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 100-190 pts in a 24 hour time frame. The Code Blue team ...
  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 system, the ED uses standard. Still being in the ...
  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 in NS and making it up is not only stressful (like...
  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 other issues. Personally, I think your backgroun...
  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 outcome.
  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 hid from the instructors all during rotations, 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 program full time 8 hours a semester. This semester I ...
  8. Calling Code Blue in ED

    Thanks again for all the responses. I greatly appreciate any and all responses. You guys are the greatest.:yelclap:
  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 become a fairly fierce debate. Currently, Directo...
  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 floor that inititated the Code. We are not large en...
  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 nothing else going on for that 16 months. It too...
  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??? Have we really lost the need for a little uncommon c...
  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 or as quickly.
  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 did have as she was refusing the antibiotic. PCP ...
  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, we've had only a dozen reach the 3rd level and non...
  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 themselves into whatever field they are in. Either ...
  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 Oct-Mar.
  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 had been raining the entire 6 NOCs.
  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 settled in their beds faster and easier? Thanks so m...
  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 regular doctor hours. (why don't more people think th...
  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 is going to be considered sleeping on the job if ...
  22. Why apologize to doctor when calling?

    Ahh, Kooky Korky, you said it much better than I. Thanks.:loveya:
  23. Why apologize to doctor when calling?

    It's just a common courtesy. My docs appreciate it and respond in kind. But then, you'll always get the few that act like buttheads regardless. It's then that you show your true professional self by rising above it.
  24. 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 firefighter, he knows what it's like to be up in the...
  25. 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 attempting to enforce this style of report, I need s...