turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    Do your Charge RNs take patients?

    I used to charge when I worked in progressive care. We took a full load of patients, all of the time. There were times where we were short and all of the nurses had to take 5 but the charge RN would...
  2. turnforthenurse

    Transfer to the ED - what should I brush up on?

    I agree with ACLS. PALS is also helpful and more than likely required, even if you don't work in a children's ER. I also second Sheehy's Manual of Emergency Nursing. It's very comprehensive. I...
  3. turnforthenurse

    Staffing/Patient Ratios in your ED

    Ours is 1:4 in the main ER, fast track is usually an LPN and their ratio is 1:5. RNs cover their IV push meds. If we're full in the cardiac/trauma rooms (and that's on a bad night) it's 1:5, which...
  4. turnforthenurse

    Stooopid

    Pt thought it was a good idea to leave some ribs from a restaurant IN THE CAR OVERNIGHT (and mind you I live in TX where it is still blazing hot and it's still like 80 degrees in the evening) and...
  5. turnforthenurse

    What jobs did you do before nursing?

    When I was 16 I worked at a local pizza place for awhile. Then they went out of business, lol. I worked at Game Stop as a seasonal employee, then I worked at Red Robin right before I went to...
  6. turnforthenurse

    ER nurses not calling report anymore...

    Yes, ER assessments are different. And I agree, that was also a hard habit for me to break when I made the switch to ER. We do assessments based on the patient's chief complaint - called focused...
  7. turnforthenurse

    What jobs can I get at a hospital besides a CNA?

    Depending on the hospital you may also be able to work as a patient
  8. turnforthenurse

    ER nurses not calling report anymore...

    Sometimes the nurse will only have the patient for a literally a few minutes if there is a change of shift going on. Sometimes we will call report for each other if the primary RN is busy. That is...
  9. I always use a plastic needle to draw up my medications and then switch to the appropriate size/gauge needle for
  10. turnforthenurse

    How to properly measure intervals in an EKG

    Yup, use some calipers, measure whatever you are measuring and then march it out on the rest of the strip to look for consistency. If I am (for example) measuring the QT interval, it helps to find...
  11. turnforthenurse

    Are energy drinks effective?

    I'm not a big fan of energy drinks. I would rather just drink coffee or
  12. turnforthenurse

    More $$/hr for CCRN?

    PCCN here, but I get paid an extra $1 for having it. My facility did not offer any reimbursement for taking the exam. All of that along with study materials came out of my own
  13. turnforthenurse

    Littmann classic II S.E. or Littmann Cardiology III

    I have both. I started off with the Classic II S.E. for nursing school then bought the Cardiology III. The S.E. is more comfortable to carry around especially on your neck, as the chest piece on the...
  14. turnforthenurse

    ED Cheat sheet?

    I have definitely written EMS reports and MD orders on gurney
  15. turnforthenurse

    Nominated for Daisy Award :)

    That's awesome,
  16. turnforthenurse

    What do ICU nurses do with ventilators in USA?

    Where I work, RTs generally manage the vents. They are responsible for changing the vent settings and giving treatments. They suction and care for the ETT/trach. RNs also do suctioning and...
  17. turnforthenurse

    Peer evaluations

    When I worked as a tech, we had to do something similar to that. A nurse was chosen to evaluate us (at random) along with another tech or CNA, and we were randomly given a tech or CNA to evaluate. I...
  18. turnforthenurse

    What's the BEST nursing shoes?

    What works for one may not work for another. I personally love both Danskos (the XPs!) and Alegria shoes. They are both different; the Danskos are a lot firmer, even the new XP line with (note:...
  19. turnforthenurse

    Please help new grad with LTC night shift

    I don't have children so I cannot really offer advice on that. Different strokes work for different folks, really. As for sleeping and adjusting to the night shift, I try to stay up as late as...
  20. turnforthenurse

    How do you brighten your patients day?

    With a Benadryl IVP
  21. turnforthenurse

    IV question

    There is no set "safe" rate for cardiac patients. I'm assuming you mean patients with a hx of CHF or renal failure. You just have to keep a close eye on their fluid volume status. I have had to...
  22. turnforthenurse

    9:1 ER ratios in NY?

    9:1 sounds crazy. Where I work our ratios are 4:1 which seems to be the standard at most EDs. Yes, there is a difference having 4 critical patients vs. 9 more stable patients, but I have had...
  23. turnforthenurse

    Night Shift Help!!

    I have no advice regarding kids because I don't have any...but for meals, the crockpot has become my savior. I am always too tired to cook something during the days I work so I have started to make...
  24. turnforthenurse

    PALS class

    Thanks for your replies, everyone! Took my class and passed. It wasn't that bad, really. Just glad it's over and done with it because it was a long day for saving plastic mannequins Yes, I agree...
  25. turnforthenurse

    PALS class

    So I'm taking PALs relatively soon and I have been going through the manual but the amount of information seems overwhelming. For anyone who has taken PALS recently, what should I expect? Is it...