sserrn

sserrn BSN

Emergency, Med/Surg, Vascular Access

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All Content by sserrn

  1. FAST exams in traumas

    sserrn replied to Dumbledore'sArmyRN's topic in Emergency

    How is a FAST exam done if not with

  2. Introverted nurse+ ER nursing?

    sserrn replied to born2circulateRN's topic in Emergency

    I am an introvert, as are many of my coworkers. I've been in the ER for 14 months and do just fine. The type A personality of every ER nurse is a stereotype. You will have to be assertive at times,...

  3. Question on new grad preceptorship experience

    sserrn replied to gigglestarsRN's topic in Emergency

    You are correct, Altra, about the ENA's recommendation. Mine was only 12 weeks, which is the standard length of orientation in my area (pediatric ERs are usually longer here, 16-18 wks). Wish mine...

  4. Where does everyone stand in the Trauma Room?

    sserrn replied to keithdb2's topic in Emergency

    ^^I see your point and agree, but find that this is more often a problem in a large ED. I am FT at a large, busy ED and often the room is so full you can barely move (1 doc, 2 RTs, 3-6 RNs, sometimes...

  5. I'm nervous!!!

    sserrn replied to 7feetunder's topic in Emergency

    It's not that bad, honestly! I took it while in nsg school and passed easily w/o really studying for it

  6. Advanced Trauma Care for Nurses course

    sserrn replied to NRSKarenRN's topic in Critical Care

    And just in case anyone was wondering, it was great!! And definitely worth driving out of town for! As far as tips, really don't have any...having had TNCC really helped with ATCN, though. But there...

  7. what will actually happen?

    sserrn replied to 7feetunder's topic in Emergency

    Medscape says amiodarone is compatible in NS for 24

  8. What's in your pocket - ER Style

    sserrn replied to Frizbeeboy's topic in Emergency

    SubLingual

  9. How can we make the process of report from ER to floor better?

    sserrn replied to nrsang97's topic in Emergency

    ^^ I'll bear that in mind...as soon as pts. stop presenting to the ER during shift change.

  10. Roc

    sserrn replied to ERSL's topic in Emergency

    I've been told also regarding succ vs roc that succ increases ICP, whereas roc does not. Anyone know if that's

  11. Please advise: trauma center v. non-trauma center

    sserrn replied to LG1137's topic in Emergency

    How can an ER not take any traumas? I guess it's in a state with a poorly developed trauma system? A level IV trauma center may or may not see much trauma, but it will definitely transfer most after...

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

    sserrn replied to Whts_Ur_Emergency?'s topic in Emergency

    Please don't lose any sleep about what I chart or don't chart. ;-) My point was, if a medication helps your pain, it can't be a 10 anymore, considering 10 is the

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

    sserrn replied to Whts_Ur_Emergency?'s topic in Emergency

    ^^I just chart 10 when they do that. And also, when I'm assessing a medication's effectiveness, "did the medicine help you?" "Yes, a little." "What would you rate your pain now, 0-10?" "10." *Eye...

  14. Ugh, those "I'm so stupid" moments

    sserrn replied to TheCoppertop's topic in Emergency

    Sometimes we have to be the thinkers. :) You did

  15. Verbal er orders...help me understand this

    sserrn replied to tiltgirl's topic in Emergency

    Mudd, it is not impractical at all. I work in 3 ERs, and we're not allowed to take verbal orders in any of them except in emergent situations. And even then, nurses don't write the orders...the...

  16. RN, BSN student hoping to work in the ED after graduation

    sserrn replied to UGAdawgGirl's topic in Emergency

    I wouldn't take acls and pals beforehand, personally. I took them near the end of my nursing program basically BC I thought it would help give me a leg up on other new grads. While I did get a few...

  17. Verbal er orders...help me understand this

    sserrn replied to tiltgirl's topic in Emergency

    First of all, what a crappy thing to do on the pa's part. Second, I don't give any narcotics w/o a written order, and policy states (in both facilities where I work) the only time we can receive...

  18. I feel so dumb... I got flustered - about a patient in respiratory distress

    sserrn replied to LalaJJB's topic in Emergency

    Well, if she was satting fine and her airway was patent, I'd probably just teach pursed-lip breathing and try to calm her down. (I've never done it, but breathing in and out of a paper bag does work...

  19. New to ER - tips, tricks, recommendations & prioritization?

    sserrn replied to acuariaRN's topic in Emergency

    Just remember that you are only one person with only two hands, and you can only care for one pt. safely at a

  20. how to ask patient for pain scale score correctly?

    sserrn replied to 7feetunder's topic in Emergency

    I always say, "what would you rate your pain 0-10, with 10 being the worst pain possible?" However, probably 80% of the time, they've interrupted that very short explanation with their number, which...

  21. Great moments in bad judgement

    sserrn replied to emtb2rn's topic in Emergency

    Couple months ago, had a 60-some-odd female pt come in c/o she thought she was pregnant and going into labor. Triage nurse said, when was your last period? She replied, oh, about 20 years ago. Nurse...

  22. CEN review course but not taking the exam?

    sserrn replied to TooterIA's topic in Emergency

    I would kill to be able to take a cen review course by Jeff Solheim in the convenience of my own facility! you would learn a ton, and the knowledge you'd gain would help you become a better ER nurse...

  23. Advice needed

    sserrn replied to arobe26's topic in Emergency

    Do it! Just ask lots of questions and you'll be

  24. New RN in the ER

    sserrn replied to *lorie's topic in Emergency

    Not sure how qualified I am to be giving you advice, seeing I work in a Level III ER and have 11 months' experience. BUT...ditto on the documenting until you feel comfortable. I didn't really assist...

  25. Tncc

    sserrn replied to jillba's topic in Emergency

    Of course, I wasn't in your class, but I j took it for the first time a few days ago at my facility and the test pretty much was all stuff covered in the lecture. Most of it, anyway. I would j take...