bjaeram

bjaeram

OB, ER

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All Content by bjaeram

  1. ENA CEN review

    bjaeram posted a topic in Emergency

    It looks like the ENA has a new online study guide for the CEN. It has many videos, practice tests etc. It looks great BUT its $200. I'm curious if anyone has used it and what your thoughts are....

  2. IV forms of Zofran and Decadron given PO???

    bjaeram replied to GleeGum's topic in Emergency

    We do IV decadron all the time in kids. We usually mix it with Tylenol. Makes it taste better and most of the kids have a fever or could use some

  3. Charcoal/NG tubes

    bjaeram replied to Sassy5d's topic in Emergency

    Are most of you still using charcoal and if so when? We rarely do anymore. They say if you don't get it in in the first hour it does no good and even then it has little

  4. LOC or ABC first?

    bjaeram replied to Caffeinated RN's topic in Emergency

    In reality you do it all at the same time in about 15 seconds. It's not a long process you think through and do in order. If you are choosing an order for BLS everyone saying ABC is not correct. The...

  5. Vital Signs Taking at ER

    bjaeram replied to nursing_problem's topic in Emergency

    Some people are just complainers and nothing you can do will make them happy. The good news is they do this every visit so even if they complain the higher ups will see it for what it is. A grumpy...

  6. SCAPEGOAT NURSE SUSPENDED UNFAIRLY new job offer HELP!!!!

    bjaeram replied to LotusFlowerBomb's topic in General Nursing

    Seems odd to be suspended for an IV infiltration. They happen and are often now anyone's fault. Every nurse has had it happen and I've never heard of anyone being suspended for it. The uneven...

  7. When patients discharge... transportation

    bjaeram replied to BonnieSc's topic in General Nursing

    Now they just stay in the room until a ride arrives and a volunteer wheels them down to the car. However our hospital is above capacity so we are starting a new process shortly to empty rooms...

  8. Low blood sugar, juice or D50?

    bjaeram replied to mappers's topic in Diabetes, Endocrine Nursing

    The patient is a known diabetic so I can almost guarentee there were orders on the chart for this situation. Were they on sliding scale insulin? If so the scale also includes what to do for lows,...

  9. Just found out my partner's dad is a DNR

    bjaeram replied to ionatan's topic in General Nursing

    Why don't you just talk to dad about it? It's his decision not someone out of

  10. My first code-feedback appreciated!

    bjaeram replied to sunnybabe's topic in Patient Safety Issues

    You saved his life! The nurse or others may not have found him in time to get him back! GREAT

  11. Just applied!

    bjaeram posted a topic in School

    I just applied for a school nurse position at my girls school. I'm very excited, but trying not to get too excited because who knows if I'll get chosen or not. I'm qualified. I'm a BSN with 12...

  12. Day of Codes

    bjaeram replied to libran1984's topic in Emergency

    Code Pink usually means a baby is missing not

  13. Dietary policy- vent

    bjaeram replied to trauma_lama's topic in Patient, Colleague Relations

    Our hospital has only healthy food on the patient menu. They order off a menu via phone and the person on the other end knows what diet they are on and they can only order to fit that diet. There...

  14. ER Nurses: What did you do before the ER?

    bjaeram replied to ivyleaf's topic in Emergency

    You can do it for sure! I had one year of post partum then went to ER. I have no desire to ever do med surg. I did just fine. You will learn a lot on the job. We hire new grads even in our ER....

  15. Ruptured Appendix

    bjaeram replied to MassED's topic in Emergency

    We just had this last night and the surgeon did the same thing. Antibiotics, watch and surgery in a week or so when it isn't so risky. Your surgeon is not

  16. What is up with these Sickle Cell Patients?!

    bjaeram replied to BrandNewbieNurse's topic in Patient, Colleague Relations

    Sickle cell patients aren't in chronic pain. They have a disease that can put them in crisis causing pain. Most days they are like anyone else. Some go into crisis more then others and some can go...

  17. I've made a mistake, and now I need help

    bjaeram replied to holdyourheadhigh's topic in General Nursing

    I'm glad it's over and no one was upset about the situation. I do want to add as others said though that getting informed consent is not supposed to be a nurses job. The MD is responsible for that....

  18. Need RN's opinion- BIG clinical mistake

    bjaeram replied to CrazyheadSN's topic in General Nursing

    I don't think you made a mistake at all. It is perfectly fine to take a forearm bp. If someone has a fat short upper arm it's almost impossible to get a good reading there and it does hurt like...

  19. A friend's Mother is a patient

    bjaeram replied to mauddib's topic in HIPAA Challenges

    You did nothing wrong! You could have given his reguards to your wife as well. It's not against HIPPA at all. The person gave you permission too. You can walk into any hospital and visit a friend...

  20. Scared and need advice

    bjaeram replied to J_nicole's topic in General Nursing

    Nurses have the best immune systems! The first 6 months you may be sick a lot but once your immunity builds you won't get sick often. My whole family had the puking, nasty stomach virus a couple of...

  21. Shocked...Confused...& Terminated=SAD "(

    bjaeram replied to NrsLucky's topic in General Nursing

    I think the LVN did an excellent job! She got the doctor, got the patients feet up, got an IV, got a bp and hr....she even wanted to call medics. It think this was all perfect emergency response....

  22. Pay discrepancies? Security makes more then ER tech?

    bjaeram replied to mamaxmaria's topic in General Nursing

    I don't think security is a lesser skill then a tech AT ALL! I would rather have a security officer in a room with me when I have a combative patient or an angry family member then a tech! A...

  23. What do you think? (warning: vent ahead)

    bjaeram replied to Nursey103's topic in Patient, Colleague Relations

    If the dilaudid makes him itch that badly I would have refused that and gotten an order for another pain med....problems solved! The patient is obviously a frequent flyer that knows the combination...

  24. Best thing you saw come in on New Year's Eve

    bjaeram replied to mybrowneyedgirl's topic in Emergency

    GSW to the butt! The guy was more concerned that the police were going to take his shoes as evidence then the hole in his behind. At one point he got off the cart and put his shoes back on.....buck...

  25. education

    bjaeram posted a topic in Diabetes, Endocrine Nursing

    My FIL is a diabetic and not understanding the diet. do any of you have some simple handouts or websites you could recommend for me. I am going to sit down with him and try to explain it all to him....