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. To give or not give insulin

    I can't speak to every BON and every state, but I agree that we are required to act in what we feel is the patient's best interest, and at some times, that certainly means questioning an order, or...
  2. To give or not give insulin

    Where I work, it is stressed that a nurse cannot legally hold or otherwise adjust any medications, including insulin, unless given specific parameters and instructions in the orders. If staff...
  3. Equipment wish list suggestions

    Good suggestions. Even with the money there, sometimes we still have to answer the question from admin, "how often would you use that?" For many things, the answer is, " I don't know; we've never...
  4. My staff education department has an unexpected windfall in our budget, giving us the opportunity to purchase additional educational equipment/supplies this year. I'd like your suggestions for items...
  5. Equipment wish list suggestions

    It's all of
  6. Narcotic Administration in ER

    Not sure what else you had to say. If you think of something that is either helpful to nurses or to patients, people would probably read
  7. Narcotic Administration in ER

    I'm also curious about policies regarding monitoring of patients given narcs. We have an area that has no monitors, but where PAs like to give morphine and such (kind of a high-grade fast track...
  8. Stupidest comlaint of the night award...

    Oh how I wish that those bedside monitor readings could only be viewed by someone wearing special glasses! Maybe like the ones out of the cereal box that let you read messages written in the...
  9. Stupidest comlaint of the night award...

    This was not a CHIEF complaint, but it was a complaint...Patient is resting comfortably, watching TV in bed, DC pending...man stomps out of the room to the nurses station and loudly asks, "Is anyone...
  10. What are your pet peeves when orienting a new ER nurse?

    Please don't whine. You can complain, ask for help, or tell me you're not ready for this next ambulance...but don't whine. When you get the problem patient, the next one that has to go in the...
  11. ICE " in case of emergency " apps worth it ?

    While I can't really speak for this individual ER, if it's any comfort, the tech is not usually the person who knows all that is going on with the patient. If you had ever been to that hospital...
  12. ICE " in case of emergency " apps worth it ?

    I work in a regional level 3 TC, with many outlying rual areas and two major highways going through our town, brining in lots of out-of-towners...here's how things work in our area for...
  13. When patients attack

    Actually, in the ER, we often force people into treatments they don't want. Saw this many times on the neuro floor, too. If you are suicidal, for example, you are not given the choice to refuse a...
  14. When patients attack

    I've wondered that, too. There seems to be agreement that if you are being seriously threatened with injury to life or limb, you can react with force to protect yourself, but I've never heard of it...
  15. Educate me on Blood Cultures

    At our facility, if the patient is on antibiotics, whether prior to arrival or administered by ED staff, we simply make a notation of what they've had and order the cultures as a FAN. The lab has...
  16. Triage VS standards

    I'm doing a little research for some of our new hires who are learning how to triage in ambulance patients. We don't train nurses to triage at the front triage desk until they've been here at least a...
  17. Triage VS standards

    We send our nurses through a course before they can do front desk triage, but not until they've been working for at least a year. New hires are still expected to triage ambulance patients arriving...
  18. Triage VS standards

    By that I mean to change the triage classification of a
  19. CEN Practice Exams

    I did the 5 online tests and I think I passed all but one, but my scores on 2 of them were very different than on the other three. I kind of reminded me of trying to imrpove my SAT scores or my NCLEX...
  20. BCEN Test Time!

    to the OP: yes, I felt that the ENA practice exam was very helpful. I did both the first one and the set that gives you five exams. Well worth the money, and I passed with a good score. I used the...
  21. Interesting posts from all sides. OP, if you're still reading this, regardless of individual staff attitueds, I think your biggest frustration may end up being that many hospitals just don't have a...
  22. Medicating patients you won't be watching

    I like the idea of having a nurse assigned to check on waiting room patients, although I'd hate to be the one doing it How does you facility determine how often to check a patient? Are they all...
  23. How do different ERs handle meds given at times when staff will not be watching the patient afterward? For example, patient's being discharged home or sent back to waiting areas where they are not...
  24. TNCC in 2 days!!! CEN in 6 Days!!!

    I PASSED!!!! :rckn: Everyone at my house is pretty happy, too...I might act like a regular person again. To anyone reading this, wondering what/how to study, I would highly recommend the ENA Core...
  25. TNCC in 2 days!!! CEN in 6 Days!!!

    Thanks for the info! I'm taking my last 150 question test tonight, then studying a little more and taking the 2nd 175 practice exam tomorrow. I took the first exam today and got 76%, the highest of...