PAERRN20

PAERRN20

ER

Member

  • Content

    660

  • Visitors

    8,263

  • Followers

    0

  • Likes

    6

All Content by PAERRN20

  1. Is med-surg really the best place to start as a new grad?

    PAERRN20 replied to Valerie916's topic in General Nursing

    Sorry not true. I started in ED and have flourished. I think you will learn the most in an ED, any ICU, or step-down unit. Do what makes you

  2. Lost my first patient - could I be in trouble?

    PAERRN20 replied to southernhospitality's topic in General Nursing

    A blood glucose of 333 doesn't really point me to DKA. I think the PE is more likely the culprit here. Try not to beat yourself up over this...hugs to

  3. Gloves and infection

    PAERRN20 replied to ilovenursing2009's topic in General Nursing

    Honestly, I don't wear gloves while hooking up an IV unless the site is bloody or I know that patient is whatever

  4. In a nursing rut here...need a pick me up

    PAERRN20 posted a topic in General Nursing

    I have been pretty hard on myself lately and just have been having an all around hard time. I posted the other day about an event that happened at work, and I have been blaming myself for it, and even...

  5. In a nursing rut here...need a pick me up

    PAERRN20 replied to PAERRN20's topic in General Nursing

    I've been a nurse for over 2 years and I do need to grow a thicker skin. It's a work in progress and thank you for your comforting words

  6. In a nursing rut here...need a pick me up

    PAERRN20 replied to PAERRN20's topic in General Nursing

    No I was not force feeding the patient. We were holding the patient in th ER, the MD wrote for a regular meal tray, and I gave it to the patient. The floor nurse said I let him aspirate because I...

  7. Seasoned nurses- your thoughts please

    PAERRN20 posted a topic in General Nursing

    Have a question for y'all- had a patient today, swallowed pills fine. Sats 97-100% on room air. Meal tray ordered for patient-regular diet. I give the patient the meal tray. He eats fine. Other nurse...

  8. Seasoned nurses- your thoughts please

    PAERRN20 replied to PAERRN20's topic in General Nursing

    The other nurse is the floor nurse...I'm an ER nurse. I saw no s/s of aspiration when the patient was under my care. I honestly believe the patient was pocketing

  9. Seasoned nurses- your thoughts please

    PAERRN20 replied to PAERRN20's topic in General Nursing

    Really there isn't anything else to the story but this. I have no idea how this nurse could say I let the patient aspirate without a CXR to prove it. I am mad because this nurse wrote me up and I feel...

  10. Seasoned nurses- your thoughts please

    PAERRN20 replied to PAERRN20's topic in General Nursing

    Well here's the thing...there was no Xray ordered after the "aspiration". I had the patient in the ER, no coughing, sats greater than 97% on room air. When the patient hits the floor, the nurse says I...

  11. Did I use alcohol swab?

    PAERRN20 replied to Sweetie2005's topic in Patient Safety Issues

    Many different nurses probably used that line. Using alcohol is very important, but I doubt one instance of not using it would cause sepsis. I'm not downplaying the importance of alcohol, but people...

  12. You might be a trauma nurse if...............

    PAERRN20 replied to T14WFLY's topic in Emergency

    You've seen more skin at work than at home with the

  13. Resource RN/RN Assistant?

    PAERRN20 replied to RNStudy's topic in General Nursing

    I tend to agree with you that the resource RN will be the first one called off. I would be wary of this position. I think the 3 daylight 12's sounds better to me personally. Could you work the peds...

  14. This is not the ICU

    PAERRN20 replied to RN <><'s topic in Emergency

    I took a cue from the doctors I work with. If it is a resp or cardaic complaint, they listen to the lungs and the heart. If it is an abd issue, they listen to bowel sounds as well. If its a gyn...

  15. How to stretch Dansko shoes

    PAERRN20 posted a topic in General Nursing

    Any advice how to stretch Dansko leather clogs? I bought them online so I can't take them to the store to get them stretched out.

  16. How would you have handled this?

    PAERRN20 replied to ProBeeRN's topic in General Nursing

    ER nurse here- you did the right thing! We would admit her at my

  17. Do you wear your engagement rings at work?

    PAERRN20 replied to SarahBerah's topic in General Nursing

    http://www.ice.com/rings/solitaire-diamond-ring-prd_rds_015826.jsp# Check that ring out...it lays almost flush to the

  18. Took Care of a Patient with MRSA Today

    PAERRN20 replied to HappyMeNow's topic in General Nursing

    Generally MRSA calls for a mask. That said, I am an ER nurse and I usually have no clue if the patient is in isolation. Or we find out days later the patient has MRSA. I do not have MRSA. This is were...

  19. Took Care of a Patient with MRSA Today

    PAERRN20 replied to HappyMeNow's topic in General Nursing

    Relax. You wore gloves to empty the foley. No urine splashed on you. This same patient will probably be out touching the fruit at Walmart next

  20. Sudden VTACH to VFIB

    PAERRN20 replied to Rise Against's topic in General Nursing

    Well I wouldn't say its normal, but I wouldn't say it is totally abnormal though. Many people that code do so with sudden V-Tach. I don't work on a floor though so I haven't seen the rhythms over a...

  21. Mandated scrub colors

    PAERRN20 replied to FLOBRN's topic in General Nursing

    My unit is color coded. We are not given an allowance for scrubs we must buy them on our own. However, our manager doesn't enforce it strictly, but mostly everyone follows the code to a certain...

  22. how to go from RN to paramedic

    PAERRN20 replied to bexlee's topic in General Nursing

    You could go from RN to EMT with little training. I have seen weekend EMT training. Why would you want to do this though? EMT makes much less than an RN...in my area at least $12 less an hour. Same...

  23. patient dies from combination of drugs that doc prescribed. who is responsible?

    PAERRN20 replied to premedwoahs's topic in General Nursing

    What about pharmacy who likely sent these drugs to the floor? Our pharmacy reviews all med orders and make

  24. Started new job...how long til I'm comfortable?

    PAERRN20 posted a topic in General Nursing

    I know you all have had wonderful advice in the past.... I started a new job as a charge nurse in rehab/long term carm recently. This is a completely new area for me and I am overwhelmed with the...

  25. Paper Charting Help

    PAERRN20 replied to kmgf316e's topic in General Nursing

    - How would you chart your AM assessment? -When do you chart? I chart anytime there is a change in patient condition, when a doctor visits the patient, when lab/PT/OT/ST is in the patients room, when...