obliviousRN

obliviousRN

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All Content by obliviousRN

  1. Pediatric Chest Tubes

    obliviousRN posted a topic in Emergency

    What size chest tubes do you stock in your ED for peds cases? I feel like we are overloaded with multiple sizes that we don't need. What are your PAR

  2. African Americans in Oregon

    obliviousRN replied to Codeda's topic in Oregon Nursing

    I haven't found that. I moved to Eastern Oregon from Portland and haven't seen any evidence of racism here. Our community is very accepting of any

  3. Comments from the peanut gallery....

    obliviousRN replied to emtb2rn's topic in Emergency

    Wow. Talk about nurses eating their young. Now I'm a seasoned ER nurse who gets irritated by many things - even someone interrupting a vent. BUT - she explained herself and what she was really...

  4. ADNs and forensic nursing.

    obliviousRN replied to Lachrymologist's topic in Forensic

    There are a couple of programs where you can get a forensic certificate without a bachelor's

  5. Training Options

    obliviousRN replied to bsnurse509's topic in Forensic

    I started as a SANE at our hospital and furthered my education from there. I had to do a lot of self starting to get the experience needed to round out my education. Luckily, I hooked up with some...

  6. lidocaine for IV starts?

    obliviousRN replied to NativeTexan's topic in Emergency

    I've found that using lidocaine increases my rate of missed IV's. Without it, I can get in virtually the first time every time (except for those "everyone has a bad day" type of days). If I use...

  7. Do you disclose a positive urine HCG?

    obliviousRN replied to Salls25's topic in Emergency

    I talk to my patients about test results all the time. Potassium levels, INR's, Dig levels, etc. It's giving data - not a diagnosis. I am not diagnosing someone by saying "your pregnancy test came...

  8. Ez-io

    obliviousRN replied to JoshuaAdamsRN's topic in Emergency

    Infants are notoriously hard to get because it's so darn easy to pop on through. If your hand is not steady and you are not ready for that initial pop into the marrow then it is almost a guarantee...

  9. Where to move? HELP!

    obliviousRN replied to Clipping's topic in General Nursing

    I actually make more here than I did working at a trauma center in

  10. Where to move? HELP!

    obliviousRN replied to Clipping's topic in General Nursing

    Eastern Oregon - completely "outdoorsy" area. Union hospitals - wages good. I love love love

  11. ED t-shirts Hilarious

    obliviousRN replied to ecat81's topic in Emergency

    Oh my gosh! I love those. Off to go

  12. Tell us about your ED ?? =)

    obliviousRN replied to shannonFNP's topic in Emergency

    I work in a rural/frontier ER. We have 4 beds, 2 of which are critical care. We have one nurse to staff the ER and we get back up from the med/surg floor when needed. The nurses in our facility...

  13. reportable cases in the ER

    obliviousRN replied to b eyes's topic in Emergency

    In the state of Oregon we are required by state law to report any DRIVER of an MVC who is under the influence. Or if the MVC is used as an assault (i.e. trying to kill someone with their car)....

  14. Joke..You know you are truly an ER nurse if...

    obliviousRN replied to HanaRN's topic in Emergency

    I just laughed so hard I snorted. This is the best thing I've heard in

  15. Question for ER moms

    obliviousRN replied to RN_in_SC's topic in Emergency

    It's none of your bosses business until you decide to tell them. Definitely give them enough time to plan for your maternity leave

  16. "Flex" Competition Ideas

    obliviousRN replied to kaiteeb61's topic in Emergency

    Alphabetical diagnosis - who can write out the most diagnosis in alphabetical order (appy, broken arm, cardiac arrest, dementia, etc) Who can make a 100 link paperclip chain the fastest Good ole'...

  17. What was the WORST thing a patient has been brought to ER for?

    obliviousRN replied to SteveNNP's topic in Emergency

    21 y/o male ejected during rollover MVC. Nasty head injury, facial fractures, lost one eye. Expected to be in a vegetative state for the rest of his life. Happened on Thanksgiving day. Woke up on...

  18. Evidence collection on unconscious patient

    obliviousRN replied to Putts's topic in Forensic

    Number one - check your state regs on this. I'd ask your local DA to be sure you are in compliance with these. Maybe they can consult on your policy as you develop it. That's what we did. Number...

  19. what makes you a good ER nurse?

    obliviousRN replied to scrmblr's topic in Emergency

    What makes a good ER nurse? The realization that "some dude" will never be caught because he does not exist. For example: "I was just sitting there minding my own business when some dude walked up...

  20. Small ER Management

    obliviousRN replied to canoehead's topic in Emergency

    We also have 1 nurse to staff our ER at night. They usually waste with the med/surg nurses since our hospital is small enough to run and get them (i.e. 100 feet down the hall to med/surg type of...

  21. Medical Screening Exam at triage by RN

    obliviousRN replied to RNinED's topic in Emergency

    The radiologist reads the Xray. We wait for the dictated report. Doesn't take long at our facility as it is not a huge

  22. Medical Screening Exam at triage by RN

    obliviousRN replied to RNinED's topic in Emergency

    I'm in Oregon and we do MSE's at our facility. First and foremost we determine emergent vs. non emergent (MSE) - this may include some labs and/or Xrays. We then triage them into the order to be...

  23. Is it appropriate to check on pts?

    obliviousRN replied to MikeyBSN's topic in Emergency

    We routinely do follow up calls on our pts we transfer out. We use it as a QI process. By obtaining the info we find out many things: 1. could we have changed the outcome by our initial treatment?...

  24. ? Incompetent Nurse..(part vent)..long

    obliviousRN replied to Schatzi RN CEN's topic in General Nursing

    OH! One more thing. Stress the value of an emotionally stable work environment. "Studies show.....blahblahblah". Stress the fact that Patients (of whom are the most important piece of the...

  25. ? Incompetent Nurse..(part vent)..long

    obliviousRN replied to Schatzi RN CEN's topic in General Nursing

    I'd suggest a written complaint with copies to your DON, CEO, hospital board, State Board of Nursing, and union (if you are union). Give factual information, not emotional. Such as: Ms. Smith's...