DayDreamin ER CRNP

DayDreamin ER CRNP

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All Content by DayDreamin ER CRNP

  1. When the patients aren't looking..... Rockin' ER video

    DayDreamin ER CRNP posted a topic in Emergency

    Our ER participated in a hospital-wide video contest a few weeks ago. We actually won Video of the Year Lifesaver Club in addition to winning / placing in several other award categories including...

  2. When the patients aren't looking..... Rockin' ER video

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

    I think they just told **** he was gonna have to "crack the whip" and he did it! And we just told Don we were "going to take a few pictures" of him on top of the rig. The videographer was...

  3. When did you realize that "newbie" wouldn't cut it in the ER?

    DayDreamin ER CRNP replied to lvnlrn's topic in Emergency

    The nurse that thinks she knows everything and/or is overconfident, won't ask for help, doesn't ever bother to help others but is often sitting on her orifice, and even tries to tell others how it was...

  4. Set scheduling

    DayDreamin ER CRNP replied to Krys10RN's topic in Emergency

    We have set and "flex" scheduling in my ER. We work 2 day crews and 2 night crews. If you are set on Crew 1 you might work Monday, Friday, Saturday, Sunday, Wednesday, Thursday with our weeks being...

  5. When the patients aren't looking..... Rockin' ER video

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

    Yes, it was all filmed off the clock. Two of our docs hired a pro videographer to shoot and edit scenes and they hired a sound guy to do the music mix. Not sure who wrote all the lyrics but a nurse...

  6. Can a pt hyperventilate themselves into resp failure?

    DayDreamin ER CRNP replied to LakeEmerald's topic in Emergency

    I was thinking the same thing. I am a swimmer and do this repeatedly for an hour when I swim. And heck, an orgasm can cause a 5+ second apneic episode. Better have the vent ready next

  7. Left handed nurses, med personnel

    DayDreamin ER CRNP replied to Vanfnp's topic in Emergency

    I could have written this exact post! I am also a lefty and have noticed far more lefties in the medical profession than in any other I've worked. I am a second-career nurse and worked in other...

  8. Assessment in different languages

    DayDreamin ER CRNP replied to sofiamcclain's topic in Emergency

    We are very lucky in that we have an in-house Spanish translator in the hospital on the day shift. When that group is unavailable or we have a patient needing another language translated, we have a...

  9. Lining and labs/ hemolyzed specimens

    DayDreamin ER CRNP replied to psu_213's topic in Emergency

    I haven't read all the replies but.... We went through a period where it seemed like we had a VERY high incidence of hemolyzed specimens. After a lot of back and forth between the lab and ER, it was...

  10. Whats your biggest pet peeve working in the ED?

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

    My "working-in-the-ED" pet peeve this week is dealing with the floor. I am seriously getting so sick of doing their jobs for them, calling to give report and they act like they are too busy after 3-4...

  11. Traumas...how does your room operate?

    DayDreamin ER CRNP posted a topic in Emergency

    I work in a Level 1 trauma center ER and we are looking to "re-do" a lot of the trauma processes and are in the process of forming "trauma teams" to focus primarily on traumas vs "just" being an ER...

  12. too old to go into E.D.?

    DayDreamin ER CRNP replied to takamine98's topic in Emergency

    I agree with Star. I happen to work in an ED that does employ LPNs but I am pretty sure we aren't hiring them anymore because of the reasons Star mentioned. I will say that the few LPNs we do have...

  13. Are there doctors on duty in the ER?

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

    It always seems like there is that ONE person that thinks he/she is the sickest of the sick at the very same time a level 1 is called, then a 2, then a stroke or heart alert. I had a lady with...

  14. STEMI Protocols

    DayDreamin ER CRNP replied to Medic2RN's topic in Emergency

    We have a "heart alert" box. Once the doc calls the Heart Alert and it is paged to the "team" the primary RN gets the heart alert box out of the pyxis. Our box is basically a small tackle box with a...

  15. Lining and labing in the waiting room

    DayDreamin ER CRNP replied to melimaras's topic in Emergency

    That sounds dangerous to me. How can y'all give meds w/o the pt seeing the MD? It sounds like a lawsuit waiting to happen. Besides, what incentive does the pt have to actually STAY if they know...

  16. New employee (RN) orientation checklist

    DayDreamin ER CRNP replied to rodggang's topic in Emergency

    10 pages long and y'all are a level 3?!?! That is an awful lot of stuff! I'm in a Level 1 and we only have about 15 but there are several skills / procedures on a a few pages. We have i-Stat...

  17. Best ER Tricks what it meant is like putting two tourniquet to get the IV

    DayDreamin ER CRNP replied to Wantoknow-rn's topic in Emergency

    If I can't get my hands on a pressure bag and I gotta have one NOW, we use a manual blood pressure cuff and inflate it on the NS

  18. If your Facebook status could be ANYTHING, what would it be?

    DayDreamin ER CRNP replied to lyrabella's topic in Emergency

    To the drunk, rude and foul-mouthed patient in my room...don't tell me, "I can talk to you however I ******* want to. I'm paying your **** salary, ******!" and then 2 seconds later tell the...

  19. IV nursing question/advice

    DayDreamin ER CRNP replied to inteRN's topic in Emergency

    Infusion companies might be right up your alley. A friend of mine does it and she just goes to 4-8 homes per week, starts an IV and gives IV meds. She might access a PICC or something like that too....

  20. What phrases do you use?

    DayDreamin ER CRNP replied to JBudd's topic in Emergency

    Bumscicle for the homeless population that come in for "abdominal pain." FLK - as mentioned above: Funny lookin kid The Candy Man - the ER doc that gives out pain meds like candy. GRRRR! I'm drawing...

  21. Does your facility allow the floor/unit nurses write up other nurses?

    DayDreamin ER CRNP posted a topic in Emergency

    I got a QRR / write up a few weeks ago from the floor nurse because I sent up a patient from the ER with a 212 blood glucose, a 2.7 K+, the pt was NPO and I did not have an MD order to treat the BG....

  22. Pharmacists giving injections!?!

    DayDreamin ER CRNP replied to chevyv's topic in Patient Medications

    How long did it take you to learn how to give an IM injection? Not long, I'm guessing. I think a pharmacist taking a course is more than qualified to give a flu

  23. Does your facility allow the floor/unit nurses write up other nurses?

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

    Did you miss the part that I was giving a K+ infusion? I've mentioned it twice now in previous posts. I am fully aware of the low K+ and the insulin / K+ connection. Where did you get the notion...

  24. Does your facility allow the floor/unit nurses write up other nurses?

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

    So let me get this straight. You think not treating the 212 BS is petty? I think you also missed the two previous posts saying I WAS treating the 2.7 K+ nor did I have an MD order for any insulin....

  25. Does your facility allow the floor/unit nurses write up other nurses?

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

    I'm not going to treat a 212 BG for a patient that is NPO and headed to the floor. #1 - I don't know when the patient is going to be able to eat again and I have no control over when or if the...