~Mi Vida Loca~RN ASN, RN

Emergency Dept. Trauma. Pediatrics

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All Content by ~Mi Vida Loca~RN

  1. ~Mi Vida Loca~RN

    Positive drug screen

    The MRO is wrong which is worrisome in itself, because phentermine can give a false positive for amphetamines and there is a lot of research that shows this. What state are you in? If you already have...
  2. ~Mi Vida Loca~RN

    How long you push emergency drugs during codes

    Why are you pushing Etomidate, and sux and ketamine for a code??? Are we talking about an RSI or an actual code? As far as the Epi and the BiCarb and Vasopressin (although I have never actually seen...
  3. ~Mi Vida Loca~RN

    Questioning a doctors order

    I have never been told to not question a doctors order. Our docs in the ER are always right there so if something doesn't make sense or I am curious or what not I ask them directly. I have flat out...
  4. ~Mi Vida Loca~RN

    Positive drug screen

    It can test positive for the quick result test but when they send it off for confirmation and if you have a valid prescription the MRO should confirm that it was a false positive. If it were somehow...
  5. ~Mi Vida Loca~RN

    Ketamine

    No one can tell you what is going to happen because it depends on your hospitals policies and states BON. I see GA has stricter nurse regulations for Procedural Sedation, but you didn't say what was...
  6. Can you give a little more information, such as what types of situations are happening that you are finding yourself panicking?? What kind of acute care setting are you
  7. ~Mi Vida Loca~RN

    Witnessing Consent

    I have never heard that we are "Witnessing the signature" I have always worked in the ER and mostly in teaching hospitals, so the residents come down and sometimes are quick to leave. So I have...
  8. ~Mi Vida Loca~RN

    IV Therapy Help

    When you guys do clinicals is there anyway you can ask to do a day in pre-op, infusion clinic or ED?? You would get lots of IV experience in those and get to actually do the IV's and have nurses that...
  9. ~Mi Vida Loca~RN

    Day shift or Night shift

    I have worked all shifts and mid shifts. (in the ER we have more than just the standard 7-7 shifts) and I feel like I always learned and saw more on day shifts. But I can't speak for how it is on...
  10. ~Mi Vida Loca~RN

    What does your nursing career repair bill say about you?

    Yes as the other poster asked you. How does on debrief?? Kidding! I didn't know you still popped in
  11. Just finished my clinical rotation for this class (med/surge). Had evals yesterday because we had a sub instructor tonight. Which, my usual CI was actually working at the hospital on the unit I was...
  12. ~Mi Vida Loca~RN

    Lidocaine with Rocephin?

    The directions on the bottle say you can use Sterile water or Lidocaine. It might sting initially just the same but it's not as bad after. We didn't have to have orders to use it though where I just...
  13. ~Mi Vida Loca~RN

    ER Doc, "I need Succ!"

    I am actually surprised they didn't bring an RSI box to the code, than again after this last ER I worked in, I don't think I am surprised by much
  14. ~Mi Vida Loca~RN

    ER Doc, "I need Succ!"

    Codes on the ICU can be just as bad and it always shocks me because I know ICU nurses should know how to handle a code. An ER tech and I got in trouble once because we kept yelling out. IT'S IN THE...
  15. ~Mi Vida Loca~RN

    ED computer systems

    The new hospital I am going to is a Johns Hopkins Hospital and so they went EPIC for all their sister hospitals. The lady told me it was rough start. I LOVED MEDHOST I got out of my other hospital 2...
  16. ~Mi Vida Loca~RN

    Do you have a nickname at work?

    Outside of "Blackcloud" at my last job which was nothing unique, everyone was calling me Mexiwegian because I am half Mexican and half Norwegian but our Doc and Medical Director changed it to...
  17. ~Mi Vida Loca~RN

    Abdominal IV

    I love how because they have never seen one before it's not an appropriate place. Sometimes you have to get one where you can get one and if you can get a good gauge and it runs well and works, I...
  18. ~Mi Vida Loca~RN

    Doc Mad At You?

    Same here, never been yelled at. I usually get along with most people and have been fortunate enough to work with outstanding docs, 97% of the and we mesh well which works awesome in the ER. I have...
  19. ~Mi Vida Loca~RN

    Doc Mad At You?

    I have respect for docs and I get along well with 99% of them. But I will not be disrespected by them, talked down to by them and I will stand my ground. (realizing their is a time and place for...
  20. ~Mi Vida Loca~RN

    Getting the hang of IVs...

    Good for you, I used to be nervous too, especially on hard to stick patients. I LOVE doing IV's, I probably do about 30 a week because people come to me now to do theirs as well. Same with accessing...
  21. ~Mi Vida Loca~RN

    Travel Nursing in Compact States

    I have a compact license and work with a big agency, when my last contract fell through because of hospital budget cuts, (it was a renewal that fell through) I had another placement by the next day...
  22. There are a handful of people that I constantly have issues with at work. Well I shouldn't say I have issues with them. They aren't adult enough to actually confront me. They go to my managers and...
  23. Sorry to steal the same title as the BP one. Patient was in the ER today, was reviewing home meds, and she was on 130mg Oxycontin Q TID (not 3 divided doses) and 30 mg Oxycodone Q TID I was shocked,...
  24. ~Mi Vida Loca~RN

    Pain control via PRN narcotics

    I have never seen a range dose for a pain med in my ER for any of my patients. Our docs have always just written a set dose. The only thing I see ranges on is when titrating and that's more so just...
  25. ~Mi Vida Loca~RN

    If you weren't a nurse, what would you have become?

    That's funny, I was just telling my co-workers about Sephora the other day. We don't have one here but there is one where I used to live and I am there often. I think Sephora and Victorias Secret see...