turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    Any good ER reads?

    turnforthenurse replied to jrsRN07's topic in Emergency

    Sheehy's Emergency Nursing is like the ER nursing bible, lol. That's really the only book you need, imo, and maybe an ENPC manual. Fast Facts for the ER Nurse is good,
  2. turnforthenurse

    typical day of a PACU nurse?

    turnforthenurse posted a topic in PACU

    can anyone describe a typical day in the life of a PACU nurse?
  3. turnforthenurse

    Supplies a new grad ER Nurse should carry

    turnforthenurse replied to Belle2013's topic in Emergency

    * A lot of clicky pens...I just prefer all black because that is what we have to document in, so it just makes it easier instead of having different colors. * A good stethoscope...I love my Littmann...
  4. turnforthenurse

    Will ER nurses help me answer a few questions, please??

    turnforthenurse replied to mcao11's topic in Emergency

    I worked on a progressive care unit for 2 years before switching to the ER. By the last few months on my home floor, I got floated to the ER a lot and learned that I loved it down there, so I made...
  5. turnforthenurse

    Violence in the workplace

    turnforthenurse replied to Pudnluv's topic in Emergency

    Do you have the right to defend yourself in a violent situation? I have never seen anyone become physically violent...just verbally. We have police in our ED most of the time, but there are certain...
  6. turnforthenurse

    Propofol and NS

    turnforthenurse replied to ezgreazin's topic in Emergency

    I agree, you can ask pharmacy but you should always follow your facility's protocols and not just go based on what others say. Where I work (and it's our policy), propofol always has its own...
  7. turnforthenurse

    confusion onset after lowering BP & Glucose too fast?

    turnforthenurse replied to clickhand's topic in Cardiac

    In terms of lowering blood sugar, you should do it by 70-100/hr. Doing so too quickly (>100/hr) can potentially lead to cerebral edema. Otherwise I think Esme pretty much covered
  8. turnforthenurse

    Nurses need water

    turnforthenurse replied to Heidimc's topic in General Nursing

    It's funny, I always find time for coffee during my shift but sometimes I notice I will go a whole 12 hours without drinking any water...that's pretty bad! I'm trying to drink more water throughout...
  9. turnforthenurse

    Is it helpful to become a CNA before becoming a nurse?

    turnforthenurse replied to supermom.of.3's topic in General Nursing

    I worked as a nurse tech while I was in nursing school. The experience I obtained was invaluable to my nursing career for all of the reasons mentioned above. If you have the opportunity to work as a...
  10. turnforthenurse

    What helps you sleep after night shift?

    turnforthenurse replied to Emma_H's topic in General Nursing

    Get some blackout curtains if you can, and if not, get an eye mask to help block out the light. I'm usually starving at the end of my shift (unless I eat my "lunch" at 0500-0600) so I'll usually eat...
  11. turnforthenurse

    Stethoscopes!!!

    turnforthenurse replied to blondebabe0625's topic in Scrubs, Uniforms, Gear

    But with the electronic scopes you have the option of focusing in on heart sounds or breath sounds...while tuning out on whatever you don't want to listen to. They are very expensive, however. Some...
  12. turnforthenurse

    NIGHT SHIFT CENTRAL!

    turnforthenurse replied to meanmaryjean's topic in General Nursing

    I agree with the team work being superior on nights compared to days. I picked up a couple of dayshifts to help out one time and the dayshift people just do NOT help each other! It's ridiculous! We...
  13. turnforthenurse

    Anyone move from OR to ER?

    turnforthenurse replied to ruralgirl08's topic in Emergency

    I say go for it! Keep in mind though, the ER isn't all about "emergencies." A lot of patients come in with minor complaints or come in to abuse the system...you end up with "emergent" chest or...
  14. turnforthenurse

    Calculator at work?

    turnforthenurse replied to 1Luv_xo's topic in General Nursing

    Phones generally have calculators built into them so that what I use if I need it. Our computers have them too. There are calculators everywhere! Pharmacy generally has everything calculated for us...
  15. turnforthenurse

    Patient's right to refuse

    turnforthenurse replied to julz68's topic in Patient Safety Issues

    That is a very good way of putting it. But it makes sense. I remember I had a patient who I admitted, a lot of psych issues, but came in with SOB and severe hyponatremia. Came up on a 100% NRB but...
  16. turnforthenurse

    Where are you happy?

    turnforthenurse replied to CaitlynRNBSN's topic in General Nursing

    I worked in progressive care for 2 years and decided to switch to ER. I couldn't be happier with my choice and I think it was the best decision I made. I was getting burnt out on the floor. There...
  17. turnforthenurse

    What brand of scrubs do you prefer?

    turnforthenurse replied to kstrac13's topic in Scrubs, Uniforms, Gear

    Koi! I also like Wink, which are really starchy and rough compared to Koi, but they're also nice because of all of the extra
  18. turnforthenurse

    What's the lowest potassium you would feel comfortable not supplementing?

    turnforthenurse replied to blondy2061h's topic in Patient Medications

    On the floors, we have standing protocols for K, Mg and Phos. We do not supplement K unless it is In the ER, we do not have those standing protocols. I've went to ER docs for a K of 3.4-3.3 and...
  19. turnforthenurse

    PCCN--is it worth it?

    turnforthenurse replied to queenjulie's topic in Cardiac

    You are not qualified to take the CCRN working on a tele floor. The CCRN includes a lot of invasive hemodynamics whereas the PCCN includes non-invasive hemodynamics. By working on a tele floor, you...
  20. turnforthenurse

    Size matters? (IV question)

    turnforthenurse replied to theantichick's topic in General Nursing

    I like to go for at least a 20. We need a minimum of a 20g in order to chest CT with contrast. All other CTs utilizing contrast can go with a 22, just not the chest CT. Where I work, it is policy to...
  21. turnforthenurse

    I don't want night shifts

    turnforthenurse replied to Phillip1988's topic in Pre-Nursing Students

    Usually as a new grad, you'll start off working nights. Everyone wants a dayshift job but in today's market, that isn't always feasible. You may get lucky and land a dayshift position right off the...
  22. turnforthenurse

    Has this happened to you???

    turnforthenurse replied to SweetMelissaRN's topic in Emergency

    If I am dealing with a violent or potentially violent patient, I always make sure I have one of the police officers by the door or in the room with me. Sent from my iPhone using
  23. turnforthenurse

    Post-op PTCA tips?

    turnforthenurse replied to brettt's topic in Cardiac

    It is policy at my hospital to have two sheath-pulling certified RNs in the room. I don't think it's safe to have just one nurse, because things can go wrong and it's good to have an extra set of...
  24. turnforthenurse

    Advice for a new grad starting on cv unit

    turnforthenurse replied to estrickland's topic in Cardiac

    I also agree with getting to work early! I frequently charged when I worked on PCU and I would always arrive at least 30min early...one of the reasons being so that I could make the assignments for...
  25. turnforthenurse

    PCCN--is it worth it?

    turnforthenurse replied to queenjulie's topic in Cardiac

    Think of it as a form of continuing education. I feel as if certified nurses have patients with better outcomes because they have demonstrated proficiency in their specialty and therefore are more...