Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Ring Cutter Question

    Larry77 replied to FrankinWV's topic in Emergency

    Also if you are careful and cut it in two places jeweler's can reattach it really well...and yes, only cut off as a last resort, usually pt's are very grateful because they and we have tried...

  2. Ring Cutter Question

    Larry77 replied to FrankinWV's topic in Emergency

    We love ours:

  3. NPO in the ER

    Larry77 replied to hunnybaby24's topic in Emergency

    As a policy all pt's are NPO until evaluated by the provider but there are times that the RN will give fluids when it's

  4. Administering Narcs and nurse liability

    Larry77 replied to Jennifer, RN's topic in Emergency

    Would be easy to chart "dosage verified with MD" after speaking with him. Remember there is no real "max dose" for narcs so we have to go by pt history and vital signs. As mentioned before it would...

  5. ED practicum

    Larry77 replied to nursing.mypassion's topic in Emergency

    A good preceptor will not expect too much from you...first shift should really be about observing how the ED works. So my personal advice would be to stay out of the way the first day and ask...

  6. What is the nurses priority in a trauma (new to ER)

    Larry77 replied to Shell5's topic in Emergency

    After I read the controversial response I knew this was going to be a fun thread...don't question the value of an RN on this website-you are liable to get a

  7. Toradol IM Injection.

    Larry77 replied to nursesearl's topic in Emergency

    Location doesn't matter as much as the size of the muscle. Some talk like your arm will fall off or something if you say you always give it in the LE, fine, but if I'm your patient and I ask you to...

  8. Transfer codes to ER not ICU

    Larry77 replied to MADDOG70's topic in Emergency

    Interesting find when I looked this up: "Once the patient is admitted and stabilized, the EMTALA obligations end, under the 2003 regulations and as clarified in the 2008 amendments. A new emergency...

  9. Transfer codes to ER not ICU

    Larry77 replied to MADDOG70's topic in Emergency

    A long argued topic and in my opinion a really bad precedence to set...in my facility we have adamantly refused to take patients back from inpatient units. The last time I ran into this we had sent a...

  10. Reporting off

    Larry77 replied to Nrsstudent09's topic in Emergency

    Much less painful than the floors just don't leave a long list of pt needs and you'll be ok... Pt needs a foley, a second IV, and then their ABX's started but then they are ready to go to

  11. This week

    Larry77 replied to emtb2rn's topic in Emergency

    Ok...what did you do to the charge nurse? he he...I don't know how many times I hear, "What did I do to you?" when I have to give another CP or such...sometimes the dept is just THAT busy...sorry for...

  12. A question about Adenosine

    Larry77 replied to Aerin's topic in Emergency

    sync-shock cardioversion with sedation or just consult a cardiologist and they may decide to come down and try something themselves (ie. 18mg), but usually we just use electricity and be done with...

  13. Charge/Triage RN Position

    Larry77 replied to Rickbos's topic in Emergency

    Must be a small ED...we see 200 patients a day and there is no way I could take a patient load or cover triage. We have 2 RN's and a tech out in triage...my duties as a charge nurse are to man the...

  14. Last Semester In Nursing School, ER Preceptorship

    Larry77 replied to redraider1977's topic in Emergency

    Don't do anything that you are uncomfortable with and get as many IV starts as you can...ask questions but try not to bug everyone--mostly your preceptor. Try to see as much as possible but for God's...

  15. A question about Adenosine

    Larry77 replied to Aerin's topic in Emergency

    I've given Adenosine at least 100 times and if you give the right dose for the patient (really is pt dependent, that's why you try the smaller dose first) the heart "resets" usually seen with a short...

  16. Catheters in Pregnant Pt going for US??

    Larry77 replied to jjvemiller's topic in Emergency

    We also still do this bad practice...it comes from our old fashioned radiologists...we've tried to fight it in the past and got nowhere. Someday they will join the 21st century and end

  17. Does anyone have a "code down" stretcher in ER for non-patient visitors?

    Larry77 replied to ELIZABETH BSN's topic in Emergency

    We have a code "medical assist" where we send a tech, a nurse, a EMS cot with a bag of supplies and others respond as well (pharmacy with crash cart, transporter with W/C, supervisor, and security....

  18. ER nurse getting paramedic

    Larry77 replied to jedi88's topic in Emergency

    "Hi! Do you think it is helpful for a nurse to get a paramedic or PHRN certification if they work in the ER? Does that training better prepare you for your job?" Just to remind you folks what the OP...

  19. new to the ER with a question for you experts :)

    Larry77 replied to instanthuman's topic in Emergency

    We do not allow it in any situation. We have used the EMTALA argument, and the argument that the paper trail is impossible...for billing and charting. Luckily our Manager is very hard-headed and...

  20. ER nurse getting paramedic

    Larry77 replied to jedi88's topic in Emergency

    I looked into my EMT-B just for fun and to play with my buddies in EMS but the amount of hours I would have to do in an ambulance was too grueling. There was an accelerated course for RN's at the...

  21. Fever vs. Warm Blanket

    Larry77 replied to nursebrandie28's topic in Emergency

    If you worked in my dept I would go with your suggestion, until you do, I will go with what my docs want and that's a sheet...but I really appreciate the info

  22. Going from RN to Paramedic

    Larry77 replied to mater44's topic in Emergency

    Paramedics are stupider than us smarty RN's!!! He he...just kidding but it gets to be the immature argument of some insecure RN's...different job totally if that's what you want to do great I'm...

  23. questions about nursing

    Larry77 replied to tk88's topic in Emergency

    Either way can be done but in my area there has been a large influx of new grads so the specialty areas (ie ICU, and ED) can be more picky and only hire experienced nurses. That said we have hired 2...

  24. Morphine shortage?

    Larry77 replied to Lunah's topic in Emergency

    We hardly ever use 2mg MS...4mg or Dilaudid...guess we are generous

  25. ER Patient Coordinator

    Larry77 replied to Ciale's topic in Emergency

    There is no way our secretaries/clerks could sit in on code while on shift but anytime they are off the clock they are welcome :-) You will get a much better understanding of the tests ordered and...