Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Impossible standards

    Nursing definitely has a role in making sure a consent is done before ANY invasive procedure is done (ie LP, Chest tube, Conscious Sedation). I personally would not assist in any case like that until...
  2. Impossible standards

    Our standard is 1 hr rounding on all patients--this is a note, not always VS which are only required q2hrs if patient is stable and no interventions were given. I've never heard of a standard where...
  3. Humph!

    Wait a sec, you are treating narcotic withdrawal s/s with Dilaudid? Or are they coming in with abd pain and then ending up with a negative work
  4. Lateral violence

    I would give the manager another chance with a factual event with witnesses and if he/she doesn't act appropriately I would go to the director, HR would be a last resort for me. Another thing to...
  5. RN volunteer EMS and Emergency Dept?

    I am a hiring manager and I think this is an unfair statement. No we can't take EMT-P experience as RN experience but if we are considering two new grads and one has pre-hosp experience and one does...
  6. Lidocaine with Rocephin?

    On the side of our vials it specifically gives instructions to reconstitute with 1% Lido or sterile water. Shouldn't need an order to give a medication per manufacturers instructions. I have always...
  7. Things to do to past the time...

    Years ago we used to send difficult to identify food items (usually left in a drawer for too long) to the lab unlabeled. They had no idea which department was sending the items and started to collect...
  8. Education 101: ER vs. ICU

    Good comments "gcupid", but please nobody stir up this old thread--quite controversial for sure (fun
  9. ER Burnout-new job options?

    I've had multiple friends who were tired of the ED go to the PACU...good hours and fairly fast paced with quick
  10. Pigeon-holed

    If you have a pattern with this particular nurse you should have a "crucial conversation" with them to tell them how you feel. They may not realize that you feel that way and will look for other...
  11. Which Job to take?

    In the hospital's I've worked in the House Supervisor position is not a natural stepping stone to any management position. They are operation based, not management based meaning they do not have...
  12. Transitioning from ICU/PCU to ED

    This has been discussed a lot but the biggest challenge ICU/PCU nurses have in the ED is the lack of diagnosis and the problem focused assessments that we do. The pace can also get to some nurses who...
  13. New grad - should I take this ER job?

    If you want ED then you should take the opportunity. It is very hard for a lot of nurses to get their foot in the door but once you have some experience in the ED you are labeled as an "ED Nurse" and...
  14. Do you tell people where you work?

    I used to work for a hospital that had a really bad reputation and was the only game in town so it was easy to dislike. I still was not afraid to say where I worked because I'm proud of the work I...
  15. 5150 holds

    In most states these patients shouldn't actually be on a hold until they start trying to leave. Are you guys just putting them on a hold on arrival because they are under the influence? Each state...
  16. Male catheters

    When I worked in the ED we always tried to have same gender do the foley's and I was always happy to help my team members out if it was a guy--even if I was charge. The females had a lot more to do...
  17. Have you ever performed CPR? Results?:

    I have performed CPR hundreds of times in 8 years as an ED RN but I have no idea how many actually make it out of the hospital. We can usually get them to ICU on a vent but the future is not usually...
  18. Newcomer with a few questions

    I'm a hiring manager and while appearance has some influence (professional or not), facial hair or visible tattoos don't really influence me as long as you are able to adhere to our dress code. Now...
  19. CEN book

    I'd get one from the ENA...just go to their website. They write the test and their practice questions are the
  20. We have been doing interviews for a new hospital that's opening so we are looking for 50 ED people. After the first day I was really surprised at the amount of people who were not prepared for their...
  21. LOC or ABC first?

    One thing you'll find is that you will learn almost nothing about Emergency Nursing in nursing school. Basically you will be taught how to think like a nurse and how to perform on a med/surg floor....
  22. Please be prepared for your interview...

    I think that would be fine, or even how you handled a similar situation in your personal life. My panel is trying to get a sense of what kind of person you are. We did not interview any new grads...
  23. Is it easier for guys to get a job as a new grad??

    I'm a hiring manager and my company does like diversity and brags that we have scored high nationally in diversity rankings but we are never encouraged to hire a minority before a non-minority. We...
  24. What do you see in a Level 4 ER?

    No offense to me...I was just trying to clear it up a little. I don't work in a trauma IV hospital
  25. You mentioned they are opening up a new hospital...maybe an earlier shift would open up at that time. I'd do everything I could to get my foot in the door if you want ED. Good Luck! Go prepared for...