pererau

pererau

Emergency Nursing

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All Content by pererau

  1. What is your ED policy in these circumstances

    pererau replied to JessicRN's topic in Emergency

    1. The general rule is to get a central line, but if you are weighing extravasation vs. death, you go with the pressors. I had a patient a few months ago that was getting norepinephrine in a 22g in...

  2. Hourly Rounding in the ED

    pererau replied to biker momma's topic in Emergency

    Luckily in my ER we aren't required to do that yet, but they have been talking about it. Hopefully I wont have to fight that battle. Anyway, before they ever even brought this concept up, I make it...

  3. What can I do to get into an ED?

    pererau replied to MelodyRNurse's topic in Emergency

    You're welcome, and by the way, "you will not use the knowledge and you will use it" was supposed to be "you will not use the knowledge and you will lose it"

  4. Hourly Rounding in the ED

    pererau replied to biker momma's topic in Emergency

    "But please try to comprehend that, to someone in agonizing, brutal, unremitting pain or SOB or needing to use a toilet or being in labor or any other of life's events that are accompanied by truly...

  5. What can I do to get into an ED?

    pererau replied to MelodyRNurse's topic in Emergency

    Oh, if you have been in the environment and understand what you are getting into and the incredible pace that you have to keep up, then I say go for it. Apply to any ER that you can and just be up...

  6. How much are nurses making?

    pererau replied to ksauce20's topic in Washington Nursing

    I've found the 24/hr starting range to be pretty universal throughout

  7. What can I do to get into an ED?

    pererau replied to MelodyRNurse's topic in Emergency

    I think before you try to get in the ER, you've got to love the environment. If you know nothing about EKG or tele or ACLS, then you don't know if you will like it. I went ER right out of school,...

  8. Is there still a nursing shortage?

    pererau replied to sassiebaz's topic in Arizona Nursing

    Actually, let's do the math: If you take a nurse with 5 years experience, then you are going to have to pay a lot more because every hospital that I'm aware of uses experience to determine pay. So...

  9. Hourly Rounding in the ED

    pererau replied to biker momma's topic in Emergency

    Or maybe hourly ativan sprays similar to what the grocery stores use to keep produce fresh. We could just have a sprayer above each bed and every hour on the hour, it would keep our patients docile...

  10. Night shift med/surg RN moving to day shift ER!!

    pererau replied to AnaBanana12's topic in Emergency

    Get ready for a big shock! Floor nursing has its challenges and is not to be laughed at, but ER nursing is a whole new world and you will feel completely overwhelmed and amazed at the pace and...

  11. Seattle New Grad jobs easy to find--true?

    pererau replied to BonnieSc's topic in Washington Nursing

    I can't speak to Seattle, but the Franciscan system, which has hospitals in Federal Way, Tacoma, Lakewood, and next month in Gig Harbor has a very active residency program and hires a lot of new...

  12. Is there still a nursing shortage?

    pererau replied to sassiebaz's topic in Arizona Nursing

    Great advice from Stopnik above. But really, even in the downturn economy, there are still jobs everywhere you look. Just today I went to the website for Mercy Gilbert Hospital and found 6 ER nurse...

  13. RN s Rotating Pods in Emergency Dept.

    pererau replied to triage1's topic in Emergency

    You probably have ADOBSO : Attention Defic... Oooh! Bright Shiny

  14. Scope of Practice?

    pererau replied to flygirls2's topic in Emergency

    It is my understanding that the good samaritan law covers you as long as you are within your scope of training and practice, but if you are acting outside of that scope, then you are on your own from...

  15. Admit orders

    pererau replied to JD228's topic in Emergency

    I do whatever will not delay the transfer. Transition orders are actually (at least in my experience) not meant for the ER but rather for the floor while waiting for the admitting doc to see the...

  16. RN s Rotating Pods in Emergency Dept.

    pererau replied to triage1's topic in Emergency

    I think it is important that everybody be able to do every task, but how often to rotate should also depend on what each nurse prefers. You want happy nurses, so if you have one who just loves fast...

  17. RN s Rotating Pods in Emergency Dept.

    pererau replied to triage1's topic in Emergency

    I would die a terrible death if I had the same assignment every day. I love triage and I love fast track, but day in and day out would put me in the grave. Likewise, intubating patients every day...

  18. Hourly Rounding in the ED

    pererau replied to biker momma's topic in Emergency

    I do walking rounds as my standard because I think it is just good patient care to say goodbye to your patients, and it eliminates the awkwardness for the oncoming nurse to have to introduce...

  19. Patient Rights?

    pererau replied to HCINEPT's topic in Emergency

    Short answer: You are both right and you are both wrong. There is no emergency and the patient is misusing the ER with her expectations, but some kind of H & P needs to occur. The patient should...