rhkenji

rhkenji

Geriatrics, Emergency Nursing

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All Content by rhkenji

  1. Reportable events CA

    rhkenji posted a topic in Emergency

    What are some events that warrants reporting to PD? Aside from 1). Suspected child/adult abuse 2). Homicidal patients that straight up identifies a target 3). High risks elopement (SI/HI patients,...

  2. Mistake

    rhkenji replied to Stella eliz's topic in Emergency

    Most nurses in my ER dont use a pump, but I always do but there's some times that I've administered blood wide open before on a 16/18ga and they finish within 30min to 1hour no problem. I stayed with...

  3. ER BOOKS???

    rhkenji replied to Kitkat222's topic in Emergency

    Sheey's. I recommend buying it but there's a PDF circulating online. I have it on my iPAD and its my go to sleep

  4. Your ER policy on giving rides home

    rhkenji replied to psu_213's topic in Emergency

    I hate this! 2 nights ago, I had a patient come in via EMS. She demanded that they be discharged as soon as she got into an ER gurney. The doctor discharged the patient right away and she requested...

  5. New Grad hired in the ER, question.

    rhkenji replied to Alexx_xox's topic in General Nursing

    I work in a very busy ER with very high acuity patients. I started off as a new grad and we hire and train new grads to work in the ER. It's a steep learning curve and about 95% of us did

  6. New grad nurse in the ER & not sure if I'm progressing fast enough.

    rhkenji replied to tpnurse95's topic in Emergency

    Hello, I currently have 2 years ER experience and like you, I started off as a new grad and was only given 6 weeks training (with possibility of extension to 8, but was not granted). I work in a very...

  7. Was I out of place?

    rhkenji posted a topic in Emergency

    I love my ER, 9/10 people in our ER treats ourselves as one family and is always ready to lend a hand even if you dont ask for it. They're just there when you need help and we strive to have a great...

  8. Propofol Dosing in ER

    rhkenji posted a topic in Emergency

    So, I had a AMS patient who was awake but non-verbal, not following direction and had to be intubated. Prior intubation, we couldnt get an accurate BP reading due to the PT being restless. After...

  9. Propofol Dosing in ER

    rhkenji replied to rhkenji's topic in Emergency

    This could be it as well, I agree. Analgesic was followed through afterwards. She was losing her airway and only medication included in our intubaton box are succ, etomidate and

  10. Propofol Dosing in ER

    rhkenji replied to rhkenji's topic in Emergency

    she was placed on propofol immediately after RSI. given that additional meds will take 5-10 minutes to get from pharmacy, she needed more sedation to control restlessness. immediate v/o to max out...

  11. Propofol Dosing in ER

    rhkenji replied to rhkenji's topic in Emergency

    This was immediately after intubation while new med were being

  12. Propofol Dosing in ER

    rhkenji replied to rhkenji's topic in Emergency

    The BP was later addressed with nitro and cardene. The propofol scenario and verbal order was right after intubation. While waiting for nitro, versed and cardene from

  13. Propofol Dosing in ER

    rhkenji replied to rhkenji's topic in Emergency

    Versed. She was placed on versed afterwards. But I guess MD wanted the propofol for sedation and to lower her

  14. I don't want to be a nurse!!

    rhkenji replied to sharebear003's topic in General Students

    Don't do it! Listen to these nurses. We wanted to be what we are but we still get burnt out by the profession. More for you that doesn't want to be one. Do yourself and future patients a favor and...

  15. ER VS ICU NURSING

    rhkenji replied to Johnny1414's topic in Emergency

    I work in the emergency department in a hospital with a very small ICU. Most of the time, ICU level patients stay in the ER when there is no bed available for them to be admitted, so we function as an...

  16. The rudest thing that's ever been said to you by a patient or family

    rhkenji replied to nikkole318's topic in Patient, Colleague Relations

    I work in the emergency room. At the start of my shift (1900), I had an ICU patient, intubated, was in a DKA with, only 1 line going, with no central line. I had a thousand of things that I needed to...

  17. Will I ever be good at this?

    rhkenji replied to amzyRN's topic in Emergency

    Been on the ER grind for the past 4 months as a new grad. I still feel anxious whenever I come in for a shift because I never know what's waiting for me but I just keep on swimming. Taking things one...

  18. Order of preference for sedation?

    rhkenji posted a topic in Emergency

    I'm a fairly new ER RN. I'm on my own for the past 2 months with 1 month preceptorship before going solo. Our sedative of choice for intubated patient is propofol, they usually go for versed if bp is...

  19. Battery: Defending yourself against a combative patient

    rhkenji posted a topic in General Nursing

    I was on my new work orientation today and the topic of restraint and battery was discussed at the end of the day. I totally understand that we CANNOT touch a patient without permission and the a...

  20. Battery: Defending yourself against a combative patient

    rhkenji replied to rhkenji's topic in General Nursing

    I asked about that, she stated: "the law sees the nurse in the position of power every time, even in a situation where the nurse defended him or herself against a

  21. Battery: Defending yourself against a combative patient

    rhkenji replied to rhkenji's topic in General Nursing

    thats what they said. let security handle the patient, they are allowed to: nurses then can put restraints (chemical, physical), but we cannot and not allowed to hold a patient

  22. Battery: Defending yourself against a combative patient

    rhkenji replied to rhkenji's topic in General Nursing

    We are a mix of med-surg, tele and ED nurses. I will be working in the

  23. Messed up my interview

    rhkenji posted a topic in Job Search, Interview, Resume

    So everything went well up to their last question. They asked me what I needed to do for a patient with a VTach (with a pulse). Nervous that I was, I answered it with SVT interventions such as carotid...

  24. Messed up my interview

    rhkenji replied to rhkenji's topic in Job Search, Interview, Resume

    Yes, you

  25. Messed up my interview

    rhkenji replied to rhkenji's topic in Job Search, Interview, Resume

    Thank you for the replies. I learned a lot from this post alone. I knew how to react in ACLS situation... but due to the nervousness I had, Vtach with a pulse didnt register to me... I assumed it was...