lyraesullivan replied to neneRN's topic in Emergency
Any of you that work in hospitals that don't require Doc's to do this may want to remind risk management of OSHA. The hospital I work at is pretty good but there were a couple bad apples. One ER doc.....I just smiled and told him that unless he wan...
lyraesullivan replied to mtreyes's topic in Emergency
Welcome to the ER. Things I always tell my preceptees. 1. Give yourself a full year to adjust and feel comfortable. 2. Ask questions please, there is nothing more dangerous than trying to figure it out on your own. 3. If your work is caught up, help ...
lyraesullivan replied to AstrosFan's topic in Emergency
The thing about Press-Ganey is they only call a very small percentage of the patients so the odds are not really good if one or two of them were drug seekers that didn't get what they were looking for. It is sad that hospital administration place a l...
lyraesullivan replied to Razorbacks's topic in Emergency
Nowhere else do you have the variety. The staff is usually a pretty close knit team (not unlike combat troops!) We have a lot of autonomy and our docs are always right there. I made a foray to the ICU for a year and got floated out to the floor one ...
lyraesullivan replied to zima60's topic in Emergency
I don't hold on to patients til the end of the shift just to annoy the floors, but I think we have already covered the myriad reasons why that happens. what gets me is the floor refusing to take a patient at change of shift, does all nursing care co...
The most interesting thing, have never encountered and now have had it happen twice in recent events. What? Trying to cath a little old post-menopausal woman and not being able to find the urethra anywhere and found it behind the pubic bone in the ...
lyraesullivan replied to TazziRN's topic in Emergency
funny you should bring this up, recently we had a patient that drove 45 miles and passed up three closer hospitals to come and see us, red flag # 1 right there and despite being told several times no pain med until a ride is there (yes the Dr. did pr...
Always treat the patient and not the monitor. If you have a 12-lead EKG, there are some clues you can use, they are not 100%, nothing is. If the QRS complexes in the V leads are concordant (either all positive or all negative) that favors v-tach. A l...
Mosby has an excellent review book called 'Pass CCRN' it's relatively inexpensive, around $30. The book is organized into systems. Each system starts of with a brief review of A & P then goes into an outline of diseases and treatments. Each chapt...