LalaJJB

LalaJJB

Emergency

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All Content by LalaJJB

  1. I can't believe I'm posting about this considering I've been an ER nurse for 4 months now... but i got really scared last week and I need advice. Last week I was coming on shift and getting report about a patient who has a hx of pneumonia x2 weeks...
  2. Triage complaints- the good, the bad, and the shocking.

    A guy who injected too much heroin. his "best brah's" dropped him off in the valet parking lot....took many pictures of him pulseless on the ground and saying "ahh naw"... CPR started, narcan administered IM into the sternum. IV started eventually. D...
  3. Undiagnosed A Fib w/ RVR Medication?

    Like everyone else said.
  4. Calcium Gluconate

    and if you dont feel comfortable mixing it, have pharmacy do it.
  5. Calcium Gluconate

    I put it in a 250mL bag, and ran it WO....this guy did not have CHF...if they did, you can put it in a 100mL bag and run it over 10 min.
  6. Stomach flu is the only thing that drives me nuts....especially when one of my RN friends say it.
  7. ^ exactly what @meandragonbrett said
  8. One more thing. Dont worry about getting written up. When i was new, I was written up like 3 times in the first 6 months for things that were out of my control. At first i got all offended and was worried they'd can me... but they never did and never...
  9. What is your facility policy. I have also had the horrible experience of holding an ICU patient in my ER for longer than i should have. I basically told the charge nurse, "hey, this patient is 1:1, i cannot take on any other pts unless they are and a...
  10. What's the longest er wait time you have Even seen

    If you're waiting more than 3-4 hours, you're probably not sick, go home and come back later...or even better, go to urgent care. With that said, I've seen a wait time of 9 hours...the guy had a splinter in his finger and was too scared to take it o...
  11. Brain Sheet

    Am I the only one out there that has no idea what a brain sheet is? I'm assuming it's some kind of organizational thing, but I've never heard that term before. Can someone be so kind to explain it to me?
  12. Interviewing for ER Residency

    Remember the interview panel's names and dress NICE but not ridiculous. dont wear too much makeup... KNOW the mission, vision, values of the organization AND department. Think of a situation where you had use critical thinking, talk about experienc...
  13. Introverted nurse+ ER nursing?

    Your "rambling" makes me think you'd be a GREAT ER nurse. I'm a lot like you. I dont go out of my way for small talk, in fact i hate it more than anything. I found that ER nursing is what i was born to do because of that fact. i like to keep busy...
  14. Busiest Time For The ER

    Mondays, especially our Trauma Mondays are the craziest! (We share trauma with another hospital in our city every other day.) Anyway, I've never had a Monday when i wasn't fully loaded with patients. However, last monday, a trauma monday, i had a 3...
  15. Whats your biggest pet peeve working in the ED?

    To piggy back on the wait time pet peeve... The patient's who actually WAIT for 6+ hours in the ER to be seen. Sometimes I understand why, but when someone waits for 6+ hours to be seen for an ingrown toe nail then asks for narcs to go home with, th...
  16. New grad in the ER-How do you know if a new grad will make it?

    Attitude, willingness to take criticism (from patient's and co-workers, whether it's warranted or not), thick skin, and ALWAYS BE WILLING TO LEARN and do research... Oh, and dont be afraid to ask for help EVER..even if it's something you should proba...
  17. OMg, settle down. dont be so sensitive. Air conditioners can't cause all that. sheesh!
  18. I had a patient just the other night bring a welcome mat and put it at the entrance of the room. Not even kidding.
  19. So glad to find allnurses.com

    I feel like an idiot every shift. For example, I was bringing a patient to the ICU and she was the kind of patient who's O2 sats would plummet if she was taken off oxygen... anyway, while transferring her from the ER bed to the in-patient bed, I unp...
  20. New grad in ER?

    adrenaline junkie doesn't = good ER nurse. Being confident and smart..AND knowing when to ask for help makes a good ER nurse...especially as a new grad. Also, know how to effectively accept criticism regardless if it's deserved or not will make you...
  21. Worried about my nursing supplies!?

    Littmann is the only way to go. the bp cuff is great too. who cares what the classmates think. just be humble about what you have. my parents got me the same steth when i started school and i still use it today 5 YEARS LATER. the walmart scopes wo...
  22. Maybe I just don't know...

    Tylenol, no. Fluids, as long as the guy didn't have a hx of CHF, yes. In my dept, we have standing orders that RN's can initiate without the docs telling us to...then they go back and sign the orders. But if you weren't comfortable doing either, you...
  23. Would EMT B help me land an er tech job?

    yes. it will help you.
  24. 43 y/o male, bilateral knee pain. Pt is 420 lbs. Not a doc, but a 5 year old could diagnose this...anyway, here's the conversation. Patient: "nurse, why do you think this is happening. I cant take it anymore." Me: "It's highly likely that your weig...
  25. New grad In ED

    Without experience, 80 hours doesn't seem like much... however, they may have seen something in you that made them think you could handle it. I know in my ED, our fastrack/urgent care area has 1 RN, 1 tech and 1 ARNP or PA-C working at any given tim...