Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Someone signing "RN" when they are not

    Larry77 replied to SweettartRN's topic in General Nursing

    I usually just save the middle man and sign RN/MD...LOL. Truthfully though do you think the BON would act on something like this and if so, what would they

  2. What is the most common chief complaint or diagnosis in your ED?

    Larry77 replied to QueensNurseNY's topic in Emergency

    Get that crazy logical thinking out of the ED it doesn't live here, just like bringing in your kid with a fever unmedicated because, "I wanted you guys to believe he has a fever"...absolute crazy talk...

  3. Charting every 2 hours?

    Larry77 replied to UMBstudent's topic in Emergency

    We try to revital all patients at least every 2hrs (usually only a concern for WR pt's ). I do not regularly see this as a problem once they get back to a room because most of the RN's are really on...

  4. Drug-Seekers

    Larry77 replied to inteRN's topic in Emergency

    I'm confused, are you saying people might come into the ED just to get narcotic medication???

  5. When you take over a patient assignment....

    Larry77 replied to Virgo_RN's topic in Emergency

    They way we do it is first you are supposed to approach the said nurse, then you talk to your charge nurse who documents a "coaching", then if the behavior continues the ED manager rights a formal...

  6. Rights of Psych Patients?

    Larry77 replied to sewingkelli's topic in General Nursing

    We have this same issue when a patient needs "certification" for admission from the county designated mental health professional...they want a UDS to make sure the patient isn't impaired, we can't...

  7. Triage Scores

    Larry77 replied to matthewjdouma's topic in Emergency

    There are times when I call the triage nurse to make sure the patient they just made a 2 really is a 2 (ie. 21 y.o. female with CP)...and if the patient they made a 3 gets worse in the WR they call me...

  8. Nursing Uniform Policy

    Larry77 replied to theatredork's topic in Men in Nursing

    I think if they want to require you to wear a certain color or style of scrubs they should supply them for you. I work the desk (charge) so I wear scrub bottoms with a company logo polo shirt. When...

  9. Intravenous regular insulin

    Larry77 replied to echoSN's topic in Emergency

    This quote reminds me of other sites I go on when they say "This post is worthless without pics"...we should have one on Allnurses that says "This post is worthless without looking in a drug book...

  10. Cardizem IV

    Larry77 replied to smb84's topic in Emergency

    I'm not sure what the book says but in our everyday practice we give anywhere from 5-20mg for the initial dose for rapid AF then repeat as needed or move on to cardioversion or a gtt depending on...

  11. Detaining impaired pts---Battery ? Kidnap?

    Larry77 replied to 5n2_is4u's topic in Emergency

    We are also firm believers of the "No ride-No narcs" system but in the rare cases when they walk out we chart like crazy but don't physically restrain them. Although drunks that are too impaired to...

  12. I get to join this board now!!

    Larry77 replied to melissakp's topic in Emergency

    Sounds like you have the right attitude coming in and your experience will be a big help. Welcome to the crazy world of ED nursing

  13. Code tonight.

    Larry77 replied to josh1974's topic in General Nursing

    To shock after 8 minutes without knowing what the rhythm is sounds a little silly to me. Are you saying without a monitor you just shock after awhile? I've been involved in many, many, codes and we...

  14. Is it ok for your work to call you after you called in sick?

    Larry77 replied to RNforLongTime's topic in General Nursing

    Do you call-in a lot? Seems like it shouldn't be a big deal unless this is an on-going issue in your dept. I've never heard of any of our supervisors calling people to try to talk them into coming...

  15. Managing Aggressive Behavior Course

    Larry77 replied to travelingdeb's topic in Emergency

    Try The Crisis Prevention Institute (CPI) I taught these classes for years and the course will meet the requirement from

  16. Male travel nurse?

    Larry77 replied to patrick.gines's topic in Men in Nursing

    You are expected to know your stuff and like someone else said you do not get much of an orientation at all...usually hospital orientation then a couple shifts instead of Weeks that you would get. In...

  17. To aspirate or not to aspirate?!

    Larry77 replied to RNStephNicole's topic in General Nursing

    Great discussion! I was taught in nursing school to aspirate but learned in CE that the new evidence did not support this practice so now I do not aspirate but always use Z-track method and couple...

  18. The Male TEAS: Post your scores!

    Larry77 replied to litslum's topic in Men in Nursing

    Never heard of TEAS and it seems weird that you posted your test scores...are you full of yourself and hope that we all say, "Wow, you must be smart!"...sorry not getting it from me

  19. How did you convince your wife/significant other to support decision?

    Larry77 replied to jcmoore07's topic in Men in Nursing

    You just tell her, "Woman, I wear the pants in this family and this is what we are going to do"....LOL, my wife would laugh in my face! In reality my wife was very supportive but it was a natural...

  20. Taking care of doctors....

    Larry77 replied to proudnurseRN's topic in General Nursing

    Are you saying he wrote his own orders??? That can't be legal right? I have taken care of a lot of MD's in my day but never had one try to write his own orders...crazy. I agree with the earlier...

  21. Would you do this?

    Larry77 replied to sinawahi's topic in General Nursing

    Pharmacies where I live will not give out IV meds unless it has been "set-up" by an MD-office or home health...what does the pharmacy think he's

  22. Antiemetics... Can someone give me the lowdown?

    Larry77 replied to WonderRN's topic in Emergency

    Ondansetron (generic) in IV form is not very expensive but the ODT version is still quite expensive...for us $120.00 for a starter pack of 4 tabs (management is always reminding us...lol). I've heard...

  23. Oh, the personalities.....

    Larry77 replied to Virgo_RN's topic in Emergency

    Ahhhh...please not another ICU vs ED

  24. Oh, the personalities.....

    Larry77 replied to Virgo_RN's topic in Emergency

    Not usually warm and fuzzy no...more like no bull taking go getters or something along those lines. If you want warm and fuzzy go to oncology or

  25. thug got shot and crying

    Larry77 replied to C-DIFF PHIL RN's topic in Emergency

    Ok...I've been on this site for a long time and it seems the arguing has gotten a lot worse lately. Can't we all just get a long? ThrowEDNurse--you crack me up but you seem to invite...