Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Paramedic Students

    Larry77 replied to celticcare's topic in Emergency

    No formal program in our dept...we have Medic students but they just come in and start IV's and some other basic skills...we sign them off and they move on to the OR to practice

  2. cen exam pearls

    Larry77 replied to RN1980's topic in Emergency

    Don't think it's allowed to give CEN questions on

  3. Do you have a dangerous doctor in your ED? Long vent.

    Larry77 replied to NeoPediRN's topic in Emergency

    I would document some specific issues...then talk to the medical director of his/her group. If they do not act you can report the doc to his/her licensing board. They have to answer for their...

  4. What's the longest er wait time you have Even seen

    Larry77 replied to Trekfan's topic in Emergency

    I am an ED charge nurse and I guess I was just bothered by the tone this thread was taking. Most of the responses were from patients of the ED--not nurses who work there. Yes, of course we know this...

  5. What's the longest er wait time you have Even seen

    Larry77 replied to Trekfan's topic in Emergency

    Last time I checked this is a message board about ER nursing not about complaining that people have to wait for nonemergencies or inpatient beds in the ER...just sayin' I think I'll go to the surgery...

  6. Low pay in Seattle

    Larry77 replied to WAstateRN's topic in Washington Nursing

    I'd probably start a new thread to the new poster's on here...very outdated info from years ago. Also if you start a thread with your specific question you will get better

  7. Ya mighta told me that before!

    Larry77 replied to JBudd's topic in Emergency

    Never heard of it being exlusion criteria for thrombolytics but definitely no Nitro if any Viagra within last 3 days or something like that (different time for different ED meds). I have seen someone...

  8. The problem with floating ER Nurses

    Larry77 replied to crabalot's topic in Emergency

    In all the ED's I've been involved with this was not common practice. I knew of some who still worked in the dept's they came from for OT but were not floated from the ED. We are not census staffed...

  9. In my ER, we're required to do preg tests before giving Toradol. Does anyone else do this?

    Larry77 replied to ReWritten's topic in Emergency

    To me it's never been a big deal to get a urine HCG before we give Toradol. If they come in with Abd px or flank px we are getting urine anyway. We do not have a specific "policy" stating that we...

  10. Do your Managers and Charge nurses work on the unit?

    Larry77 replied to pilotnurse's topic in Emergency

    I'm a designated charge RN that works the floor sometimes...we have 3 DCN's on Days and 3 on NOC's and we overlap our schedules. We end up working 2-3 out of our 12 shifts a month on the floor. We...

  11. TO ALL ER NURSES!!!!

    Larry77 replied to jbo24's topic in General Nursing

    Looking on here is a good start. There are so many threads about this topic that there is no way I could give any new advice. There are very few books that don't feel like "dry reading"...maybe "ED...

  12. IV Pumps--have you used Baxter's Sigma Spectrum??

    Larry77 replied to AKav8trix's topic in Emergency

    We are currently making the switch to these pumps...I hadn't heard they were recalled? I know the older Baxter's are recalled but these are supposed to be the new great thing. Advantages that we are...

  13. New name for nurses who are men

    Larry77 replied to midlife101's topic in Men in Nursing

    When you become a member of the Federation of Male Nurses then you can complain...until then you are an aspiring nurse...lol This topic has been discussed so much on here...the problem in my opinion...

  14. How did you know what you wanted to specialize in?

    Larry77 replied to coolblue2's topic in General Nursing

    In a good nursing school you should be exposed to a number of specialties...find one that interests you and go for it. Yes it's usually easier to start on med-surg but try to do it in a hospital...

  15. Pre-shift workout/exercises

    Larry77 replied to JWestbrook20's topic in General Nursing

    I wish I could get the motivation to work-out before work (0700-1930)...My gym opens at 0430 so I could easily go there on the way. I've tried to do it after a shift but there are too many days when...

  16. Kindly disspell these rumors about Kaiser

    Larry77 replied to mikeworksRN's topic in California Nursing

    The problem is you have Kaiser insurance for the rest of your life...he he. Had to through a little humor in there, we always groan when we have to deal with a Kaiser transfer because they make...

  17. Tired of bedside nursing

    Larry77 replied to youngebloodrn's topic in Men in Nursing

    If you are truly "tired of bedside nursing" than for the sake of your pt's find something else fast. In my opinion it's not possible to be really good at something that you don't enjoy, especially...

  18. Certifications/training for a new ER nurse

    Larry77 replied to ertrek84's topic in Emergency

    Most level 1 "trauma" nurses have critical care experience (TICU) as well as ED experience. Can you cross-train to the ICU where you work? We require ACLS, BLS, PALS right away and TNCC within a...

  19. How do you treat headaches?

    Larry77 replied to Anagray's topic in Emergency

    You guys are CT'ing all your Migraines? Very rare in the dept's I've worked in...LP maybe...CT if suggested bleed or known

  20. CEN's and experienced ED nurses I need your help!

    Larry77 replied to TaoMedic's topic in Emergency

    How about a name and birthdate? I don't know how many times I've had crews tell me, "We just scooped him up and brought him here...there should be family coming". If I have a name there is a good...

  21. Another CEN question

    Larry77 replied to crb613's topic in Emergency

    I think experience helps more than studying or review courses but I like boswell's advice regarding the practice test to see what you're weak areas are and study a little on

  22. Get through it without laughing - dare ya

    Larry77 replied to netglow's topic in Emergency

    Not too long ago we had to go to an ALL DAY training to learn what he said in 2 minutes! I understand that we ED nurses are not very good at touchy feely care but a little communication does go a...

  23. Pregnant ER nurse

    Larry77 replied to Nrsstudent09's topic in Emergency

    I'm not critical of all pregnant nurses only the lazy ones...these are not newly lazy people in my experience but people who have a new excuse to be even lazier. I'm very sympathetic to the...

  24. Pregnant ER nurse

    Larry77 replied to Nrsstudent09's topic in Emergency

    There are two types of pregnant nurses in the ED, the ones who keep doing their job until they physically can't, and the ones who look for any possible reason to get out of work or to feed their...

  25. Leaking AAA

    Larry77 replied to canoehead's topic in Emergency

    I think I'm about 30% survival on these cases in my career...we are very aggressive and have a great vascular and general surgery team at my hospital but still seem to lose a lot. BTW I'm talking...