becca001

becca001

critical care/tele/emergency

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All Content by becca001

  1. Calling Code Blue in ED

    As part of the Code Blue Team, I am participating in a committee to revamp our Code Blue policies. We are a 100 bed hospital with no tramua level designation. ED is 25 bed unit and sees between...
  2. My biggest mistake was a med errror on a pediatric pt. I had recently been transferred to the ED after working for a couple of years on a stepdown unit and while the rest of the hospital uses metric...
  3. Curious Question

    OP, you state that you are a known procrastinator and you get caught up in other things. Some folks just should not have those temptations staring them in the face. It is all too easy to get behind...
  4. What some may be losing sight of is that Emergency Nursing is not just about trauma and codes. You've still got to be able to tell a STEMI from an anxiety attack, DKA from hyperglycemic, and numerous...
  5. What was the longest code you have been in?

    About 1 1/2 hours long. Pt was young (mid 30's) and wife had already lost a child 3 years prior. Unfortunately, it was unsuccessful. Seems the longer the code goes, the least likely for a positive...
  6. How the HELL Did They Get Into Nursing School??

    It's been a few years but we had a young lady that was a constant source of mystery as to how she got in and how she managed to stay in and graduate. Her clinical skills were close to horrible, she...
  7. Bedside nursing= depression?

    I am currently in a NP program. I always have a mid semester breakdown, but seem to push through the stress. I currently work weekend nights and have been able to work full time and do an online...
  8. Calling Code Blue in ED

    Thanks again for all the responses. I greatly appreciate any and all responses. You guys are the
  9. Calling Code Blue in ED

    P.S. ... OP, is someone in anesthesia bored, that they brought up this idea? No. The two biggest proponents of this idea are managerial and educators. I'm not certain what their agenda is but it's...
  10. Calling Code Blue in ED

    Thanks for the answers. Right now, the Code Blue team consist of an ICU nurse, step down nurse, an ED nurse, the hospitalist/intern, RT and primary nurse plus whatever nurse can be spared from the...
  11. Nurses who worked through school

    I worked 3 12's on weekend nights in a busy ER and was in accelerated nursing classes. During that time, I had only one child left at home (a teenager) and a very supportive husband. I basically had...
  12. "Sir or Ma'am" when addressing physicians?

    Okay, I'm going out on a limb here, but the most disturbing thing about the poll was that 30% of the respondants chose Are you kidding? I admit to being old (in some folks opinion ) but really???...
  13. Antiemetic Shortage

    Have seen the shortage of antiemetics but the most frustrating one is IV Valium. Had a seizing peds pt but pharm said they had been out for a couple months. Ativan just doesn't seem to work as well...
  14. A toothache. A simple toothache. No abscess, young relatively healthy 25yo. Called PCP after ED docs refused to continue to give her narcs and pharmacies in town refused to fill the one script she...
  15. Clinical Ladder at a small hospital

    I work in a 100 bed community hospital and we have recently started the clinical ladder program here. I'm not certain what you mean by successful, so far in the year and a half after implementation,...
  16. Please share your story

    Bottom line is this... you get what you put into it. Whether it's waitressing or nursing, it's all about the attitude. Some folks deal with the job only on the clock, others choose to put more of...
  17. Mandated Flu vaccine?

    Required for all in patient care. Exemption: allergies or religious belief and then you will be required to wear a mask from
  18. Silliest thing you ever did after a long shift...

    Okay, I worked 6 12h NOC's in a row, remembered on the way home that I had promised DH on the first workday that I would water the lawn. Turned on the sprinklers and went to bed. Only problem, it...
  19. Admission Teams

    Hey, just wanted a poll. Does the hospital you work for have an admissions team or does the floor nurse do all the medical history, etc? How large is your hospital? Does it seem to get patients...
  20. True ER stories

    Oh, which one to tell... okay, received a call one night from a lady that wanted to make a reservation to be seen for her abd pain. She was shocked to find out we are open all night and don't keep...
  21. pt abandonment question

    First, check with your BON to see if they have the same criteria. Your BON may further define sleeping on the job. Secondly, just off hand, I would say 'closing your eyes' for a short period of time...
  22. vent for those who work midnights

    I don't flip or try to stay up, then sleep at night on my days off. Too hard on the body and mind. Fortunately, I have a wonderful husband that understands and guard my sleep. Mostly because as a...
  23. Bedside reporting

    Does your hospital require you to do bedside reporting? Has it increased your Press-Ganey scores? Satisfaction scores? I've seen comments before both for and against, and now that my hospital is...
  24. Please, Any advice or opinion is helpful!

    I was fortunate enough to work as an Emergency Room Tech during NS over the weekend nights. Every Friday, Saturday and Sunday nights. This was a bit of a problem for Monday morning clinicals but I...
  25. RN On-call car plates/sign on cars

    laynaER, I'm not sure you're getting my point. Reputation means a lot around my hometown. If I'm accused of gross negligence, my reputation will suffer. My employer may stand behind me and maybe...