bjaeram

bjaeram

OB, ER

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All Content by bjaeram

  1. What supplies do YOU use to start an IV?

    bjaeram replied to rnleigh's topic in Emergency

    I've never used an emesis basin for iv starts. I am curious however what you will do with emesis when the basins are gone? A couple of years ago we put all the iv supplies in each room and it has...

  2. When do you wear eye protection?

    bjaeram replied to linda2097's topic in Emergency

    Always because I wear glasses!! Kind of

  3. VA's

    bjaeram replied to bjaeram's topic in Emergency

    First I was not saying ALL VA's are terrible thus my very first sentence asking how they are in your area. I obviously don't know and that was the whole point of this thread to see if it's a local...

  4. Length of er orientation?

    bjaeram replied to SueNYC's topic in Emergency

    Wow those are some crazy long orientations compared to what I'm used to. I've worked in our level 2 trauma center for 8 years now and our policy has not ever changed. New hires get 10 days on the non...

  5. Alternative Airway Knowledge

    bjaeram replied to GilaRRT's topic in Emergency

    I would be interested in a class like this. We also have respiratory staff that do most of the intubating, venilator settings, ect. About the only time I extubate is on a dead pt going to the...

  6. What gauge IV to use?

    bjaeram replied to Hilinenursegrl's topic in Emergency

    I don't get this. You can easily blow a liter of fluid in through a 20 guage or even a 22 in less then an hour on a standard pump. You can do it even faster with a pressure bag or rapid

  7. What gauge IV to use?

    bjaeram replied to Hilinenursegrl's topic in Emergency

    I think these large IV's are unnecessary in most cases. My standard size is a 20 guage in most every adult patient. I will do 18's on traumas, MI's, or other criticals. I never use larger then...

  8. malpractice insurance?

    bjaeram replied to mcboston's topic in General Nursing

    Has anyone ever had to use their NSO insurance. I'm just wondering how user friendly it is if it's needed. Also is it retroactive. I've been a nurse for several years without insurance. If I get it...

  9. What was the MOST ridiculous thing a patient came to the ER for?

    bjaeram replied to JUSTYSMOM's topic in Emergency

    I got a new job and need a work physical before I start tomorrow. It's a weekend and the doctors office/corp health is not

  10. prehospital EKG transmission

    bjaeram replied to quickcath's topic in Emergency

    That does sound much more effective then our system. I have never had a medic give retavase in the field. They also are not allowed to go directly to cath lab without a cardiologist seeing them. In...

  11. prehospital EKG transmission

    bjaeram replied to quickcath's topic in Emergency

    Why can't you just attach a pt label to it? Do you really find these helpful. It seems like by the time we receive it and anyone gets it off the fax or has an MD look at it the pt is there. It...

  12. What's the ONE best nursing tip you've ever received?

    bjaeram replied to Dempather's topic in Emergency

    If someone says they are going to die believe them. If you don't know ask don't

  13. Motrin PR?????

    bjaeram replied to RNintheER's topic in Emergency

    Never heard of it being given rectally but I'm interested to see what people

  14. tips on how to survive 12 hr shifts.

    bjaeram replied to arabella205's topic in General Nursing

    I love working 12's. It really doesn't seem that much longer then an eight. You don't have to get dressed and drive to work everyday. You are already there so saving the commute saves time. I...

  15. Lasik Surgery and Nursing

    bjaeram replied to rn4babies63's topic in General Nursing

    Thanks for posting. I have been considering lasix but I'm kind of chicken. My vision isn't horrible but it would be nice not to have to deal with glasses. Can anyone give me a ball park of how much...

  16. Unit Secretary....Answer the call light for pete's sake!!!

    bjaeram replied to abbaking's topic in General Nursing

    Work in the ER and our clerks don't do orders. They answer phones, page doctors, answer the call lights, ect. We have a dedicated nurse each day that enters orders and assists the doctor with...

  17. Unit Secretary....Answer the call light for pete's sake!!!

    bjaeram replied to abbaking's topic in General Nursing

    Our unit clerks answer all call lights and forward the message to the nurse. Most or our clerks are very good at helping and multi tasking. I am suprised to see so many responses stating a clerk...

  18. Name Badge Credentials

    bjaeram replied to 1joyfulnurse's topic in General Nursing

    We do not have last names on our badge and I would be very upset if we had to. Do you want the crazy, drunk gangster that just called you a hoe and threatened to kick your ass in the parking lot...

  19. tridil and heparin together?

    bjaeram replied to akvarmit's topic in Emergency

    I had to look up what tridil was......I've never heard it called that. I thought for a minute I was really missing something. Anyway I do it like most of you have said. Nitro, saline, heparin all...

  20. EMTALA LAWS protecting patient

    bjaeram replied to nkochrn's topic in Emergency

    I believe you can refuse for him to enter the hospital. I know when I was fairly new to our ER they did that to a patient. He was no longer allowed in the hospital under any circumstances. I don't...

  21. Only 1 month of orientation !!

    bjaeram replied to AnaBanana12's topic in Emergency

    Our ER only does 10 shifts for anyone new grad or

  22. ER nursing and pregnancy...

    bjaeram replied to ND76's topic in Emergency

    I work in an ER similiar in size to yours. I have a two year old and a four year old and worked in the ER with both up until a day or two before I was due. Just make time at home to relax and you...

  23. Full to Overflowing

    bjaeram posted a topic in Emergency

    Just wondering how it works at your hospital when you are full to the gills. Last weekend we were full, people in the halls, long line at triage, ect. The problem is we were boarding admited pts for...

  24. Full to Overflowing

    bjaeram replied to bjaeram's topic in Emergency

    Most of the ones in the hall at least this round were tele/icu. We had Med/surg beds this time. Typically if they are not critical they wait in the lobby for an open room. We only put pts in the...

  25. Full to Overflowing

    bjaeram replied to bjaeram's topic in Emergency

    I totally understand your thinking and really I agree with you. No one should have unsafe numbers and put patients in danger. It just seems when EVERYONE is full it is the ER that gets stuck with...