turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    certification question from a student for homework

    turnforthenurse replied to HeatherRasmussen's topic in Emergency

    CNRN_Cali pretty much nailed it on the head. We do not have staff recognition regarding certifications, though. We do not have a lot of nurses at our hospital that are certified... only a very small...
  2. turnforthenurse

    Prioritizing infusions

    turnforthenurse replied to sistrmoon's topic in Patient Medications

    I would give the platelets for the reasons listed above. Platelets and FFP are given rapidly where I work, usually over 20min. They have special tubing that is incompatible with our pump so we have...
  3. turnforthenurse

    New to practice nurse out of school for a year & a half & was offered ED position.

    turnforthenurse replied to murphyk12's topic in Emergency

    Sheehy's is way more in-depth but still an excellent resource. Carry around a little pocket-sized notebook to just write down things, even things you don't understand. You can research when you get...
  4. turnforthenurse

    New to practice nurse out of school for a year & a half & was offered ED position.

    turnforthenurse replied to murphyk12's topic in Emergency

    You cannot be expected to know everything right off the bat. The ER is wonderful and exciting by the fact that you do not know what will be coming through those doors. Each patient is like a puzzle...
  5. turnforthenurse

    Feed me, Seymour! When patients want forbidden food...

    turnforthenurse replied to TrevyRN's topic in Emergency

    I love it when you're in triage and patients come in c/o abdominal pain / N/V/D yet there they are in the waiting room munching on
  6. turnforthenurse

    ER training. CEN

    turnforthenurse replied to weatherck's topic in Emergency

    Check out Mark Boswell. He does 2 day live review courses and also has videos posted on YouTube. There is also Jeff Solheim (he has an online review through MedEd) and David Woodruff but he doesn't...
  7. turnforthenurse

    Which stethoscope do you like?

    turnforthenurse replied to ElanaJ's topic in Scrubs, Uniforms, Gear

    I have a Littmann Cardiology III. I love it. Sent from my iPhone using
  8. turnforthenurse

    Allergy/Anaphylaxis treatment and Shivering

    turnforthenurse replied to 1fastRN's topic in Emergency

    Yup, epi. It IS a miserable feeling, I know from
  9. turnforthenurse

    diltiazem drip

    turnforthenurse posted a topic in Cardiac

    I had a patient in with A-flutter. HR was variable when the pt came in, 60's all the way up to the 200's. Patient was started on a diltiazem drip - rate control was achieved, but the patient...
  10. turnforthenurse

    Does This ED Tech Screening Question Seem Odd?

    turnforthenurse replied to ambz13's topic in Emergency

    Totally random question and not appropriate, IMO! Made me a laugh, though :) I also would have gotten it
  11. turnforthenurse

    ED staffing and transportation of critical patients

    turnforthenurse replied to 1fastRN's topic in Emergency

    We have 4 patients but if we're short, then we can expect to take 5-6 patients. If the patient is intubated the primary RN and RT must accompany the patient to CT/XR and when transporting to the...
  12. turnforthenurse

    Any advice or words of wisdom for precepting new grad ER nurses?

    turnforthenurse replied to turnforthenurse's topic in Emergency

    I didn't have the greatest orientation when I started out on the floor - I think I had maybe 6-8 weeks? They did start me off slow, first sort of shadowing and then I had 1 patient, then my...
  13. turnforthenurse

    Any advice or words of wisdom for precepting new grad ER nurses?

    turnforthenurse posted a topic in Emergency

    Preceptors - any advice or words of wisdom for precepting new grad ER nurses? I have precepted/oriented experience nurses before but I mostly served as a resource person and they were pretty much...
  14. turnforthenurse

    The best laid plans...

    turnforthenurse replied to utadahikaru's topic in Emergency

    I agree, hang in there. It's tough when you're new. Most new nurses do not feel comfortable until they are about 12 months in... and the ER can be a difficult place to start. You may actually begin...
  15. turnforthenurse

    Any advice or words of wisdom for precepting new grad ER nurses?

    turnforthenurse replied to turnforthenurse's topic in Emergency

    I just now realized that.... my computer keeps autocorrecting intubate,
  16. turnforthenurse

    Any advice or words of wisdom for precepting new grad ER nurses?

    turnforthenurse replied to turnforthenurse's topic in Emergency

    Perhaps... she has been on orientation for awhile now, though. I know I was nervous when I first started but I still wanted to see EVERYTHING, even if it was just to observe. If I heard something...
  17. turnforthenurse

    Any advice or words of wisdom for precepting new grad ER nurses?

    turnforthenurse replied to turnforthenurse's topic in Emergency

    I think that is the problem my orientee has. She has been on orientation for several weeks now and sounds like she has had several different preceptors... and she seemed confused on the way to do...
  18. turnforthenurse

    How does your ED handle stocking

    turnforthenurse replied to That Guy's topic in Emergency

    We stock during slow hours, which is usually at night. It's a team effort but most nights we don't have a tech so the nurses are responsible for
  19. turnforthenurse

    Any advice or words of wisdom for precepting new grad ER nurses?

    turnforthenurse replied to turnforthenurse's topic in Emergency

    I like Sheehy's Manual of Emergency Nursing and Fast Facts For The ER Nurse. Thank you so much for your suggestions, everyone!
  20. turnforthenurse

    Paper charting

    turnforthenurse replied to dsherman's topic in Emergency

    Only during scheduled downtime. Which always happens on night shift and always seems to happen on the nights I
  21. turnforthenurse

    Are you good at charting in "real time?"

    turnforthenurse replied to Ativan's topic in General Nursing

    As an ED nurse, I try to do real-time charting as much as possible. Sometimes it isn't always feasible, though, like in a truly emergent situation. Oh, my patient isn't doing so hot and they need...
  22. turnforthenurse

    FFP infusion

    turnforthenurse replied to EmeryRN's topic in General Nursing

    FFP is usually given wide open/within 15-30min. We don't put ours on the pump because the FFP tubing isn't compatible with
  23. turnforthenurse

    Which drugs are you required to count?

    turnforthenurse replied to Emergent's topic in Patient Medications

    Flexeril, all nebulizer treatments (I guess because people were stealing them for their own home nebulizer machines) and a new one - IV Benadryl. Apparently it can be an ingredient to make crystal...
  24. turnforthenurse

    How does your ED treat chest pain?

    turnforthenurse replied to dsherman's topic in Emergency

    Door to EKG = 10minutes. Cardiac monitor, O2 @ 2L, line and labs (troponin, CBC, cmp, coags), 324mg ASA chewed and SL NTG x3, usually before morphine is ordered. Sent from my iPhone using...
  25. turnforthenurse

    how does your er treat abdominal pain

    turnforthenurse replied to dsherman's topic in Emergency

    Depends on the cause. Kidney stones = tornado and Zofran. Usually everyone gets toradol and Zofran (if there are no contraindications) until the cause can be identified. Some docs will only give...