Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Tecoma Washinton

    Larry77 replied to motomanRN's topic in General Nursing

    I love the NW it is green and never gets too hot or too cold. Tacoma is a pretty large city (second biggest in Wash after Seattle) and depending on what hospital and what dept I guess would determine...

  2. Stethoscope...

    Larry77 replied to SerenityR.N.'s topic in General Nursing

    Hate to do it to you but please try the search tool on this site because there is tons and tons of topics on

  3. Weird Code

    Larry77 replied to EMSChild's topic in Emergency

    This situation does not seem very strange to me but I have had some "out of the norm" codes when illicit drugs are involved. I agree with the agonal breaths and non-pea

  4. WARSWITHFLOORS/Round 99,999

    Larry77 replied to LooAndDoo's topic in Emergency

    We have one called "SBAR" stands for Situation, Background, Assessment, Recommendations...If your interested I am willing to scan it into my PC and email it to you. We don't really use it much but is...

  5. ER nurses...what shoes??

    Larry77 replied to RN2MSNasap's topic in Emergency

    Most of our dept wears either Dansko's or Crocs...myself it's Crocs all the way baby! My feet still hurt on those especially "fun" shifts

  6. ER Checkmate

    Larry77 replied to mysticalwaters1's topic in Emergency

    Most of us in my ED carry this book: Quick reference book I use this book and carry around my pda, I'd like to just have my pda but I find that I can get infomation a lot faster in this quick...

  7. Boosting Morale in the ER

    Larry77 replied to 1sttimetraveler's topic in Emergency

    Only thing I've noticed that boosts our morale is sweets! Donuts, candy...anything chocolate pretty much. Other than that remember you set the pace for the docs and the nurses so don't overwhelm...

  8. MRSA in my patient.

    Larry77 replied to Jo Dirt's topic in General Nursing

    I'm a little concerned that an RN doesn't know what MRSA is, this is a very common superbug that any medical professional should be aware of...including CNA's, LPN's, and RN's. I would study up on...

  9. LPN orienting an RN?

    Larry77 replied to texascowgirl's topic in General Nursing

    Title wouldn't matter to me, I would want to be trained by the person who knows the job the best. To the OP, you may have not intended it but to me your post sounds like little ol' LPN's shouldn't...

  10. 2 weeks before ED

    Larry77 replied to SeriphumRN2b's topic in Emergency

    Don't be afraid to clean rooms and restock supplies, the techs will appreciate this and you want them on your side because they can make your life difficult. Always have an open to learn type of...

  11. Looking for your input on ED med error....

    Larry77 replied to NewEDRN's topic in Emergency

    Sounds like a good learning experience, just be thankful the med error didn't turn out to be life threatening. When I identify a patient I always ask them what their name is instead of saying, "Are...

  12. Do you work with creepy-weird co-workers?

    Larry77 replied to Captain America's topic in General Nursing

    Most of the creepy-weirdo's are the docs at my work...sometimes makes ya wonder how the heck do they make it through life let alone med school...sheesh. Love almost all my co-workers though...only...

  13. About dorsogluteal injection, if it only hit SC ( not muscle) is it will harm?

    Larry77 replied to leonar's topic in General Nursing

    This is the reason why we always draw back before injected the med, to make sure we are not in a vein or artery causing the med to be absorbed faster than

  14. why all the rudeness?

    Larry77 replied to christymwinn's topic in General Nursing

    I often have wondered if people ever read there responces before they post them because sometimes you can just tell that they didn't mean it the way another poster may have taken it...but then again...

  15. shaving cream for peri care???

    Larry77 replied to mel1977's topic in General Nursing

    Funny haven't thought about this in long long time...when I was a CNA in the nursing homes around '94 was the only way we did peri-care...we didn't have wipes just the ol' wash clothes and cans of...

  16. Filling baldder for Ultrasound...do you

    Larry77 replied to tridil2000's topic in Emergency

    NS is also sterile and would not cause as much ion shift as sterile water would...but still think the practice sounds barbaric. I know that in our ED we always send our pt's to U/S with a...

  17. narcan question

    Larry77 replied to gonzo1's topic in Emergency

    Yes, or if the Pt is an IV drug user (in our area is usually the case), it takes awhile to find a descent vein so the IM dose starts working even before we get the IV dose

  18. narcan question

    Larry77 replied to gonzo1's topic in Emergency

    If we have an unresponsive OD patient we often give a dose of Narcan IM while we are trying to optain IV access and then usually give another dose

  19. foley catheter question

    Larry77 replied to J.R.theR.N2b's topic in General Nursing

    um...30FR...OUCH!!! We have what's called "Uro-jet" which is an applicater with Lidocaine jell to squirt in the urethra to numb it...seems to help a little (only used it on males though). Doesn't seem...

  20. What are your favorite shoes? My poor feet!

    Larry77 replied to PsychRN-Kris's topic in Scrubs, Uniforms, Gear

    Try some support hose...no kidding...tons of nurses swear by them. Also do a search here and you will find a lot of threads about shoes. I would also recommend going to a higher-end shoe store in a...

  21. Why IV pumps for Central Lines?

    Larry77 replied to mysticalwaters1's topic in General Nursing

    We frequently infuse low risk meds/fluids with drip method, central or no central, usually if we hook up a pump it is because the fluid won't free drip fast enough. High risk meds are always pump...

  22. About dorsogluteal injection, if it only hit SC ( not muscle) is it will harm?

    Larry77 replied to leonar's topic in General Nursing

    Some medications like Iron can stain the skin if not given deep IM using

  23. Is a backboard for transport only, or immobilization while in the ER?

    Larry77 replied to vampireslayer's topic in Emergency

    In my ED the docs always assist in the log rolling so they themselves can examine the underside and chose to keep the Pt on the backboard or DC it at the time of the log

  24. ER nurses advice

    Larry77 replied to RNCCRN's topic in Emergency

    Wouldn't each interaction with the Pt by another nurse be charted under their name? If so I don't see how you being the "assigned" nurse would hold you liable for actions taken by other nurses....

  25. ER RN looking at Longview WA

    Larry77 replied to EDTEd's topic in Washington Nursing

    I can probably help you with any questions...send me a