jenfromjersey

jenfromjersey

ED, Tele, Med/surg, Psych, correctional

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jenfromjersey has 15 years experience and specializes in ED, Tele, Med/surg, Psych, correctional.

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  1. Verbal er orders...help me understand this

    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 ...
  2. Lining and labing in the waiting room

    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 ...
  3. New grad RN in the ED. Am I being hard on myself?

    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 ...
  4. Recieving a patient from ER

    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...
  5. Question re: seeing pediatric patients

    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...
  6. RUTGERS ABSN

    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...
  7. ER nurse to patient ratio

    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...
  8. Criticized by the media...(long)

    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...
  9. Pts admitted from ER

    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...
  10. Zofran ODT in kids

    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...
  11. Cipro and ITP. What would you do?

    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...
  12. Cipro and ITP. What would you do?

    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...
  13. Starting the admission orders

    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 ...
  14. ER Karaoke

    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...
  15. Psych nursing future

    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...