bjaeram

bjaeram

OB, ER

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All Content by bjaeram

  1. Full to Overflowing

    I get this but my question is why is the ER expected to work this way. It ALWAYS lands on the ER to take the extra patients when everyone else is full. We can't lock the doors and refuse to take...
  2. Propofol for conscious sedation?

    We are using it more and more in our ER and I'm really starting to like it. It is great for a quick concious sedation because it works quickly and doesn't last long. As far as airway issues the drug...
  3. malpractice insurance

    Do you have it and is it necessary? I have been a nurse for 8 years and have never had it. I was under the impression that your employer would cover you if something happened on the job. I have...
  4. Boosting Moral

    It seems like our ER goes through cycles of low moral and general bad attitude. We are in one of these now. Lot of staff leaving which makes us very short staffed which makes moral much lower. We...
  5. Zofran ODT in kids

    Thank you so much for the article, that is perfect. I will definatly show that to my doctor. Thanks a
  6. Zofran ODT in kids

    Does your ER give Zofran to young kids? We do all the time to as young as two year olds. Sometimes we cut them in half. The reason I'm asking is that my four year old is sick and I called her...
  7. migraine faker at the ED!

    couldn't have said it better. if you are truely a recovered addict you would not want narcotics. they could throw you back into addiction. i have taken care of several people who are honest and...
  8. Immediate Bedding. Thoughts?

    We do a modified version of this. We have one nurse and one tech at triage. The nurse enters the patient in the computer and gets a chief complaint and does a brief over the desk assessment to...
  9. Zofran ODT in kids

    I think she was posting the same time I was. Original post did not say that. I recieved it when I was pregnant and puking and it was not questioned then. I guess I didn't realize it was labeled for...
  10. Zofran ODT in kids

    I don't understand why you are saying zofran for vomiting is off label? She doesn't have food poisoning she is just sick with a fever and vomiting. I would love to give her something so she can...
  11. about to become a fearless leader...

    Some of you missed that she is precepeting a nursing student in clinical not a new grad learning the job. Big difference. I think she is qualified to show a nursing student the ropes. My only...
  12. How do you prevent psych/etoh elopements?

    I still say a drunk person is not capable of making their own decisions. They are considered a threat to themselves and others if they drive. We restrain them daily. Now I'm not talking a little...
  13. How do you prevent psych/etoh elopements?

    I disagree. If you let these people go you are held liable. They are considered incompetant if they are drunk or drugged. We have several rooms with camaras and have a security guard in the ER...
  14. Craziest delivery stories

    That totally reminds me of something we had. A woman comes in by helicopter after an auto accident. She is unconcious and not doing well. Medics said she looked full term pregnant. We had the...
  15. Cen

    I'm considering taking the CEN exam but people in my ER are kind of discouraging. I've heard it's terrible and stressful. I need someone to give me some encouragement. How did you study for the...
  16. Cen

    Fort Wayne,
  17. Cen

    Thank you everyone. These are much more positive responses then I received at work. I'm starting to wonder what is wrong with my workplace. I work in a large level 2 trauma center but only two...
  18. Drawing Labs without an order

    We do it all the time. Obviously we do it on critical patients but we also do it on anyone we know will need one. Anyone with Chest Pain, ect... I'm not exactly sure what our policy says about it or...