Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Med Teams???

    Larry77 replied to Athena1970's topic in Emergency

    Huh??? So you don't take room assignments but take turns on getting a new

  2. Best & Worst Excuses for Not Taking Report?

    Larry77 replied to loricatus's topic in Emergency

    My favorite was just the other day. I start giving report but the nurse has me stop and says "hold on a sec" then gets back on a little out of breath and notably stressed. Then again a "hold on a...

  3. NP's calling themselves MD's

    Larry77 replied to shelly304's topic in General Nursing

    I enjoyed this statement...when I tell someone they are mostly wrong I have the courtesy to state how they are wrong. I know about this topic because I have checked into it d/t my interest in the...

  4. NP's calling themselves MD's

    Larry77 replied to shelly304's topic in General Nursing

    Where I'm from PA's do not have a master's degree it is similar to the 28 month program she mentioned. It takes an associates degree to get in, some I've met were even RN's when they started the...

  5. New Grad and ED position

    Larry77 replied to TruDivaRN's topic in Emergency

    What kind of orientation will they give you, is it an intern position? Have you had any exposure to emergency nursing? Sorry I have more questions than answers for you. The argument to go into the...

  6. Considering a return to nursing

    Larry77 replied to strange_jayne's topic in General Nursing

    Sounds like you may be better off doing agency per diem again because you shouldn't be as involved with the issues of each dept. and if you don't like one hospital just don't go back. All of the...

  7. Talking Dirty

    Larry77 replied to garciadiego's topic in General Nursing

    Maybe ask them how they would feel if you were the one sitting down discussing your sexual exploits--I'm betting they wouldn't be as comfortable and you would get into trouble. I had a lady in ICU...

  8. about background checks

    Larry77 replied to asil30's topic in General Nursing

    I would be surprised if there isn't a background check for state licensing...what state is this? Usually felonies and anything involving hurting someone in your care. In my state it is a case by case...

  9. Personal Life at Work?

    Larry77 replied to nursebrandie28's topic in Emergency

    So all the talk in the ED about our sex lives, BM's, rashes, and flatulence is inappropriate? Hmm... I also work for an agency in other hospitals but I do act a little different than when I'm at my...

  10. Why do docs give D5 to diabetic patients a lot?

    Larry77 replied to Shell5's topic in Medical-Surgical

    Try pushing D50 into an IO...I built up a sweat!

  11. Dress Codes for the ER

    Larry77 replied to nursebrandie28's topic in Emergency

    Seems to me that if they want to be stricked with a dresss code they should supply scrubs. I don't care what color they want me to wear but they better wash them for me :) Actually at one facility...

  12. I'm stuck! Someone set me free !

    Larry77 replied to Kcetoute18's topic in General Nursing

    Did you try posting this question on the New York page? Some generic advice though...each person has their own experience at a school so don't take every one person's recommendation. Now this is...

  13. I finally did it!!!!!!!

    Larry77 replied to angelwingsamy's topic in General Nursing

    I remember my family and friends were so excited for me and all I could think about was the upcoming NCLEX...telling them well I'm not a nurse "yet". Try not to stress during your celebration like I...

  14. Ob to ER

    Larry77 replied to joeb1's topic in Emergency

    I think traditionally we (ER Nurses) tend to be very uncomfortable with a women in labor and your experience would be a welcome one. Plus I just stink at getting FHT's in any mother less than 20...

  15. CVC's and PICC's- to use, or to x-ray, then use?

    Larry77 replied to RNcDreams's topic in Emergency

    So how many times do you confirm placement...every time the pt coughs??? Or every time the patient starts a new IV med regimen? Or just when you don't "trust" the line? In the ED we do not confirm...

  16. is this normal? (tmt of pt)

    Larry77 replied to beachbum3's topic in Emergency

    Also our policy is to have any person in restraints a 1:1 with a tech so they can watch for distress. It is especially dangerous to have a drunk in 4 point restraints d/t aspiration risk. In bad...

  17. How soon to teach ACLS?

    Larry77 replied to S.T.A.C.E.Y's topic in Emergency

    In the ACLS classes I have always taken there wasn't just one instructor, yes there is always one main instructor--usually a medic with 1k yrs exp. The others were like you, ED nurses who use these...

  18. Pt w/ a PICC line on a heparin gtt

    Larry77 replied to NurseCherlove's topic in General Nursing

    We have a hospital policy to never draw blood from a PICC. Always thought that was interesting because I have done it so frequently in other hospitals. So if I have a patient insisting on not...

  19. Intraosseous

    Larry77 replied to Dr.Nurse2b's topic in General Nursing

    Lately I've seen the EZ IO overused in the field. The other night we had a lady who was septic and quite sick, but not a code situation, who had an IO without one attempt at an IV by EMS. I...

  20. Med error and im not even a real nurse yet!!!

    Larry77 replied to kknarfs's topic in General Nursing

    We have computerized MAR's at our hospital and the floor nurses (and students) take a laptop with them as they give meds which gives them "real-time" info on if a med was given or not. This would...

  21. getting rid of an air bubble in an IV line

    Larry77 replied to Implacable's topic in Patient Safety Issues

    You really have too much time on your hands if you're worrying about small bubbles in an IV line...the doc that said it takes over 10ml's is right. Unless I'm working with a central line I really do...

  22. what nursing journals do you read as an ED nurse?

    Larry77 replied to futurecnm's topic in Emergency

    I'm not sure the 100$/yr membership is worth the journal alone but it does get you discounted classes, CEN, and online resources. I also like Nursing2008 keeps me up to date on a lot of med/surg/tele...

  23. Staffing HELP

    Larry77 replied to JoeDEDRN's topic in Emergency

    5:1 sounds dangerous in the ED. What do you do if you have a critical patient or a trauma that requires 1:1 nursing? We are staffed for 3:1 until the wee hrs of the night but usually have a float or...

  24. Angry Nurses - Why?

    Larry77 replied to IcanHealYou's topic in Emergency

    My department has been very difficult lately with a very low morale but this is situational not because we don't like our job. We have had to work short and people are working a ton of overtime (I...

  25. Intubation Preparation

    Larry77 replied to punkstar's topic in Emergency

    That's a lot of steps...we use succs and etom...then propofol for cont