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 entitled!!!!
  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 be to see if the ER Director for the ER you are l...
  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 tell patients that they would not tolerate them ta...
  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 interpretation.
  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 lot like potato chips.......you never get just one ...
  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 too.
  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 in and tell them that they can not treat our staff...
  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 find another unit or hospital that would work with yo...
  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 people for that department as well as talking to ...
  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 what.
  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, security however, could be better, more of a locked down...
  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 a short history of events. Tech does VS and takes...
  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 the administrators have a clue as to the real dan...
  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 treated during your visit. Glad your son is okay now
  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, unfortunately. 4. propofol is pushed by the mds (er...
  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 co-workers with lifting/contagious patients. i think they w...
  17. Congrats... hope you reach all your goals. Good luck.
  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 tired all the time. nights just fits my schedule ...
  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. These require the full work up. So why should I leave ...
  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 the ICU patient, usually with out having another per...
  21. I think some people are trying to be P.C. but Truth is you might be labeled a frequent flyer with the number of times you said you had to go to the ER but i don't mind taking care of frequent flyers that are pleasant. It is the demanding, rude, entit...
  22. How do you get patients to give you a "very good?"

    i am moving to Canada :)
  23. 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 bend their hand down, like you are trying to push...
  24. 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 went back to jail, he'd rip the stitches out, we trie...
  25. 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 by a person who is perhaps a "know-it-all"..... a...