RedSox33RN

RedSox33RN

Emergency Dept, M/S

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All Content by RedSox33RN

  1. ER trys to redirect non-emergency care

    Honestly, new fees won't stop a lot of these people. Many just don't pay because they don't have insurance. We have many frequent flyers who use EMS as a taxi service, and when they are told about...
  2. How do you triage? How do you assign levels?

    I see what you are saying, Rhia. In terms of what a pt comes in "saying" is a yeast infection, I would triage her a level 4, with my reasoning being that in our facility (not sure of others), she WILL...
  3. does any nurse do EJ's in the ER

    Like LilgirlRN, I've started IV's in many places besides arms, but we're not permitted by our state to start EJ's, though the paramedic students are permitted. It's really a skill I would like to...
  4. I had completed my electives, so I decided to take a Medical Terminology course. I know it won't help me get into nursing school, but I must say I'm finding it incredibly informative. When I had my...
  5. Figuring out IV drip rates

    We have a section on this coming up on our next exam, so I'm studying like a madwoman. Anyway, I wondered if anyone could help with the below problem. I can't figure it out for the life of me: Your...
  6. Frustrated and considering a career change

    This is SO true, and what I am struggling with right now. I really thought ER nursing would be for me, but find myself more "disenchanted" with it than ever (although it's only been 2 years for me)....
  7. I got yelled at by a surgeon once because I couldn't understand him. I work in the ER, and I was taking telephone orders for him because he couldn't get in to see the patient before he was admitted...
  8. Frustrated New Grad

    I feel your frustration! I lived in the Northeast all of my life, graduated NS in 2007, and probably sent out 150 applications in 2 states, and all I got was two PRN jobs in M/S and LTC, neither of...
  9. EMS abuse: The Ride to get High

    Several of our docs are now documenting in their assessments and notes that they have educated the pt about use/abuse of the EMS system. I'm hoping that one day this will help fine or prosecute the...
  10. Last Name on ID Badges

    Wow! They didn't even identify your title or license?? I wouldn't like anyone caring for me or a family member where I didn't know what their title was (RN, LPN, NA, MD, DO, etc.). I would have...
  11. Computerized Charting ...

    In the 3 ED's I've been in, we've used Emstat, Meditech and now Ibex. Emstat was by far the best, though I'm getting to like Ibex. Meditech was AWFUL - we actually did paper-charting there, and had...
  12. Common drugs given in the er..

    Roy's list nails it all! It depends on the docs that are on also. Some are very partial to Toradol, so I may give a ton of that IV and IM some days. Others always go straight to the "big guns" (ie....
  13. Good luck to you, momofthreeboys! I live and work in Nash county, and have a lot of friends that graduated from Duke, UNC and ECU. Those are some great programs, from what I've
  14. Get critical care experience before working ER?

    I went right into the ED after my graduation from nursing school. But I think the big difference was that they had a 6 month "ED school" which was fantastic, and we were with preceptors for all of...
  15. What supplies do YOU use to start an IV?

    Our catheters have retractable sharps, but then we have a bedside container in each room. I miss those pre-filled flushes! It is a waste of time and resources to fill one for each IV start, to flush...
  16. ER's Turn Non-Emergencies Away?

    Exactly. And the ED is available when it's convenient for them. They can go after work or on weekends when the Dr office is closed. It ticks me off that a good portion of these same people can think...
  17. ER's Turn Non-Emergencies Away?

    I understand your point there, M Boswell, which I guess is why most ED's have Fast-Track areas now. It wasn't long ago that these weren't even thought of. Those are definitely non-emergent pts. Like...
  18. What supplies do YOU use to start an IV?

    We use the caddies also, though many times I just grab a 10cc flush (though we have to make our own - they haven't figured out yet that the pre-filled flushes are probably more cost and time-effective...
  19. Patients and their crazy requests

    I work in a busy ED (aren't they all??!! lol) and we have TV's in the rooms - without remotes, because those just get broken/lost/walk away. I can't tell you how many people I get that get on the...
  20. 13 and pregnant....

    What a week this has been! I have had so many interesting patients - you know the ones that just stick with you? The other day mom brings in 13yo daughter b/c ongoing n/v for 3 weeks, states she...
  21. Are any of your patients getting tested for swine flu?

    I work in a fairly large ED, and anyone that is coming in with fever and one other flu sx is being tested. Until the result comes back (usually takes about 30-45 min, depending on how busy the lab is...
  22. 13 and pregnant....

    You are absolutely right!! I never thought of it this way, but it is so
  23. Passed the CEN exam today!

    Congratulations!! That is on my list within the next year or
  24. 13 and pregnant....

    Thank you so much for all the great replies. It has really just been eating at me, and I know it shouldn't, but we all know there is always the ONE pt that sticks with us for a while. I forgot to add...
  25. I'm having an interview for ED tomorrow

    I hope your interview went well! Good luck to you Sleepless! Let us know how your interview