Footballnut

Footballnut

CAPA RN, ED RN

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All Content by Footballnut

  1. ED preceptors - who are the best?

    Thanks WonderRN! Yes, I am a preceptor. I coordinate the precepting and education for our ED. I am always looking for ways to learn more. Thank you for helping
  2. ED preceptors - who are the best?

    I am wondering what qualities your favorite ED preceptors had. What helped you learn the most and be the most ready for the job? What kind of things would have been helpful if you had known to ask?...
  3. We no longer triage

    Sounds difficult at best. I like my charge nurse to be running the department, not walking patients to the back. We still have an RN greeter and do immediate bedding. We get a set of vitals on the...
  4. Not properly trained for ER?????

    Congratulations and enjoy your experience! In answer to your earlier question there are some new grads that do well in the ED setting but most benefit from having some time to develop as an RN in...
  5. Novice ER Nurse needs help please

    Good luck Lunar! Critical thinking involves your ability to make decisions about complex problems. Basically it is the nursing process and knowledge along with the experience that you need. If you...
  6. I want you to help me, but you will do it my way.....

    I'm open. If they can get what they want I will give it to them. Since they(the patient)/we(the taxpayers) are paying for my professional expertise I try to give them enough information to make...
  7. Drug seeking or real pain? How do you tell?

    I am amazed that nurses always seem to get so fired up over this topic. Pain is one of the primary reasons people seek medical attention. One of my skills as a nurse is in relieving pain and I have...
  8. Starting IV's in babies/kids

    If it is the small veins that are giving you trouble keep the bevel facing up toward you when you are entering the vein. Keep the vein still with enough traction. As soon as you get a flash...
  9. Things you would like the ICU to understand

    It's just not ICU to be fair. It's hard to take more patients on any unit when you are already feeling well supplied with work. But paying patients are good for business. The more we can get and...
  10. What else can you do with ER experience?

    I see ED RNs transitioning to almost anything they want - administration, case management, QA, home care, any critical care area, clinic management, consulting, traveling nursing, you name it....
  11. Things you would like the ICU to understand

    I love our ICU nurses, it's just that some are much more fun to report off to than others! I can just predict when I get a certain one or two on the phone that I am going to be grilled rather than...
  12. When you arrive on an accident scene

    I have been at wrecks, seen codes in public, seen skiing accidents, etc. before EMS was there. It is sure different than having all your equipment and resources at your fingertips. I don't stop if...
  13. sex in the work place...really?

    Then there's the security cameras catching whoopee in the parking lot! I want to know where all the cameras
  14. sex in the work place...really?

    I have always been careful to keep my private life private. I didn't even want to date anyone I work with. People are attracted to people they have proximity with and people tend to have...
  15. Mandatory reporting of injuries

    In our state we are not required to report domestic abuse. We are required to do an abuse screen. However, we offer options including reporting to all of our domestic abuse cases. I agree about...
  16. Fine line between 'education' and "preachiness"

    I doubt if you would have had a different response no matter what you did with this lady. She had layers and layers of pent up feelings around this issue. However, research shows that presenting the...
  17. What is the most common chief complaint or diagnosis in your ED?

    Congrats on your job and all the best as you prepare for it. We have about 20 complaints that are frequent enough for us to put into carepaths. Chest pain, shortness of breath, abdominal pain, GI...
  18. Charting every 2 hours?

    Our boarders get notes at least every 2 hours. Triage level 3 patients and higher get notes and vitals every hour and criticals at least every 15 minutes. Everyone gets vitals and notes within 15...
  19. IV forms of Zofran and Decadron given PO???

    I knew I would be in trouble with that last post. You are right, thanks! I was thinking of the Zofran tablets anyway. They have been really easy to dissolve under almost any kid's
  20. Ed new grads..............this is for you!!!!!!!!!

    Congrats to all you newer grads. Just so you know you are not alone even with the seasoned nurses. I never thought of shredding my license, good one. But I still have days where I wonder if it is...
  21. IV forms of Zofran and Decadron given PO???

    I give the IV/IM forms of the drugs IV/IM. And I give the po forms po. There's enough of the right form of the drugs to go
  22. Help for this new grad in the ED??

    Queens, you sound like you are going to do okay. Anyone that puts that much thought and planning into making things happen should be able to chart a way through learning to be an ED nurse. Success...
  23. Good Personalities for ER Nursing?

    Many of the students that I see really like the time they spend in the ED and I try to give them a feel for what it is like. But mostly I will give them what they want as an experience in my...
  24. Oh, the personalities.....

    Hmmmmm, I thought you all worked in warm fuzzy departments where no one stayed out too late the day/night before their
  25. Too many nurses/chiefs in the room?

    You generally get a couple of minutes notice before the action starts. Take those couple of minutes to make sure you have the discussion about who is going to run the case "to avoid confusion." Look...