Guest 360983

Guest 360983

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All Content by Guest 360983

  1. The newest and coolest thing you've ever done

    Guest 360983 replied to Christy1019's topic in General Nursing

    I love FEIBA--the labs normalize in minutes and I hear the patients have great outcomes, without fluid overloading like plasma does. We first used FEIBA just for new generation anticoagulants but now...

  2. What did you get for nurses week?

    Guest 360983 replied to BSNbeauty's topic in General Nursing

    A white hat made of foam by the nursing leadership. My work BFF declined, stating "No thanks, I need my brain." I know some old school RN will be unhappy at that comment, but I see hats as emblems of...

  3. Assertive with your providers.

    Guest 360983 replied to Sassy5d's topic in Emergency

    My favorite phrases, from when I got to work with off service residents in the ER (ugh scared trauma residents). "Yelling won't make this situation any better." "We need to help this patient, starting...

  4. Fake crying and bad acting in the ER

    Guest 360983 replied to Emergent's topic in Emergency

    Recently had a sudden onset R side weakness flown to my hospital for a stroke workup. Thankfully before we started the tPA we noticed that her previously unusable R arm (0 effort against gravity) was...

  5. new RN, first job, having tough time, need advice

    Guest 360983 replied to BrooklynRN11201's topic in Emergency

    Sorry, misread your comment about trauma vs whiners. So, maybe not the second part of my advice. I debated adding this earlier but I want to add it now: I started as a new grad in Hood Hospital. I...

  6. new RN, first job, having tough time, need advice

    Guest 360983 replied to BrooklynRN11201's topic in Emergency

    Being a nurse in an inner city ER is difficult in ways only other ER nurses in the inner city can understand. Look up Hood Nurse's blog. She isn't actively blogging anymore but seeing her stories...

  7. Should ICU get more pay than floor nursing?!?

    Guest 360983 replied to francoml's topic in MICU, SICU

    Don't underestimate the difficulty in taking care of a demented patient without a sitter, or trying to convince your super fall risk bedrest patient with C. diff that no, she cannot use the commode...

  8. Feed me, Seymour! When patients want forbidden food...

    Guest 360983 replied to TrevyRN's topic in Emergency

    I recently had a DKA'r with an insulin drip (but a glucose far less impressive than ya'll have seen) insist he needed something to eat "because I'm diabetic and my sugar will drop." Sweetie, that's...

  9. Charcoal/NG tubes

    Guest 360983 replied to Sassy5d's topic in Emergency

    Shake it like a Polaroid picture. When possible, encourage the student to do this so you don't get sprayed. If the patient is somewhat cooperative, honesty is a good policy. "Dude, this tastes...

  10. I Cried At Work

    Guest 360983 posted a topic in First Year After Licensure

    I had a super miserable shift yesterday. I'm a new grad, barely off orientation, in a crazy busy ER with a difficult population. I have 6 patients, who ought to range in severity from "You came to the...

  11. Anyone familiar with Kindred (LTAC)

    Guest 360983 replied to mindlor's topic in Long Term Acute Care

    Don't discount the interview you have for a "real" new grad internship. As a new grad, I cannot emphasize enough any support you'll get. I've heard some bad stories about our local Kindreds (tough...

  12. Do new graduates really get a job that easily in nursing?

    Guest 360983 replied to Bchung5's topic in First Year After Licensure

    I got my dream job straight out of nursing school, but it is at a less glamorous hospital and I had EMT experience. We have perhaps 10 large hospitals/systems in the area and I had interviews at 2,...

  13. Using Blood in Point of Care Urine Pregnancy Tests?

    Guest 360983 posted a topic in Emergency

    Does anyone use blood in place of urine for UPTs? I was reading an article about it and it could really save us some time. We have bedside urine pregnancy tests but a lot of nurses forget to run one...

  14. Using Blood in Point of Care Urine Pregnancy Tests?

    Guest 360983 replied to Guest 360983's topic in Emergency

    Ya'll use tubes? We have patients pee in a cup and then send the whole cup down. Well, we have them pee in two cups; one dirty, one clean for cultures. Funny how labs can be so different. We do...

  15. How do you remember to check on patients q 15min or 2hrs, etc?

    Guest 360983 replied to northmississippi's topic in General Nursing

    I'm an ER nurse. I don't have a tough time remembering who needs frequent vitals/checks because they tend to be the sicker ones who I am going to check on more often, regardless of orders. Things like...

  16. What does STAT mean to your Lab?

    Guest 360983 replied to sharann's topic in General Nursing

    In my hospital, we draw all non-scheduled labs. That's why the patient has an IV upon admission. STAT labs are supposed to be in the machine 15 minutes from arrival if sent by tube or immediately if...

  17. Have been in the ER for 3 hrs now....

    Guest 360983 replied to MadpeysRN's topic in Emergency

    If you'd come to my ER today, you'd still be waiting in the waiting room. We routinely have 24+ hour waits for non-emergent

  18. Trauma Nursing

    Guest 360983 replied to Wolf at the Door's topic in Emergency

    My Level 1 ER is like FlightJunkie's--the ER RN doesn't let go of the patient until they are on a different floor. The SICU nurses know their stuff, but they don't know fresh trauma (just like ER RNs...

  19. Malpractice Insurance?

    Guest 360983 replied to s.d.RN's topic in General Nursing

    Some malpractice companies (like NSO, and I'm sure others) will also provide a lawyer if you have to go in front of the Board. Oh, but I'll never do something that bad, like diverting, you think!...

  20. Dumb things new nurses do....

    Guest 360983 replied to OhioCCRN's topic in First Year After Licensure

    From a friend: She looked at the monitor, saw V-fib, and told her preceptor "There's something wrong with the monitor. He's too stable to go into v-fib." Yeah, it was real v-fib. From me: A known...

  21. Advice - I'll need a meal tray too

    Guest 360983 replied to LalaJJB's topic in Emergency

    I'm pretty sure someone already said this, but in case they haven't... "We only provide trays for admitted patients." No sorry, no excuses, just that, repeated as necessary. Technically we really only...

  22. Are there doctors on duty in the ER?

    Guest 360983 replied to Anna Flaxis's topic in Emergency

    I started my shift at 7 am and one of my patient began to vomit blood at 710. He immediately went up to the resus rooms. All of my patients can see each other, and you know there was one guy who was...

  23. Med Shortages

    Guest 360983 replied to Lunah's topic in Emergency

    We've been short enough on Ativan that we're grabbing it from the psych EC. The pharmacy doesn't seem to understand that when HALF of our ER is full of psych patients, we'll need more Ativan than...

  24. Since when were patients referred to a GUESTS??

    Guest 360983 replied to IndianaHH's topic in Patient, Colleague Relations

    I have no problem fluffing pillows and the like. I do have a problem giving a "guest" who is NPO a breakfast tray. I have a problem giving my triple bypass patient deep fried food. I will annoy my...

  25. Dumb things new nurses do....

    Guest 360983 replied to OhioCCRN's topic in First Year After Licensure

    I've done a LOT of the things on this thread (including giving myself a shower twice from the same bag!) but the most embarrassing moment was losing a patient. The transport techs grab patients and...