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Hilinenursegrl

Hilinenursegrl

Emergency/Trauma
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Hilinenursegrl has 1 years experience and specializes in Emergency/Trauma.

I am an Emergency Room RN at a small IHS hospital. I love my job!

Hilinenursegrl's Latest Activity

  1. Hilinenursegrl

    What the Heck Moments!

    I just read this on an old thread here.This was a response about hand washing vs alcohol prior to fingerstick glucose testing. I read this about the carb traces and was really like What the heck. I tried to do a quick search to see if there was any truth to this and couldn't find anything. So this is my What The Heck? moment. If anyone knows if this is true please let me know. "Thanks for the link. I teach soap and water, alcohol wipes if water isn't available. The main point here is to get traces of carb off the finger. Instant hand sanitizer kills germs, but does nothing to get rid of traces of carb. Germs are far less an issue in BG testing than inaccurate readings from carbs left on fingers. We sometimes see parents who scrupulously scrub their toddlers fingers with an alcohol wipe before testing...toddlers who haven't touched food since the last hand washing. But the parents haven't washed their hands before reaching in the vial and fishing out a test strip. Now the strip is contaminated with the carb residue on the parent's fingers. Another culprit for inaccurate testing...retesting after treating a low without rewashing hands ("I just washed them a minute ago before I ate 'blank' to treat my low!"). Now the BG looks sky high from the residue on the finger...and the BG might still be low!"
  2. Hilinenursegrl

    What gauge IV to use?

    So I know that if you have a trauma or something major come in you should get in an 18, or two. We have a nurse here who is what we all call a trauma junky. Our ER is small and we don't get alot of action, just usually alot of clinic stuff. In the last week I have watched her put a 16 gauge in the hand of a person who was in for ETOH intoxication who needed a banana bag, and an 18 gauge in the hand of an individual whom we were sending out for a cervical CT. Her theory is, "If the vein will take it why not use it?" I say it doesn't matter much since banana bags or IV hydration is set on a pump, usually 125-250ml/hr. It really bugs me that she doles out IVs this size so frequently when they don't seem needed. She even made a comment about the ETOH pt, who is a FF, that, "Once I knew it was him, I had the 16 all ready to go in his hand." Does this honestly sound like a problem or is it just my problem?
  3. Hilinenursegrl

    Learn To Say It Correctly!!

    I think this post has really, really gotten off topic and I think it is time to close this thread or get back to the topic at hand. The OP started this thread not for pronunciation problems but for people (nurses) using the wrong word entirely; like STAT for Sat.
  4. Hilinenursegrl

    Learn To Say It Correctly!!

    I don't think the OP meant anything about pronouncing the words when this was written. The example used was STAT vs sat which are two entirely different things. Yes sometimes I don't like the way people pronounce things but using the enirely WRONG word is another thing altogether.
  5. Hilinenursegrl

    You Know You're a Nurse When...

    Your new (less than one day) husband c/o a hemerrhoid and gets suppositories prescribed twice a day. You don't even think about having him do it himself you just take over the job so you know it's done right and you can assess the hemorrhoid twice a day.
  6. Hilinenursegrl

    How do you manage to get to work in snow storms ?

    Now I'm all for coming to work, I am the one who is always at least 15 mins early. The one morning I was 3 hours late was a very bad blizzard, those of you who don't live in Montana, Wyoming or North Dakota don't really know what that is. I work 50 miles from my home, down a two lane highway. This particular morning there was so much snow and visibility was so bad I had to call my fiance to come pull me out because I had got stuck in a snow drift in the middle of town. After that I tried to make my way down the highway but with the snow coming down sideways in the dark and the wipers not being able to keep up, and the wind piling the drifts in the lane and the visibility so bad I couldn't see the hood of my car through the windshield I turned around and went home. So no, a little snow is no excuse not to come to work. But putting your life in danger is not worth the risk, and thankfully the nurses I work with all understand that as we all deal with it and cover for each other when need be. EDIT- I waited at home for the sun to come up. Once it was light it wasn't nearly as bad, although it was still bad. Before leaving for that shift I packed a bag, knowing that I had to work the next morning too and there was no way I was coming home in the dark after my shift, then back again the next morning. And I don't care who you are, 4 wheel drive may work great in snow but it does not work on ice. And it certainly will not help you see when the blizzard is blowing in your face, in the dark.
  7. Hilinenursegrl

    Would you have done the same? Recieved wrong prescription.

    Before nursing school I worked in a couple different fast food places. Customers would often bring their bags in from drive through claiming that they got the wrong order. We would get them their order but I would always offer if they wanted the original bag also since I was going to throw it away, and I always did if they didn't want it. Now if I was that careful with a Big Mac, phams or techs should know to be that careful with meds. Be it narc or just Tylenol there is no way that should be reshelved. And as for making a big deal out of reporting him, I would hope if I did make a mistake that stupid someone would report me so I would know how serious it is and you can bet your bippy I would never do something like that again. We learn from our mistakes but if no one points them out how do we know they are mistakes?
  8. Hilinenursegrl

    Stupid Nurse Trick... Don't try this at home... or work!

    This happened to me not long ago. My first time with the epi pen, trying to waste an expired one into the trash. I have no idea how it happened but it went off into my thumb! I feel so much better now that I know I am not the only one! LOL!
  9. Hilinenursegrl

    Worst doctors orders ever received

    What is a myers cocktail and why does it need to be sterile?
  10. Hilinenursegrl

    Can't we all just get along

    I have a similar problem in my ER. Each shift is 7-730 and has two RNs. As always its the old day vs night shift fight. There is one dominant nurse on the day and one on the night that do nothing but fire emails to the boss about every little thing. These "tattle tale" emails are driving me to the point of no return. I mean really, the way I see it if I have to stock NS bags because someone else used the last and didn't restock or I have to change the paper off an exam table because the last shift didn't, I just do it and move on. But these nurses have to email the supervisor with all this pidly garbage. It is getting very annoying and I am this close to blowing my top over it.
  11. Hilinenursegrl

    Tired of EMS thinking they can walk in!

    Ok there was a reason that staff closed this post in the first place. I believe somewhere in here Trauma made a comment about Medic beating a dead horse, but it was Trauma that started this thread, again. I for one have more to do than to watch round 2, I wish you all well.
  12. Hilinenursegrl

    I hate nursing

    I would advise you not to persue your nursing education any longer. If your feelings against it are that strong you need to follow your gut. I would not want you to be my nurse or the nurse for anyone I love. Not because you are a horrible person but simply because your heart is not in it you can very well make mistakes or ignore procedure and I do not want to take that chance. If you are looking for something to do but don't need to work look into volunteering somewhere or something of that nature. Good luck to you.
  13. Hilinenursegrl

    Paramedics in the ER

    I have to agree with you. I went through a two year program for an ADN and I spent a total of 18 hours in the ED. We spent way more than that on the medical floor. I started in the ED fresh out of school, I was very lucky, and its a small ED. When I watched the EMS and paramedics go to action in our ED I felt very inept. They were much better at starting IVs, drawing blood, putting in caths and the like. We have plenty of EMS students who are here everyday following us and assessing pt on their own and doing procedures, under supervision of course. I have to back 15251 on this.
  14. Hilinenursegrl

    wrong injection for the patient

    And a seventh that our instructers always told us was... Right to refuse
  15. Hilinenursegrl

    Is this a safety hazard?

    Wow I guess posting this question has left me more confused now! LOL, seriously though I guess I will just have to look up the policy or ask the safety manager. Thanks for all the responses,
  16. Hilinenursegrl

    Is this a safety hazard?

    This issue was brought up last night here with another nurse and I thought I would throw it out there to get some different opinions. I have always put needles, and broken ampules in the sharps container but when it comes to the small glass bottles with the rubber thing to draw out of in the middle, like for toradol and such I sometimes put them in the sharps and sometimes just put them in the trash. My rationale is that the bottle is not broken and although made of glass, not really a "sharp." The nurse I was working with, a new nurse, told me I should always be putting them in the sharps container. Am I wrong to be putting them in the garbage can?