Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. CNA verse PCA ?????

    Where I work the PCA's are also trained in the secretary position so they can enter orders do the phones etc. Only problem is this can be confusing to the Pt's who have no idea what a PCA is and I...
  2. Shift differential?

    Another example for ya...at our hospital we are paid 2.60/hr for Eve and 3.30/hr for NOC's or something close to
  3. Orthostatic Blood Pressure

    Always been my understanding that a healthy "normal" person can drop a little bit in pressure when they stand up. As a normal practice in our ED we wait at least 1-3 min between BP's and P's. If a pt...
  4. The Beautiful, Beautiful Pacific Northwest

    Ok..phew...sorry guess I missread this post...he he Please bring your husband up here too...:) Also from your OP: "I have thought many a times about just taking my daughter and going for it (I have...
  5. The Beautiful, Beautiful Pacific Northwest

    Back to the OP...you want to leave your husband just so you can move to the NW??? I hope there are other reasons because that sounds silly to me. I would never leave my wife and family just to move...
  6. P+T for vanc and gent

    At our facility we are no longer doing peaks for our Vanco, but still are doing them on our Gent and Tobra. Not sure where the "guidelines" came from but our pharmacy told me personally that we no...
  7. NGT placement

    I do too it's the same feeling I get when I have to restrain an out of control confused elderly person...ugh Feel so bad for them. I have yet to send a NGT into the trachea but have had a couple...
  8. Critical care experience before ER?

    At our hospital is is harder to get in to the ICU then into ER and neither take new grads, must have 1yr Acute care experience for both. I still think Med/Surg is a smart way to go...sure there are...
  9. ER Orientation

    I have experience on Med/Surg and I'm getting 8 weeks but educator said if me and my preceptor think I'm ready sooner than I can end it sooner or if we feel I need longer I can ask for longer. Our...
  10. I'm going to be starting in the ED next month coming from a surgical floor (med/surg). I'm wondering what you guys think the hardest adjustment will be for me. I spent 100hrs in the ED as a...
  11. Update to: Help...ER Interview tomorrow!!!

    OK..she finally got back to me, she actaully tracked me down on the job again took me aside and said welcome to the ED because we would love to have you. She said the hold up was getting ahold of my...
  12. White Pants Underwear Woes

    Self cleaning organ...OMG...ICK!!!! LOL...once again, so glad to be a male. Funny story, when I was a new CNA many moons ago I used to wear white pants all the time and had no idea that all the girls...
  13. Male + Nurse = Murse

    Yes MD is in fact an abbreviation for doctor just like RN is an abbreviation for NURSE. When I introduce myself I tell my pt's my name and let them know I will be their "nurse". Calling an RN a...
  14. Update to: Help...ER Interview tomorrow!!!

    Wish I heard back as soon as you did...grrr...I interviewed a week ago Monday and she said she would get back to us by the end of that week. There are 5 positions available and she (the manager)...
  15. Male + Nurse = Murse

    First time I heard the term "Murse" was in the movie Meet the Parents. To me it is funny not offensive but I refer to myself as a "nurse" and never as an "RN" unless asked. When a nurse describes...
  16. White Pants Underwear Woes

    What about not wearing any underwear at all? I know my wife has certain jeans and pants she says she can't wear underwear with. Is that a possibility here? Most of the time at my work the females...
  17. secret surgery

    I'm not sure what kind of relationship she has with her co-workers but I have always been completely open with my life at work. Yes I am one of very few men in a mostly women profession where...
  18. How terrible...so sorry for that experience. I always enjoyed OB but not when things go wrong... I took care of a Pt who had a fetal demise but the baby was only 20 weeks and had prob died at 16...
  19. Can you get strep if tonsils have been removed?

    Rheumatic fever is the potential complication of a streptococcus infection which can cause endocarditis along with other heart complications. Always have you and your kids sore throats checked out, as...
  20. Question about BP

    BP cuffs should cover 3/4 of the upper arm to be the "right" size. NEVER trust an electronic BP machine. It is fine if you are looking at trends but you cannot compare directly to manual BP....
  21. What is Groshong catheter?

    Good Answer good answer! Very well explained. Just another note...at my facility (not sure if everyone else is the same) we do not use heparin on Groshong's...I believe they are designed to not need...
  22. Salary question??

    I can think of a lot of other things to complain about nursing (stress, staffing ratios, pt acuity, management, old equipment etc etc etc) but salary is not one of my issues. I think compared to...
  23. I got written up and it's bringing me down

    "hey dude, your zipper is down." LOL..I LOVE
  24. guys I need your help..

    I would post this question in the International Nursing
  25. Pts undergoing amputation taking aspirin?

    I work on a surgical floor and we give all pt's (unless contraindicated) either Heparin or Coumadin following surgery. The reason behind this is clots are a fairly common and very dangerous side...