belle87RN

belle87RN

Emergency!

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All Content by belle87RN

  1. You Know You're A Nurse If...

    Thought of another one... If you've ever said, "This patient's history reads like a textbook."
  2. You Know You're A Nurse If...

    When you can change your dust ruffle on a full size bed using the same technique as doing a bed change on a total care patient. You have night mares of taking care of 8-9 patients after a night of chaos and getting 4 admissions. You know for a fact...
  3. Worst doctors orders ever received

    Why was he giving in and giving her Dilaudid, if he knew that she is a drug seeker?
  4. What is the most interesting case you've seen in the ER?

    You guys all have great stories. Mine is from when I did a shadow day in the ER as part of my new nursing orientation. I had previously worked in the ER as an aide before I graduated nursing school so to be honest I didn't expect to see much else th...
  5. Epic (Nursing) FAILS!

    Ouch! That had to hurt. Nubain and I are not friends. In my OB rotation in nursing school I went it to my patient. It was my ever REAL experience with an ampule and was supposed to be my first ever IVP med. Well I broke the top of the ampule off the...
  6. Call Off Policies?

    What are you facilities call off policies? I think my work stinks, if we call of more than 3 times in a rounding year we either get a verbal or written warning, or suspended if it's more than 5. The only exceptions are if you use medical leave or are...
  7. Best Shoes...

    I'm sure this topic has gone around this place a few time, but I have yet to really find a pair of shoes I love. When I worked in a college kitchen for a year I had a pair of shoe called Klogs, they were the best shoes I ever owned, not pretty but de...
  8. Call Off Policies?

    It frustrates me that we don't have a little more leeway. If I'm sick, I don't think I should be taking care of any patient, let alone the surgical patients that I was supposed to take care of. I was sick for 3 weeks and kept working, my body just co...
  9. Am I wrong for calling off? Please help!

    It probably wasn't the best idea to call off, although I don't blame you. No nurse, no matter how experienced you are should ever have to deal with that kind of mess. The charge nurse was definitely wrong in telling you flat out that she was calling ...
  10. He wont bleed....Is there a trick to this?

    Warming up their fingers or a little finger tip massage to get the blood going. Although the later isn't really recommended. Also make sure you aren't too far off to the side. Sometimes the sides of their fingers won't bleed well. Get it right in tha...
  11. What is your Nursing Kryptonite?

    I CAN NOT stand epistaxis! Ugh, so gross! Especially when they have clots built up in their throats and they are hacking it up. I volunteered to help out in room 7 in our ED (our ENT room, without thinking) The guy had a massive bleed he'd had for a ...
  12. Just 75 Questions!

    I can't believe it! I took the NCELX yesterday and only had 75 questions. I was so nervous and didn't know what to think. But I got my results this morning and I passed! I was so excited, one of the nurses I worked with when I was a nurse aide gave m...
  13. I want to be an ER specialist Nurse

    You are able to specialize in emergency medicine here in the states. There is something called a CEN or certified emergency nurse that you can earn (not sure how yet cause I'm still in school). But definitely try out emergency nursing first, some peo...
  14. Funny things that pts say

    I love the patients that come to the ER thinking the have "amonia" One time a patient came in complaining of pain in his "wing muscle" I said to him "you mean your shoulder?", "No my wing muscle, right here." he said as he pointed to his shoulder bl...
  15. How to give an injection?

    The above two are correct, you will be taught the best ways to give injections in schools and the patient rights. I was scared at first too but there are a lot of ways to reduce pain with injections. One of the best ways to reduce discomfort is to sw...
  16. As much as we scoff at it, it can be an emergency. Twice in one night we had young females come into the ED for stomach pain and N/V for several hours by ambulance. One had a almost if not already ruptured ectopic pregnancy, the other had bleeding in...
  17. Is there an easy way memorizing drug names?

    Some drug classifications are easy to remember because of there endings. - olol or lol drugs are Beta Blockers - statin's are lipid lowering agents - caine's are usually numbing agents - il's or ril's are ACE inhibitors - sartan's are ARB's Those a...
  18. Which drug to give..........and why????

    I'm an not familiar with the second two drugs but I am familiar with morphine, and we had a representative from our local hospice care in our nursing class last week. She talked about a lot of times these patients that are in end stage disease often ...
  19. Kid fell off bike: what would you anticipate?

    I work in the ED and I do agree it's up to the doc really. We have docs that would just do the basics and docs that will give them an entire work up "just in case". I will venture to say that the answer is a combination of option 1 and option 2. The ...
  20. Weird Idiosyncratic Reaction????

    Okay so this is more for myself than anything else. I know that lots of people can have idiosyncratic reactions to medications. In my case, I've taken Levaquin, Biaxin and a Medrol dose pack in the past and all of caused me to have I guess you would ...
  21. Whats the worst that can happen?

    What camp did you work at? It sounds like a camp in NY that I go to called Word of Life. But I would imagine you would have seen a few fractures and sprains there given all the activities that they do.
  22. Echo interpret- R or L sided HF?

    To answer your question regarding the L sided heart failure causing R sided heart failure. In this case you need to think about your patho. What is going on in L sided heart failure and where is the blood going. In L sided heart failure, the heart us...
  23. Nursing Diagnoses

    So, I'm sure that I will be able to figure out some on my own but I just thought I'd ask for your thoughts on nursing diagnoses for a patient who is 65 years old, with a recent tracheostomy and PEG tube. He was has bibasilar atelectasis and had a bar...
  24. Lab Values

    I would go with what the book says or what the hospital your school is affiliated with says. If they wanted you to buy the book, that means they are probable using the values and info from those books.
  25. HELP Med-Surg 1

    These are the med-surg text books we use and they are helpful. This one even comes along with a study guide with really helpful study questions on each chapter. Then you can go online and look up the answers to the questions. Check it out on amazon...