turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    accu-check strips

    turnforthenurse replied to gonzo1's topic in Cardiac

    I think it depends on the strips but 3 seconds is a little extreme. For our strips, we have 10 seconds. We have to take the bottles in the room because we also do barcode
  2. turnforthenurse

    ACLS - Nursing Student

    turnforthenurse replied to thelittledoe's topic in Emergency

    Already having ACLS and/or PALS as a new grad on your resume honestly doesn't make much if a difference. You're better off letting the hospital pay as these courses are very expensive. Most places...
  3. turnforthenurse

    New grad in the ER seeking advice

    turnforthenurse replied to ERnursebythebay's topic in Emergency

    I also second joining the ENA. They send you the Journal of Emergency Nursing that contains a wealth of information that is very relevant to ER nursing practice. I receive other journals as well...
  4. turnforthenurse

    What are your pet peeves?

    turnforthenurse replied to forgop's topic in Emergency

    When parents claim that their child has a fever because they "felt hot." when you ask them what their temperature was at home, they don't know because they didn't it at home. ugh. and speaking of...
  5. turnforthenurse

    Happy er nurses week

    turnforthenurse replied to floridaRN38's topic in Emergency

    Food everyday! Night shift still gets the short end of the stick though...day shift gets all of these fabulous meals and we're stuck with fruit and veggie trays. Don't get me wrong, I'm thankful but...
  6. turnforthenurse

    How long did it take you to master inserting an IV?

    turnforthenurse replied to RunawayN's topic in Emergency

    Go by feel, not by what you see. It does take time. I was somewhat of an ok IV starter but I worked on the floor so I didn't have much of an opportunity to try. Once I came to the ER I was starting...
  7. turnforthenurse

    Which is better?

    turnforthenurse replied to OCRN3's topic in General Nursing

    how long is the commute? And I agree, you'll need to factor in other things like amoLucia
  8. turnforthenurse

    wasting time?

    turnforthenurse replied to smurfynursey's topic in Emergency

    I'm happy when something ends up being "nothing" in the end. Are they ever wasting my time? Never! I have had patients apologize to me and the staff for "being so stupid for coming to the ER for...
  9. turnforthenurse

    WANTED: Tidbits of info for a "new" ED nurse

    turnforthenurse replied to BelleKRN's topic in Emergency

    Become familiar with peds and OB because in the ER, you will see and treat all sorts of ages, from the VERY young (a couple of weeks) to the very old and everything in between. Books I suggest to...
  10. turnforthenurse

    What was the MOST ridiculous thing a patient came to the ER for?

    turnforthenurse replied to JUSTYSMOM's topic in Emergency

    A patient who "thought" she was pregnant and swore she could feel the baby move. And of course, N/V. Her LMP was a little over a month ago at that time. HCG urine and serum were negative. HCG quant...
  11. turnforthenurse

    Help! Need advice with tough situation.

    turnforthenurse replied to Nurse7970's topic in General Nursing

    The grass isn't always greener on the other side. Stay where you
  12. turnforthenurse

    Always trying to excel

    turnforthenurse replied to teletech111's topic in Cardiac

    Simple: actually paying attention to the monitors. I know it sounds like common sense but I have worked with monitor techs who do not notice that a patient is off the monitor or that their O2 sat is...
  13. turnforthenurse

    Hourly Rounding in an ER

    turnforthenurse replied to green34's topic in Patient Care Technician, Assistants

    I don't wake them unless I have to. I make sure they are BREATHING and chart something along the lines of, "pt asleep, no distress noted at this time. call bell within
  14. turnforthenurse

    TPN compatibility

    turnforthenurse replied to DesertpedsRN's topic in Patient Medications

    I was taught to never piggyback or y-site something into TPN. I agree, you need more access. Also, I hate it when providers put in single lumen central line - what's the point??? AT LEAST make it...
  15. turnforthenurse

    Difference between atrial and ventricular rate?

    turnforthenurse replied to heyitsme728's topic in General Nursing

    Perhaps OP is referring to the the square counting method, which can only be used for regular heart rates. Find the QRS, and count the number of thick lines in between them until you get to the next...
  16. turnforthenurse

    Working as a CNA before nursing school?

    turnforthenurse replied to missmagee's topic in Pre-Nursing Students

    CNA (or STNA as they call them in Ohio ) or PCT...either one is great experience and allows you to network. I say go for it. As for how much they get paid, it depends on the hospital/area. I was...
  17. turnforthenurse

    mask or flu shot?

    turnforthenurse replied to lilangel6828's topic in Disaster Preparation

    Wearing a mask around a patient would drive me crazy. Masks are hot, imo. My facility also gives us a choice between wearing a mask or getting the flu shot, but we also get to choose what mask we...
  18. turnforthenurse

    How good is your food?

    turnforthenurse replied to xoemmylouox's topic in General Nursing

    I have never been a patient at my hospital but I have had hospital from the cafeteria and it's decent. There have been a small handful of things that I thought sounded good but didn't taste good at...
  19. turnforthenurse

    Passed CCRN after failing!

    turnforthenurse replied to Lovelymo79's topic in Critical Care

    Congrats
  20. turnforthenurse

    Tele Unit to ER?

    turnforthenurse replied to jtnurse13's topic in Cardiac

    The experience could definitely provide you with a good stepping stone when you want to transition to ER. My other advice is to see if you can float or pick up extra shifts in the ER to help out. I...
  21. turnforthenurse

    ER Nurse Certifications

    turnforthenurse replied to Connie1109's topic in Emergency

    I haven't taken ENPC but I heard that, too... And TNCC would be good regardless of what trauma level your ER is. Sometimes the level III and IV trauma centers will still get traumas and you have to...
  22. turnforthenurse

    ER Nurse Certifications

    turnforthenurse replied to Connie1109's topic in Emergency

    For the CCRN, I think it depends on your ER. ER nurses can sit for the CCRN exam, but do you do have a lot of art lines/swanz caths? Usually, the invasive hemodynamics are left for ICU and we also...
  23. turnforthenurse

    Transfer medication reconciliation process

    turnforthenurse replied to MunoRN's topic in General Nursing

    The meds are only reconciled when the patient first gets admitted. If they are transferred, the reconciliation isn't done again - the MD just discontinues whatever medications the patient does not...
  24. turnforthenurse

    ER vs Med/surg- someone wanna clue me in?

    turnforthenurse replied to PAERRN20's topic in Emergency

    I worked progressive care which has a different ratio compared to med-surg (1:4 as opposed to 1:6-7) but some days it feels like a med-surg floor. A lot of sick patients, a lot of total cares, a lot...
  25. turnforthenurse

    How to properly measure intervals in an EKG

    turnforthenurse replied to healthcare4life's topic in Cardiac

    Lol yes. I don't know why I made that sound so