erjulie

erjulie

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All Content by erjulie

  1. Learning thread (ER medicine)

    erjulie replied to TraumaInTheSlot's topic in Emergency

    what does shearing effect mean? what's the mechanism?

  2. positive cultures-what's your system?

    erjulie posted a topic in Emergency

    We're having a lot of trouble keeping up with +culture callbacks. Currently, all cultures are routed back to the ED via printer from the lab as they become positive, and the secretary pulls the chart...

  3. pt report to ICU?

    erjulie replied to scrmblr's topic in Emergency

    I've worked critical care all of my career, both ICU and ED, also briefly in Tele and cath lab. I understand all sides of the issue. However, it is a power game that nurses play when they ask...

  4. Nurses and Domestic Violence

    erjulie replied to warmrain's topic in Emergency

    Illinois has programs, as does the county we live in. Most areas have women's shelters, or a crisis line that can provide info for you to get the information. I would hope that every town, city,...

  5. Nurses and Domestic Violence

    erjulie replied to warmrain's topic in Emergency

    I'm an ER nurse, and the estimate is that 30% of the females we see are victims of domestic violence. We have a state mandated screening tool that we ask every patient if they are safe at home. I've...

  6. Leaving work at work

    erjulie replied to FLoridarnl's topic in Emergency

    you're taking the first step down the burn-out road, one which I know well! The nurse following you is there to continue your work. Work is never done in the ER, as you know. I'm better about this...

  7. Thinking about going into the ER? HELP

    erjulie replied to johnson0424's topic in Emergency

    you'll have the quickest asessment skills on the planet...what an advantage that will be! Plus, they'll be right on about 90% of the time. Plus, you'll be humble enough to learn from the other

  8. giving charcoal

    erjulie replied to canoehead's topic in Emergency

    NG tube- then run it slow (like to gravity) helps to have the NG tube placed when their "sort-of" sedated, but good timing is rare... Really you can warm it in the microwave? I ALWAYS have trouble,...

  9. If you have to go to the ER...

    erjulie replied to mom23RN's topic in Emergency

    :chuckle love that. If they only would

  10. New ED Tech--

    erjulie replied to Pose's topic in Emergency

    congratulations! laugh at yourself, learn a lot and try to have fun...then kick butt in medical school, and never forget your colleagues: ER

  11. Titrate med orders

    erjulie replied to Jabramac's topic in Emergency

    changing the dose of the drug in response to a change in the patient's condition. For example, escalating chest pain pt's nitro can be titrated (in htis case,increased) until the pain is relieved....

  12. Funniest injury you have ever seen.....

    erjulie replied to MrsWampthang's topic in Emergency

    had a guy bring in his son with the 3 way hook embedded in the kid's cheek, just like the fish gets it. the guy was leading the kid by the fishing line still attached to the hook- sounds cruel but it...

  13. lumbar punctures on infants?

    erjulie replied to scrmblr's topic in Emergency

    are the rules changing for babes under 2 months with fever? in the peds er i used to work, anyone under 2 months with fever over 100 got the "works". (I always found the residents had better luck...

  14. Evil People

    erjulie replied to Happy-ER-RN's topic in Emergency

    why journalists? I particularly hate spoiled yuppie scum...but I cna't for the life of me remember if I've ever had a

  15. OPINION PLEASE-er triage situation-overwhelmed!

    erjulie replied to Uptoherern's topic in Emergency

    this just enrages me...the simpering pandering crap the manager/director/"leadership" shovels at these patients. It does nothing but undermine the work of the triage/bedside staff member who probably...

  16. Discharge orders you'd LIKE to write!!!

    erjulie replied to LoriAlabamaRN's topic in Emergency

    dc orders I've been tempted to write: 1. Always be looking over your shoulder. After verbally abusing me and my co-workers for the last (fill-in-the-blank) hours, and suggesting what we may do to...

  17. Room assignments and pt load.

    erjulie replied to hollykate's topic in Emergency

    in our 21 bed ED (40,000/year) level 2, there are no room assignments. The charge nurse assigns pt to you depending on what you have going on. We have a tracking board. This works well with most of...

  18. problems on orientation

    erjulie replied to noelle4's topic in Emergency

    seriously, that could have been me as a new grad in a PICU. I had the most psychotic mean woman in the world as a preceptor who essentially destroyed me in one year. It was awful despite the fact...

  19. What Gets to You??

    erjulie replied to mshooha's topic in Emergency

    This reminds me of an article that I read last year about a Nurse assistant in a nursing home in Texas. He was arrested for using drugs....he was taking the fentanyl patches:barf02: off of the old...

  20. micro mangers

    erjulie replied to 4kidsrn's topic in Nurse Management

    We're having a huge problem with just this issue....any advice would be appreciated. There is not ONE decision that can be made by senior staff/ charge nurses that does not have to be run though the...

  21. NP's in the ED

    erjulie replied to WhitDogg19's topic in Emergency

    I'm not an NP, wish i were, actually.. Our ER started using PA's about 5 years ago. Many ER RNs were insulted by this. The Medical Staff decided they would rather go with PAs. The ER docs weren't...

  22. New ER Nurse

    erjulie replied to MikeyBSN's topic in Emergency

    never assume that you know what's going on....it'll come back to haunt you! ALWAYS ask if unsure, no matter how many years you've worked. There is no shame in failing, only shame in not asking for...

  23. Evil People

    erjulie replied to Happy-ER-RN's topic in Emergency

    evil patients/families do suck the life out of you, but really only if you allow it. I'm not sure how not to allow it, there are different strategies depending on how you yourself are doing that day....

  24. Funny patient names by nurses

    erjulie replied to Kidrn911's topic in Emergency

    :chuckle It's Tallulah...that's how Tallulah Bankhead's name was spelled, she was a great favorite of my mom's. Here in the ChiTown suburb, I had a pt whose nephew was first name was Ryno, middle name...

  25. Call Pay

    erjulie posted a topic in Emergency

    I know I read about this somewhere in allnurses, but can't find it. I'm under the impression that we are to be paid from the minute we get called, (in other words paid for the drive time). However,...