gardengal1

gardengal1 ASN, RN

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All Content by gardengal1

  1. NO LUNCH

    gardengal1 replied to pm2rn's topic in Emergency

    We never get lunch or breaks - you grab a bite whenever you can. BUT, no lunch break is taken out of our 12 hour shift - we get paid for the entire 12 hours - even if we would happen to be able to...

  2. New Nurse Looking For ER Advice

    gardengal1 replied to DavidRamirez's topic in Emergency

    Most ER's don't hire new grads - they expect about 2 years of medical/surgical/ICU background before allowing a transfer into the ER. Get your foot in the hospital where you want to work on any floor...

  3. How can we make the process of report from ER to floor better?

    gardengal1 replied to nrsang97's topic in Emergency

    We NEVER hold a patient during shift change - that is what the Resource Nurse is for. Admits go up as soon as they are ready, no matter what time it might

  4. How can we make the process of report from ER to floor better?

    gardengal1 replied to nrsang97's topic in Emergency

    We use the same computer system as the admitting floors. When we call to give report to an admitting nurse, if they are not available, they MUST call back within 10 minutes, otherwise, the Resource...

  5. Need ideas to reward nurses that successfully pass their CCRN

    gardengal1 replied to cjuricek2621's topic in Critical Care

    Money. It is the driving force behind most all higher-level certifications. Of course, the recognition should come with it but, if others on their unit know that a raise came with this...

  6. ER computer programs

    gardengal1 posted a topic in Emergency

    Am searching for a computer charting program/system for the Emergency Department which you think is easy to use, is complete in it's content and doesn't require you to flip through dozens of screens...

  7. Succ vs Etomidate

    gardengal1 replied to maloneys's topic in MICU, SICU

    We use Etomidate exclusively for bedside procedures (reduction of dislocated joints). For intubation, we combine Succ with Etomidate pre-intubation as a 2 drug combo. For procedures, Etomidate is...

  8. Vodka tampons?!?

    gardengal1 replied to Christy1019's topic in Emergency

    Regarding the post that kids now will snort anything: I recently had a teen ask me if he could get high from snorting Warfarin. I calmly told him "no - but you will bleed to death". Then came the...

  9. Does your facility allow the floor/unit nurses write up other nurses?

    gardengal1 replied to DayDreamin ER CRNP's topic in Emergency

    People do this crap in our hospital all the time but fortunately, we never see them. At staff meetings, our boss will tell us we have had some write ups about ie: sending a pt for a MRI with a...

  10. The problem with floating ER Nurses

    gardengal1 replied to crabalot's topic in Emergency

    We do NOT float, EVER. And, it is the rare occasion that you are allowed to go home ON CALL and must be within at 15 minute response time to get back there when **** hits the fan. I do not have...

  11. What do you consider to be nursing's biggest setback?

    gardengal1 replied to almost30's topic in Patient, Colleague Relations

    Not having the TIME to spend TIME with my patients due to all the other "stuff" we have to do in addition to the unsafe staffing

  12. Triage at the bedside

    gardengal1 replied to MAISY, RN-ER's topic in Emergency

    We are now talking about bedside registration to see if it will work for us. I have read the posts from the past year and understand that communication is key. What about actual numbers of staff to...

  13. Triage at the bedside

    gardengal1 replied to MAISY, RN-ER's topic in Emergency

    We are smaller hospital, 19 beds, 28,000 ER visits/year. We have 2 ER techs (most are nursing students or paramedics) who get name/birthdate/presenting complaint and sit at a desk in the waiting room....

  14. Supplies You Can't Live Without

    gardengal1 replied to felineRN's topic in Emergency

    Kelly clamp and ink pens - everything everyone else has mentioned is at my fingertips in every room. Computers in rooms have micromedix so don't need to leave room. BUT - have my own personal stash...

  15. Door to ct time for strokes

    gardengal1 replied to nurse ninja's topic in Emergency

    We follow the same guidelines as mwboswell has

  16. Dropping pressures with nitro. Anyone experience this??

    gardengal1 replied to TinyRNgrl's topic in Emergency

    I have this happen to me once or twice a year - some patients are VERY sensitive to nitro. Example: female 58 years old, chest pain, no meds, after IV in, BP 158/90's, first nitro - within a minute,...

  17. Need advice from experienced ER nurses!

    gardengal1 replied to inteRN's topic in Emergency

    First, our doctors are VERY conservative on dehydrated peds. Their theory is to Zofran them, wait a while and then start oral rehydration. It may mean a much longer ER visit while the rehydration...

  18. My Microbiology Teacher told me I can't become a Nurse

    gardengal1 replied to louis345's topic in General Students

    My microbiology teacher told this to our entire class - that our "pretty little heads would never remember this stuff". How condescending and all of us passed. I graduated at the top of my class...

  19. I hate what's happening to nursing...

    gardengal1 replied to nyteshade's topic in Patient, Colleague Relations

    TO REENSI; You can be steamed all you want because this forum is for nurses to safely vent their frustrations and you, as a student nurse, cannot possibly understand how the nursing profession has...

  20. Things you'd LOVE to tell coworkers...and get away with it!

    gardengal1 replied to General E. Speaking, RN's topic in Patient, Colleague Relations

    Does texting make you deaf????? Can't you hear the 5 call lights going

  21. *Vent* RN's make toast?!?!?!

    gardengal1 replied to WickedRedRN's topic in General Nursing

    We HAVE a pizza oven - it keeps setting off the smoke alarms! Would trade it for a toaster. We could then get that banned immediately also - someone needs to take lessons from

  22. Crossed the line... or expected behavior?

    gardengal1 replied to traceyw's topic in General Students

    My take on this would be that everything as far as explanations were properly done prior to the start of the procedure. It would be that there was silence while the procedure was taking place and...

  23. Crossed the line... or expected behavior?

    gardengal1 replied to traceyw's topic in General Students

    Lots of side-notes from everyone on this. My belief is you don't have to DESCRIBE what is being done but ask your patient "are you doing OK" when you see the needle going in. As the radiologist...

  24. Is anatomy one of the toughest courses for nursing?

    gardengal1 replied to Toots71506's topic in Pre-Nursing Students

    Micro was most difficult for me but our professor was part of the problem. He would say (our class was all female) "don't worry your pretty little heads about this because you won't have to know it...

  25. Medical Terminology in Nursing...

    gardengal1 replied to studiousme's topic in General Nursing

    Medical terminology is the basis for all your future learning. Just make sure that you become proficient at spelling these terms also. Otherwise, people still will think you are dumb if you can't...