rhkenji

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, patients with IV) I ask cause one of our ED nurses wa...

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 the patient in the first 15 minutes as I should.

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 book.

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 for a ride home. "I came via ambulance, WE need a ri...

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 fine

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 busy ER with many critical patients, although 6 we...

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 shift every time. There's 1 or 2 nurses that REQUIR...

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 intubation, her BP was found to be in the 260s/150s, re...

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 roc.

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 propofol was given when it seemed like her high BP an...

This was immediately after intubation while new med were being added.

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 pharmacy.

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

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 don't do it

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 ICU nurse as well, on top of our other 3 sometime...

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 do and I had this family member watching every sin...

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 shift at a time, sometimes, surviving an hour at a...

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 unstable or we add a pressor with propofol and tit...

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 patient has the right to refuse to be touched or cared...

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 patient"

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 down.

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

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 massage, forced valsalva, adenosine, cardizem stu...

Yes, you do.

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 SVT. I see your point about the carotid massages...