Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Secondary Mace exposure

    Larry77 replied to cathyinbfe's topic in Emergency

    Mostly Tazers here too but we occasionally do get the pepper spray peeps...we place them in the "psych" rooms and close the outer door so not to spread the wealth. We have used the decontam. shower...

  2. ER-101...Route/Meds/Terms

    Larry77 replied to shill's topic in Emergency

    When you look at a patient who is so sick and/or injured so bad that there is really a lot more wrong than is right. You look at them like ok...where do I start here? This to me is a train wreck...

  3. do you know enough about MI symptoms?

    Larry77 replied to diamondmeadows's topic in General Nursing

    Almost every time I've taken care of a female with an acute MI there were no classic MI s/s...often times GI c/o, low back px, jaw pain (as mentioned earlier), L arm px, and weakness. Pretty much...

  4. Need help with IV technique

    Larry77 replied to Firemedic7's topic in Emergency

    Sounds like you are on the right track scheduling some clinical time at the ED you are familiar with. I agree with the posts about feel rather than looking...always the way to go. Plus I wouldn't...

  5. What are LAP Sites?

    Larry77 replied to solumedrol's topic in General Nursing

    Lap sites would be where the surgeon went in with a laparoscopy scope during surgery...usually a small site about 1/2inch in

  6. Tylenol 3 vs. Codeine.. Which medication do you administer first?

    Larry77 replied to solumedrol's topic in General Nursing

    Tylenol 3 has codeine in it...are you sure they have T3's and plain codeine ordered? If so I would use a scale method if the pain scale is 6 use codeine or something like that--would just depend on...

  7. Waiting Room Assesments

    Larry77 replied to ikimiwi's topic in Emergency

    q1hr?....yikes...we reassess q2hr but often times is just the EDT rechecking

  8. TOP 10 Meds?

    Larry77 replied to superkyky's topic in Emergency

    Don't get yourself overwhelmed trying to learn all of the meds mentioned you should not need to know every one you are PRECEPTING..just ask questions and keep a drug book handy. Take in the...

  9. To grow a backbone....

    Larry77 replied to Lisa CCU RN's topic in General Nursing

    Only person in this world you can control is YOU. I had a real hard time when a patient or family member didn't "like" me but I learned that all I could do was my best and if they chose to dislike me...

  10. yesterday was FIRST day! is this how it always is?

    Larry77 replied to ncriverrat's topic in General Nursing

    While I agree with the previous responses in this was not the RIGHT way and sounds like she's not the best preceptor for you, there is a difference between how things are done in nursing school and...

  11. Mom needs advice please!!!

    Larry77 replied to nurselala33's topic in General Nursing

    When you get a NCLEX-PN prep book go over the MC questions with her...see what her brain is doing with them...it might just be a simple problem (ie not reading all the answers before answering)...or I...

  12. Night shift ... And a babysitter?

    Larry77 replied to cardiac.cure03's topic in General Nursing

    Yes, is very scary especially when you don't know anybody. I live in a "development" so we were able to ask around to see who the good babysitters are. There is a couple of high-school girls that...

  13. Tips For New Grad ER Jobs

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

    Either Med/Surg or Tele experience is what they will be looking for but sometimes if you precept in a certain ED and they like you enough you might get hired. ACLS and PALS is a good idea for...

  14. Topical ativan use

    Larry77 replied to boofmd's topic in General Nursing

    I tried to come up with an appropriate response but had no luck because all I can think about is how fun it would be to sneak some into one of our lotion dispensers at the nurses station...lol (don't...

  15. Digital BP monitor for home use.

    Larry77 replied to Woman_in_love's topic in General Nursing

    Just a comment... We have had many pt's come into the ED because they got a reading of 49/23 or 234/76 (just examples). These machines can give off readings at times (as do ours in the ED). My point...

  16. Good Nursing Shoes??

    Larry77 replied to AliciaMarieGPN's topic in General Nursing

    Most of my dept wears Crocs including me. Also try searching there are TONS of threads about shoes on this

  17. Would becoming bilingual be useful in nursing?

    Larry77 replied to one2one's topic in General Nursing

    I sooooo wish I knew more Spanish! I know enough to get around but if the pt starts going into their story oh boy...way too fast for me...lol. I live in the NW and we have a very large Mexican...

  18. Adn's Who Don't Care

    Larry77 replied to nursing4me23's topic in General Nursing

    I am an ADN that does want to go on but am putting it off until my kids get a little bit older...probably both in middle school/high school...not sure yet. Right now I just can't see going back full...

  19. ER-101...Route/Meds/Terms

    Larry77 replied to shill's topic in Emergency

    Very good basics...is so much to learn because "emergency nursing" is not really taught in nursing school. I'd like to add a few more meds (nitro, Dilaudid, Lovenox and some other ABO families) but...

  20. PICC's

    Larry77 replied to amanda0019's topic in General Nursing

    We have a policy at my work that states we are NEVER to draw from a PICC. I was puzzled to learn this d/t the fact I have always drawn from them in other facilities as long as the lumen was big...

  21. Organ Donation and Homosexuals

    Larry77 replied to mysticalwaters1's topic in General Nursing

    Fastest growing new AIDS cases is actually heterosexual females...(saw a special on Discovery channel) So what about all the women who experiment with anal sex? Is sad to me that this shows that all...

  22. Finger Sticks

    Larry77 replied to nursingirl2007's topic in General Nursing

    LOL...room 15 is coding quick grab the sharps container!!! This is just one of those "style" issues...you guys do it your way, me and my coworkers will do it ours. Maybe some of you should strap a...

  23. Why the fanny packs?

    Larry77 replied to kstockdaleRN's topic in Scrubs, Uniforms, Gear

    A few of the guys at work wear that "Pro pack" but they are the same ones that don't have pockets in their scrubs. I just use my beloved cargo pants...have more pockets then I need. SAY NO TO FANNY...

  24. Finger Sticks

    Larry77 replied to nursingirl2007's topic in General Nursing

    I disagree...when you are not able to reach a sharps container I was taught to recap using one hand (without actually clicking the cap shut d/t JAHCO violation). Maybe you weren't taught this but I...

  25. Legality question

    Larry77 replied to CantHardlyWait's topic in General Nursing

    This "remote" tele is done in our hospital as well but these pt's are monitored by the monitor tech on tele and if there is a change the tech calls the other floor to inform the nurse. I'm pretty...