DayDreamin ER CRNP

DayDreamin ER CRNP

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All Content by DayDreamin ER CRNP

  1. Transition to ER from med surg

    DayDreamin ER CRNP replied to Mqshell's topic in Emergency

    I have seen two types that come from med surg to the ER. One makes it, one does not. The difference is attitude. If an RN thinks she is going to come down here and “show everyone how it’s...

  2. CEN as a new grad ABSN?

    DayDreamin ER CRNP replied to cheezbawl2003's topic in Emergency

    I totally agree! while you probably have the knowledge and ability to pass this exam, I think it goes beyond being able to study and know how to answer the questions. Having two years of experience...

  3. New grad nurse in Emergency Department

    DayDreamin ER CRNP replied to Miss_RN92's topic in Emergency

    Do a search on new grad in ER and there are tons and tons of posts. You should find loads of info. My best advice is to ask questions. Don't act like you know everything and certainly do not be a...

  4. ER patient wanting pain Meds

    DayDreamin ER CRNP replied to stephfoun10's topic in Emergency

    We don't require a signature of a responsible party but we do have to lay eyes on the person coming to pick the patient up after receiving narcotic pain meds. We don't even prescribe it until the...

  5. Botox - nurse practitioner

    DayDreamin ER CRNP replied to nicurn1245's topic in Nurse Practitioners, NP

    NPs are not permitted to do botox in every state while there are some states that allow RNs to administer Botox. Sadly, I live in a MD-only

  6. New Trauma Nurse Help

    DayDreamin ER CRNP replied to Mariah87's topic in Emergency

    In our L1 facility, it takes at least a year to be assigned big beds and another year before you can even apply to be on the trauma team pathway. That takes another 6 months to a year before you can...

  7. Triage Nurses: what are your favorite phrases to document?

    DayDreamin ER CRNP replied to nerdgrl's topic in Emergency

    "Patient drove self to ED." "Pt reports "severe" vomiting x12 hours with approximately 20 episodes of emesis since onset of s/s. Pt actively / not actively vomiting at this time." For kids, I chart...

  8. What was the MOST ridiculous thing a patient came to the ER for?

    DayDreamin ER CRNP replied to JUSTYSMOM's topic in Emergency

    It never ceases to amaze me what people think is an emergency!!! early 20f....signs in for "sleepy" It is almost midnight. She says her mom told her to come in because she is falling asleep while...

  9. Driving drowsy

    DayDreamin ER CRNP replied to Irishnights's topic in Emergency

    I'd would push for 0730 meetings! My previous ED was huge and would have a 0730 meeting and a 1800 meeting to cover both shifts. We also worked in crews so the manager would often have four meetings...

  10. Fast Track Education

    DayDreamin ER CRNP replied to Angelsmom354's topic in Emergency

    I think your idea of an info card is a good start. In my experience, however, no one reads them and they end up on the floor. If they do read it, they will have 8000 questions about why they don't...

  11. Frustrated with "hotel" mentality of patients, is your hospital the same?

    DayDreamin ER CRNP replied to frequentFLyER's topic in Emergency

    Recording?! Oh hell no!! Security would have been in that room in seconds and that pt made to delete any video. It is a posted policy so if they get all butthurt PD gets involved. And I am alll...

  12. Best stethoscope for an ER Nurse?

    DayDreamin ER CRNP replied to verbalsjint's topic in Emergency

    I realize I was a bit snarky last night. Long, long shift and came home angry. Anyway.... I strongly suggest you walk before you run w any tool or equipment. It is like buying a super expensive set...

  13. Best stethoscope for an ER Nurse?

    DayDreamin ER CRNP replied to verbalsjint's topic in Emergency

    It appears you want us to validate you in getting a fancy Card 5000. If that is what you want, get it. I personally don't think you need it. We ALL say we keep up with our things but it just takes...

  14. Best stethoscope for an ER Nurse?

    DayDreamin ER CRNP replied to verbalsjint's topic in Emergency

    I would get one you don't mind having stolen or misplaced during school. You can upgrade based on what you need / want later. Honestly, the expensive s'scopes are nice but I can hear just was well...

  15. being fired by patient's family member

    DayDreamin ER CRNP replied to GS ED RN's topic in Emergency

    Awww.... You had your "I got fired" cherry popped. You should be celebrating!! I have been fired more times than I can count for my "tone." I have never ONCE been fired for my abilities or level...

  16. Why do some practices prefer PAs to NPs?

    DayDreamin ER CRNP replied to mep7296's topic in Nurse Practitioners, NP

    Yep. This is what I was going to say. In most states, a PA is 100% billable. As always, it comes down to the

  17. I'm an NP student - How did you choose your specialty?

    DayDreamin ER CRNP replied to abc616's topic in Nurse Practitioners, NP

    I have not read every single reply but to answer your question... I chose my specialty based on my nursing experiences. Where did I best fit? Where would my skills be best utilized? I am definitely...

  18. Is the ER for me?

    DayDreamin ER CRNP replied to Nurse-please's topic in Emergency

    100% this. I'm actually an introverted extrovert or maybe an extroverted introvert. I dunno. I find that I love the quick pt turnover, the autonomy, and the team work. I have good work friends...

  19. Getting urines quicker

    DayDreamin ER CRNP replied to er4lisarn's topic in Emergency

    Our ER has a one hour guide to obtain a urine. If a female pt has diarrhea or vag bleed, we are only getting a straight cath urine anyway. If the pt is elderly and has dementia or we just think it...

  20. Tips on being a GOOD MICN

    DayDreamin ER CRNP replied to ERRN84's topic in Emergency

    What is an MICN? Based on your question about being the medics groan at.... Are you talking about the RN that takes the ambulance calls and places patients? If so, you need to see what your...

  21. NNP title?

    DayDreamin ER CRNP replied to sfbates's topic in Advanced Practice

    I personally never wear a white coat. I don't even know where mine is now that I'm thinking about it. I guess I would have to wear one if my job dictated it but a lot of the jobs that do require a...

  22. Nursing accessories for ER/ED?

    DayDreamin ER CRNP replied to HalfBoiled's topic in Emergency

    #1. Thick skin #2. good socks. I like SwiftWicks or Balega #3 great fitting, good shoes. Go to a real running store and get a pro fit. #4. Good trauma shears, Raptors are great but I wouldn't...

  23. ER Documentation Tips

    DayDreamin ER CRNP replied to Cmmc911's topic in Emergency

    Not sure what you are asking exactly. When you are asking for an "opening note" what do you mean? Most EMRs have templates or a guide for charting. If you are asking about a triage note you...

  24. Suicide screening for all is not needed

    DayDreamin ER CRNP replied to Emergent's topic in Emergency

    I agree that it should be asked every time to every patient. #1 it will cover my butt. Why? Because if I were ever standing before a judge and he/she were to ask me, "Ma'am. How do you know you...

  25. To airway or not?

    DayDreamin ER CRNP replied to Tonyia524's topic in Nursing Student Assistance

    Right!! If there is obvious bleeding you need to address A C B. In the situation of the OP, I would have to read the full content of the question but you still need to maintain an airway for about...