turnforthenurse MSN, NP

ER, progressive care

Member

  • Content

    3,364

  • Visitors

    40,412

  • Followers

    0

  • Likes

    117

All Content by turnforthenurse

  1. turnforthenurse

    San Antonio Methodist Residency Feb 2015

    turnforthenurse replied to KATabolic's topic in Texas Nursing

    Can you give me more information on the meet and greet? Does this include the ER? I know Methodist has multiple locations so which one is this meet and greet at?
  2. turnforthenurse

    San Antonio nurses!

    turnforthenurse replied to turnforthenurse's topic in Texas Nursing

    Anybody? I'm also interested in the trauma levels of the various ERs, size, annual amount of visits,
  3. turnforthenurse

    TRIAGE

    turnforthenurse replied to canoehead's topic in Emergency

    Just out of curiosity...do patients ever get upset at being moved around so much? We also stay for the full 12. I agree, triage can be downright exhausting. I like the idea of switching out, though....
  4. turnforthenurse

    Icu patients

    turnforthenurse replied to shorty3's topic in Emergency

    Where was your charge in helping with those other
  5. turnforthenurse

    Mid levels in triage

    turnforthenurse posted a topic in Emergency

    How many of you work in an ED where you have a MLP out in triage? How does your process work? How much staff so you have out in triage? Do the MLPs do a full medical screening or just eyeball the...
  6. turnforthenurse

    triage process

    turnforthenurse posted a topic in Emergency

    Okay y'all, walk me through your triage process. I'm trying to look for ways to improve it. We are supposed to be utilizing pull til full at all times but I work nights and most of the time I come...
  7. turnforthenurse

    Room Assignments

    turnforthenurse replied to dswan7's topic in Emergency

    Have you tried to speak with this charge nurse and have a heart-to-heart discussion as to why you two feel that way about each other? Maybe it is something that one of you are assuming that isn't...
  8. turnforthenurse

    Stepdown vs PCU

    turnforthenurse replied to mochajchips's topic in Cardiac

    The PCU that I worked on did not have patients on vents, only CPAP/BiPAP. Vented pts had to go to ICU. Vents used to be on the PCCN (progressive care certification) because you will see vents on PCUs...
  9. turnforthenurse

    Triage Practices

    turnforthenurse replied to applesxoranges's topic in Emergency

    We are revamping our triage system and I'm still trying to argue that it isn't safe. An RN sits at the very front so that they are the first person that is seen the moment a patient walks into the...
  10. turnforthenurse

    Ideas for improving flow...

    turnforthenurse replied to Anna Flaxis's topic in Emergency

    I'm a little concerned that you only have 1 RN from 0030-0900. I realize that it's probably your least busy time but what if you get a critical patient or CPR in progress coming in? It seems to me...
  11. turnforthenurse

    4th week at ED.. it's hell, we should be called gods of labor

    turnforthenurse replied to tarotale's topic in Emergency

    I have not used Meditech....but are you able to associate the patient to the room that way vitals will automatically download when you click the time in the
  12. turnforthenurse

    Online Training and 8 weeks of orientation?

    turnforthenurse replied to AvaRN22's topic in Emergency

    Sounds adequate for an experienced nurse. You're lucky... I worked for 2 years on a progressive care unit before I made the transition to ER nursing and they just threw me into the
  13. turnforthenurse

    DKA dx?

    turnforthenurse replied to dsb_fam's topic in Emergency

    Where I work we look at the blood sugar, ketones in urine, beta-hydroxybutyric acid and pH via venous blood gas. Diabetic ketoacidosis involves a metabolic acidosis hence increased ketones and...
  14. turnforthenurse

    New nurse and critical patients

    turnforthenurse replied to fencer1119's topic in Emergency

    The pharmacist is your friend. If you're ever unsure about a medication whether it's mixing it or how to give it/how to titrate or whatever, consult your
  15. turnforthenurse

    Suture Removal without Medical Screening?

    turnforthenurse replied to Chad Gardner's topic in Emergency

    Our triage nurse removes sutures/staples in triage. Patient chart is created to document and a provider will go out there just to do a brief check and then off they
  16. turnforthenurse

    How is ER charting different than floor?

    turnforthenurse replied to tarotale's topic in Emergency

    Assessments are done based on what the patient is presenting with. Everybody gets a generalized head to toe assessment along with a falls risk assessment and assessing for communicable diseases....
  17. turnforthenurse

    APPENDICITIS

    turnforthenurse replied to KYARNP's topic in Emergency

    Line, labs, meds (usually morphine & Zofran but it depends on the provider + NS) and yes, Flagyl, Levaquin or Zosyn. Vanc is overkill. Abdominal CT and if the appy is confirmed, then a surgical...
  18. turnforthenurse

    When is your shift over

    turnforthenurse replied to joe007's topic in Emergency

    I always move to a private location if I have some additional charting to do or
  19. turnforthenurse

    Hallways

    turnforthenurse replied to emtb2rn's topic in Emergency

    How do you comply with HIPAA when you have hallway
  20. turnforthenurse

    What's it like at your ER

    turnforthenurse replied to godbless-yute's topic in Emergency

    Our ratio depends on staffing but 99% of the time it's 1:4. Our techs do not have a set ratio as they help answer call lights and help with patient needs throughout the ER. If we have a patient that...
  21. turnforthenurse

    Discharge Areas/Lounges

    turnforthenurse replied to chelsea554's topic in Emergency

    We only utilize a discharge room in our Fast Track area that is only open until 2300. After the patient has been treated they are moved to the discharge room where the nurse (or tech) obtains their...
  22. turnforthenurse

    ER Design

    turnforthenurse replied to jessRN0's topic in Emergency

    I'm curious to know about other ER designs as we are working on redesigning our own ER. We have already implemented some changes but we're working on more. Triage: preferably 2 RNs and a triage tech...
  23. turnforthenurse

    Pain Management in the ER

    turnforthenurse replied to KYARNP's topic in Emergency

    Our doctors use those cocktails for migraine/HA patients, too...though some prefer Compazine or Zofran. And some like to use mag. It seems to work pretty well for patients as opposed to the use of...
  24. turnforthenurse

    stethoscope?

    turnforthenurse replied to marshmallowstar's topic in Emergency

    I have a Cardiology III and I love it. Mine is in
  25. turnforthenurse

    Pain Management in the ER

    turnforthenurse replied to KYARNP's topic in Emergency

    I feel like our doctors always order something for pain relief but that doesn't always work for the patient. You don't always need narcs to treat pain but that's what a lot of patients want. I find...