nocturne716

For example, you dont delegate things like VS checks, neurovascular, neurologic checks go LPNs/CNAs/PCTs as per your protocol guidelines or ENA guidelines. It seems that some ER nurses are allowed more leeway on otherwise "MD only" porcedures such as intubation...when usually on other floors, RNs cannot initiate. Does this sound relatively true, or does this differ according to where you work also?

Going off on a tangent: When you see a patient go comatose (GCS falls to a 5) like that, what should you do? I'm already assuming that ABCD has already been assessed as an inital assessment when the patient came to the ER, would you redo this assessment then to compare? Or just prep b/c the patient will most likely have to go to the OR?

he had ipsilateral pupil dilatation...no info specifically on his babinski report, but i'm assuming because of the GCS Score of 5 (no eye opening, no verbal response, decorticate movement ot pain) that the babinski would be postive. thanks.

Question: A person comes in to the ER because he had falled from a ladder and hit his head on a rock...in the ER, he speaks incoherently and drifts off to sleep (GCS score from 15 falls down to a 5 with decorticate movement). He's taken to surgery b/c of a epidural hematoma. What is the main problem here? Would it be head trauma, increased ICP, or something else? Thanks.

In the ER, do the RNs have more independent functions that they normally wouldn't have on other floors? (ie what you would normally need a signature for)

Is CVP also a case in which you would measure Jugular Vein distension?

thanks for the info!

What is the abbreviation 'PUP Score' defined as, it should be under respiratory? I can't find it in my Lab Diagnostic book, the closest thing is "PAP" which is Prostatic acid phosphatase. Tia.

Ie. WNL RR is 15-20....so then 28 is not WNL? Is there a specific range that you can't go over or is 15-20 set in stone?

Looking up this diuretic/antihypertensive drug and it says to assess improvement in CVP, how is that measured quantitatively? TIA