Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Nitro and Sildenafil?

    Larry77 replied to banbulance's topic in Emergency

    Never heard of Stroke as a potential SE...Hypotension

  2. Input needed

    Larry77 replied to heyhey's topic in General Nursing

    Yes she didn't change union's so her pay was the same. She was able to change from the acute care setting to the clinic side of the same

  3. Input needed

    Larry77 replied to heyhey's topic in General Nursing

    Similar thing happened to a friend of mine who was in a motor-vehicle accident...she started doing advice nursing in one of the clinics at the hospital and she loves it. She sits on her bum all day...

  4. New to ER,..fiirst time TNCC

    Larry77 replied to BrnEyedGirl's topic in Emergency

    While not being directly related to "TNCC" there are some websites that you can gain some trauma knowledge with scenarios. Here's one I have in my bookmarks: trauma.org I would get the book as soon...

  5. ICU VS. the ER?

    Larry77 replied to Anna5M's topic in Emergency

    Just to clarify what I meant by "Jocks and Nerds"...I think of ER nurses as "Jocks" just because we like to be where the action is and enjoy running are butts off. And ICU nurses as "Nerds" because...

  6. ICU VS. the ER?

    Larry77 replied to Anna5M's topic in Emergency

    Yikes...If an ICU nurse came down to our dept. and tried to run a trauma code they would be asked to leave and written up. It is the ED nurses who have trauma training not ICU. I do not think it is...

  7. Insulin drip?

    Larry77 replied to scrmblr's topic in Emergency

    Yes...good answers from the past two posts. In my case we are usually just using the drip short-term to get a very high BG down and when their sugar is WNL we d/c the drip, But if the patient is...

  8. heplock needle size

    Larry77 replied to greenbean's topic in General Nursing

    I usually put in 20g because I just love the color pink! lol...in the ED 20g unless candidate for rapid infusion, then 2 18's or larger for trauma's. And we do not use

  9. Insulin drip?

    Larry77 replied to scrmblr's topic in Emergency

    With an insulin drip we usually check BG every 30 minutes unless they are symptomatic then possibly even more often than that. I would not have run an insulin drip for 3 hrs without rechecking a...

  10. EMS abandonment?

    Larry77 replied to UtErRnEmt's topic in Emergency

    Sounds like both the EMS crew and the charge nurse dropped the ball to me. I can't see this scenario occurring in my facility because either our awesome medics would have hunted one of us down or our...

  11. Acls Megacode

    Larry77 replied to dbbsnrn's topic in Emergency

    The whole point of the megacode is to make it seem like a real-life code...I'm just wondering if you would respond the same way without instructors and with a real patient. I think the stress of a...

  12. Hello MA to LPN???

    Larry77 replied to happymama30's topic in Washington Nursing

    It is my understanding that there is not really any difference between LPN and LVN it just depends on what your state calls it. Wash St =

  13. Trauma RN's - A question.......

    Larry77 replied to JourneyCC's topic in Emergency

    Interesting that you seem to think all we do in ED is follow protocols...ugh..you can stay in the ICU and watch your lab trends thank you. I'll stick to the front lines where I don't have to use my...

  14. Overdose, using charcoal on a combative pt?

    Larry77 replied to vampireslayer's topic in Emergency

    boy i hope not! intubation and ngt placement would probably take about 10-15 minutes in my opinion, but that would be if we were in a hurry...with these types of patients we are usually not in a...

  15. Overdose, using charcoal on a combative pt?

    Larry77 replied to vampireslayer's topic in Emergency

    Most of the time when we consult poison control they tell us that charcoal is either not advised or has not been shown to help (depending on the chemical ingested of course). In the case you describe...

  16. Desensitization??

    Larry77 replied to melissabobissa's topic in General Nursing

    "Blood and needles" are really only a small portion of what nursing is about. If you were to say that you can't stand to work with people then I would be worried about you becoming a nurse. We all...

  17. ER RN and Pregnant

    Larry77 replied to RN112's topic in Emergency

    We have had many pregnant nurses and techs in our dept and have never had a problem. I have not heard of them avoiding pt's except for the obvious meningitis, r/o TB and of course the violent pt's....

  18. looking for information

    Larry77 replied to govtemt's topic in Emergency

    In our facility (non-gov), the initial assessment must be completed by an RN but often times the tech's do the vitals and start the chart before the nurse actually sees the

  19. medication doses

    Larry77 replied to MIA-RN1's topic in General Nursing

    I worked on a very busy surgical floor before I transfered to ED and the only potential problem I see from your scenario would be having a group of 7 patients who all need their pills every two hours...

  20. doctors without borders/MSF

    Larry77 replied to FutureNurse2005's topic in General Nursing

    There are many many mission based groups like them. My father was involved with Northwest medical teams (NWMedicalteamswebsite)and I go to Honduras with a medical mission group called Worldwide Heart...

  21. EJ question.

    Larry77 replied to absolut's topic in Emergency

    This has also been a highly researched topic at our facility. In looking into the BON of Wash St there was no language addressing this issue (I was told, did not do the research myself) and there is...

  22. Radilogic Technologist

    Larry77 replied to twallum's topic in General Nursing

    A really good friend of mine is a rad tech and he has a plush job. When he works nights he just sleeps until we call him to do a CT scan (he does CT only). The pay in my area is not quite as good as...

  23. ER must haves

    Larry77 replied to kathy_bear's topic in Emergency

    Breast pocket: NS flushes, blunt tips, alligator clip, nitro bottle, alcohol swabs, badge on retractable line, 2 pens in sleeve pockets Left pants pocket: Wad of non-latex gloves (still have latex in...

  24. Tall Scrubs?

    Larry77 replied to scubadude's topic in Men in Nursing

    The problem I have had with tall scrubs is that they are very very skinny. I am 6'3" and all legs so I have spent a lot of time trying to find the perfect scrubs and finally did last . They are from...

  25. How do you stop bad habits?

    Larry77 replied to loriannlpn's topic in General Nursing

    I was a smoker for over 10 years and quit during my first quarter of nursing school. I tried to quit probably 30 times before it finally worked--always cold turkey. My biggest problem was going out...