ADeks

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 quickly when I had a few minutes.

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 studying for my CEN and ran across this. Thought ...

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

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 ICU.

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 patient dies. Then the patient is basically a crime s...

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 believed.

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 more of an idea when you feel that cold clammy arm......

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 insurance. Obviously, if you do have your own insurance and...

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 better pain control in a 'timely manner'. Especially...

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 the US until the HCG quant has resulted. Which to m...

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 were questions about him being homeless, clearly hi...

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 ER.

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 minimal.

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 nightly BP meds, I'll try and get the ED doc to w...

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 11a-11p, but that's seen by PAs and MDs. We are a hig...

Did you offer the life-saving foley?

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 hotel convention selling some weightloss pills. T...

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 triage. PA will ask additional questions, may do some qu...

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 off in WR by EMS, she got off the stretcher without ...

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

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 wouldn't be upset that they would discuss things l...

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

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 where one works and the other is off is nice. A litt...

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 responsibility.

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 have "delegated" this task whether incorrectly. So...