sserrn

sserrn BSN

Emergency, Med/Surg, Vascular Access

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All Content by sserrn

  1. Advanced Trauma Care for Nurses course

    sserrn replied to NRSKarenRN's topic in Critical Care

    Good to hear...I'm driving 3.5 hrs in October to take it, so it better be

  2. What's in your pocket - ER Style

    sserrn replied to Frizbeeboy's topic in Emergency

    Much better than around my neck! It's a worthwhile investment. My former preceptor had a cheaper plastic one from adc but I don't think it would work for every

  3. Organizing yourself in the ER?

    sserrn replied to CAllen44's topic in Emergency

    ^I agree. When I get report I do have a piece of paper that I put a pt. label on for each room; I write the room number, their chief complaint, and sometimes I write when they arrived. When they...

  4. Independent nursing interventions for MI patient

    sserrn replied to sharifi9879's topic in Emergency

    O2 BNC (usu. 2 L), ASA 325 mg, 2 large-bore INTs, cardiac/BP/SpO2 monitor, EKG (obviously), shave groin for cath lab, NTG (if covered by the ER's protocol). Those are the independent interventions I...

  5. What's in your pocket - ER Style

    sserrn replied to Frizbeeboy's topic in Emergency

    Stethoscope in batclip on waist, 2 pens, 2 betadine swabs (random but useful), penlight (probably unnecessary), hemostats/tape/shears, digital watch set on military time, SL NTG in left pants

  6. Nurse/Patient ratio in the ED?

    sserrn replied to jlan79's topic in Emergency

    For those of you that have ratios that are 7:1 or greater, what is your patients' average LOS in your ER? Just curious. Ours is probably 4.5-6 hrs, something like

  7. NG tube in an intubated patient

    sserrn replied to stephynic21's topic in Emergency

    Best practice is post-placement CXR to verify placement. You can also ph test the aspirated fluids. (We don't do the latter in my ER...not sure

  8. ICU to ED, how long for orientation?

    sserrn replied to KR's topic in Emergency

    6 wks is pretty standard for non-new grad nurses. At least at the 2 ERs I work

  9. how to gain experience

    sserrn replied to bubblejet50's topic in Emergency

    Sounds like you're ready to me. ENA does recommend 6 months' ER experience before tncc, but study hard and I'm sure you'll pass. It's great that you already have pals and Acls. Just relay what you...

  10. Off orientation and sometimes asking myself, "Am I cut out for this?"

    sserrn replied to newSN's topic in Emergency

    My first day off orientation was January 2nd of this year. And some nights I still don't feel like I'm cut out for ER nsg! lol. Even good, experienced nurses have nights like that, I think. Some...

  11. Is it "5 rights" or "6 rights"?

    sserrn replied to CRNBSN18's topic in Nursing Student Assistance

    We had to learn 10 in my nsg program. However, one of our instructors said there were actually 12 now!

  12. Am I cut-out for ED nursing?

    sserrn replied to TheGirl07's topic in Emergency

    Based on my off-work personality, I doubt anyone would've recommended the ER for me. But I love it. Forget about having the right personality type or characteristics...the important thing is would...

  13. Anyone currently studying for the CEN exam??

    sserrn replied to deeDawntee's topic in Emergency

    Let us know what the new Lippincott book is like! The reviews on the older edition seem pretty

  14. Nurse/Patient ratio in the ED?

    sserrn replied to jlan79's topic in Emergency

    at that point, a less critical pt would be put in the hallway if another open room was not available, and they would hang out there until another nurse's 4th pt. got discharged and then move to that...

  15. Nurse/Patient ratio in the ED?

    sserrn replied to jlan79's topic in Emergency

    In my ER, 4:1 Max no matter

  16. Dealing With Weak Nurse Managers!

    sserrn replied to All4NursingRN's topic in Emergency

    Wow...it blows my mind that y'all can actually care for that no. of pts. per nurse. I think my job's hard and our Max ratio is 4:1! It sounds like you work in an unsafe ER, to put it bluntly. I do...

  17. New Grad interested in Trauma

    sserrn replied to BlueSunRise's topic in Critical Care

    Not realistic to expect a trauma ER position (in a level I facility). Now, they may hire you in a level I trauma center ER, but they will likely not actually expose you to trauma for a year. On the...

  18. What do you hate seeing the MOST in the ER!?

    sserrn replied to CrashED's topic in Emergency

    Suicidal pts....if u wanted to kill yourself you'd either be dead or dying, and you are neither. Possibly biggest pet peeve? Pts. who wont give me a urine specimen. Ugh. Makes me so mad. I...

  19. ACLS Heartcode via AHA?

    sserrn replied to MassED's topic in Emergency

    I did BLS recert via online HeartCode for the first time today, and I feel like I learned a lot! I actually found myself wishing there were more

  20. Starting out in Trauma

    sserrn replied to SWAT RN's topic in Critical Care

    Actually, the only Level I TC in our region has a dedicated trauma nsg staff; they don't rotate the ER nurses through shock trauma (or vice versa). So some ERs do have literal trauma nurses who only...

  21. ER meds

    sserrn replied to ketonesRN's topic in Emergency

    Forget epocrates. Get medscape! :-) It's awesome and

  22. What is up with all the Dilaudid?

    sserrn replied to rgroyer1RNBSN's topic in Emergency

    My ER is real big on customer service, so we give a crap-ton of dilaudid. We have one particular doctor who will write for Dilaudid 2 mg IVP, then 2 hrs later another 2 mg IVP. I have started...

  23. What is the best experience to transfer into ER?

    sserrn replied to wpallais's topic in Emergency

    ICU for sure. You have ICU holds a lot in the ER, and having ICU experience will make you more comfortable with pts. on the vent, intubations, drips, CV emergencies, etc. If not ICU, m/s would be...

  24. BSN Preceptorships - Does ER level matter?

    sserrn replied to JustinAllen's topic in Emergency

    *got offered

  25. BSN Preceptorships - Does ER level matter?

    sserrn replied to JustinAllen's topic in Emergency

    I applied to a lot of jobs I didn't get. Probably applied at ab 25 to 30 different.t hospitals in 5 states. Interviewed 9 times, got offered ÿ of those positions. I wanted a level 1 job. They...