VICEDRN BSN, RN

ER

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All Content by VICEDRN

  1. VICEDRN

    E.D nurses "set up to fail"

    Will add that the teaching attendings have recently informed me that new E Med guidelines do not include treating asymptomatic elevated BPs in the ER as it is bad policy (creates revolving door...
  2. VICEDRN

    E.D nurses "set up to fail"

    Hee hee. Of COURSE I don't think
  3. VICEDRN

    E.D nurses "set up to fail"

    Hee hee. Of COURSE I don't think
  4. VICEDRN

    All Those NPs with No Bedside Experience

    I don't think you need to be an NP to evaluate the issue. In fact, I think its helpful not to be an NP for two reasons: the first is that you can evaluate all of the different types of providers...
  5. No. You are not responsible for the problems that other people create. if the unit is short-staffed, its because the hospital administration have made decisions that make it an unattractive place to...
  6. VICEDRN

    No more fun scrubs

    Before I became a nurse and when I was a patient on the OB floor, it drove me crazy that I couldn't tell the difference between one type of worker and another based on what they wore and those little...
  7. VICEDRN

    New Nurses Precepting Students/New Hires?

    No idea what you are talking about...i live in the southeast and it is typical for nurses in my area to precept and charge after their first year. (though i have yet to see an ER charge with less...
  8. VICEDRN

    Fired for giving Med late

    I think its ridiculous to fire someone over one failed med pass. Absolutely ridiculous. Especially a new grad RN. As for the immediate concerns of the supervisor, I tend to agree that its more...
  9. VICEDRN

    Labour and baby-catching in a small ER

    in my two years as an Er RN, I have had multiple precipitous deliveries. last one was 2 months ago. I have no insight. when they deliver, they deliver. be familiar with the location of the ob kit...
  10. VICEDRN

    Last minute TNCC. Frustrated. Venting.

    two thoughts... 1. skip to the back of the book and review the scenarios. its the only way to study for the practical portion. 2. pay attention to the lecture for the written test. keep it simple....
  11. VICEDRN

    cen exam pearls

    Let's take a different tact then... I am thinkin about buying mo-metrix flashcards from ebay for the exam. Am not impressed by reviews for boswell's book and I own ENA book BUT like a real ER nurse,...
  12. I haven't forgotten. In fact, I am a bigger believer in new knowledge and practice then in experience. In my first post, I told the OP no one has the right to be rude to her and I have told you...
  13. Because viral fevers often peak in the evening hours. Patients frequently present to the ER with a temperature, get treated with tylenol AND the fever still goes up because...viral fevers peak in the...
  14. I stand corrected. its my second post (#23 in this thread) where I state in the last paragraph that the first patient didn't bother me. In another post, I also state it depends on the second patient....
  15. At some pioint, it just gets silly. Like super silly. I was responding to someone asking me how long I have been around here. I never claimed any LTC experience and I never suggested that RNs in...
  16. The same could be said for you since you clearly display a judgmental attitude about people you don't know that you read a few posts from but don't really pay attention to on the internet but I don't...
  17. VICEDRN

    level I trauma center

    I understand that you can use your ER experience to qualify for CCRN. (This is frankly, information you could have learned by reading the requirements on their organizing body's website as I have...
  18. VICEDRN

    Just Giving ya'll an update

    Good for you!
  19. VICEDRN

    Preceding Nurse Never Completes her work

    I'd refuse it. If you administer a med and its already been administered but not charted, its actually your med error and you will be the one talking to the manager about it. Thus, I would refuse...
  20. VICEDRN

    why and how can people abuse the ER?

    Would like to point out that brainkandy is right: in the U.K., there is no EMTALA and you have no "right" to be seen in the ER. In fact, people are routinely turned away when wait times develop....
  21. VICEDRN

    why and how can people abuse the ER?

    Will add if no one else has... pts with medicaid/medicare cards make no co-pay and have no consequences for seeing the ER doctor instead of the primary care MD that the government has optimistically...
  22. 3rd degree block on a patient with previous hx of renal failure and dialysis. we emergently dialyzed him and watched the 3rd degree block reverse
  23. VICEDRN

    Waiting a year to take TNCC?

    My er says a year's experience. Its our policy, not TNCC. Honestly, ER is quite intensive and there is enough to learn without stressing the
  24. I am sorry that you guys can not read what I have clearly written several times over. 1. I never said defy the doctors orders. I said ask for clarification. Go ahead and look back over my posts and...