jenfromjersey replied to tiltgirl's topic in Emergency
I had a similar situation occur with a doc. It was a Percocet order. He told me to give 2 tabs and then when I gave it and asked him to put the order in so I could document I gave it, he said he only wanted one tab not 2. When I said that he clearly ...
jenfromjersey replied to melimaras's topic in Emergency
We have a midlevel provider in triage every day from 11am until 9pm. After a quick triage (vitals, brief complaint and ESI level only) they are seen by the midlevel (in separate area) and orders placed in computer. After that, they are called into a ...
jenfromjersey replied to phlebitis's topic in Emergency
Don't be so hard on yourself. It sounds like you are doing fine and that you have the support that you need in order to be successful there. Don't get caught up in the little nuances of the doctors. That comes in time and right now your focus should ...
jenfromjersey replied to jkr2020788's topic in Emergency
I have been a nurse for 15 years, the last 10 of which I have spent in my current hospital. I worked on a med/surg floor, then telemetry, then a holding unit prior to moving to the ED about 5-6 years ago. Having seen both sides of the issue, I can...
jenfromjersey replied to Nurse SMS's topic in Emergency
My hospital has a detailed policy specific to minors presenting for treatment in the ED. We are obligated to provided emergency life saving care regardless of consent when the situation is warranted. However, if a patient presents with a non-life thr...
jenfromjersey replied to kirstmay's topic in New Jersey
I received my original nursing degree from Middlesex and went to Rutgers as an RN to get my Bachelors in Nursing, graduating from that program in 2003. My classes were mostly on-line and when I needed to meet on campus, they were in the evening. I wo...
jenfromjersey replied to MGHERRN's topic in Emergency
I would LOVE, LOVE, LOVE to have a 3:1 ratio with techs who have the same? and medics or EMTs? Seriously? We start out the shift with a section that has 5:1 ratio. We start the morning with 5 nurses. so that's a max of 25 patients which includes a mi...
jenfromjersey replied to RN in pink's topic in Emergency
I agree with all of the comments. I work in a community hospital that is always overcrowded. We have a 5:1 ratio..sometimes more depending on the day. We always have hallway patients. We always run out of pillows and blankets. I do the best that I ca...
jenfromjersey replied to Mom2Chaos's topic in Emergency
We call report to floor on all patients. No fax report. Med/surg admissions go into a transport tracking system via phone. The transport dept sends someone to transport the patient to the floor. Telemetry admissions are taken to the floor by an ER t...
jenfromjersey replied to bjaeram's topic in Emergency
The following study appeared in the Annals of Emergency Medicine: The Role of Oral Ondansetron in Children With Vomiting as a Result of Acute Gastritis/Gastroenteritis Who Have Failed Oral Rehydration Therapy: A Randomized Controlled Trial . Annals...
jenfromjersey replied to tmd76's topic in Emergency
traumasrus and altra: my reaction to the IV contrast was in response to this particular case being discussed. There is no question that in cases of critical emergencies such as ruling out of AAA, arrangements can be made to perform this study. Howeve...
jenfromjersey replied to tmd76's topic in Emergency
Wait a minute..because I think I'm missing something here. Aside from the whole Cipro thing...is anyone else wondering why a dialysis patient was getting IV contrast injection? Isn't this raising any red flags? I've seen patients with renal insuffien...
jenfromjersey replied to JessicaSN's topic in Emergency
re: the room being ready...granted there are some good apples that call me back..I already know who they are so when they tell me something they are usually pretty true to their word and I believe them. However, I've been burnt far too many times to ...
jenfromjersey replied to bigjim's topic in Emergency
Tex, played "stuck out in triage" for my co-worker who was stuck out in the box (triage) yesterday. There was a 15 minute period yesterday morning where there was no one signed in to be seen (shocking as that is) and the 2 of us were laughing so hard...
jenfromjersey replied to student_nurse06's topic in New Jersey
I started my college education in a psycho-social rehabilitation program as psych was always an interesting field to me. Unfortunately, after about a year I found that the starting salaries once I graduated would be equal to or less than what I was a...
