DayDreamin ER CRNP

DayDreamin ER CRNP

ED

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All Content by DayDreamin ER CRNP

  1. So exhausted!!

    DayDreamin ER CRNP replied to Sassy5d's topic in Emergency

    AMEN! I have been coming home feeling like I've work four 18hr shifts! It seems like we are seeing sicker and sicker patients right now and have a lot of patients that come POV and do need a bed...

  2. APPENDICITIS

    DayDreamin ER CRNP replied to KYARNP's topic in Emergency

    This is what we use too. It seems like 2mg of Morphine is under medicating to me too. The normal dosing is 0.1-0.15mg/kg so for most folks that is at least 6mg. A hot appendix HURTS!!

  3. need help with ER resume

    DayDreamin ER CRNP replied to tarotale's topic in Emergency

    I agree with this! I also think that if you seriously need resume help, you may need to seek the help of a resume builder and not from "us" here on a forum. While we like to help folks, we don't...

  4. Who loves their job as an RN in the ED?

    DayDreamin ER CRNP replied to SHANNONDESIRE's topic in Emergency

    I've been an RN in the ED for three years. Went there straight out of nursing school but I'm an "older" nurse at 43. I have a sales and marketing / trade show background so this is a huge change for...

  5. ER Nurses

    DayDreamin ER CRNP replied to KnottyNurse17's topic in Emergency

    Do a search on this subject on here and also take some time to read through a lot of the posts. I think you will get a pretty idea of how "we" see the ED. What to expect? The unexpected, just like...

  6. Something bothered me today in the Emergency Dept.

    DayDreamin ER CRNP replied to Wrangler156's topic in Emergency

    I agree with so many of the other posters above. While me may not appear to be "warm and fuzzy," we have mastered the art off time management. It is an essential function of the ER nurse. Two and...

  7. My impressions on the ER so far

    DayDreamin ER CRNP replied to Catch22Personified's topic in Emergency

    3. I really feel like I'm betraying my former comrades by doing this but, I'm always under pressure to transfer patients up to the floors regardless if it's change of shift. Of course we are! We...

  8. Oh, honey.

    DayDreamin ER CRNP replied to IrishErin's topic in Emergency

    My ALL time favorite "how'd that get in there" story is from a 30ish male that came in saying he had a FB stuck in his rectum. Of course we HAVE to ask how it got there. With a straight face this...

  9. student nurse precepting in ED...advice?

    DayDreamin ER CRNP replied to RunnerRN2015's topic in Emergency

    I was an older student too. I've seen some pretty entitled older students too but not so many really. Honestly, life experience can go a long way in the ER preceptorship! You'll probably do...

  10. student nurse precepting in ED...advice?

    DayDreamin ER CRNP replied to RunnerRN2015's topic in Emergency

    I agree! I had a clinical student for one day that couldn't tell me why she was giving Zofran and Protonix. I even lead her down the primrose path by telling her to look at what the patient is doing...

  11. Patient Families

    DayDreamin ER CRNP replied to 1fastRN's topic in Emergency

    That is one thing I LOVE about our hospital's ICU policy. They have very strict visiting hours and no one is allowed to sleep overnight. We actually have a huge ICU waiting area with recliners, TVs,...

  12. Patient Families

    DayDreamin ER CRNP replied to 1fastRN's topic in Emergency

    The wife of the sickest patient in the ED (art line, central line, tubed, pressers, etc) comes out to the desk stating to me, the pt's nurse, "When you get a fresh pot of coffee made, I'll need a cup....

  13. Transferring to the ED

    DayDreamin ER CRNP replied to sweetloveRN's topic in Emergency

    I coach new hires in our ED and the biggest thing / difference I see when training nurses that come from "the floor" is having to retrain time management. The pace is very different and it is...

  14. Things you'd like to say to....

    DayDreamin ER CRNP replied to HikingEDRN's topic in Emergency

    "What's that? You say you can't afford your ABX? But I saw you talking on your iPhone 6000s walking in here on the newest Nikes and carrying your Coach bag with the cigarettes and iPad sticking out...

  15. Patients with sticky fingers!

    DayDreamin ER CRNP replied to Emergent's topic in Emergency

    We have locking cabinets in all of our rooms. Some of our regulars know the codes to get in but otherwise we don't get many shoplifters. Our "big" rooms have additional locking carts; a trauma cart...

  16. Snowed in ER's, what do you guys do?

    DayDreamin ER CRNP replied to Adenosine6's topic in Emergency

    Luckily, we don't get a lot of snow that keeps us off the roads. We did have a pretty good storm about 2 years ago and the local sheriff's office was tasked to bring the ER staff into work. The...

  17. How do you respond to rude patients?

    DayDreamin ER CRNP replied to MILOBRI's topic in Emergency

    My favorite response to a rude patient complaining of pain is, "Pain is no excuse for poor behavior." I can tolerate a lot and will not be rude back to a patient but sometimes you have to let them...

  18. Drug Seeker Stories

    DayDreamin ER CRNP replied to ER-RN2's topic in Emergency

    "I had a car wreck and my prescriptions that y'all wrote me 2 days ago for Norco were in the car and now they are gone." Oh really? Because we have a print out of your most recently filled meds that...

  19. Job Stress: Floor vs ED

    DayDreamin ER CRNP replied to BellaRN2010's topic in Emergency

    No comparison in my opinion. Everyone has pretty much summed up my feelings already but wanted to add that on the floor, the patients you start with are, for the most part, the same patients you have...

  20. Walk me through your ER

    DayDreamin ER CRNP replied to Sassy5d's topic in Emergency

    This is pretty much my ED too. We have about 90 beds with 6 trauma bays, two of which are reserved for Level 1s. We now have a 10-bed observation unit which has really helped us with our pts that...

  21. GIVING REPORT!!!!!

    DayDreamin ER CRNP replied to friendlylark's topic in Emergency

    That's pretty much how I do it. It is also kind of how our charting goes. I really hate it when the floor nurse I'm reporting to starts asking me questions right in the middle of what I'm saying....

  22. Can anyone suggest a good EKG interp book?

    DayDreamin ER CRNP posted a topic in Emergency

    I am admittedly WEAK on reading EKGs. I can do the easy stuff but I need a better understanding of EKG and cardiac stuff in general. Cardiac stuff is definitely my weakest area that I need to...

  23. Can anyone suggest a good EKG interp book?

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

    I have heard that Dubins is pretty good. I really hate the fact that there is a typo on the cover. It just bugs me!

  24. ED computer systems

    DayDreamin ER CRNP replied to Rolltider's topic in Emergency

    We are a 90-bed Level 1 center. Can't remember the number of patients seen on average but I know we have seen in the mid-300 range often this year. We use Wellsoft. I've only used one other system...

  25. Heart in ED; job offer in med-surg

    DayDreamin ER CRNP replied to m0lasses's topic in Emergency

    I agree. A bird in the hand is worth two in the bush. A lot of EDs do not hire brand new nurses or they might limit the amount of new nurses that start in a particular time period. It takes...