RedSox33RN

RedSox33RN

Emergency Dept, M/S

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All Content by RedSox33RN

  1. My new "Urgent Care" job is like ER lite--anyone with the same experience?

    RedSox33RN replied to pennyg1's topic in Emergency

    Our Urgent Care is attached to our main ED also, and we regularly get those that must be transferred (just a w/c ride away) to us. I wish we could do the same thing, but unfortunately, no downgrading...

  2. Discharge

    RedSox33RN replied to tknrn's topic in Emergency

    I would not like having such a policy, but would follow it if we did. It does seem very time consuming to have to escort ALL pt's to their car (and what if they are waiting for the bus? Do you have...

  3. Drawing Labs without an order

    RedSox33RN replied to umnurs's topic in Emergency

    Yup.....damned if you do, damned if you don't. Don't start a line and get labs and they'll be wondering why you didn't, and if you do, you'll get the doc that says "I haven't made any assessment of...

  4. It looks like a RR of 20

    RedSox33RN replied to TraumaNurseRN's topic in Emergency

    I must admit that I do the same thing. Any c/p, sob - any cardiac or respiratory, really - gets a full RR count, also those with suspected o/d or just had narcs, obviously, but everyone else, 10-15...

  5. Shoes for the ER??

    RedSox33RN replied to TJG618's topic in Emergency

    I have a pair of Reebok cross-trainers that I wear to work. I know some people swear by clogs, but I didn't find them practical for myself. I've had feet issues in the past, and need some support....

  6. maggots?

    RedSox33RN replied to billsnurse's topic in Emergency

    I can look at most things, but the two things that heeb me out are snakes and maggots. I know some maggots can be beneficial, but after seeing a horrible sight of them burrowing under the skin,...

  7. Life in the ER

    RedSox33RN replied to Student J's topic in Emergency

    Agreeing with TraumaRN here: I LOVE getting a sincere "thank you" from my patient or their families. It is sometimes those really nice patients and feeling appreciated that carry me through the nasty,...

  8. Nasty family trying to pull the VIP card

    RedSox33RN replied to TraumaNurseRN's topic in Emergency

    VIP??? Is she SERIOUS??? The only time we've ever been close to having a VIP, was when Secret Service came to inspect our ED and develop an emergency "plan" when Hillary Clinton was coming to speak...

  9. How do you treat headaches?

    RedSox33RN replied to Anagray's topic in Emergency

    Me

  10. "I don't have the money" OR "I don't have a ride"

    RedSox33RN replied to ER-RN2's topic in Emergency

    That's my biggest pet peeve, even more than the FF with insurance looking for narcs. I hae a few of these also, mostly they are lonely and looking for someone to talk to. Several are on disability...

  11. "I don't have the money" OR "I don't have a ride"

    RedSox33RN replied to ER-RN2's topic in Emergency

    I must admit that on many occasions, I've asked how they afford the cigs in their pocket and cell phone attached to their hip, but can't get some generic ibuprofen for $3. And as much as they don't...

  12. How do you treat headaches?

    RedSox33RN replied to Anagray's topic in Emergency

    I've never heard of such a Patient Care Technician either. Sounds fishy.... Unfortunately, being in a "smaller" ED, a lot of the docs will give the standard 1-2mg Dilaudid and Zofran. One memorable...

  13. ER's busy and a full triage

    RedSox33RN replied to TraumaNurseRN's topic in Emergency

    I whole-heartedly agree! I say this as I just finished working two 12-hr shifts this weekend, and today, had a 47yo male that got the "full throw-up workup" (he'd been vomiting since 9am today, came...

  14. Blood draw from IVs?

    RedSox33RN replied to alkaleidi's topic in Emergency

    I will draw labs from the initial IV start, as long as it's a 20 or larger and in a good vein. If it doesn't draw well but flushes, I'll do or let the lab do a butterfly stick elsewhere, rather than...

  15. add your funny TRIAGE complaints from pts

    RedSox33RN replied to er nursing's topic in Emergency

    Had an 18yo woman come in via EMS, chatting on her cell. Her complaint: Constipation x14hours. Apparently had "not gone" that day, and was normally 2x/day. She was sent to me in triage and then to the...

  16. IV size

    RedSox33RN replied to danger's topic in Emergency

    I usually go for the 18, 20g if they are elderly with fragile veins, but had to do a 24g the other night on an elderly woman. Anything smaller than a 20g and I don't even try to draw labs when I...

  17. Triage Rules / Rants

    RedSox33RN replied to ER-RN2's topic in Emergency

    ....and don't you love the ones that claim pain is a "30 out of 10", then claim they have a "high tolerance" for pain, "so I know it's REALLY bad this time", while eating a sandwich from Subway,...

  18. LPNS in the ER?

    RedSox33RN replied to BShelleyLPN's topic in Emergency

    There aren't any in our ED, and since I'm fairly new there, I don't know about ICU or other areas. Where I came from though, there were 2 LPN's, both with a lot of experience, and both were going for...

  19. Why do patients abuse nurses?

    RedSox33RN replied to TigerGalLE's topic in General Nursing

    I'm sorry about your grandfather. Why can they? Because they KNOW they can, because hospital management is almost ALWAYS on the patient's side, because this is one of many places that society - or...

  20. ICU differential pay

    RedSox33RN replied to icyounurse's topic in General Nursing

    There were certain specialty units in my last hospital that got "specialty" pay. I worked ED, and got an extra $1.10 per

  21. How do you not get caught up with long winded patients?

    RedSox33RN replied to WVStarFish's topic in General Nursing

    I must admit, I'm one that has a hard time breaking in when I'm with a "talker", so on several occasions, I've looked at my "beeper" and said, "Oh, I'm being paged! I'll come back and talk to you...

  22. Skin Care Protocols

    RedSox33RN posted a topic in Emergency

    Just recently, at a hospital I left due to a move back North, we had instituted new skin care protocols, namely that we had done a complete head-to-toe skin care assessment (after primary and...

  23. What alcohol level do you admit for?

    RedSox33RN replied to TooterIA's topic in Emergency

    That is our policy also. It's hard, because we have some "walkie/talkie/pretty coherent" drunks that are .20 or greater. I've seen it a bit higher, but heard of some with unreal

  24. new nurse in emergency nursing

    RedSox33RN replied to mikejsmithrn's topic in Emergency

    I just started in the ED in December, but had done some work in LTC and M/S, but only per diem. They had an extensive "new grad" program for new ED nurses too, which included classroom time and floor...

  25. ER triage protocols for OB patients

    RedSox33RN replied to janetrnc's topic in Emergency

    In our ED (well, my old one, since I just left and moved back to New England!), they would be seen for the chief complaint, but we would always assess fetal heart tones and chart them. If the pt was...