Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Patient's Safety

    Larry77 replied to jaypee88's topic in Emergency

    While I could see similar problems with the patients and the doc happening in my department I could not see similar problems with the staff...we work as a team, we play as a team, and we will sink as...

  2. It looks like a RR of 20

    Larry77 replied to TraumaNurseRN's topic in Emergency

    I can see a RR from across the room, only ones I count are as stated above and infants, those little pipsqueaks I have to count

  3. Nurses Smoking

    Larry77 replied to JENNLEE's topic in General Nursing

    I personally don't give a rip if nurses/doctors want to smoke...I smoked for 12 yrs and have quit for over 5 yrs now...that does not make me a better person or nurse it just helps me understand the...

  4. 3p-3a

    Larry77 replied to emtb2rn's topic in General Nursing

    I worked 1500-1300 for years and liked it very much. You are able to go to sleep in the dark and when you wake up around 1100-1200 you still have time to get errands done or go to the gym. I'm not...

  5. How do I pay my bills?

    Larry77 replied to PLM311's topic in General Nursing

    I had a friend who was very good at finding government programs to help with his schooling and actually gave him living expenses. I'm not sure how he did it but these programs must be out there. He...

  6. RN Grad starting fresh in the ED!

    Larry77 replied to roses1130j's topic in Emergency

    14-16 weeks seems a little short for orientation of a new grad...most places I've been involved with have at least 6 month orientation/internship. Do they have some web-based modules you will be...

  7. As a RN have you ever had a problem finding a job?

    Larry77 replied to New2block's topic in General Nursing

    Sometimes with large cooperations it can take some time to make it through the hiring process but no I've never had a hard time getting a job. I think it's got to be the easiest profession to obtain...

  8. Transferring to ER from CCU/ICU....

    Larry77 replied to neko11111's topic in Emergency

    There are many, many posts on this exact topic so I recommend using search to take a look at them. That said, the hardest adjustment I've seen ICU/CCU nurses have is time at the bedside...we just...

  9. Being an HIV positive nurse

    Larry77 replied to piddlepong's topic in Men in Nursing

    So you're saying having being sexually active with an HIV+ person does not increase your risk....I disagree. "Similarly, numerous studies among sexually active people have demonstrated that a properly...

  10. how to become certified as boxtox injector

    Larry77 replied to 1957caringhands's topic in General Nursing

    I believe it is in the nurse practice act and varies between states. I know that RN's can give it in Wash St but have to have special training (similar to PICC line insertion). Most of the people I...

  11. How far do you drive?

    Larry77 replied to ShayRN's topic in General Nursing

    I think an hour is too long when you work 12's...that's 14 hours of away from home time with only 10 hours between shifts. I drive as far as 3 hours when I do agency but they put me up in a nice...

  12. Patients who stick around after discharge/legal risks

    Larry77 replied to JKL33's topic in Emergency

    We do give some cab vouchers but we also escort some off our campus by security. If they refuse to leave the campus after they are discharged and are loitering the police may be involved with threats...

  13. Telemetry before ER

    Larry77 replied to markelleyr's topic in Emergency

    I don't think you'll many who would say it's a bad idea...go for

  14. How long is too long before you see your new pt?

    Larry77 replied to shannonFNP's topic in Emergency

    In minor emergency I personally would not worry about "time" but more "intervention", if there was something I could do to get the patient ready for d/c I would (Td, xray orders, apap for fevers etc)....

  15. Ratios? Do you have them in ER, or are they just for the floors?

    Larry77 replied to Lurksalot's topic in Emergency

    We assign sections of 3 rooms but do pick up a hall bed as needed. I don't understand the recommendation by ENA for 4:1 staffing...do they give clarity on the triage acuity of these 4 patients? I...

  16. Blood draw from IVs?

    Larry77 replied to alkaleidi's topic in Emergency

    I don't hide it...I label as a nurse draw...if they had a problem with my technique they can let me know. To me it is about the patient first, why make them get a second stick just because some...

  17. ER Newbie

    Larry77 replied to minifish's topic in Emergency

    You are going to have different challenges than a lot of others who start out more green in the ED. In my experience ICU nurses have the biggest challenge in time management we in the ED cannot plan...

  18. Blood draw from IVs?

    Larry77 replied to alkaleidi's topic in Emergency

    I work at a few different facilities and one of them has a policy "banning" blood draws from IV starts unless it is a code or trauma situation. I think it's silly and still draw the blood and have...

  19. Strange things people present to the ER with....

    Larry77 replied to klcrn1987's topic in Emergency

    Had 30 y/o male come in last night c/o "copious pee". Left with a dx of "hives". He then wanted a work note for 4-5 days...I said that would not be appropriate because there is no medical reason he...

  20. emt-basic good idea to get it before i apply to an ER/ED?

    Larry77 replied to 8jimi8ICURN's topic in Emergency

    Funny, I always thought you had to have your RN before you could take PALS or ACLS? Learn something every day. I love the OP's ambition...I'm sure you will do great in the ED. FYI...I just had two...

  21. Meth users and abusers

    Larry77 replied to madwife2002's topic in General Nursing

    Have you guys seen the film "Tweeked" has some of the most disturbing images I have ever seen? Shows what people on meth are capable of doing to their own

  22. Lazor hair removal

    Larry77 replied to iluvivt's topic in General Nursing

    Couple of the ARNP's in our dept have a clinic that does this and I hear them talk a lot...I guess it works better if you have dark hair and light skin and does not work well on grey hair

  23. Meth users and abusers

    Larry77 replied to madwife2002's topic in General Nursing

    I think it's just because it is so readily available all across the country...can be made in any house by any idiot with an internet recipe. I have worked with nurses across the country and each one...

  24. Please dont hate me for saying this...

    Larry77 replied to RN2BENAUSTIN's topic in General Nursing

    If time at the bedside chatting is what your after maybe hospital nursing is not for you? Even when I worked on a busy surgical floor I did not have much "chatting" time...been in ED for a long time...

  25. Being an HIV positive nurse

    Larry77 replied to piddlepong's topic in Men in Nursing

    I would think it wouldn't be anybodies business if your partner is HIV positive. Why would they need to know? To say that you are at "relatively high risk" I think is a slight understatement...