Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Educate me on Blood Cultures

    Larry77 replied to Amnesiac70's topic in Emergency

    Have the doc get a femoral stick for the second set if you can't get it...that's what we do... Our lab is pretty good though, pretty sure they can get blood from a

  2. best nursing positions for men.

    Larry77 replied to brotherbear's topic in Men in Nursing

    I pay more attention to the female positions at work...he he (had to throw it in there) Men can do any job in the hospital just like women...is so specific to the person it just depends what you like....

  3. What is your Kryptonite?

    Larry77 replied to MassED's topic in Emergency

    Mine is lazy nurses. There isn't a patient situation I don't feel I can handle but give me a crew of lazy or incompetent nurses and I want to shoot myself by the end of the day. Maybe there should...

  4. How to warm IV fluids??

    Larry77 replied to 80sNurse's topic in Emergency

    Our blanket warmers are set at 60° C, and our IV fluids at 40° C I'm not sure if this is ideal temp but like I said before we did just go through survey without any complaints

  5. How to warm IV fluids??

    Larry77 replied to 80sNurse's topic in Emergency

    We went through a JCAHO survey not too long ago and they didn't say anything about our "fridge style" warmers. We date them for two weeks when we put them in. Did you guys date yours? I wonder what...

  6. Passed the CEN

    Larry77 replied to TraciRN's topic in Emergency

    WTG!!! I agree Lunah...we have around 80 nurses with only about 15 that have their CEN. We get a review course paid, the test paid and another $1/hr for having it...a no brainer for

  7. Physical Therapy in the ER Setting

    Larry77 replied to LegzRN's topic in Emergency

    I think I just have it in my head that OT is more "functional" and this is what we are concerned with in the ED. I think of PT as longer term therapy and rehab. Is this not correct? My...

  8. Emerg Volunteer

    Larry77 replied to flyingchange's topic in Emergency

    We have a couple volunteers at a time, one in the back helping stock linen/supplies and another in the WR helping visitors. We can ask them to help patients out to their cars but only if they have...

  9. Physical Therapy in the ER Setting

    Larry77 replied to LegzRN's topic in Emergency

    OT would make more sense to me than

  10. What type of Shifts does your ER have?

    Larry77 replied to PACNWNURSING's topic in Emergency

    We have 4 shifts...0700-1930, 1900-0730, 1100-2330, and

  11. New to er and iv question..

    Larry77 replied to JamieN823's topic in Emergency

    Just force yourself to try the hard starts as well as the easy ones. Some people who think they aren't very good find others to start harder IV's but how will they learn without trying? Also watch...

  12. CEN

    Larry77 replied to marlarn's topic in Emergency

    Tons of threads on CEN advice...take a look. The amount of experience needed to pass depends on the nurse...some learn quick and are exposed to a lot others work mostly fast-track and need more time...

  13. A quick story to share

    Larry77 replied to Bumashes's topic in Emergency

    I've had quite a few cases that I'll never forget. I remember my wife told me once, "You are the last person to see some of your patients, how does that make you feel?" It's so easy to just move...

  14. Signs, Triads, and Other Terms

    Larry77 replied to midge121787's topic in Emergency

    Understanding some of the most popular eponyms is a good idea but to memorize all the rare ones you can find would be a waste of your time. The CEN does not spend a lot of time asking about rare...

  15. Telephone Admission Orders

    Larry77 replied to LegzRN's topic in Emergency

    We have a very short form for "ED holding orders" that our ED docs fill out so our patients have some kind of orders. Usually has a box checked to "Notify admitting physician of patients...

  16. relocating to Vancouver area

    Larry77 replied to gottahavefaith1964's topic in Washington Nursing

    In our hospital we actually look for experienced RN's before new

  17. Patients that are not allowed narcotics

    Larry77 replied to Jo West's topic in Emergency

    We have "care-plan" patients who do not get narcotics without objective findings. If they come in and have a broken arm from a fall or injuries from a MVC they are not withheld narcs just because of...

  18. function for half sheets in triage

    Larry77 replied to nurse ninja's topic in Emergency

    Before we had computer charting and tracking we used to have two "reg slips" (just the upper part of the page...one would go to registration and the other would get placed on the tracking board...now...

  19. What do you use for conscious sedation in your ER ?

    Larry77 replied to BunkyRN's topic in Emergency

    This is an untrue statement. It depends on your state, check your BON. Some states allow it others do

  20. Changes in ED?

    Larry77 replied to AndyLyn's topic in Emergency

    More aggressive direct to room Streamline triage "admission unit" if you don't already have one pharmacy well represented in the ED (med req's etc) STAT lab of some kind (especially troponin) good...

  21. relocating to Vancouver area

    Larry77 replied to gottahavefaith1964's topic in Washington Nursing

    I live in SW washington and have many friends who are in the same boat...seems like this area is inundated with RN's right now. The schools around here have increased the amt of nurses they graduate...

  22. Discharging intoxicated patients

    Larry77 replied to Freedom42's topic in Emergency

    Case by case for us...if you are a homeless drunk and can walk straight usually you are allowed to still be a homeless drunk...otherwise we usually wait for a ride or admit occasionally for detox....

  23. will ACLS/PALS boost resume of new grad

    Larry77 replied to djmsailor's topic in Emergency

    I agree with the above poster...we look at certs and it shows that you have done everything you can to get into a higher acute environment. The only cert I wouldn't recommend getting ahead of getting...

  24. getting walked on

    Larry77 replied to UtErRnEmt's topic in Emergency

    I would be honest and admit that you lost "your cool" then explain to them what you will do when faced with the same situation again. If you go into the conversation with the attitude that patients...

  25. ER Prioritizing/communication help please!

    Larry77 replied to cmarn's topic in Emergency

    Some of the issues you mentioned are present in many ED's. I agree that the communication needs to be there but I am a charge nurse and sometimes the communication to me is lacking so I may not know...