asapstat

asapstat

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All Content by asapstat

  1. Is ER nursing Floor nursing???

    To answer yoiur question..the ED is a mix of every kind of nursing..from bumps and bruises to massively critical..you get what comes through the door..and be ready for it. I read your reply also... and my gut tells me that you are either burnt out. l...
  2. talk me into or out of it

    I am considering a major career change. have been working in acute care setting as Rn for all my career (30+ years)...in critical care/emergency dept. Recently started per diem in long term care facility..while keeping FT position in hospital. Have c...
  3. What Gets to You??

    I still say FEET!!!. Stinky, sweaty, socks so toasted they are stuck to the skin..toenails that have been growing so long they curve under the toe...eight hundred layers of dirt...and when you take the sock off and a gangrenous toe comes with it...I'...
  4. Fear Factor, Nurse Style, Five Stunts... lol

    LIne up 50 patients...remove crusted stuck on socks with teeth..without taking off any toes.. drop in basin of already removed underwear...time limit two minutes. NO puking.
  5. ER Nurses Treated Different in my Hospital!

    I read the first three pages of responses, and sorry to those I didn't read, but this argument has gone on way too long!!. I have been a nurse for 31 years, all of them spent in acute care setting and the same argument has been going on for all my ca...
  6. IV Phenergan and Toradol "Push"

    We also use Phenergan IV frequently...and dilute it in 10cc saline if pushing through a hep lock..
  7. nj salary survey

    The salary definitely goes up when you work closer to NYC or Phila. In the middle of NJ it is markedly lower. The "Raritan Bay Bridge" (it has another name) seems to be the dividing line. But factoring in time to travel, tolls, wear and tear on a veh...
  8. nj salary survey

    The salary definitely goes up when you work closer to NYC or Phila. In the middle of NJ it is markedly lower. The "Raritan Bay Bridge" (it has another name) seems to be the dividing line. But factoring in time to travel, tolls, wear and tear on a veh...
  9. Protocols in the ED

    We have chest pain, abdominal pain, sepsis protocols, and we have some standard Triage order sets to choose from Makes doing the diagnostics go quicker ..Much better than knowing what to do and having to wait for a specific order before you can actua...
  10. Protocols in the ED

    We have chest pain, abdominal pain, sepsis protocols, and we have some standard Triage order sets to choose from Makes doing the diagnostics go quicker ..Much better than knowing what to do and having to wait for a specific order before you can actua...
  11. Personality traits suited for ER??

    Having worked both Critical Care and ER, and taught both groups of nurses,,,I say hands down the Critical Care area has the most "anal" individuals. They want numbers, numbers and more numbers!! In the ED if the patient has a carotid, brachial or ra...
  12. Personality traits suited for ER??

    Having worked both Critical Care and ER, and taught both groups of nurses,,,I say hands down the Critical Care area has the most "anal" individuals. They want numbers, numbers and more numbers!! In the ED if the patient has a carotid, brachial or ra...
  13. It sounds like everything snowballed and was blown out or proportion!!! I think you did the right thing to call security in an effort to regain control,... whenever we feel threatened, we need back up .. Too much workplace violence risk,especially wi...
  14. IV questions

    Side effects are those that might occur...adverse reactions are the unexpected, therefore may not be preventable. "IV Bolus" meds are given as quickly as possible, IV push meds are given over a prescribed period of time & lesser volume of fluid i...
  15. Acls

    Tip from a former Acls Instructor-The handbook and the review materials sent out by the AHA are easy to read and follow. Review your rhythms beforehand. and review the uses and doses of the drugs. Remeber to read about psot-resuscitative care. And do...
  16. alcoholism, would you help?

    I agree ...your role is to support your daughter and applaud her decision to take control of her life... promote the positive ...
  17. giving iv meds

    Absolutely no way. So many adverse reactions can occur... administering medications includes the follow-up and patient response. If you are not there to assess responses...but have signed for those meds??? I believe this is grossly unfair to you an...
  18. Triage Practices

    We are reviewing the away we triage patients in our busy ER- both walk-ins and ambulance patients. Please tell me how your triage system operates from point of entry until MD eval. Thanks
  19. TV in the ED

    We have them mounted on wall for most of our slots. They are a great distractor and I do not see an increase in visitors becasue of them Big events such as the super-bowl are "locked-out" in the waiting room tv..don't need to have verbal outcries ove...
  20. pediatric fever/septic workup

    What are your "age guidelines" for pediatric fever workups? I always thought the "fever >101 and under 6 months of age " was the criteria for complete workup.ie blood/culture/urine etc...ER MD told me it is now considered only for under 8 weeks as...
  21. Triage Practices

    thanks so much for everyone's input. We have another meeting tomorrow and I will bring back this info and look forward to reading more responses.
  22. Triage Practices

    your department is completely computerized. Do you document yoiur triage note manually or via computer. We have EDIM but are notusing it fully. the nurses are documenting hand-written notes. We just started point of entry computer log in ( patient pu...
  23. Never let one person's attitude affect you like this, In every unit there is at lest one sour apple. If the rest of the crew is easy to get along with, then stay the course. Do not go down to his/her level. Be the adult, be civil, non-threatening. A...