jenfromjersey

I agree with many of the posts here. I recognize that I may have it better than some of my patients and it is true that having a cell phone or driving a fancy car doesn't always represent the big picture. However, this is what I have a problem with: ...

Our ED starts with a ratio of 4:1 but can flex up as needed. Usually would not get more than 5 but have had 6 on occasion. However, I recently resigned from a per diem job at another ER where starting with 5 or 6 was the norm. I once had 7 patients ...

In our main ED, we start our shift (7a-7p) with 6 nurses each with a 4 patient assignment. Based on the layout of the particular assignment you are given that could mean 4 physical beds (in a room with monitor and oxygen) or 3 physical rooms and a ha...

We have LPNs in our ER but they only work in our Promptcare area. It is 6 physical beds and then chairs..used for minor ailments...all ESI 4 and 5 patients are assigned to Promptcare and are not seen in the main ED. Our promptcare area is open from 9...

I agree with the previous posters..My co-worker was called to testify in a similar case. Turns out she didn't even get to that point because they read her documentation and she clearly documented that the site was cleansed with betadine. That was wha...

I agree 100%. This is a nursing site...and this section is specifically designed for ER nurses. So explain to me why there are patients who are not nurses even coming on to the site and reading our comments? Frankly, I think they have WAY too much ti...

I would never let anyone suffer and I don't think any nurse on this board would either for that matter. HOWEVER, I DO have a problem with walking into a room to inject someone with HEAVY DUTY narcotics IV push for their 10 out of 10 awful pain and ha...

When I am 8 cards deep in triage, I usually grab the cards and look at the age and complaint to determine who I take next. Obviously the 80 yr old who c/o "chest pain" is getting triaged before the 18 yr old c/o "boil on my butt". It gets sticky when...

COMPLETELY hear you... I worked triage yesterday 12hrs..waiting room was full with about a 3 hour wait to go back and see a doctor. This non-compliant asthmatic comes in and tells me he hasn't been taking his medication because "he can't afford it".....

LOL! Trust me..if I saw you in my triage booth..you'd have an IV and a bolus up as well as Zofran 4MG IVP in your body before you even got called to register.

nursejennie.. don't get offended... we're talking about the woman who found out she is pregnant yesterday..is 8 weeks along and vomited twice this morning before she rushed herself to the ER in a state of panic. as a proficient ER nurse who works in ...

ENPC is the Emergency Nursing Pediatric Course. It was developed by the ENA. It is run over 2 days. I took it earlier this year for the first time. I already have and keep updated PALS as it is required for my ER. I thought the course was pretty goo...

Actually, research shows that it doesn't even have to be "those towelettes". Just because someone goes to the bathroom with said towelettes in their hand doesn't mean they use them. Our docs are not going to treat someone with ABX for a UTI who has t...

Our hospital (not just the ER) instituted a policy regarding the adminstration of Dilaudid. It is part of the IV administration guidelines now. The first dose of Dilaudid can only be IV push in the ER. After that, any and all subsequent doses msut be...

My ER recently did their own study after reviewing the hemolysis rates of specimens we draw and feeling that it was too high. We, like many other ERs, draw blood back from the angiocaths immediately after starting them and before they are flushed. F...

RE: dialysis patients and urines...I laugh at the orders when they are simply "click boxed" by the ER doc as part of their "routine" set. You need to evaluate each patient and order what is appropriate for them..not be a robot and order the same thin...

YES! The urines ordered on long term dialysis patients...love that! The patients actually laugh with you though at the stupidity of it.

some more: 2) 600lb + female patient on bariatric stretcher already but can't get the side rails up anyway. Being admitted to hospital for med/surg complaint. Doctor's order: Insert foley cath for accurate I & O I actually followed this out ...

This thread is hilarious..I stumbled onto this site by accident and then stayed on for over an hour because I couldn't stop laughing. I just had to join. I was laughing so hard that my son came downstairs and asked me what was so funny..I told him "Y...