ADeks

ADeks

Current: ER Past: Cardiac Tele

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  1. CEN!!!!!!

    ADeks replied to punkstar's topic in Emergency

    I took the CEN today and passed. Yayyy!!! I used Sheehy's Manual and Jeff Solheim has free printouts that go along with his lectures. I also used those when I was at work to look at some information...

  2. Warmed lidocaine

    ADeks posted a topic in Emergency

    Do any of your ERs use warm lidocaine for anesthetic during suturing? I was wondering how do you warm the lidocaine? Ours usually comes in 10ml plastic vials. The one with epi comes in glass... I was...

  3. What was the MOST ridiculous thing a patient came to the ER for?

    ADeks replied to JUSTYSMOM's topic in Emergency

    I'm visiting a family member in the ER and my back hurts so I'd like a bed to

  4. Levophed concentration and hospital policy.

    ADeks replied to calivianya's topic in Critical Care

    I work in the ED and we will run the 4mg/250ml for peripherals and 16mg/250 for PICC/CL. Sometimes the MD isn't willing to place an central line before sending the patient up to

  5. Male modesty double standard

    ADeks replied to caregiver111's topic in Patient, Colleague Relations

    My hospital is not a Level 1 trauma ER. We do however get trauma codes and police are there to help identify the patient and help find a contact person. Also if a trauma alert goes south as in the...

  6. Cyclic vomiters (drive me up the wall)

    ADeks replied to Emergent's topic in Emergency

    I've only had one cyclic vomiter that made me believe in him. He wasn't even complaining of pain really just that awful feeling retching. Which I

  7. Learning sick vs. not sick

    ADeks replied to Eatrealfood's topic in Emergency

    I feel like I'm always getting stronger about being able to feel sick vs. not sick. Another, helping factor another nurse taught me. Touch the patient. And I feel like it's so true. You just get...

  8. Should I Carry Nursing Malpractice (Liability) Insurance?

    ADeks replied to sirI's topic in Nursing Career

    Well, from my understanding if someone is suing the hospital. The attorney casts a very wide umbrella to try and find anyone at fault... So you could be apart of this lawsuit with or without...

  9. morphine ivp

    ADeks replied to oharnp's topic in Nurse Practitioners, NP

    For kidney stones, the usual order is Toradol 30mg iv, Zofran 4mg iv, and Dilaudid 0.5 mg iv. Then off to CT to r/o kidney stones. I was talking to an ER doc and she told me there's a big push for...

  10. OB ultrasound...foley or no?

    ADeks replied to Kalipso's topic in Emergency

    My ED does the same thing with the foley. It's a radiology thing. Patients can refuse, but I have seen them send patients back saying their bladder isn't full enough. They also insist they can't do...

  11. The best excuses for positive drug screens

    ADeks replied to rnaturcervix's topic in Ob/Gyn

    We don't need consent to do a UDS. But I had a patient refuse to provide a urine specimen in the ER because he figured we were going to do one when we asked for a urine specimen. He was right. There...

  12. accessing a port for just one blood draw

    ADeks replied to Ted D's topic in General Nursing

    I would ask the patient. I work in the ER and it depends. Sometimes depending on the port we still need a peripheral iv. We don't usually heparinize the port in the

  13. Local hospital now says "BSN or MSN preferred" for all bedside positions?!

    ADeks replied to Nola009's topic in Diploma, ADN, BSN

    I wonder if the push for MSN bedside RNs will stick. And if there is any pay increase?! The difference between ASN and BSN in the south is

  14. "I need my Lipitor!"

    ADeks replied to 1fastRN's topic in Emergency

    We've been having the same problem. Though the admitting MD is supposed to put orders in within a certain amount of time. If there is anything more pressing like their BP is high and they usually take...

  15. Pull until full triage

    ADeks replied to Mirnew's topic in Emergency

    We have a PA that starts orders based on triage interview from 9a-9p. That same PA May d/c some of the less complicated patients from the waiting room basically. We do have a designated fast track...

  16. The Infamous Cab-ulance

    ADeks replied to MedicalPartisan's topic in Emergency

    Did you offer the life-saving

  17. Seriously?!?!

    ADeks replied to emtb2rn's topic in Emergency

    A husband and wife with 3 children in tow (one being a small infant). The husband and wife both checked in with "heart palpitations after taking unknown diet pills 3 hours ago." They had gone to some...

  18. Pull until full triage

    ADeks replied to Mirnew's topic in Emergency

    We triage patients out in a triage room next to the WR after triage back out to WR. We will pull patient and do bedside triage if there is something emergent. We also have a PA who sits in in...

  19. The Infamous Cab-ulance

    ADeks replied to MedicalPartisan's topic in Emergency

    Pt here via EMS c/c "I need my Nexium, it's the only med to relieve my heartburn and my Medicaid won't pay for it." Her husband followed the ambulance to ER met pt in WR. Where, when pt was dropped...

  20. Migraine treatment in er

    ADeks replied to dsherman's topic in Emergency

    Usually Compazine 10mg, Benadryl 25 mg, Toradol 30/15mg, and NS 1L. They bust out the narcs if pain

  21. RT over-stepping boundaries?

    ADeks replied to 1RN4Christ's topic in Patient, Colleague Relations

    Many of the RTs I know go through an extensive program. Similar to to ADN and BSN. Many of my RT coworkers have a Bachelors degree in science. They are very well educated and are apart of the care. I...

  22. Help! Am I Responsible

    ADeks replied to tigress_8207's topic in First Year After Licensure

    I would be weary of taking pictures of hospital orders... Also you may not be allowed to record

  23. nurses dating nurses?

    ADeks replied to rnski's topic in Nursing Humor

    I'm currently dating an EMT. It's nice being able to vent about work and for him to get it. Same thing when he had a bad night. We both work nights and relatively have the same schedule. The nights...

  24. Role of huc/unit secretary

    ADeks replied to D.R.A.'s topic in Activism, Healthcare

    If all the charge nurses agree that this should be standard. Why don't you all just implement it. If you all stand together that this is now the charge nurses

  25. Role of huc/unit secretary

    ADeks replied to D.R.A.'s topic in Activism, Healthcare

    So you're trying to find something to show your workplace that a HUC can't make a patient assignment. Have you looked into your hospital's policy about HUCs? Also, it's really your charge nurses who...