iStat for codes (from the few I've actually witnessed anyway). The BS shows up on the iStat, so that's what we tend to go b...
  12. We use EPIC at my facility. Once you learn all the short cuts, it's really easy to navigate and to quickly chart. It's nice - basically looks like an excel flowsheet. Some of the info (like the nurse kardex) can be a bit tedious to access, but I over...
  13. my biggest pet peeve about nursing is being stuck inside a single building/unit for hours upon hours. Ideally, I'd find myself in a job that keeps me outdoors. My cousin and her husband are anthropologists/palentologists - so playing in the dirt all ...
  14. "Clinical Decision Unit"

    there are actual separate CDUs out there? At my hospital, if a pt is CDU'd (always chest pain/SOB, kept overnight for stress tests in AM, then d/c or admit) they are kept in the ER. Ugh. We have a "holding unit" attached to the ER, staffed by ER nurs...
  15. Oooo... the Amish. My grandmother was Amish - but then shunned for marrying a heathen. I've taken care of SEVERAL Amish patients. One of my FAVORITE patients ever was an Amish man in his 70's who had suffered a stroke. lovely man, until he ripped out...
  16. PACU Question

    I was offered a position in the PACU as a new grad - two of my classmates accepted their offers (I chose another path). So, there is a chance you could still do PACU as a new grad, depends on how the hospital is set up.
  17. Vocera Easter Eggs

    The funny genie is awesome. :) I also found that site about the chicken dance and sex in the city theme, one of my co-workers and I are sitting here trying to find new cue words to make other things happen!! No luck though. We've tried several Star T...
  18. Vocera Easter Eggs

    "Shut up" does the same as swearing at it then, lol. The "good-bye" command gives you Leonard Nimoy saying "Live Long and Prosper." Funny stuff. =D
  19. Patient beds in hallways

    from what i've heard - $8/hr at my hospital I believe. they are the lowest paid employees and some of the most overworked. it's RIDICULOUS what admin expects such a small crew to do (night shift = less than 6 house keepers for a 450+ bed hospital, or...
  20. Best Doc Stories

    the peds intensivists at my hospital are all generally WONDERFUL to have come around! there have numerous times in a peds trauma when they show up and are all, "I've already called my charge nurse, PICU bed xyz is open, let's just get them over there...
  21. -chest pain/palpitations -SOB -abdominal pain -kidney stones/UTI symptoms -migraine headache -syncope/near syncope -GI bleed I think that sums up the majority of our frequent complaints. We'll have several of each every day, I swear. Some days there ...
  22. We've had our magnet status for a bit more than a year now... meh, i really don't see any difference - except that they've taken away our staffing incentive bonus! part of magnet is cutting costs, etc, which has had a negative effect on our paychecks...
  23. Assault on a nurse

    Pennsylvania is one of those states that have that sort of law. Actually, there was recently an incident in the ER I work at where a vistor tossed her soiled shorts at our front desk registration lady (and they landed on her FACE...ugh)... and could ...
  24. Trying in vain to get in a vein

    I had the same issue as the OP when I transferred to the ER. I was trained to start IVs on my old unit, but working nights I rarely had a reason to start them. I'm not waking a pt in the middle of the night to rotate an IV (dayshift usually did it be...
  25. Living in and working in a (large) hospital in rural NE Pennsylvania, I've heard that nurse managers will send hospital security in their 4x4 SUVs to pick people up. We were talking about it at work yesterday and some of my co-workers have stories fr...