wildlaurel

wildlaurel

Emergency

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All Content by wildlaurel

  1. Favoritism in assignments

    wildlaurel posted a topic in Patient, Colleague Relations

    I work in an emergency department and have for the past 2 years. I am often frustrated by the favoritism in assignments in our department. People who are part of the "in crowd" get the better...

  2. Name the Hospital and Starting Salary

    wildlaurel replied to idani's topic in North Carolina Nursing

    I don't think most hospitals consider BSN vs ADN when setting the hourly rate. I've heard that Duke is now starting new grads out at $25/hour. I was surprised by that because they used to be the...

  3. At the end of my rope...hate nursing.

    wildlaurel replied to Brittany2206's topic in General Students

    You don't say you hate nursing or caring for patients...you hate the hours, the place, the people...You will most likely not find your dream job right out of school, but you might find one that is a...

  4. I feel so dumb... I got flustered - about a patient in respiratory distress

    wildlaurel replied to LalaJJB's topic in Emergency

    I agree with several of the other posts, call RT - get them to assess the patient. If the patient had a hx of COPD - you have to be careful about over oxygenating. Go to the EDP and say, "I'm really...

  5. Pharmacy Techs in ED

    wildlaurel posted a topic in Emergency

    Hello, We're getting ready to implement the use of pharmacy techs in our ED with ALL patients. We already have techs who come in and verify meds on patients being admitted, but we'll soon have techs...

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

    wildlaurel replied to JUSTYSMOM's topic in Emergency

    I had a lady take an ambulance to our ED at 2 am once because she didn't get her piece of fruit before bedtime...because nobody was home to give her "care and comfort." I wanted to give her a fruit...

  7. Violent psych patients - how do you handle them in your ED?

    wildlaurel posted a topic in Emergency

    I would like to hear about how various ED's handle violent patients (psychotic - not a patient you can reason with) in the ED? A patient who became so out of control that one of their family members...

  8. Violent psych patients - how do you handle them in your ED?

    wildlaurel replied to wildlaurel's topic in Emergency

    Yeah - there was no reasoning with this patient - they were completely psychotic. Those people just scare me - I can take a mean drunk or a manipulative personality disorder - but psychotic people...

  9. Fainting... so dramatic

    wildlaurel replied to Double-Helix's topic in General Nursing

    I have passed out one time - in nursing school in the OR...and I knew it was coming, so I got to a wall and just slid down into a sitting position! The worst fainting episode I've ever heard was a...

  10. Handling rude or dishonest patients

    wildlaurel posted a topic in Emergency

    I have had a recent spate of plain old rude, manipulative patients. I can ignore rude behavior, but it amazes me when people lie to/about me. For instance, the other day a patient called out for...

  11. 4 days left till NCLEX..What do you do? Relax? Study? Cry? Pray?

    wildlaurel replied to leanjess's topic in NCLEX Exam, Programs

    When I was studying for the NCLEX I read in several places not to study the day before - relax, see a movie - just let yourself come down from the studying! That's what I did pretty much. I made...

  12. Handling rude or dishonest patients

    wildlaurel replied to wildlaurel's topic in Emergency

    Thank you guys! I did document on it, but I guess my main question was - do you confront the lying? With the patient who said she'd called out for 30 minutes I finally said, "I'm really concerned...

  13. Handling rude or dishonest patients

    wildlaurel replied to wildlaurel's topic in Emergency

    Oh, by the way, I'm an ED

  14. Nurse/Patient ratio in the ED?

    wildlaurel replied to jlan79's topic in Emergency

    We have a 4:1 ratio on acute side and it can be 6:1 in Fast Track. There are times though when we may be short-staffed or really busy and we'll have to go up by a patient or two. That is pretty...

  15. Calling Code Blue in ED

    wildlaurel replied to becca001's topic in Emergency

    In my ED we don't call Code Blues when we have a pt arrest or a CPR in progress come in. ED staff handles all codes in our department. If there is a Code Blue called anywhere else in the hospital,...

  16. Emergency nursing in Northern Virginia?

    wildlaurel posted a topic in Virginia Nursing

    I am thinking of relocating to the Northern VA, Fairfax County area and was wondering if anyone knows anything about working in Emergency nursing at Inova Fairfax or any of the other hospitals there....

  17. Emergency nursing in Northern Virginia?

    wildlaurel replied to wildlaurel's topic in Virginia Nursing

    Thank you! I'll try to figure out how to post in that

  18. Family complaint? Throw the nurse under the bus!

    wildlaurel replied to Jamthenurse's topic in General Nursing

    There is actually an anticipated shortage over the next 10 - 20 years nationwide as babyboomers age. With the economy being so bad however, nurses are working longer and that off-sets the need for...

  19. Rn recieves notice to renew her cna license

    wildlaurel replied to RI Nurse's topic in General Nursing

    I wouldn't bother renewing. You'll find a job as an RN

  20. Has anyone had a pt's family member take pictures of you during care?

    wildlaurel replied to TonyaM73's topic in Patient, Colleague Relations

    Well, it wasn't an educating situation - they were trying to be threatening, like, "If you mess up, I'm gonna have it on tape." The pt with the worst attitude though had to stop recording because his...

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

    wildlaurel replied to JUSTYSMOM's topic in Emergency

    We had a (very) young adult pt come in because her family said she couldn't stop

  22. Code Blue Experiences

    wildlaurel replied to Nurse0621's topic in General Nursing

    But if they survive the code, I think she meant it gives the family time to say good bye and wrap their heads around how ill their loved one is. I've only ever seen 2 ME cases and the family wasn't...

  23. Ativan IM?

    wildlaurel replied to sweetieann's topic in General Nursing

    Funny - I just looked this up in my med administration book not too long ago. My Mosby's says to dilute IVP Ativan with equal amounts of sterile water or NS. It seems to suggest that you should also...

  24. Favoritism in assignments

    wildlaurel replied to wildlaurel's topic in Patient, Colleague Relations

    We're not a trauma center, but I actually do feel a little better now. Thanks guys! I tend to get a lot of the high acuity pts and at least one of our two trauma rooms. I LIKE those pts too, but I...

  25. Favoritism in assignments

    wildlaurel replied to wildlaurel's topic in Patient, Colleague Relations

    I don't mean that triage is a cushy assignment, but we have several nurses who prefer to work there because they don't like taking an assignment. My complaint is that despite being trained to triage,...