RN0520

This happens to us all too often. EMS will bring in inappropriate patients to our 12 bed ER. They will call report when they are on our grounds knowing that we can't divert at that point. For example, a mva that clearly should have gone to one of the level 2 trauma centers in town or chest pain that should have gone to one of the 3 hospitals in town that have cath labs. I make it known to them that it is unacceptable to bring patients in without a heads up. It happened yesterday and they said they tried to call. As it turns out their radio wasn't working properly, this was 3 hours into their shift. I don't think it is safe for the patient if they are not taken to the most appropriated hospital. They will get burned one day and it will be the patient that suffers.

That is was I was thinking when I went to the website. I was confused how this worked and am trying to find out more about it.

How does it work? What exactly do you use it for? How much fluid can you infuse? Thanks for the info

I was at a unit meeting this morning. Our staff is going to be inserviced on Hylenex. The little info that she had is that you inject it subq though an angio cath and then you are able to give a bolus of iv fluids into that site. I have never heard of anything like this and was wondering if any of you have used it or are familiar with it. Thanks

I have triaged and increasing number of patients that have "IC" interstitial cystitis. These seem to be the same people that have fibromyalgia, and pelvic congestion syndrome. Is this the latest medical condition to have? I had a 21 year old single mom that "was trying to get pregnant" that had been diagnosed with all of these conditions and let's not forget endometriosis. Any thoughts on this??

Best Part of ER Nursing 1 Immediate response from Doctor's/Quick orders 2. Working with the staff as a team 3. Fixing a patients problem and he/she and the family are grateful 4. Making people feel better Worse part 1. Drug Seekers 2. Nursing Home dumps with no report 3. Too many patients that have no business coming to the ER 4. Parents that don't give tylenol/motrin

What is a Freestanding ED. I think I have heard one of our doctors talk about it but I am not clear on what it is. What is it's role in the community

Our hospital gives out taxi vouchers in a few rare cases. We make patients call for rides before medicating them. People will come from 2 towns over and then say they don't have gas to get home. The high gas prices have decreased a few of the frequent knee/arm/dental/back/foot pain patients

Our protocol is 25mg Benadryl, 10mg Compazine, and 30mg Toradol all IV. We change it up a bit if pt has allergies but rarely does the patient receive narcotics. We have our frequent fliers and depending on the Doc on depends on what they get. I think since this is protocol we possibly get fewer c/o of headaches. Back pain- that's a different story.