Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Med Reconciliation in the ER

    Larry77 replied to Rickbos's topic in Emergency

    Our facility has gone crazy over med rec...we now have 24 hr pharmacy tech's (sometimes pharmacists) doing med rec's on every patient that comes through the door. If they are not admitted I believe...

  2. new to triage

    Larry77 replied to lela186's topic in Emergency

    I would suggest the nationally recognized 5 tier triage class system and there should be recourses galore to research. When we started it a couple years ago we had algorithms posted in triage and in...

  3. Wrong dose?

    Larry77 replied to michael79's topic in Emergency

    Just because the doc made an error does not make him "incompetent". I hope that the next time I make a mistake someone doesn't label me incompetent. We are all human and we are a team in the ED with...

  4. Restocking

    Larry77 replied to EMSnut45's topic in Emergency

    Our tech's are usually pretty good at restocking especially for night shift...but we occasionally do restock things like IV carts. Glucometer QC's are our responsibility and we have a check list for...

  5. Most common non-emergency visits

    Larry77 replied to RN_in_SC's topic in Emergency

    Um...whats an MVI? Is that like MVC/MVA or MI? Just

  6. Most common non-emergency visits

    Larry77 replied to RN_in_SC's topic in Emergency

    I'm sorry if you were treated badly but you obviously don't work in the ED where we see so much "crap" that sometimes you do get a little jaded. The people that get to me are not the "scared new...

  7. Small ER Management

    Larry77 replied to canoehead's topic in Emergency

    I've heard of dept's having a lockbox that narcs are placed in with the patient's name and time etc. Are you carrying around these meds? If so, I would look into locking them up until you can get...

  8. RN at triage window?

    Larry77 replied to RNintheER's topic in Emergency

    RN should be the first to see the patient...if someone is very sick they will know in a flash...a clerk should not be judging how soon a patient is seen by a MD or RN. We take the name, intitial c/o,...

  9. TNCC renewal the same as a new provider?

    Larry77 replied to TooterIA's topic in Emergency

    It was an option to just do the second day the last time I took it but most just did both days for the

  10. I will not wear an apron or fanny pack...

    Larry77 posted a topic in Scrubs, Uniforms, Gear

    I work on ortho surg floor and many of the nurses wear fanny packs or aprons with lots of pockets. I do wear cargo pants but still end up with stuffed pockets unable to find that darn alcohol swab...

  11. Good ER reference book for new ER nurse??

    Larry77 replied to stumillardkm's topic in Emergency

    ENA is a really good resource and if you join them for $100/yr you get a pretty good journal as well. They had a lot of books listed last time I checked. Another good resource in your pocket that I...

  12. ICU vs ER

    Larry77 replied to silentRN's topic in Men in Nursing

    Why would you want to come up here to Oregon? You like hunting/fishing? I've always lived in SW Washington so I don't know any different but I'm always curious when someone says they want to come up...

  13. Why do you like Emergency Department Nursing?

    Larry77 replied to RN_in_SC's topic in Emergency

    The quick turn around, going into a situation with no info and figuring out what the problem is, being prepared for anything that walks into the door, and the "family" of staff we have. Things I don't...

  14. Weight limit

    Larry77 replied to crystalclear's topic in Emergency

    I have worked in many departments in my own hospital and I would have to say that the ED is definitely the most physically challenging...we are literally on our feet running for 12hrs every day. As...

  15. Anyone currently studying for the CEN exam??

    Larry77 replied to deeDawntee's topic in Emergency

    Phew the power stayed on this time and I PASSED...strange but I did the worst on prioritizing care, I think I read too much into the questions. Now it's time for a drink

  16. Man Diff...

    Larry77 replied to night_owl_504's topic in Men in Nursing

    I'm lucky in our dept there are as many men as women so I never feel like my manly physique is taken advantage of...lol (I'm pretty scrawny, 6'3" 185lbs) The worst for me was when I worked psych...any...

  17. Hospital question

    Larry77 replied to youknowhowwedoit77's topic in Men in Nursing

    I love my job and I think our dept tries very hard to strive for a better working environment with the patient being the focus (I know blah blah blah). But if you talked to some nurses in my dept...

  18. Hair style

    Larry77 replied to Galaknore's topic in Men in Nursing

    We used to have a very good nurse in the ED that had bleach blonde hair one day and black the next...he would put blue lines/purple lines etc etc. His hair was crazy looking and he had tattoos up and...

  19. Young Eating Unit Secretaries

    Larry77 replied to FireStarterRN's topic in General Nursing

    There does seem to be a lot of cranky secretaries...I wonder if it is the stressful job with very little pay or a common character attribute that is drawn to the job. I always say the worst job in our...

  20. Anyone currently studying for the CEN exam??

    Larry77 replied to deeDawntee's topic in Emergency

    OK guys I went today to take my CEN...I'm about 30 minutes into it on question #50 and THE LIGHTS GO OUT!!! The computers had a battery backup so we were able to keep going while someone went to get...

  21. Introducing myself

    Larry77 replied to juliette510RN's topic in Emergency

    Welcome to our world...sounds like you have the right frame of mind to be great. Nice to meet you,

  22. drugs w/ blood?

    Larry77 replied to danger's topic in Emergency

    Done it many times in codes/trauma's never had a problem...in an extended time period I would start a third line. Would not be helpful to the "sick" patient to stop the blood even for a short

  23. Handover in ED

    Larry77 replied to darius000's topic in Emergency

    Our hall beds are spread out so when there is someone in the hall there isn't anybody close enough to hear most of the conversation. We also do not usually keep patients in the halls very long so if...

  24. clot busters versus cath lab?

    Larry77 replied to akvarmit's topic in Emergency

    We do not have a cath lab in one hospital I work in and we use thrombolytics on patients being transported by ambulance and Integ/hep/nitro on patients transported by helicopter--depends on if they...

  25. Shot time

    Larry77 replied to ER-RN2's topic in Emergency

    We have mandatory 20 min with revital except for tetorifice...normally the doc or NP rights ok for dc after tetorifice...never had a problem with it before. IV we are supposed to wait 15 min and...