R!XTER

R!XTER

Emergency Room

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All Content by R!XTER

  1. Do pt families every drive you crazy?

    R!XTER replied to purple10's topic in Patient, Colleague Relations

    Thank you

  2. miscarriage-what instructions/support do your pts get?

    R!XTER replied to TooterIA's topic in Emergency

    One of the docs I work with told me that he always explains to women who are miscarrying that the pregnancy would most likely not have resulted in a healthy baby, that it is the body's natural way of...

  3. Do pt families every drive you crazy?

    R!XTER replied to purple10's topic in Patient, Colleague Relations

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

    R!XTER replied to canoehead's topic in Emergency

  5. Is the cynicism inevitable?

    R!XTER replied to lvnlrn's topic in Emergency

    Exactly!! And the opposite is also true - the sickest patients (I.e. dying from end stage testicular cancer with mets to spine and lungs at 32 years old) are the nicest! This gets me almost every...

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

    R!XTER replied to canoehead's topic in Emergency

    Mid-thirties female patient: I think I have a UTI. Me: ok, what symptoms are you having? Patient: well, my lady parts hurts. Me: just to be clear, is it your lady parts, or where you pee from?...

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

    R!XTER replied to canoehead's topic in Emergency

    Hahahah!! How does a game like that even get invented??? And also - how do all the oddest people have significant

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

    R!XTER replied to canoehead's topic in Emergency

    Yesterday- 19 year old girl brought in by ambulance for pelvic cramping. Onset last night. Incidentally, LMP also started last night. Me- "did you take anything for the pain?" Her- "yes I took...

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

    R!XTER replied to canoehead's topic in Emergency

    Yesterday - Pt: I have chest pain. Me: Ok, come sit over here to wait for your EKG. Pt: Man, I just can't stop using Cocaine! I've been using it for 3 days straight now! I just won a $150,000...

  10. Advice needed - when the charge nurse just won't listen

    R!XTER posted a topic in Emergency

    I had a situation yesterday which has left me wondering what to do. I work in the ER and yesterday was particularly busy. I had several critical patients who all needed interventions at the same time....

  11. New nurse- things you wish you knew when you started.

    R!XTER replied to lnle3618's topic in General Nursing

    You are not expected to know everything - the most useful thing you can learn is who your resources are and how to access them. Don't ever be afraid to say " I don't know but I will find out" you will...

  12. NIGHT SHIFT CENTRAL!

    R!XTER replied to meanmaryjean's topic in General Nursing

    I just switched to days after working nights for 2.5 years and I gotta say this thread is making me wanna go back to nights!!! I loved nights for all the reasons mentioned above. The only pros that...

  13. New grad who wanted ICU, got med surg, advice?

    R!XTER replied to meagenreason's topic in First Year After Licensure

    Go for med surg! The ICU job you described sounds terrible and you will be way in over your head as a new grad with no additional training plus the hour commute is totally not worth it!!! A year is...

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

    R!XTER replied to canoehead's topic in Emergency

    I wish instead we could say "go down the block to CVS and pee on a

  15. What is our job description anyway?

    R!XTER posted a topic in General Nursing

    I came across some job descriptions on nursing job postings say things like "provide quality care to patients and their families" "Use the nursing process of assessment, diagnosis, outcome...

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

    R!XTER replied to canoehead's topic in Emergency

    It was actually a pretty legit CHF exacerbation but the pt clearly didn't have a good grasp on his medical history. He told the doc he'd been having SOB on and off since since he's 9 "it goes away for...

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

    R!XTER replied to canoehead's topic in Emergency

    Today: shortness of breath on and off for 80 years since I was 9. Definitely the longest duration of symptoms I've ever

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

    R!XTER replied to canoehead's topic in Emergency

    "A horse kicked me in my chest and I'm worried that it damaged my breast implant" Patient went on to refuse chest X-ray because she didn't have

  19. And then the MD said.....

    R!XTER replied to NurseOnAMotorcycle's topic in Patient, Colleague Relations

    I gotta say our ED team is great, most of our docs will help pitch in with lifting, foleys, IV's, etc. I do think a lot of it has to do with nurses "training" them to be helpful. My attitude is "we're...

  20. "When Was the Last Time I Wow'ed a Patient?"

    R!XTER replied to Mully's topic in Patient, Colleague Relations

    Just read through this entire thread and I absolutely LOVED it! To the OP: Your article WOWed me!! You hit the nail smack-dab on the head by getting to the root of everything that is wrong/challenging...

  21. Any advice on IV insertion skills?

    R!XTER replied to Emma_H's topic in General Nursing

    One major factor I find is making sure the patient holds still. If they move or tense up their muscles you can miss or blow even a really prominent vein. I'll often tell the patient something like "...

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

    R!XTER replied to canoehead's topic in Emergency

    I had a young girl come in looking frantic she comes running up the desk and says "excuse me! I'm having an emergency! I think it's an ingrown

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

    R!XTER replied to canoehead's topic in Emergency

    21 yr old girl: " I have this tugging feeling behind my belly button ever since I had my appendix taken out" "And how long ago did you have your appendix taken out?" "7 years ago." Young healthy 30 yr...

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

    R!XTER replied to canoehead's topic in Emergency

    This is literally a daily occurence where I

  25. When did you realize that "newbie" wouldn't cut it in the ER?

    R!XTER replied to lvnlrn's topic in Emergency

    The #1 no-no for a newbie is no sense of urgency. I have seen a few of these and it's very hard to teach this. IMO if you don't have it you never will. In one case the person was completely clueless,...