turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    Blood alcohol

    wow... the highest I have seen was 500 and the patient was still with it...obviously drunk, but with it. I was very
  2. turnforthenurse

    What are your pet peeves?

    This is exactly why I hate cathing
  3. turnforthenurse

    Charcoal/NG tubes

    Even a 16 is pushing it from my experience... I shake that charcoal vigorously, have the pt drink it (unless the MD orders an NGT by default)...tell them it's better to just drink it all than to have...
  4. turnforthenurse

    PCCN certification help!

    I have my PCCN - got it earlier this year. There were these CCRN podcasts that I found on iTunes by Cammy House-Fancher who is excellent. It was a great review. I also used the book Pass CCRN! and...
  5. turnforthenurse

    Shouldn't that patient go the ICU??

    With the information you are presenting on this patient, I also agree that they do not need an ICU bed. I worked in telemetry for 2 years before moving to the ED and we took patients on dilt gtts all...
  6. turnforthenurse

    Impossible standards

    Our policy is to repeat vitals Q2H for patients in the waiting room to watch for condition changes. I guess it just varies between
  7. turnforthenurse

    CS

    Etomidate for adults, ketamine for
  8. turnforthenurse

    PCU interview... but what exactly is PCU?

    You'll get that on PCU, too! Actually, I think that's everywhere. I worked PCU for 2 years, including filling the charge nurse role. PCU stands for progressive care unit and it is recognized by the...
  9. turnforthenurse

    Oh! My feet! What are the best shoes to wear at work??

    I love my Danskos. Alegria shoes are very comfortable, too. It's surprising that both work well for me because they are pretty different - the Danskos are a lot more firm than the Alegria shoes. I...
  10. turnforthenurse

    Impossible standards

    IM and IV meds are considered resources whereas PO meds and tetorifice immunizations are not considered resources.
  11. turnforthenurse

    Fitness and nursing

    I work out 3-5 days/week, including some mornings when I get off after working 12+ hours. Sometimes I will work out twice a day. It is a good stress reliever. Nothing like taking out your...
  12. turnforthenurse

    Nurses that don't work holidays?

    Clinics, employee health (immunizations), urgent care centers and some research positions typically work Monday-Friday, day time hours. You may not be able to get something like that right off the...
  13. turnforthenurse

    Er predictions

    The beginning of the week is always busy for us for some reason. And full
  14. turnforthenurse

    Impossible standards

    Where I work, our vitals flow over from the monitors in the computers. The only way to obtain Q15min vitals would be to set the BP to go off Q15min and then chart everything else accordingly. For...
  15. turnforthenurse

    Washing scrubs

    I never rewear my scrubs without washing them. Just because you can't visibly see any anything doesn't mean there aren't any germs
  16. turnforthenurse

    Charge nurse

    When I still worked on PCU I charged a lot. Things I was responsible for: * Making assignments for both my staff and the on-coming shift. * Assigned beds and determined who would get the next...
  17. turnforthenurse

    cheaper alternative to greys anatomy tops

    I love Koi. They are still expensive but cost a little less than the GA scrubs. Have you checked out ICU by Barco? They are similar to GA in terms of quality and softness but they are a lot
  18. turnforthenurse

    How do you incorporate your nursing bag into your day?

    Usually things like my stethoscope, hemostats (that use I carry my rolls of tape and my trauma shears) and pens stay in locker. I also keep my wallet and keys in my locker. In my actual bag, I have...
  19. turnforthenurse

    New Grad-First Day in the ER--Feeling Overwhelmed and Foolish

    I couldn't agree more! When I was a baby nurse I learned a lot from them. Respect your techs!
  20. turnforthenurse

    New Grad-First Day in the ER--Feeling Overwhelmed and Foolish

    We have all been there. You'll get your groove, don't worry. It just takes time, especially in a busy environment such as the ER. Don't beat yourself up so
  21. turnforthenurse

    Medication tidbits an ER nurse should always know

    Dilantin should only be mixed with NS; other diluents can cause it to crystallize. Valium cannot be mixed with anything, not even
  22. turnforthenurse

    Help understanding reason for meds

    I have also given albuterol to help lower K+, though this isn't as popular as the other hyperkalemia
  23. turnforthenurse

    Patient Care Checklist/Sheet

    I had a brain sheet when I worked on the floor. When I came to the ED, I learned that the brain sheet isn't feasible at all. There is just too high of a turnover of patients to have a brain sheet....
  24. turnforthenurse

    Bedside Reporting- your thoughts

    This sounds sort of like having a kardex that they used to have years ago...why exactly are you discouraged from keeping your own report sheets? I loathed bedside report. Unless I was in ICU or in...
  25. turnforthenurse

    Do you have 30 minutes for lunch?

    When I worked on the floor, I would get a 30min lunch most of the time, surprisingly. It usually wouldn't be until 0200-0300, however, and the last time I ate was around 1730... In the ER, very...