Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Gagging a Drunk

    Larry77 replied to Jerry 75's topic in Emergency

    We have spit hoods but I have never seen anyone "gagged"...sounds crazy to me. I've had more problems with police in our dept than staff. Now I have taken care of plenty of patients I would have...

  2. Power Ports

    Larry77 replied to IlovenursingRN's topic in Emergency

    Our facility is ONLY placing Power Ports now and the only access devices we carry are the Power Port brand...so if they have a standard port we have to place a peripheral line and let CT know. I...

  3. CNA job in nursing school - more likely to get into new grad pgm after grad?

    Larry77 replied to Ivanam's topic in General Nursing

    In our hospital it makes a HUGE difference. We have 7 hospitals so it's really easy to get lost in a stack of applications. If you know the manager and if they like your work-ethic they can look for...

  4. RN experience prior to ER triage?

    Larry77 replied to RNBelle's topic in Emergency

    This is the same policy we have...of course there are some RN's that have been there 3-4 years and have not been asked to go to triage...not everyone has the skill set for such a challenging...

  5. ER vs Med/surg- someone wanna clue me in?

    Larry77 replied to PAERRN20's topic in Emergency

    Will be tough to not have the docs right there to change orders, I would hate to chart full head-to-toe assessments again, working with a ton of green nurses would drive me nuts, working with only...

  6. common situations encountered in emergency room

    Larry77 replied to vintageRXL's topic in Emergency

    We do our charting electronically but we use a different system than the inpatient system so we have to double chart the last vitals, I&O, IV starts, Foley, and nurse review any orders that went...

  7. Scan medications in the ER using Meditech and T-system

    Larry77 replied to scaredofshots's topic in Emergency

    Did some agency time at an ER that had similar problems and they created a "code-box" with RSI/ACLS meds, and a "cardiac box" with heparin, nitro, asa, etc etc...might help in your situation as well....

  8. EMR in the ED

    Larry77 replied to ERnursie172's topic in Emergency

    We looked into the IDEX or IDX system when we purchased our TSystems system but like others stated, it didn't talk to our hospital system which is Carecast (used to be Lastword). While it does have...

  9. Crazy things pt's do for pain meds.

    Larry77 replied to eriksoln's topic in Patient, Colleague Relations

    We have the same thing going on now with a pt who dislocates his own shoulder...29 visits this year...no narcotics but some of the docs still sedate

  10. Meditech ER Software

    Larry77 replied to Michael Froebel RN's topic in Emergency

    We use TSystem electronic charting for nurses notes but still have another system for inpatient which the labs go to and paper orders because the physician's didn't trust the electronic order entry...

  11. Several unresponsive patients at once?!

    Larry77 replied to cgrn24's topic in Emergency

    I agree we work off protocols and ACLS approved meds...I've had similar scenarios and I called in the next doc that was to come on so the rest of the dept didn't get too out of hand. I would also...

  12. How often do EMS crews show up to your dept unannounced?

    Larry77 replied to Larry77's topic in Emergency

    I did some agency shifts in a 8 bed ER once and i thought that was strange and they always had a doc, secretary/tech and 2 nurses. The hospital only had 22 beds--you walked around the corner to give...

  13. How do you reduce falls????

    Larry77 replied to JoeDEDRN's topic in Emergency

    High risk patients that we can't put close to the nurses station we place on 1:1's with a CNA (hopefully from the floor otherwise an ED Tech). I can't remember the last fall I've had on my watch (now...

  14. What would you do?

    Larry77 replied to Guest219794's topic in Emergency

    I agree that we should address this issue before we give the narcs...I do not recommend following anyone out to the parking lot where you put yourself in danger. I can see far too many scenarios...

  15. Saline flush..saline taste?

    Larry77 replied to Gabriel13's topic in Emergency

    I let a couple students practice on me one day and made sure they flushed with 10ml NS to see if I could "taste" it and I couldn't tell at all...but yes I've heard this many, many

  16. How do I get in ER!!!!!!!!!!!!

    Larry77 replied to Mrs leese's topic in Emergency

    Where I'm from it helps to work med/surg or tele floor first. My manager looks for some kind of hospital experience. Also they like you to have your certs (at least ACLS). There are a lot of...

  17. How often do EMS crews show up to your dept unannounced?

    Larry77 replied to Larry77's topic in Emergency

    I agree totally...the only time I ask a question is for bed placement (ie confused goes closer to the

  18. How often do EMS crews show up to your dept unannounced?

    Larry77 replied to Larry77's topic in Emergency

    So is it a "courtesy" for us to call the floors with a report? I agree that the only report I need is are they "sick" or "not sick"...but unless they want to start standing-by for a room, they need...

  19. Baby Deaths

    Larry77 replied to LLLLiiiFFEsaveer's topic in Emergency

    We have debriefings with pastoral care...you never forget them in my experience. Some have gone to free grief counseling our hospital offers as

  20. This sucks

    Larry77 replied to FirefighterDoug's topic in Emergency

    That's absolutely ridiculous! We mask all patients with fever/cough or other flu-like s/s but to mask all the staff, all the time, is CRAZY! Look at the CDC guidelines, there is nothing along this...

  21. Is this Ethical or Legal?

    Larry77 replied to ernoc333's topic in Emergency

    Drug seekers

  22. Clinical Decision Units

    Larry77 replied to Medic2RN's topic in Emergency

    Like an observation ward...If hit 24 hrs they need to go to a regular floor. We would send stable CP R/O MI's there who are just waiting to have their stress test or echo, or just more neg troponins....

  23. Enemas in the ER

    Larry77 replied to Jaloc's topic in Emergency

    I don't think they think about it...doesn't happen that often...thankfully. They think more about who the other techs are that they are working with...we have a few that don't hold their...

  24. interested in designer scrubs?

    Larry77 replied to plainfieldguy's topic in Men in Nursing

    I've seen quite a few different prints including cars, fishing, boats, sports teams and guitars etc...I just don't think prints are for me. I have quite a few Aviator scrubs--all solid colors....

  25. who cleans more poop???

    Larry77 replied to spacecitygroover's topic in Men in Nursing

    Lighten up people I thought the comment was hilarious even if it is a serious question. Only thing regarding gender that I do try to do is look for a female to do my young lady caths...if one not...