turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    PCCN - I failed by 10 questions

    I used David Woodruff's PCCN Success Program to prepare along with the Pass CCRN! book. I just tailored my studying to the PCCN blueprint. I also did practice questions on the Pass CCRN! CD. I...
  2. turnforthenurse

    New Job: Monitor Tech ICU

    Skillstat 6 Second ECG Simulator is a great tool to help learn your rhythms. Knowing your rhythms is key if you're going to be a monitor tech. There are also a lot of EKG books available. I heard...
  3. turnforthenurse

    Doc Mad At You?

    Back when I was brand spanking new (it was my second shift ever as a nurse), I had to call the on-call hospitalist regarding an elevated temperature. MD wanted blood cultures and wanted to start them...
  4. turnforthenurse

    ED Cheat sheet?

    I loved my brain/cheat sheet on the floor but when I came to the ER, I found it to be impractical. We see too many patients throughout the shift so my new sheet is a paper towel or dressing package...
  5. turnforthenurse

    random fact throwing: PCCN/CCRN edition

    I know the random fact throwing thread is very popular on here and I wanted to start a PCCN/CCRN edition to help those who are planning on taking the PCCN/CCRN study :) Hyperacute (tall) T waves...
  6. turnforthenurse

    ED nursing tasks/responsibilities:

    This is very true. Urine is like gold in the ER. Not having a urine sample can delay the patient's discharge (unless of course they decide to leave AMA) and course of treatment at
  7. turnforthenurse

    Quick question from a new grad on a tele floor.

    Did you take care of this patient? I'm curious to know what YOU think or what you did. What about your
  8. turnforthenurse

    IV Therapy

    It will come with time. Typically patients who come in with chest pain, SOB, abdominal pain (esp with nausea and vomiting), flank pain and musculoskeletal trauma (think pain meds in possible...
  9. turnforthenurse

    wearing nurse memorabilia before becoming a nurse?

    I wore program attire but that was when I was actually in program. On my off days, I don't advertise that I am a nurse when I'm out and about. I do have some nurse mugs that I use while I'm at home...
  10. turnforthenurse

    IV insertion problems

    I have good and bad days when it comes to starting IVs. There are some days where I can get the most difficult IV starts no problem. Many times there are patients who are impressed that I was able...
  11. turnforthenurse

    Malpractice Insurance Providers

    NSO and Proliability (I use the latter) seem to be the popular
  12. Definitely a stepdown or med-surg unit. I started out on a stepdown as a new grad and that really gave me the opportunity to build up on my skills. Make sure that whatever you choose has a good,...
  13. turnforthenurse

    Night shift dinner time

    I usually bring leftovers from dinner. I also pack A LOT of snacks because I may not have time to actually eat my dinner, or I won't get to eat until 3A-5A (most of the time). For snacks, I like to...
  14. turnforthenurse

    Jurisprudence prep course

    Definitely not necessary. The Jurisprudence exam is an open website test...you can use the TX BON website to help search for the answers. Most of it is common sense, anyway. I didn't take the prep...
  15. turnforthenurse

    ED nursing tasks/responsibilities:

    As I stated, some providers will wait on the urine, others have it a "standing order" to have a straight cath done if a patient cannot void within 30 minutes of coming back to the main ER. Can the...
  16. turnforthenurse

    Chf and fluid boluses

    You can bolus a CHF patient, you just have to be more careful. Be extra diligent on their fluid volume status while you're giving them a bolus; i.e. listen to lung sounds more frequently, check for...
  17. turnforthenurse

    Foley Catheter Lubrication

    Never heard of it being applied directly to the meatus. I just squeeze the lubricant into the tray and run the tip of the catheter into
  18. turnforthenurse

    What is it like to work as an RN in the ER

    It depends on where you work. Obviously, a level 1 trauma center will see a lot more than a level 3 or level 4. The ER isn't all blood, guts and gore but you do see everything. The nurses do have a...
  19. turnforthenurse

    ED nursing tasks/responsibilities:

    * Vital signs, assessments. In the ER, however, our assessments are focused based on the patient's chief complaint. * IV starts * Specimen collection - drawing blood/blood cultures,...
  20. turnforthenurse

    Getting into emergency nursing

    I started out on an ICU stepdown (progressive care unit) and worked there for awhile before transitioning to the
  21. turnforthenurse

    ER VS ICU NURSING

    In the ER, patients generally start out with nothing. You need to place a line (or two), get their labs drawn, get a stat EKG, sometimes place a foley or NG tube, assist the MD with chest tube...
  22. turnforthenurse

    Hypothermia for Heart Attack Victims

    We have cooling blankets with a rectal thermometer probe. Along with that, we place tons of ice packs on the patient to help cool them
  23. turnforthenurse

    How do you draw up meds for IVP?

    I use a a needle (an actual needle, not a plastic or filter needle because it does not fit into the saline flush opening) and inject it into the flush that way. If I am withdrawing the full amount, I...
  24. turnforthenurse

    EKG on NCLEX?

    I had a couple of strips when I took the NCLEX. Just be familiar with them, you don't have to go in-depth. Better to be safe and study them and not end up getting any strips vs. not studying and...
  25. turnforthenurse

    Triage complaints- the good, the bad, and the shocking.

    :barf: It amazes me how you don't know that half of a sandwich is underneath your