Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. ER medication errrors

    Larry77 replied to servant's topic in Emergency

    In our hospital it is easier to make a med error in the ED than on the floors because all our meds are "overrides" in our Pyxis...our patients do not have "profiled" meds like the floors...basically...

  2. Triage blues

    Larry77 replied to canoehead's topic in Emergency

    If we were full I would definitely get an EKG in triage, find out more about the pain she had that caused her to use Nitro and I agree age and hx should make this patient higher priority than other...

  3. Don't you want to be a Doctor?

    Larry77 replied to silentRN's topic in Men in Nursing

    I used to say because I really like working with patients but now I'm stuck at a desk all the time (doing charge) so I am going to have to come up with something else. I have a lot of friends that...

  4. Bridging the Gap

    Larry77 replied to 8jimi8ICURN's topic in Emergency

    I've worked in both kinds of ED's...the kind that don't respect EMS and the kind that socialize with them...currently I work in the latter. The larger hospital's with more BLS crews I think get less...

  5. I Feel So Dirty and Used! - An ER doc unloads his frustrations

    Larry77 replied to Anxious Patient's topic in Emergency

    Exactly what I was thinking guys...do not JUDGE until you've lived it completely...I do NOT think it is the same as the floors because the cases he is talking about usually do not make it to the...

  6. Intravenous regular insulin

    Larry77 replied to echoSN's topic in Emergency

    We frequently give IV Regular Insulin with IV Dextrose for pt's with hyperkalemia...I just give it as a "normal" rate...not fast, not slow. Usually if the pt is DKA we use a gtt...starting somewhere...

  7. How do you treat headaches?

    Larry77 replied to Anagray's topic in Emergency

    Sounds like your MD's need some education..this is very old school and results in major rebound

  8. What do your ER volunteers do?

    Larry77 replied to 2BSure's topic in Emergency

    Ours sit out in the WR and help with questions and help take visitors in to the maze of our dept....they are quite an asset

  9. Fewer RNs, more support staff in the ED?

    Larry77 replied to mwboswell's topic in Emergency

    Is it only me or have we been through this before? There is this cycle of less RN's more support staff for awhile until it doesn't work, then we get more RN's less support staff, then now it looks...

  10. ED Admissions

    Larry77 replied to ashleyjean3's topic in MICU, SICU

    I'd rather ICU stay out of my dept...you stay in your corner and we'll stay in ours except to transfer of course. My fear would be for the ED length of stay to increase because the ICU nurse wants to...

  11. Questions about ER-Techs

    Larry77 replied to MattiesMama's topic in Emergency

    They are so different...paramedic vs LPN/RN...if you want to do prehospital then definitely go to medic school but if you want to work in an ED as an RN then I would stay in nursing school. There are...

  12. Questions about ER-Techs

    Larry77 replied to MattiesMama's topic in Emergency

    The duties are different for each dept partly because of state laws and partly because of the dynamics of the different dept's. In my current dept the techs do EKG's, vitals, wound preps, ADL's, DC...

  13. Benefits of LPN over RN?

    Larry77 replied to typeR's topic in Washington Nursing

    The program I went through was an RN ADN program that allowed you to stop part way through and take the LPN boards or take the boards and keep going for your RN (which is what I did). It was nice...

  14. The Front Line

    Larry77 replied to argos's topic in Emergency

    I've heard of hospitals that have a "code ER" or something to that effect that alerts the floors and other dept's that ED is overwhelmed, this with an intent that the floors will make room for admits...

  15. ER Nurses-Any difference in measures re; Swine Flu

    Larry77 replied to alwayslearnin's topic in Emergency

    We already had influenza "Kiosks" in our WR for people to use including masks, sanitizer, wipes, and pamphlets. I hate the media coverage on this "pandemic"....all we need is public paranoia to fill...

  16. you CANNOT eat me!

    Larry77 replied to lulu rn's topic in Emergency

    And never whine about too many patients or too few breaks, if you man up and just work your butt off you will gain a lot of

  17. ER nursing education

    Larry77 replied to mrvlegov's topic in Emergency

    I agree that exposure is what you are looking for...how about getting a relief position at the local "bigger" hospital's ED? Sounds like you have all the certs they will ask for, and enough...

  18. Bariatric Patients

    Larry77 replied to Lunah's topic in Emergency

    We've had this same issue many, many, times where I work and our table goes up to 450lbs! I had this conversation with the head of our radiology dept asking why we didn't buy a scanner that goes...

  19. second guessing myself -- help!

    Larry77 replied to adhrn711's topic in Emergency

    This may be the strangest post of seen on here...can you fill us in to what the heck you are talking about...now I'm

  20. second guessing myself -- help!

    Larry77 replied to adhrn711's topic in Emergency

    In the ED they would have given education to the parents on s/s to watch for and discuss the option of a head CT...we have gone away from CT'ing every kids head but usually leave it an option for the...

  21. need help-revamping my ER system and need guidance

    Larry77 replied to jinglebellz's topic in Emergency

    Ours is simple like yours...we just place the most critical chart at the front...we also have computerized charting for everything except the doc orders (which is what is the "chart"). So our docs...

  22. Need Help

    Larry77 replied to Chris12's topic in Men in Nursing

    Around here it just depends on your timing, when I graduated there were a ton of jobs, but right now there isn't one full-time job listing in my area. In a few months there will probably be a ton...

  23. ER Cheatsheets

    Larry77 replied to **Kalko**'s topic in Emergency

    The one my friends and I use is Pocket Guide I think these books are more useful than just a

  24. Question about loss of license due to an "administrative complaint"

    Larry77 replied to AZO49008's topic in General Nursing

    Be careful jumping to conclusions...is it possible it's someone else with the same name? You could probably search on the BON's site to find out what is under the umbrella of "Administrative...

  25. LPN to RN Lower Columbia College

    Larry77 replied to PACNWNURSING's topic in Washington Nursing

    Lots of rentals around here...you could look at the local newspaper The Daily