DayDreamin ER CRNP

DayDreamin ER CRNP

ED

Member

  • Content

    640

  • Visitors

    10,976

  • Followers

    0

  • Likes

    18

All Content by DayDreamin ER CRNP

  1. VISITOR POLICY

    DayDreamin ER CRNP replied to Kiwi82's topic in Emergency

    Our policy is two visitors per patient. We just have stickers that are issued at our front desk and the desk staff is supposed to call back to the pod and ask when the visitors can go back. Most of...

  2. Floor nurse moving to ER? Lots of questions?

    DayDreamin ER CRNP replied to tsm007's topic in Emergency

    Other than keeping current on your charting, the other issue I find with floor nurses that come to work in the ED is that they aren't used to a team approach to patient care. Not saying floor nurses...

  3. Can't pass ancc

    DayDreamin ER CRNP replied to Kharwell's topic in Student Nurse Practitioner

    You have to wait 90 days to re-take the exam. During these 90 days, I'd run to a Barkley Review. He is REALLY good and got me fired up to re-take the

  4. Can't pass ancc

    DayDreamin ER CRNP replied to Kharwell's topic in Student Nurse Practitioner

    I didn't pass my first time either. Did either of you take a Barkley Review course? I highly recommend it if you haven't. Do you have plans to retake it

  5. New grad ER nurse

    DayDreamin ER CRNP replied to FutureBSN17's topic in Emergency

    10 weeks seems appropriate. You will struggle for a few months but that is the time when you will learn the most because you WILL make mistakes. Slow down when you get flustered. Breathe. Don't...

  6. New Grad Completed Practicum in ED seeking career path advice

    DayDreamin ER CRNP replied to ED_RN52's topic in Emergency

    #1. Do a search here. Some of these questions have been answered quite a bit around here. #2. I have my ACLS, PALS, TNCC, and CEN. while these are great certs, they don't make me a better ER...

  7. New Grad ER Nurse

    DayDreamin ER CRNP replied to Tuesday's topic in Emergency

    Do a search on this topic. It has been discussed ad nauseam here. Lots of great info if you just search a little bit. good

  8. ER/ Trauma vs Trauma ICU

    DayDreamin ER CRNP replied to Alexxoxox's topic in Emergency

    Less than an hour. Goal is 20 minutes from ER to scanner, unit, or OR but that can vary based on what all needs to be done. We are a 800+ bed L1 hospital with six trauma rooms in the ED - one is a...

  9. ER/ Trauma vs Trauma ICU

    DayDreamin ER CRNP replied to Alexxoxox's topic in Emergency

    Depends on whether you want the patient straight off the street or from the ER. Kind of depends on whether you are willing to wait the two so years it will take to be the nurse to take the "big bed"...

  10. When will everyone understand things are different in the ER

    DayDreamin ER CRNP replied to ClayH's topic in Emergency

    I really do get what you are saying but the biggest difference is that all of those things you have mentioned are not life threatening or altering. Most, if not all, of those things can wait a minute...

  11. New Grad Nurse Starting in Tramua 1 ER

    DayDreamin ER CRNP replied to Runner_12345's topic in Emergency

    https://allnurses.com/emergency-nursing/recent-transfer-to-1105611.html https://allnurses.com/emergency-nursing/tips-for-a-1043132.html...

  12. New Grad Nurse Starting in Tramua 1 ER

    DayDreamin ER CRNP replied to Runner_12345's topic in Emergency

    Please do a search on this subject. It has been discussed ad nauseam on here for years. Loads and loads of info to be

  13. I just failed my aanp exam june 2017

    DayDreamin ER CRNP replied to RM, MSN's topic in Student Nurse Practitioner

    I failed ANCC (adult-gero acute care) in late March. I felt like 15-20% of the test was foreign to me. I did study and I did take several of the Barkley practice exams and did ok on those but still...

  14. My Tips on Passing the AANP Exam

    DayDreamin ER CRNP replied to SL APRN FNP-C's topic in Student Nurse Practitioner

    Thank you for this info. I took the ANCC adult-gero exam in March and didn't pass. I am almost out of the 90 day waiting period to re-take. I am debating on whether or not to take the ANCC exam...

  15. Triage times (under 3 minutes)

    DayDreamin ER CRNP replied to MassED's topic in Emergency

    In addition to acuity, we prioritize our elderly patients. Anyone over 75 gets a * in their column and we try to get those pts back as quickly as possible and even faster if they are a higher acuity....

  16. Femur fracture traction

    DayDreamin ER CRNP replied to Alexandra1998's topic in Emergency

    Long knee immobilizer is what we are using these

  17. What goes on in an ED?

    DayDreamin ER CRNP replied to BlueBoxSearcher's topic in Emergency

    What does an ER nurse do? Everything. The ER nurse does everything. In addition to what's been written already, lets not forget that we have good gut instinct and know when a patient looks sick...

  18. NYC Emergency Rooms

    DayDreamin ER CRNP replied to Doglover109's topic in Emergency

    I've known several co-workers that have travelled to NYC or the area and hated every minute of it. One girl said she would have 10-12 patients at a time but never really did any "real" nursing - she...

  19. Alternative to shouting a name

    DayDreamin ER CRNP replied to heavydmg's topic in Emergency

    A number system *might* work but you know someone will get the numbers upside down or some crap and get confused. We are a huge ER with right at 100k visitors per year and also have 20-50 patients...

  20. How private is your triage?

    DayDreamin ER CRNP replied to foragreatergood's topic in Emergency

    A family member can be beneficial to triage in some situations for sure. Not just for a child. We see about 200-225 (or more) pts per day so having just a curtained area would not work for that...

  21. Cerner EMR? Tell me allll about it

    DayDreamin ER CRNP replied to DayDreamin ER CRNP's topic in Emergency

    This is the whole reason we are now going with a house-wide system. There is just no continuity of charting care. I am currently picking up shifts on the floor which uses a totally different system...

  22. Cerner EMR? Tell me allll about it

    DayDreamin ER CRNP posted a topic in Emergency

    Our facility is switching to Cerner EMR next year. We looked at several EMRs over the past year and was announced today that Cerner was chosen. Our ER charts with Wellsoft right now but the floor...

  23. How private is your triage?

    DayDreamin ER CRNP replied to foragreatergood's topic in Emergency

    Our triage rooms (4) have a door leading from the lobby and one that goes out "the back" in case we do need to get someone back quickly w/out having to go back through the lobby. Doncha know people...

  24. Feel stupid

    DayDreamin ER CRNP replied to Cat365's topic in Emergency

    Keep your reports short and to the point. I tell my new orientees to stick with an SBAR approach and start from the top... Situation - what brought the pt to the ED to start with.... "Mr. PDQ is a 77...

  25. How long you push emergency drugs during codes

    DayDreamin ER CRNP replied to Kaitef0716's topic in Emergency

    You push 'em as quickly as your can.....they ain't getting any deader. But I'm also wondering why you would give etomidate or sux during a code. In my world a code is epi, bicarb, atropine, more...