turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    Are you allowed toasters?

    We do not have a toaster in our ER but we have one in our
  2. turnforthenurse

    Calling out the pts name in the waiting room...HIPAA?

    We have restaurant style pagers. I like to hand them out but I have noticed that everyone doesn't adhere to that practice...and now they have fallen out of favor with our staff (but not necessarily...
  3. turnforthenurse

    Calling out the pts name in the waiting room...HIPAA?

    They do that for the military, at least for the pharmacy here as well as clinics.
  4. turnforthenurse

    Difference in NP & PA roles in the ED

    It depends on the provider where I work. We have a PA who will only stay in their level 4/level 5 corner and will RARELY see level 3s. We have other NPs and PAs who will see the same patients that...
  5. turnforthenurse

    IV sites for Abd CT

    For CT PEs the site must be in the forearm or higher. They prefer to have it in the AC and it was to be a 20G or larger. The contrast infuses at a higher rate for CT PEs than other CTs with contrast...
  6. turnforthenurse

    Who loves their job as an RN in the ED?

    I have been an ED nurse for 14 months. I came from the floor - PCU to be exact - and had 2 years of experience there prior to transitioning to the ED. I can't even imagine working the floor now that...
  7. turnforthenurse

    Writing a new policy

    Does anybody have any good resources or tips when it comes to writing a new policy? We are revamping our care of behavioral health patients policy which will include things like visitation hours,...
  8. turnforthenurse

    question to ER folks

    Yes, PCU and ICU nurses floated to the ER quite often where I work. They never really trained me, either, they just sort of threw me into the mix and I was able to handle it. I already had 2 years...
  9. turnforthenurse

    question to ER folks

    I transferred from PCU to ER within my hospital. I floated a lot to the ER so I established a rapport with the staff, charge nurses and nurse manager which helped when I made the switch. OP, keep...
  10. turnforthenurse

    any leadership and management books?

    What about books related to nursing management and
  11. turnforthenurse

    Guns and Wepons

    We have security during the daytime. On nights we have PD, so we call them for any issues. No metal detectors in our ER. All doors are locked and accessible via badge access
  12. turnforthenurse

    Malpractice question

    NSO and Proliability seem to be the most popular options. I believe they offer student discounts but I'm not 100% certain on
  13. turnforthenurse

    Charge nurses

    I have also done this and nothing happened. In fact, the person I reported found out that it was I who reported them and that caused some issues. I thought that stuff was supposed to be anonymous....
  14. turnforthenurse

    Charge nurses

    For those of us who are charge nurses, are you always in charge or does your unit rotate between several different individuals? Do you ever feel like some days being in charge just isn't worth it?...
  15. turnforthenurse

    No more glucose checks by CNAs/PCTs

    UAPs are able to able to check FSBG in all of the places I have
  16. turnforthenurse

    IMMEDIATE BEDDING

    We only do this if someone needs to come back right away, like chest pain with hx MI + other risk factors, s/s acute stroke, etc.. I feel like bringing patients back immediately works if you're not...
  17. turnforthenurse

    Satisfaction scores

    I do the same thing. In fact, we are encouraged to. If the patient was satisfied with the care I gave them and their experience in the ED, you bet I am going to give them a comment card for them to...
  18. turnforthenurse

    tPA

    I know tPA dosing is different for CVA than for MI, not sure about PE. Dosage is 0.9mg/kg. The first 10% is given as a bolus over 1 minute and the remaining 90% is given as an infusion over an hour....
  19. turnforthenurse

    EKG Competency fail

    I always learned sinus rhythm as 60-100, so therefore anything >100bpm is considered sinus tachycardia. And I too have heard (and seen) slow a fib. I also agree, something just doesn't seem right....
  20. turnforthenurse

    Which ICU should I choose for senior practicum?

    Do what will interest you the most. If you love cardiac, CCU would be a good choice. If you love neuro, then go to the neuro ICU. Not every hospital has a burn ICU, so that would be a good learning...
  21. turnforthenurse

    First job! cardiac step down, med surg, tele, GI floor mix

    Yes, always assess your patient first! I have had severely low BP readings pop up on the monitor but it's because the cuff was too loose or not even on the patient. I also had a patient "go into"...
  22. I just kept applying until I landed an interview. If you are applying to a bunch of places and you aren't getting any callbacks, it could be your resume. Take a look at it and make changes as...
  23. turnforthenurse

    Would you be insulted by this?

    I wouldn't buy it. No way am I paying money for something that is supposed to be a "gift." And besides, t-shirts do not have all of those awesome pockets that scrub tops have....
  24. turnforthenurse

    Help a CCU nurse move over to ED nursing.

    I eased myself into it. I worked on a PCU, got floated to the ED a lot and decided that I love the ED so I made the switch. One of the hardest things for me was to adapt to ED assessments, which are...
  25. turnforthenurse

    Radiation danger, repeated CTs by frequent flyers

    Exactly. I agree, our ED does A LOT of CTs but I feel like it's a CYA thing with our