Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Enemas in the ER

    Larry77 replied to Jaloc's topic in Emergency

    We try to talk the docs into ordering soap suds enema's because then we can have the tech's do

  2. WHAT ELSE TO DO?

    Larry77 replied to RR910's topic in Emergency

    Schools, Clinics, Nursing Homes, In home care, PT/OT offices, Spa's, Specialty Clinics, Radiology Clinics, Sports medicine clinics, legal adviser, I could go on but you get the idea. This profession...

  3. Pediatric Code Carts in ED and pt weight

    Larry77 replied to Vicki_RN's topic in Emergency

    Every hosp I've worked at uses the Broslow

  4. Doing anything special to prevent H5N1?

    Larry77 replied to mommy2boysaz's topic in Emergency

    Isn't that the bird flu? Hasn't passed from human to human yet as I understand. Only from infected birds to human and bird to bird...but if it mutates to pass from human to human it will make H1N1...

  5. How to get rid of the plumber's crack?

    Larry77 replied to jcasti02's topic in Men in Nursing

    That's great that you care...most guys who are big enough to have this problem don't give a rip...I'd recommend the Aviatorscrubs.com scrubs they have both elastic and a strap to tighten

  6. CEN web review

    Larry77 replied to Guest219794's topic in Emergency

    FYI I have taken courses from Jeff Solheim and he is one of the smartest nurses I have met...I have not taken his CEN review course though. I did take a review course before I took my exam and it did...

  7. Physician compared to nursing documentation

    Larry77 replied to DebCGH's topic in Emergency

    I've worked in some dept's where it was the Docs responsibility to pull their own templates but the RN's did it anyway. If they c/o which one you pulled they would be reminded that they are...

  8. MD AWARE

    Larry77 replied to Italia13 RN's topic in Emergency

    I wouldn't count on ANY doctor covering your butt when it makes them look less than perfect...I've seen way too many nurses thrown under the bus over the years. Always, always, always CYA! Hold your...

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

    Larry77 replied to Larry77's topic in Emergency

    When we get a radio report is when we get a room ready for them...we do not make them wait for a room but sometimes start them in the hall or send them to triage. I would make this crew wait for a...

  10. So... How real is the show ER?

    Larry77 replied to FriarTuck's topic in Emergency

    Only episode of Greys Anatomy I watched with my wife was the one where they shocked the dear in the back of a pickup...after that I've never seen it again (and don't care to). House drives me crazy...

  11. Question/Concern about pt and Dilaudid IVP

    Larry77 replied to Christy1019's topic in Emergency

    Two thoughts...either she was diverting the meds to herself, or the Dilaudid just built up and finally hit you about the same time you took the PO meds...just my 2 cents

  12. Hungry Nurse or Troublemaker?

    Larry77 replied to KY RN's topic in General Nursing

    I believe lunch breaks are part of the FEDERAL labor laws...I'd blow a whistle if this is actually expected by your superiors. We get the opposite from management stating we have to take...

  13. Do I need a certain personality to work in the ER?

    Larry77 replied to ExaltedNurse's topic in Emergency

    If you aren't the type of personality that works in the ED I think you will know right away. You do have to be a lot faster than you are up in the ICU and you probably have to change the way you...

  14. Another nurse got fired because of me.

    Larry77 replied to arelle68's topic in General Nursing

    Hmm...what was the outcome with the patient...were they so hypertensive that they had a CVA d/t not getting a new patch? Seems like you could have circled the error signature, signed yourself,...

  15. Wearing Gloves When Taking Vital Signs?

    Larry77 replied to student1000's topic in Emergency

    I don't wear gloves on routine vitals but definitely wash my hands at least a hundred times a day :-) I think it's just the healthcare person's preference...some are a little more paranoid than...

  16. trauma nurse course or prehospital trauma course

    Larry77 replied to LPMRN's topic in General Nursing

    Might get a lot more responses from us over in the ED forum. Yes I've taken TNCC (required in our dept). Depending on who teaches the course and your experience it can be quite challenging. You...

  17. Power port/mediport

    Larry77 replied to Christy1019's topic in Emergency

    I remember they made a big deal about an inservice and training r/t accessing ports when I worked on a combo surg/oncology floor but have not received any training in the ED. So I have no idea what...

  18. Best ER Nurse quotes

    Larry77 replied to JennyAS's topic in Emergency

    Cut a wedding ring off a member once...pt stated, "I just wanted to see if I could get it in there." Wife was bright red in the corner...:-) Sent a male patient with a 14" "toy" up his rectum to...

  19. Sure signs your pt. is sick

    Larry77 replied to danger's topic in Emergency

    LOL...all patients in the ED are "sick"??? You must not work in the ED...are all patients on psych

  20. Sure signs your pt. is sick

    Larry77 replied to danger's topic in Emergency

    The best sign that your patient is sick is after you've worked the ED for awhile you have this sixth sense that causes the hairs on the back of your neck to stand up. Just the other day I had a nurse...

  21. What do you guys think of this?

    Larry77 replied to I_LOVE_TRAUMA's topic in Emergency

    I asked my pharmacist friend about this because I have never used a filter and she said that the formulation we have does not require a

  22. Does my ER actually triage?

    Larry77 replied to miwachiru123's topic in Emergency

    With the scenario you mentioned in my dept we would send the suture removal either to "fast-track" for an ARNP or keep them in triage and remove them ourselves (if they had an order). The r/o DVT...

  23. What do you guys think of this?

    Larry77 replied to I_LOVE_TRAUMA's topic in Emergency

    Why a filter?...am I missing something here? You mean a blood product filter or a filter d/t it being stored in a glass vial? Small doses I've always just diluted it and given it as a slow IVP (and...

  24. Which should be seen first?

    Larry77 replied to g61j's topic in Emergency

    On the CEN the answer is always ABC's but in real life it would depend on how SOB and the other details previously mentioned (age, hx etc). Both are probably 2's and let the charge nurse know they...

  25. Spinal protocols

    Larry77 replied to mwboswell's topic in Emergency

    We also do not remove the backboards without at least a verbal...usually the doc is at the bedside so they can finish their exam as we take it off. I have noticed that backboards are becoming less...