Guest343211

Guest343211

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All Content by Guest343211

  1. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    Got it. I see the big picture fine. The lack of a simple extra step could have caused the patient to suffer or die needlessly. That's the reality. I can show you similar court cases. No excuses....

  2. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    I never said anyone weeded YOU out. I was speaking in generality. I didn't accuse YOU of anything. I did not question YOUR conscience. Please don't tell me I dared to do something I did not. Chill...

  3. Could really use some calming down right now

    Guest343211 replied to proud nurse's topic in First Year After Licensure

    This is just so typical anymore. It sucks how they just won't implement objective systems with weekly evaluations. An orientee should NEVER go a week or two w/o objective evaluation and feedback....

  4. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    That is great news! Take it from a 2 decade and counting nurse veteran. Advocate persistently, strongly, but not disrespectfully (even if the nurse, doc, whoever is being disrespectful) for your...

  5. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    Once again, I seriously doubt if that ED was in a MASS CASUALTY mode of functioning. No. Too many roll this way without true justification. It's sad. For the sake of your own understanding, step...

  6. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    Try ****** ED. Nurses in that ED will tell you it's like working in freaking Vietnam. People in the hallways, you name it. My best friend, who was an ED RN for 20 years before going into research...

  7. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    Had to make some

  8. New grad struggling with receiving/giving report

    Guest343211 replied to dann023's topic in First Year After Licensure

    ^This. Good stuff. You have to develop a system. Also, you might want to figure out what the typical admits are for your floor--or break it down to those clients that are most regularly...

  9. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    My parent's experience was a personal aside. It has nothing to do with what the standard of care should be. It DOESN'T take long to listen for an irregularity of rhythm. If the person's rate was...

  10. Which would be better? ADN or BSN?

    Guest343211 replied to Reckless96's topic in Diploma, ADN, BSN

    Go for the BSN, and get a job externing when you are a junior. Then suck it up and get a job on a very busy cardiac-surgical step-down floor, and then at least a good year in an excellent ICU....

  11. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    Put them in the freaking hall on a monitor near the nurse's station, or better yet, listen for an apical rhythm and get an EKG. You see, if someone had taken the few seconds to listen to the person's...

  12. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    I want to apologize for my last few posts. I posted from my iPad, and it autocorrects and so forth. So there are typos and spelling errors. I have to say that this is basic nursing assessment--even...

  13. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    THank you Susie. Hugs and kisses. You can take care do me and my family anytime!

  14. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    No one asked the triage RN to start tx. Someone tells you those symptoms and rapid hr, you take a look and listen. It doesn't take that long. I am not even asking you to listen foe murmurs or other...

  15. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    It is reasonable to consider that if the patient was found to be w/ a rapid rhythm--> say >130's, which, for someone that is not an infant or child is by definition abnormal, it requires the...

  16. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    Not uncontrolled afib. There's a difference between controlled and uncontrolled, rapid afib . Focused assessment could include a quick assessment of heart. His was a rapid rate by more than 30...

  17. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    OK, but I stand by my position. Just bc this pt lucked out, so to speak, does not mean ,it was necessarily handled OK.I don't agree w how some eds are structured and run. It's not a restaurant....

  18. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    Really, I have to agree with this. This is a pt who may very well be a ticking time bomb. So then the ED becomes like the casino. ????If EDs would stopped being used like clinics or urgent care...

  19. Just a question to understand the ER better

    Guest343211 replied to sheilahdee's topic in Emergency

    People with afib have a good chance of having a stroke, among other serious/critical problems. Some folks don't tolerate rapid Afib for very long. Sorry guys. Unless there were mass casualties...

  20. Defibrillation question

    Guest343211 replied to amoLucia's topic in General Nursing

    No one is supposed to take anything on Srubs as serious. It's seriously ridiculous. Fun to watch, b/c in a weird way, the absurdity makes

  21. I feel so dumb... I got flustered - about a patient in respiratory distress

    Guest343211 replied to LalaJJB's topic in Emergency

    Absolutely. This is why you must present your assessment data to the doc, np,pa... If you go to them w/ one or a few pieces of information, it doesn't mean as much as when you cluster data and...

  22. I feel so dumb... I got flustered - about a patient in respiratory distress

    Guest343211 replied to LalaJJB's topic in Emergency

    What I mean is that you don't use the typical ABG syringe. You get the blood, transfer it with a large gauged needle. You don't necessarily need the heparinized syringe for the ABG--especially if...

  23. I feel so dumb... I got flustered - about a patient in respiratory distress

    Guest343211 replied to LalaJJB's topic in Emergency

    All good points Stargazer. Personally, I think more ICU nurses should spend more time in the ED, and more ED nurses should spend more time in the ICU. It is good for learning all the way

  24. Defibrillation question

    Guest343211 replied to amoLucia's topic in General Nursing

    I have seen kits w/o razors. I agree, firm pressure and listen for analyzing. .

  25. I feel so dumb... I got flustered - about a patient in respiratory distress

    Guest343211 replied to LalaJJB's topic in Emergency

    Maybe it's just the unit nurse in me, but I would get the ABG and blood for the T&C off of that if I had to. If respiratory is doing it, fine. We've done this before. If it's one stick, you...