JD228

JD228

ER

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All Content by JD228

  1. What do you hate seeing the MOST in the ER!?

    i hate anyone who acts like they are
  2. Fustrated and looking for helpful tips!

    I have been involved with the hiring on our unit for the past year, we prefer previous ER or EMS experience, can you volunteer for EMS work in your area to get some ER experience??? Another idea would...
  3. How do you get thicker skin?

    [color=#0000ff][color=#800080] i feel lucky that i work in an er that has an officer assigned- who would step in if the patient behavior escalated and i work with physicians who i have actually heard...
  4. Best one sentence handoff report

    EMS called in the pt "looks bad and is getting worse"......um...ok....that leaves a lot open for
  5. ER and strange phenomena

    We get runs of different complaints but I have noticed we get more kidney stones when its been dry and a storm front is coming in. I think the barometric pressure change affects them. But they are a...
  6. ER and strange phenomena

    my dog is a sock monster, i am constantly finding half eaten socks in the yard. How the heck she smuggles them out of the house, I don't know. I mean unless she figured out how to let herself out
  7. getting walked on

    Yelling back may make you feel better in the short term, it isn't worth the long term consequences. We have police in our ED that are great about intervening as needed. Also, our physicians will step...
  8. i am going to differ from everyone else's advice, I think you spend so much time at work, you should enjoy it while you are there. These are just two units that you have worked at, perhaps you can...
  9. Advice?

    I have actually worked some shifts at Spotsylvania and it isn't too bad, very nice facilities. what You need to call the department that you are interested in working in, speak to the person who hires...
  10. Any RNs applying Dermabond out there?

    The hospital I am at (in Virginia) only the MD, PA and NP apply it, officially. I don't know if it is a hospital policy or just
  11. ED ratio across the US

    VA, 1:4 or 5, varying acuity but usually medium to low, pt length of stay is average 150 minutes, Can vary from 65 patients a day to 120 patients, depending. Patient safety is usually adequate,...
  12. Help with decreasing ED wait times ...

    It sounds like the size of our ER is comparable. We have a tech and RN at triage. The tech gets the info and does a quick register in the computer and the RN can ask the chief complaint, allergies and...
  13. The ER I work in employes Police officers for security, but they expect them to leave the ER and do rounds around the hospital, checking doors and locking and unlocking doors. Seriously? I don't think...
  14. ? for ER nurses

    Can I suggest that should something like that arise again, you call 911. They should be able to provide oxygen and breathing treatment enroute to the ER. Not that, that excuses the way you were...
  15. What is your ED policy in these circumstances

    1. we use the large bore peripheral veins until a central line can be established. 2.depends on the doctor ...we use ketamine a fair amount for lacerations. 3.versed = conscious sedation paperwork,...
  16. ER nursing and pregnancy...

    i personally have not been pregnant and working in the ed but have several co-workers who have worked up to the day they went into labor. they did triage if needed, they got help from their...
  17. Congrats... hope you reach all your goals. Good
  18. What is the best shift in the ER?

    i agree with the other posts. the worst shift is 11a to 11p. the other shifts just depend on your personal internal clock. i worked days when i started and hated every minute of it, because i was sooo...
  19. Help Please!!

    In the ER my patients are not stable until after I have done all the work to get them that way. I usually have at least 2 of the 6 that are at least chest pains/abd pain/septic nursing home, etc....
  20. Help Please!!

    ER nurses have been transporting patients up to the ICU for years, why is it so appalling for you to go to the ER to get a patient? ER nurses often have to leave their 6 other patients to bring you...
  21. How do you get patients to give you a "very good?"

    i am moving to Canada
  22. Blood draws/SL on kids < 5 yo

    Trying to feel a vein usually doesn't work in the little kids, like several people have suggested, you pretty much have to go for the blue lines. A lot of kids have veins in their dorsal wrist, if you...
  23. Strange things found on (or in) a pt.

    -almost forgot- the self-mutilator that was in jail who would hide razor blades- in his mouth, under his scrotum, in his rectum, etc..... he would cut himself and then after he got stitched and...
  24. Tired of EMS thinking they can walk in!

    I am a CCEMTP and an ER RN. It is rare to find someone who really understands what is like to be pre-hospital if you've never done it before and vice versa. I think you may have just been rubbed wrong...
  25. Scope of Practice?

    that was too funny-red cell.......thank you for that