DayDreamin ER CRNP

DayDreamin ER CRNP

ED

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All Content by DayDreamin ER CRNP

  1. To airway or not?

    Always, always, ALWAYS ABCs. Airway, airway, airway. You address A before you move to B. You make sure you have A and B before you move to
  2. ER BOOKS???

    do a search on here in some of the new grad threads I don't know of any book titles but other have posted
  3. Moral dilemma? Or should I mind my own business?

    The more I thought about this, the more I'm inclined to say something to the school. If they are balls-y enough to announce their intentions, the more likely they are to do other stupid stuff. If...
  4. Has anyone ever done a post masters?

    My current employer is asking me to so I can see peds. I am also think that I am approaching a retirement age and can't see me working in a busy ER / hospital environment in my 60s and may consider a...
  5. Moral dilemma? Or should I mind my own business?

    I understand your dilemma. My first thought is, "How do they intend to use someone else's urine when part of the test includes checking for temperature?" I'm sure there are ways around a drug...
  6. Help me make my ED better!!!

    I'm also not sure what all that means but.... What are you doing to further the department's training, certification and education? I'm not talking about going back to school but is there an educator...
  7. Would this risk my nursing career?

    While we are not lawyers, we all have similar opinion. He is an addict. Imagine this.... you go to pick boyfriend up from said Rave. You get pulled over leaving that known drug area and, lo and...
  8. Hypothetical situation, thoughts?

    Prime example of "Just because you can, doesn't mean you should." I would only render care if there were no EMS on scene and the only thing I'd do is hold c-spine and render general first aid type...
  9. Has anyone ever done a post masters?

    Gotcha. I think I read your OP as you were already working as an NP in the ER. Yes, if you are wanting a higher acuity job or a hospitalist position, you'd definitely need the acute care. I'm...
  10. Sleep insomnia is affecting me

    GAH! I sound like a
  11. Sleep insomnia is affecting me

    Yes. I use both sometimes. You can actually take several melatonin capsules instead of just one. I will warn you that you might have some weird and vivid dreams. I am actually taking Trazadone...
  12. former nursing student and wanting to finish nursing degree

    If you have the choice between and ADN and a BSN and it doesn't make a difference in your job market, I'd go for the
  13. General Advice

    Your first priority should just be to graduate and pass boards. I'd start applying for jobs in late March to early April assuming you graduate in May. A lot of facilities will start the new-grad...
  14. Sleep insomnia is affecting me

    First of all, I can totally relate. I've had terrible insomnia for years. Secondly, nursing school creates some high anxiety and stress for us sometimes. For me, when I am not exercising I don't...
  15. Extremely Sore Feet!! HELP

    If your feet are hurting that much, it may not be the shoes but the fit. I have wide feet and an "off the shelf" shoe will never fit me. I see others with their feet crammed into ill-fitting shoes...
  16. Did I break HIPAA?

    I seriously hope you use this as a very hard lesson learned and never make these mistakes again. While you may not have violated HIPAA, you certainly have violated most facility's social media...
  17. Pain management

    According to the CDC, you are incorrect. Opioids are the #1 most abused / misused drug in the US and cause more in monetary damages than alcohol. Per our statistics, we see more drug-related...
  18. Has anyone ever done a post masters?

    Why do you feel that you need the Acute care after receiving the FNP? It is usually the other way around
  19. Two step triage process and registration

    We have a large desk when the patients first walk into he ED and fill out the reg form with a CC. A "pivot" nurse asks what about the CC and might ask one or two more questions about history. ie: pt...
  20. Pain management

    I'd say, "Mr Room 7 still seems to be in a fair amount of pain even after I gave that dose of X drug. His pressure is 158/74 and his HR is 94. Think we can maybe try some morphine or maybe XYZ...
  21. Pain management

    @Matt8700 Please don't misinterpret my response. While a provider doesn't have to justify his/her order, *I* personally am open to the information gathered from the nurse and I'm very open to...
  22. Nursing preceptor

    If I had the chose between these two, I'd go with the mother/baby option. In this area, anyone can apply to the surgical program after graduation and it doesn't matter where you precept. Typically,...
  23. Pain management

    #1: The AMA recommendation is to treat chronic pain with NSAIDs not narcotics. As a provider myself, there is nothing that I can justify prescribing for the patient's chronic pain that he/she...
  24. Working with MLPs in the ER

    I'm transitioning from an RN role into an NP role in a different ER from where I got my RN experience. We have successfully used MLPs for as long as I've been there. They have had several evolutions...
  25. Emergency room Technician

    I used to orient new hires in the ED and I would always say, "It takes a year to be comfortable, Three to be confident and five to be proficient." Of course, that's for a nurse but techs in some EDs...