turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    Migraine treatment in er

    We don't give narcs for migraines. The order set depends on the doc, but typically 12.5-25mg Benadryl, 5mg Reglan or 4mg Zofran, Toradol 15-30mg, magnesium and 1L bolus. One of our newer docs like...
  2. turnforthenurse

    Is anyone using Cerner in their ER?

    We use Corner and FirstNet...it's not that bad, but then again this is the only program I have worked with so I have nothing else to compare
  3. turnforthenurse

    hesi exam...

    I just took two hesi exams within the past week - a critical care speciality exam and today I took a med-surg speciality exam. I did GREAT on the critical care one - scored a 1063, 89.81%...
  4. turnforthenurse

    Pull until full triage

    We were doing pull till full for awhile but then stopped. The only time we do it now is if we have a bed available and we have an unstable patient (like a patient actively having chest pain who...
  5. turnforthenurse

    PCCN Certification

    Hello! I took the PCCN exam last April and passed. I studied for awhile but then stopped for awhile, too, so I had to get back into my groove, lol. I used different resources: Pass CCRN! Book....
  6. turnforthenurse

    What's in your pocket - ER Style

    Stethoscope around my neck. Pockets: pens, white board marker, alcohol swabs and a scrap piece of paper. I clip hemostats with 2 rolls of tape onto my scrub top and place two pairs of trauma shears in...
  7. turnforthenurse

    Removing a ring with O2 mask strap

    We had a patient come in the other night needing their ring removed and unfortunately this didn't work. We were so excited to try it, too.
  8. turnforthenurse

    Defensive/CYA charting

    Charting "charge nurse notified" is a plausible answer. Just as others have mentioned, if it is a written policy at your facility that a charge nurse must be notified for [whatever], then you need to...
  9. turnforthenurse

    Dreams/nightmares about nursing school?

    I have dreams all of the time...it used to be about clinical and school, now I dream about
  10. turnforthenurse

    Making Heparin shots less painful for pts?

    Use a sharp needle. Use a needle to draw up the medication and then replace with a brand new needle. If you use the same one, it can dull the needle and make it more painful for the
  11. turnforthenurse

    Brain Sheet for Clinical

    Search for brain sheets on this site. A lot of good examples will pop up
  12. turnforthenurse

    I notice nice veins!

    I love checking out the veins of other
  13. turnforthenurse

    Not sure what to do..

    In today's world, take what you can get. If you're more so guaranteed a position by doing the CC fellowship, I would honestly do that. You can always branch out later on. I know some nurses from ER...
  14. turnforthenurse

    Bad Parents

    Yes, please call MAW! Shame on that child's mother. How
  15. turnforthenurse

    How long was your orientation

    When I was a new grad, I had about 8 weeks of orientation. I started out on PCU, though. When I moved to the ER I had no orientation. They just threw me into the
  16. turnforthenurse

    K-rider administration

    The MAX rate is 10mEq/hr through a peripheral line, 20mEq/hr through a central line. Every facility is different with how their medications are supplied. Our bags come in 20mEq/100cc or 40mEq/100cc....
  17. turnforthenurse

    ENPC

    Is it becoming the norm that ERs are now preferring ENPC over PALS? I haven't taken ENPC yet but it seems like a more valuable certification than
  18. turnforthenurse

    Offered PCU Position

    PCU ratios are typically 1:3 or 1:4. Having 7 patients is unsafe. No way that can be a true PCU. Sent from my iPhone using
  19. turnforthenurse

    Best Scrubs for the Money?

    I love Koi scrubs (and Grey's Anatomy) and I have not noticed any wearing in the crotch
  20. turnforthenurse

    Is it what you thought?

    I also didn't realize just how hard nursing can be....and how many "gray areas" can exist. In nursing school they make it seem like you have all of the time in the world and everything is black or...
  21. turnforthenurse

    telemetry reading

    ECG Workout by Jane Huff helped me with reading strips. It was a book required by my nursing
  22. turnforthenurse

    I never, ever went to ER when I was a kid

    I never went to the ER as a kid, either. My parents always took me to my
  23. turnforthenurse

    Narcotic Administration in ER

    Patients do not get narcs unless they have a ride home. Period. If they are calling for a ride, the providers like to make sure that their ride is physically in the room (and we see them there)...
  24. turnforthenurse

    Advice needed to branch out

    What about trying to float to those areas in your hospital? I was the opposite, I worked on PCU and wanted to branch out to the ER, so I started to float there a lot and pick up extra shifts. Now...
  25. turnforthenurse

    What are your pet peeves?

    When mom feels like her sick child needs to be sick and then brings her other 3 kids "to get checked out just in case." We always cringe at the "2fers" and 4ers" as we call