I do know some Spanish which has helped a lot but yes we have translators usually from a local English school. The first time you go I would recommend going with someone you know because it can be...
25) No you cannot have your whole family including aunts and uncles at the bedside after your bratty 13 yr old had another "psuedoseizure". 26) The volume on which you yelph and scream in pain in...
I'm going to Honduras on the 3rd...will be my 4th trip. This time only for 7 days but usually we go 10-14 days. We stay at the orphanage and run clinics in outskirt communities that don't get any...
We have to call back all our positive CX if they are resistant to the ABX we gave or they weren't treated...my least favorite thing to do as charge...ugh. BTW I don't leave any info except my name...
Larry77 replied to I_LOVE_TRAUMA's topic in Emergency
My bad MB....I meant to reference to "dorimar" not you...I just looked at the wrong name...i sincerely apologize.... I'm surprised to hear that about the blood cx's the way the IM guys FREAK out about...
Larry77 replied to I_LOVE_TRAUMA's topic in Emergency
mwboswell....your post displays the problem, not the answer...your expectations can not ALWAYS be met, our world just does not allow it. In my hospital the attendings have to see the patient within...
Larry77 replied to I_LOVE_TRAUMA's topic in Emergency
Couple years ago we had a committee (I forget what they called it) that had both ICU and ED nurses on it that met to try and improve relations between the departments.... We met for a few months and...
Thank you for writing...you just described why WE do what we do and not others. I've noticed if I don't address my issues with a case or debrief in some way they pile on top of each other then pretty...
One thing I've noticed with those "tough" patients is when you meet their parents you realize they never had a chance...is very sad when you look at it that way. Just when you start to get completely...
#1) Etomidate #2) Ketamine #3) Propofol #4) Versed & Fentanyl We always have patients on the monitor with RT and MD at the bedside, VS q5min, RN at bedside post-procedure until LOC is baseline. I...
Larry77 replied to inland18mempire's topic in General Nursing
Some years ago there was a nurse and her husband who also worked at the same hospital who had a Media site and the hospital found out and fired them. They sued and got their jobs back! If you are...
We normally give 10ml's of 100units/1ml of heparin in this case, so yes is a lot... I'm not sure about the DNR question but it would probably be a case by case question depending on how ill the...
It's been required at least in the first year of employment in every trauma center I've worked in...maybe not nationally but in my area it is for sure. If you are an ED nurse I think it is just as...
I miss part of med/surg...I worked surgical before the ED and you really created a relationship with your patients...nothing like that in the ED. In the ED if you know a patient it is not usually for...
I recently had a "painful" interview for a day shift designated charge position and was questioned by 9 people (mostly my friends)...I tried to stay calm but was very anxious inside. I thought I did...
My advice is to get a dark room where you have a comfortable bed with some kind of fan for white noise sleep there on your off hours between shifts, don't expend to get anything done in between your...
Larry77 replied to Guest219794's topic in Emergency
We spend way too much time defending ourselves to "non-ED" nurses....there is a reason we have "specialty" boards!!!!!!!! Like Adam Sandler so profoundly said "Go to your home"! Love you all,
Larry77 replied to tigerlilyinci's topic in Emergency
Our hospital only requires your RN and ACLS all other certs are required within the first year of employment. I agree with the response that experience is more valuable than
Larry77 replied to Guest219794's topic in Emergency
So you think we shouldn't be frustrated with non-emergent people filling our waiting rooms? So you think these people should be coming to us because they will get better care for their chronic...
I had one co-worker who had her water break right in the nurses station...and she kept up right to the end. Also had two recently who worked right up to the end...it can be done. Unless you have a...
Larry77 replied to ashleyjean3's topic in Emergency
So funny to me...so when is it "unsafe" for the ED to take ambulances? (this coming from someone who works in an ED that does not go on divert) How the heck am I going to "shove" a patient up to ICU...
Maybe you should work in a place that does botox, massage etc...they use a lot of RN's in my state for this...might be less stressful and you could use both your