F.E.R.N.

F.E.R.N. BSN, RN

Trauma, Tele, Neuro, Med-Surg

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All Content by F.E.R.N.

  1. TNCC in 2 days!!! CEN in 6 Days!!!

    F.E.R.N. replied to iridius's topic in Emergency

    Awesome! I'm studying right now to take it Friday and I will dance in the parking lot if I get an 85%! Did you say you had taken the ENA practice tests? If so, how do you think they compared? Enjoy...

  2. Intravenous regular insulin

    F.E.R.N. replied to echoSN's topic in Emergency

    Don't know what mine says...but you'll kick yourself after thinking about it: (1) measure the units of insulin per usual method, (2) transfer measured insulin to an appropriate IV access device, (2b)...

  3. Atropine for ABD Pain?

    F.E.R.N. replied to KungFuFtr's topic in Emergency

    I've given it to decrease secretions, mainly in hospice patients, and often for the comfort of the patient's family more so than the

  4. Gastric Lavage - What size tube?

    F.E.R.N. replied to JessicaSN's topic in Emergency

    Interesting question...what about NGT size for putting charcoal down an intubated patient? We use the actuall lavage oral kits for true lavage, but we often get orders for charcoal via an NGT. VERY...

  5. anyone take the practice CEN test?

    F.E.R.N. posted a topic in Emergency

    Anyone take the practice CEN test before the real thing? Looking for thoughts on how realistic/predictive it

  6. anyone take the practice CEN test?

    F.E.R.N. replied to F.E.R.N.'s topic in Emergency

    Awesome scores! I took it today to identify my weak areas. I'm certified in another area, and the review for that seemed well-organized, but trying to prepare for the CEN, I'm having trouble...

  7. Charting every 2 hours?

    F.E.R.N. replied to UMBstudent's topic in Emergency

    We have what is "expected," but that's not always officially written in a policy. Here's the rough breakdown for us: Emergent Class I (e.g., big trauma, STEMI)--primary nurse at bedside almost the...

  8. Too many nurses/chiefs in the room?

    F.E.R.N. posted a topic in Emergency

    I'm sure all the trauma people our there have had it happen at some time: A big case comes in (trauma, MI, etc) and everybody is in the room with adrenaline flowing...nurses, RT, xray, students,...

  9. why two sets of clamps on chest tube?

    F.E.R.N. posted a topic in Emergency

    Okay, so I was asked a question I am stumped to answer and since it wasn't my patient, I didn't have the instructions We've all heard the various teachings on chest tubes and clamping/not clamping in...

  10. Which phone pda or PDA are you using in the ER

    F.E.R.N. replied to MOTOXRN2004's topic in Emergency

    I have a palm and it's about 3-4 years old. I use ER Suite, Davis Drug Guide mostly. On the floor I used to use Diseases and Disorders, but don't have as much time to get into the finer details of...

  11. Antiemetics... Can someone give me the lowdown?

    F.E.R.N. replied to WonderRN's topic in Emergency

    A couple other things to add...not sure if it's patient teaching.... Because Zofran is not sedating and has fewer SE than the other 3, it is frequently given in my ER for people who are not expected...

  12. Too many nurses/chiefs in the room?

    F.E.R.N. replied to F.E.R.N.'s topic in Emergency

    I like plans :) I have to work on communicating the plans in my head to my coworkers I like to think of myself as adaptable, but I really like defined roles and responsibilities. I hope after...

  13. Too many nurses/chiefs in the room?

    F.E.R.N. replied to F.E.R.N.'s topic in Emergency

    Maybe it's because we are a smaller facility (I'd call us "medium size"), but we don't have trauma teams or similar official assignments. I like the sound of it, though! We have designated rooms for...

  14. Too many nurses/chiefs in the room?

    F.E.R.N. replied to F.E.R.N.'s topic in Emergency

    That's hard when it *is* your patient I don't mind shraing the tasks, but I do want it to be as orderly as possible and I certainly don't want to look like I'm just hanging around against the wall...

  15. Reglan and Compazine IV push policies?

    F.E.R.N. replied to MollyMel's topic in Emergency

    Interesting topic. We do not have any written policies for either drug at my facility. I worked a floor that frequently used both meds and never saw any complications, of course I suspect most of...

  16. 24 Things ER Nurses Know All Too Well

    F.E.R.N. replied to RN_in_SC's topic in Emergency

    is that you, boss??? wait, what's your favorite

  17. 24 Things ER Nurses Know All Too Well

    F.E.R.N. replied to RN_in_SC's topic in Emergency

    Boy, there are a couple things I'd sure like to vent about here (and one is down right funny)...but I'm afraid certain tales could identify me to anyone from my department who is a lurking vent-thread...

  18. 24 Things ER Nurses Know All Too Well

    F.E.R.N. replied to RN_in_SC's topic in Emergency

    If...you were able to take yourself to the bathroom before you drove yourself here, and it turns out nothing is injured, just sore, THEN...you do not need help to the bathroom here, nor do you need a...

  19. 24 Things ER Nurses Know All Too Well

    F.E.R.N. replied to RN_in_SC's topic in Emergency

    What number are we on? #__: Don't make a "cry for help" if you don't want the system to help the hell out of you, even when you've changed your mind about wanting it. #___: Don't think that if the law...

  20. MD AWARE

    F.E.R.N. replied to Italia13 RN's topic in Emergency

    I chart the same way. It's not about "protecting" anyone in your notes, it's about what happened. Rare is the doc who reads my notes, but if he didn't like it, it's just the facts, and if he was...

  21. Doing anything special to prevent H5N1?

    F.E.R.N. replied to mommy2boysaz's topic in Emergency

    Our ER (don't know about the other units) is requiring we ask people who present with flu-like symptoms (which is currently amounting to any fever with a cough) to wear a mask. Staff aren't masking...

  22. 24 Things ER Nurses Know All Too Well

    F.E.R.N. replied to RN_in_SC's topic in Emergency

    Why would you begin with telling us you're "just a nursing student?" Is it because you'd like us to be impressed that a student has such "insight?" That sort of passive-agressive holier-than-thou...

  23. Go find your patient

    F.E.R.N. replied to irmaRN's topic in Emergency

    Not sure how your triage system works, or at what point in the process they went missing (did you just know there was a patient with suicidal ideation being checked in, or had they actually been...

  24. Fever vs. Warm Blanket

    F.E.R.N. replied to nursebrandie28's topic in Emergency

    My ER has no written policy, and I've never heard the docs express an opinion on the matter, but I think most of the nurses at my ER remove blankets. I am probably the only one who DOESN'T, unless the...

  25. pneumothorax/chest tube healing

    F.E.R.N. replied to F.E.R.N.'s topic in Emergency