ERjodiRN

ERjodiRN

Emergency

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All Content by ERjodiRN

  1. Viral meningitis - precautions?

    where i work we use droplet precautions on both viral and bacterial. we use droplet precautions on everyone with cold symptoms until cleared by an MD actually...because the last few flu seasons have...
  2. New MICN

    medic, we do have a charge nurse on duty as well. she helps with the patient flow as well, but on a different level. they are usually telling us when we need to close certain areas down (if...
  3. Transition from computer to paper charting

    my first job i started with paper charting, switched to computer (which i really liked), and then changed jobs and am back to paper. however, i work in the ER now where i would find computer charting...
  4. Charge nurse with less than a year RN experience???!!

    well my question is, why wasn't anyone else on the unit asked to be charge before her? she may be new to the unit with nothing else under her belt, but maybe management found her more appropriate for...
  5. Now What?

    where i work we are required to work one on-call shift a year, and it has to be a sat or sun, when most of our sick calls come in. we choose our day, and it's a 12p-12a shift (work in the ER so we...
  6. morphine IV

    when you say infusion are you talking morphine drips or pca's? i'm assuming you mean iv push. you're supposed to give it slow iv push, which means over 1-2 minutes. there isn't a specific dose that...
  7. New MICN

    i work at a hospital in orange county. the county has what is called "base hospitals". there are about 6 in this county and we each have designated districts that we cover...so any medic units...
  8. batcha gero/lpn

    well any licensed health care worker is mandated reporter of abuse. personally, i'm not the biggest fan of assisted living facilities because my er sees way too many cases of neglect from those...
  9. Grounds for termination

    i don't think cussing in front of patients is grounds for immediate termination. i think that is quite drastic if it's a first offense. people are going to get angry, for whatever reasons....and...
  10. peg care protocol

    yeah your hospital should have a policy on that, but at places i've practiced we would do scheduled 50cc flushes every 4-6hrs, and placement checks each shift. if they are getting feedings you don't...
  11. New MICN

    with the micn certification i believe you're also qualified to do critical care patient transports with private ambulance companies.....that and the fact that you're giving guidance and orders to...
  12. Fed Up With People Saying There Is a Shortage

    i totally agree. i work in orange county, ca where you'd think there wouldn't be a shortage at all, but we're continually short staffed in order to cover the sick calls, maternity leaves, and...
  13. large bore needles

    it's not just the fluids. in the ED we always have to think "worse case scenario", and if the patient codes or requires meds that need large bore iv's, then we just do it. also, we may not always...
  14. NGT/FT securing techniques?

    what about doing and OGT instead of a NGT? obviously only on pt's with ETT's, but they are really easy to put in if you guide it right along next to the ETT...and just secure it to the ETT as
  15. What type of degree does your nurse manager have

    i don't work l&d, but where i work it's required to have BS to the manager of anything. Every hospital is different though. Apparently they were really impressed with this
  16. oh an had a guy who came in with this jar full of spit, that he would occasionally spit in to (he wanted the doctor to take a sample), because he thought that aliens were infiltrating his mind and...
  17. Company party...

    there really isn't much you can do. when people get drunk they get very stubborn, so reason never applies. you can just call him the next day to make sure he got home alright. if he gets pulled...
  18. Need some advice

    that's kind of a tough one. i've been hearing that it's been increasingly harder for new grads to get hired....not only because of the economy but because people are stressing "experience" when...
  19. that really surprises me. for me, i would not let my patient sign that document unless everything had already been explained. you are not just witnessing that the signature is "good", you're saying...
  20. To Quit or Not to Quit

    about the MSN bit our registrar told you about. you'll be hard-pressed to be the manager of anything without some sort of experience under your belt, so if you're going to change, change. would you...
  21. New MICN

    geeze calm down....it was a joke. maybe you overlooked the jk i put in there, or the fact that i did explain what a MICN was.....which was put in BECAUSE i know things work differently outside of "my...
  22. Question from a student

    i know you don't want med/surg....but it will still prepare you more for the NCLEX and nursing as a whole to fall into that than to choose pediatrics. i say go for the
  23. it's kind of a double-edged sword though. we let them get away with it! 75% of the time we don't say anything to the people slacking off, or to our bosses because we don't want to appear as if we're...
  24. New Grad Advice on ED

    the ED is a great place to start because it really fosters honing all your skills and learning how to use your critical thinking and prioritizing skills as well. there are a couple downsides to it,...
  25. 265 questions

    it does not mean you failed. every once in a while some lucky student gets the full test regardless of how well they have done. that being said, i'm not sure if that's your case. the nclex is also...