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I am an RN, on Byetta since approved for use in USA. Good results with blood sugar control. Easy to use. Injecting myself was not an issueto me, but it really does not hurt: tiny little 30-31 g needle SQ. Pen is foolproof to dose At first the refrig...

hav had a "bad back" that acts up for several years , employer knows,and I still work in ED. Report it: take care of yourself! . By the way, the best thing I ever did for it was to finally see a spine doc for an evaluation. We discussed many options...

You'll be surprised that the vast majority of ER patients are of a much more mundane variety than the patients you see on all the TV shows. And (beleive me when i say this) if you're already caring for unstable patients in ICU, the ER will be much l...

Don't know alot of details but...... was recently told as of July 1, it was against JCAHO regulations to function in ED without ACLS current, not even for a shift. Our hospital is shuffling to get all current asap! Are you ACLS? If no, perhaps you ha...

108 rectal, also was an adult head bleed that joined the angels the next day.

wish i could quote a specific study, but after being a recent victim of assault in the ED setting, my review of online literature showed a majority of assaults were due to amphetamines and such drugs. Each of you has mentioned scenarios that are als...

I know you are seeking info from your peers re this learning experience....... my reply has a different view, but please tolerate the digression...... I am an ER RN who has experience with an ortho who always does regional blocks. They are a godsend...

Snellen chart is easy to do yes there are denominators written to one side. (as I age, I must get closer to read that number after the pt gets thru!) Our ED allows missing 1 or 2 and we test each eye individually, then together. To be done on all e...

Correct: Emtala requires a medical screening exam by dr or otherwise denoted MSE officer, not delayed by money issues. If no delay is caused by that discussion: no problem exists. If all treatment areas are all full and patients have to wait anyway,...

call police and press charges. get emotional support for you. it is a big deal!

as soon as you can, try to get into one of the ENA's trauma nursing core classes, and their pedi classes. It helps put alot together quick for assessment and required action. Enjoy your first year and know learning will go one every day!!! Don't be...

a fantastic triage course is offerred by "Triage First " . search online. a company with good hearts, great skills and positive learning! Even as an ERer RN w/22 years and an love for triage, I came away inspired!

we were hesitant about tv's with our rebuild several years ago...... but our fears were not supported. Really aren't a problem and we do run a busy ED. It works good for us. I would like headphones and music actually for pts! am not aware of anyone...

maybe I was slow once, but not again! LOL!!!!

enjoy your training and happy adventure!

I've worked ER 22 years and was the recipient of a fist direct to the nose last week by an amphetamine user. Sure, I've had minor slaps and threats over the years, but this one was a direct connection!!!! Ouch!!! Now I understand what "having your b...

NCTC in Gainesville....... where will you do your clinicals? If it is in Denton, maybe we'll meet!

Triage done right requires specialized rapid assessment as well as well exercised critical thinking skills, wonderful people skills, & organizational skills. Some of my coworkers say it is for the lazy or slow, a penalty or even a neccessay evil...

We've tried meditech and dropped it for E.D. charting, but must use it for order entry and inhouse communications. (out dated and slow!, time intensive and negatively affected our efficiency!) We tried Ibex and it had its good and bad sides, not too...

All trauma pts seen in ED first, After cleared of other needs, to OB if over 20 weeks.

We use the clipboard on a rack system too. If the chart is on its side everything's in progress.... if turned upright, something needs to be done. Once turned upright it goes on one end of rack for dr and other end of rack for nurse or clerk's rack. ...

you've been given some great advice here. I agree, relax and just do your best..... it will become easier and easier with practice! Do what is right by your patients and believe in yourself as well as the abilities of your co-workers!

We tried the automated line for nurse calls. Any call that came in to the main ED number asking for advice was manually transferred to that line. It gave the standard disclaimer plus something like " we must focus our primary attention on the current...

oh, we did try to start by having each nurse code their own charts daily.... way too many mistakes! Well worth the cost to have people specifically trained to do it! We have increased our billing accuracy and all honest charges for service performed.

We see over 50,000 pts a year average. We have 2 people trained to do the coding. They work mostly nights occassionally days, flexible schedule as long as it gets done EACH day. We have 3 backup people training now in case of a "call-in" by the daily...