Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. What do you see in a Level 4 ER?

    Larry77 replied to born2circulateRN's topic in Emergency

    Often times Trauma IV hospitals are critical access hospitals (in my area) they can and do treat trauma patients of all levels but stabilize and ship them to bigger trauma centers. They have trauma...

  2. Please be prepared for your interview...

    Larry77 replied to Larry77's topic in Emergency

    My wife is a manager in dental and she is able to hire people after a "working interview" but unfortunately there seems to be too many hoops to jump through to get a person "released" to do patient...

  3. Please be prepared for your interview...

    Larry77 replied to Larry77's topic in Emergency

    Excuse me but I most certainly DID NOT bring this topic up. Please reread my posts, I will not respond to your off base comments...thanks Sassy--if you came in with letters like that and were upfront...

  4. Please be prepared for your interview...

    Larry77 replied to Larry77's topic in Emergency

    Did you see that this is a "new hospital"?...I would hope that we would not plan on "understaffing", would be terrible foresight IMO. Training is extensive with all employees starting months prior to...

  5. Please be prepared for your interview...

    Larry77 replied to Larry77's topic in Emergency

    I slightly disagree with this statement, we are not only hiring experience we are hiring for a good fit. Do I want someone who has been in a level 1 for ten years who is a bear to work with...heck...

  6. Juggling gtts

    Larry77 replied to NuBeeT's topic in Emergency

    OP I love your rant...brings back many memories of me in a very similar situation. Just get the patient upstairs as fast as possible because you know the first thing they are going to do is put in an...

  7. Impressive candidate, proper way to tell manager about nursing restrictions

    Larry77 replied to ccrntrixy's topic in Nurse Management

    I haven't hired a nurse with your history but I have worked with plenty of them in the ED. Sounds like you are upfront and honest, I would appreciate that as a hiring manager. I would worry just as...

  8. What do you do first, besides "ABC"?

    Larry77 replied to BSNbeauty's topic in Emergency

    So you guys are answering specifically to a situation without specifics. Is the new patient unstable? We don't know. Has the new patient been seen by an RN? We don't know. Is the discharge ready...

  9. What do you do first, besides "ABC"?

    Larry77 replied to BSNbeauty's topic in Emergency

    Some of the comments here kind of make the hair on the back of my neck stand up. You would delay discharge to avoid getting a new patient? Ugh... You would like to wait to see your patient after the...

  10. When will "IT" click?!?

    Larry77 replied to njsmit.rn's topic in Emergency

    Personally I think it takes about 2 years before you feel like you can take care of anything that walks in the door but even the most proficient ED nurse has hard days when you just don't feel like...

  11. Whats the best thing you like about the ER? Whats the least you like?

    Larry77 replied to KittyinNj's topic in Emergency

    Best--definitely the quick turnover, if you have a difficult patient you have them for hours instead of days or weeks like other dept's Worst--drug seekers, people who use the ED for primary care, and...

  12. Hipaa?

    Larry77 replied to RN79's topic in Emergency

    All the facilities I've worked at (which is a lot as agency nurse) the registration staff has access to the patient board which has chief complaint on it. Many facilities have limited what the reg...

  13. What do you do first, besides "ABC"?

    Larry77 replied to BSNbeauty's topic in Emergency

    I was a charge nurse for years so my answer would be DC, DC, DC! In that order :-) You answered your own question though when you said "stable" patient. Unstable patients come first of

  14. Interviewing for ER Residency

    Larry77 replied to daisyfleur70's topic in Emergency

    Do you think not having your RN yet was a factor? You said you are studying for your

  15. Being thrown to the wolves during orientation

    Larry77 replied to BSNbeauty's topic in Emergency

    I would speak with the ED educator and let her know your conserns then if you don't get the help you need speak with the manager. My biggest issue with what you said was the fact that you had...

  16. House Resource Officer

    Larry77 replied to Energizerhoney's topic in Nurse Management

    Right forum just asked a lot...try searching and if you still need help ask specific questions. Just my opinion, if someone else wants to give questions go for it

  17. Need advice on ibtaining ER position

    Larry77 replied to WYONurseCrystal's topic in Emergency

    Do you know anyone that works there? Your situation sounds frustrating but don't give up. You have the certs and the assertive attitude that the ED appreciates so it's probably just a matter of...

  18. Sick on CEN test day?

    Larry77 replied to snortzmom's topic in Emergency

    I'd try to get ahold of the testing center that you are going to to see if they can reschedule you...they might be able to wave the 2 day

  19. Certifications for an ER nurse

    Larry77 replied to lyttlemomma's topic in Emergency

    You will get a lot more from TNCC and ENPC once you've seen a few traumas and a few very sick kiddos. Anymore, at least in my area, you have to have some sort of prehosp or ED experience (ED tech) to...

  20. applied for nicu got a call for ER interview

    Larry77 replied to lawandaluxnurse's topic in Emergency

    You'll probably know on your first shift if it's for you or not...just go for it and see. For those of us that have a passion for ED nursing, there is nothing like it and no other dept would measure...

  21. Handling rude or dishonest patients

    Larry77 replied to wildlaurel's topic in Emergency

    Kill them with kindness...if that doesn't work just kill them...LOL... I do what I can to mend relationships but sometimes you just can't win. Sometimes I feel like I just can't make anyone happy but...

  22. what are the best mens scrubs you have found?

    Larry77 replied to Buckyxj's topic in Men in Nursing

    Aviator's are definitely heavier than any other scrubs I've owned...they last the longest as well. I would also look into Koi scrubs, lighter weight and definitely more on the lines of form fitting...

  23. Just hired and don't know what to expect

    Larry77 replied to docomo's topic in Emergency

    I really hope they have a good, lengthy internship program. The only new grads we have hired in the last 10 years have been those with some experience either in our ED as a tech or in the field as a...

  24. morphine IV

    Larry77 replied to breaking_dawn's topic in Emergency

    I definitely have had more complaints of burning with Morphine than Dilaudid but not as much as other drugs that are famous for burning (ie calcium, K+). I have no studies to back this up just years...

  25. Pts right to refuse treatment

    Larry77 replied to joanie2341's topic in Emergency

    Let her go, flag her chart to the event and don't give her narcs next time. Some ED's do not treat sickle cell with narcotics, tons of fluids, check labs, if labs are bad then yes admit them with a...