Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. The drug-seeker file in ER

    Larry77 replied to Anagray's topic in Emergency

    I'm sorry if I sounded insincere what I meant is there is two sides to every story and I just don't understand why they would treat you the way you say they did--I know me or my co-workers would never...

  2. The drug-seeker file in ER

    Larry77 replied to Anagray's topic in Emergency

    We have electronic charting and if a patient displays obvious drug seeking behavior there is a "flag" to read the transcription explaining the event. This does not "label" them a "drug seeker" but is...

  3. Anybody do patient transport?

    Larry77 posted a topic in Washington Nursing

    We have had a couple patients transfered to OR and the AMR crew brought with them a CCU/ICU nurse, a medic, and an EMT. When we asked why they needed the RN they told us it was to manage the drips we...

  4. Peripheral IV lab draws

    Larry77 replied to kimmie518's topic in General Nursing

    My understanding is it was a request by the vascular surgeons d/t possible compromise of the PICC which I have seen...not common but has happened. If you aren't careful drawing from a PICC you can...

  5. Peripheral IV lab draws

    Larry77 replied to kimmie518's topic in General Nursing

    We have a specific policy to never draw from PICC lines but no policy against drawing from PIV's. The only time we can draw from a PICC is if we are getting cultures looking for infection. Anybody...

  6. How do you treat headaches?

    Larry77 replied to Anagray's topic in Emergency

    IV flluids, benadryl/compazine or Reglan if that doesn't help maybe some Toradol...no narcs at our hospital plus most of these patients have pain contracts which our docs are very good at following....

  7. Fever Kits

    Larry77 replied to boztc's topic in Emergency

    We give starter packs of APAP but I've never seen a "kit" what would you have in

  8. Going from Med/Surg to ER question

    Larry77 replied to LPNNAL's topic in Emergency

    We have a new RN that was an LPN for years on med/surg and she had a hard time fitting in because every time one of us offered a procedure to her or to watch a procedure she would tell us "I'm not a...

  9. Is it true?

    Larry77 replied to misslo's topic in Emergency

    I agree that we can be surprised by a trauma patient who we think is fine until we get the CT results and they have a bleed or c-spine fx but the really sick ones we usually know right away because...

  10. This WA forum is so idle

    Larry77 replied to WAstateRN's topic in Washington Nursing

    I agree that it's idle...I hardly ever check it anymore. Plus I live in a smaller community in SW WA and most of the topics are about Seattle, Tacoma, and Spokane, not having much to do about me....

  11. Where should I start?

    Larry77 replied to Price 2002's topic in Emergency

    If pre-hospital care is really what you want to do maybe you should just get your midic after your LPN rather than doing both RN/medic? Or if you want to have both maybe you would be interested in...

  12. "simma Down Na''

    Larry77 replied to SOCALRACERX911_RN's topic in Emergency

    Stupid copyright laws...anyone find the clip

  13. hall patients

    Larry77 replied to rnlightening01's topic in Emergency

    I've never seen a department that never has hall

  14. What do you guys during your off-time?

    Larry77 replied to mcknis's topic in Men in Nursing

    Summer and warmer months I mountain bike, Winter time it's all about snowboarding. I also try to hit the gym as often as possible. Oh and of course there is my kids, wife and house to take care of....

  15. Scrub Top Hatred/Alternatives

    Larry77 replied to *Pepper*'s topic in Men in Nursing

    Your post makes you sound like you want to look more important than your CNA's, I hope you don't have that attitude at work. When I worked LTC as an LPN when I was finishing nursing school I tried to...

  16. just venting

    Larry77 replied to blueinplaid's topic in Emergency

    Couldn't you file assault charges? I have for spitting before seems like this could be considered the same. Is terrible that this happened but great that you could keep your cool long enough to...

  17. Sobering first day on the job.....

    Larry77 replied to KckStrt's topic in Emergency

    There are special cases that you will never forget and it sounds like this child will be one of them. If and when you can lose a child in a trauma or code and are not emotionally affected it is time...

  18. how does your triage work?

    Larry77 replied to add-rn's topic in Emergency

    When I call people back I use their first name then as they come to the door I quietly ask them their last name to make sure I have the right person, this maintains privacy well. I like the idea of...

  19. Dental Assistants Pushing Propofol etc...

    Larry77 posted a topic in Emergency

    I was talking to an oral surgeon friend of ours and we were discussing his sedation procedures that he does in his clinic. I was amazed to find out that while he is the one to start the IV's on the...

  20. Breaks

    Larry77 replied to frog96's topic in General Nursing

    When I worked the floor we had a "partner" that relieved you and you relieved them...seemed to work very well also this "partner" was to be your resource if needing a co-signer (ie blood admin,...

  21. Interview on Friday (women lurkers feel free to post)

    Larry77 replied to Buckyxj's topic in Men in Nursing

    My advice is to go with what is comfortable for you. For me, I would feel awkward in a 3 piece suit and would go with a nice button up shirt with slacks and dress shoes but that's me not you. If you...

  22. Nicknames you give patients?

    Larry77 replied to andhow5's topic in Emergency

    We have one special pt that inspired "Darrell" for all the regular CP's that the only thing that helps their pain is Morphine..."nitro just gives me headache" "Don't worry your new patient in room 6...

  23. Lazy Charge Nurse in ED

    Larry77 replied to BriBriRN's topic in Emergency

    One of our worst charge nurses helps the nurses too much, I'm constantly telling him that we need him at the desk--drives me crazy. In my dept the charge nurse does not take patients and always has a...

  24. Still a student, my heart set on ER...

    Larry77 replied to karleigh's topic in Emergency

    How do you know you like the ED? Have you precepted there or do you just think that you want to do it? If not, definitely try to get a preceptorship down there to see what it's actually like on a...

  25. Level 3 ER, Level 4- Can you PLEASE clarify!!!

    Larry77 replied to taapple's topic in Emergency

    I'm not arguing with your statement about the American College of Surgeons, but you said that a level 3 or 4 was simply a "self designation" which again is untrue in all states that I'm aware of....