DeadHeadRN

DeadHeadRN BSN, RN

Emergency

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All Content by DeadHeadRN

  1. Searching for job

    The overhyping part is so true. I took the stupid course and haven't been able to find a job. My problem is that I've been an ED nurse for years and I was punched in the head by a psych pt one...
  2. The problem with not filling it out entirely is that if you didn't chart you you didn't do it/assess it according to the law. The questions on a form used for an initial nursing assessment are...
  3. What is your WORST ER story?

    My very first day in the ED we had an 8 year old Down's Syndrome pt come in via ambulance. The family had been at church when the little girl started seizing. She had no history of seizures. So...
  4. This reminds me of a pt we had a few months ago with acute abdominal pain. This man was literally in tears from the pain. Anyway, he got the full work-up, (Bloods, CT, Fluid, etc.). He even got a...
  5. Rules for the ER (long)

    Sorry if I'm repeating here, but I don't have the energy to read 83 pages of posts. Here are my pet peeves: 1) Calling 911 for an ambulance because you think it means you won't have to wait, think...
  6. Rules for the ER (long)

    Oh my this reminds me of one night a few weeks ago. I was triage that night, and the way our ED is set up, triage is completely separated from the main ED. So I had triaged a gruesome twosome, both...
  7. I don't know about the rest of you, but one of the biggest problem we have in my ED is the nursing homes. They send pts over for the most ridiculous things sometimes, and I often find the people who...
  8. Don't you love it? Sometimes I truly feel the the docs and I are seeing different pts. It never fails, the pt tells the doc one thing and then proceeds to tell me a completely different
  9. I LOVE retained objects too!!!! We've had a couple of good ones. One of my favorites was an 18 year old girl with a vibrator stuck in her rectum. The best part was that it was still turned on so...
  10. ER?

    I love these pts. I think my favorites are the ones who call EMS for Nausea and vomiting for 2 hours and then have their wife/husband/sibling, etc. follow the ambulance. Really? That just makes me...
  11. Dropping pressures with nitro. Anyone experience this??

    Ugh! Absolutely awful feeling! I learned the hard way on my 3rd day working as an RN to ALWAYS, ALWAYS, ALWAYS wear gloves when handling NTP Never made that mistake
  12. We've had 2 recently that were ridiculous. The first was a pt via EMS sent by nursing home because pt is refusing to take meds for 1 day. This was a 98 yo female, alert and appropriate with very...
  13. IV Gauge for CT

    At my facility, I do not need an order for an
  14. IV Gauge for CT

    What about a
  15. IV Gauge for CT

    This is the policy at my hospital. I have never EVER seen contrast dye injected through an EJ/IJ. A 20g is acceptable. I tend to put 18's in everybody (if I can), but I've never had a 20g in the...
  16. What is your Nursing Kryptonite?

    Ugh. So nasty. I actually put an NGT in a pt last night who hadn't had a BM in 12 days (HELLO?! 12 days???). I got out about 4 liters of stool in just under 30 minutes.
  17. A question about Adenosine

    Yes Legz, 6 and then 12, not all at
  18. A question about Adenosine

    You guys are absolutely right. My bad I was confusing the cardizem and the adenosine (as far as IVP time, not action). Maybe that's a sign that I should go to bed. I did just work 14 hours and I...
  19. A question about Adenosine

    I have edited this post. Please refer to my later post, since I made an error and everyone yelled at
  20. A question about Adenosine

    This is true also. Sometimes it takes multiple doses to convert the pt back to sinus. We have a lady who comes into my ED periodically and she always needs 18mg of Adenosine to convert. She knows...
  21. A question about Adenosine

    No. It's not supposed to "stop" the heart. I've administered Adenosine numerous times and have not ever had a problem. I've seen people have a pause during administration, but a very brief pause,...
  22. What is your Nursing Kryptonite?

    Eyeballs. I HATE them!!! I can't even do an eyeflush without gagging. Something about those gelatinous, squishy globes makes me want to puke. I can take anything else, but eyeballs do me in....
  23. We had a great one the other night! Young adult female, chief complaint: Bloody nose after "cleaning nostril with finger" (Her words, not mine). And I triaged her. It took everything in me to keep a...
  24. Catheters in Pregnant Pt going for US??

    That's seems very strange to me! First, in my ED it is not the policy to place Foleys or straight cath pts with a + UCG. Second, why would any facility promote catheterizing a pt unless ABSOLUTELY...
  25. We had a good one just last week. A 55yo F called the ambulance about 2300. When she got to the ED this is what she told anyone who would listen "I had a big fight with my neighbor today and I...