It's not like the woman titrated up her propofol and turned down her precedex... If this is what we are nit picking over these days, I need to find a new line of work. Seriously?!
You will develop a flow to things. I'm the bad nurse who would unpackage/draw up, scan, and then give. That way I can get in and get out. If I'm in that room for more than 5 minutes, there better be a very good reason. If you take meds in, scan, then...
I have used these in an Emergency Dept setting with mixed success. (Negatives) If your patient moves in any way, the machine will result in an error. It requires your patient to be flat (with legs elevated) and completely still. This might be more f...
First and foremost, let me state I am NOT a new grad. I was just given a job offer from Duke's health system. However, the hiring manager is requiring a 2 year minimum contract. I think this is a bit excessive. I don't have plans to jump ship, howeve...
I found a case study and an article. The case study refers more to this as a lung irritant (in an infant in this case.): http://www.emedmag.com/PDF/043010017.pdf The second study just states it is no longer recommended as a drying agent for skin in ...
Hello Everyone, I posted this is a state specific forum with no bites but am interested to see what the common practice is. I was offered a position in a General ICU. However, the hiring manager is asking for a two year minimum contract. I am not a...
Good Evening Ladies and Gents! I've seen a lot of threads about ER/ED to ICU. I get that it's an entirely different discipline etc... My question to you is, what would you as a nurse manager like to see on the resume of a former ED nurse who like to ...
\Laurie52. Just a heads up. (Taken directly from AACN): Who is eligible to sit for the CCRN certification exam?The CCRN exam is for nurses who work at the bedside of acutely and/or critically ill patients in areas such as ICUs, CCUs, respiratory ICUs...
I've been in the ED now for about 1.5 years. In the recent months, I've experience what I would call as "loss of confidence." I won't say that any particular incident occurred to cause this, rather a grouping of small incidents. I think I'll attribu...
felineRN replied to Guest219794's topic in Emergency
There again, I just wouldn't give it. I'd then take it to my charge rn and up the chain. Playing with orders just to be an ass is a bit unprofessional. I will say we don't have that issue where I work. I'll add that im sorry providers react that way ...
felineRN replied to Guest219794's topic in Emergency
The chief of emergency medicine at my facility said it best when he stated, "In the ED, orders are more like 'suggestions' ." Some of you people are very uptight. In my facility, we NEVER get specified rates for fluids. Many of us initiate fluids pri...
This! I think I'm more annoyed by the countless number of new threads entitled "How hard is nursing school?"..."Am I cut out for ____ specialty?" ...."Can a new grad get hired into the ICU?" No offense to anyone, but I feel as though I have to "weed"...
(I work in the ED) When I was on orientation, I was thrust into critical care rooms. I had never managed multiple drips during my med-surg years. In my ED, we have a lot of autonomy in terms of gtt management. The one tip I'll give is what my precept...
Kudos x 12 to the prior poster for the suggestion: "Get the patient into a gown and have them pee in a cup" This really WILL save you a lot of time. Here are some other things I've learned: -Anyone who comes in that doesn't have an entirely BS chief ...
Hmmm... Just because it was ordered in the ED does not mean I have to carry it out. Take for example: Cipro, Vanc, and Rocephin are all ordered "STAT" at the same time. Our MAR generates all those meds to be due at 1000 (hypothetically). It's my nurs...
felineRN replied to shannonFNP's topic in Emergency
Ha! Do you work where I work?? I see this all of the time. I had a flash pulmonary edema placed in one of my critical rooms and wasn't informed. I was busy with the hypotensive septic pt next door. The next thing I know I'm screamed at for not being ...
TL:DR (Scroll to last sentence for the abridged version.) When you are new, you are bright eyed and bushy tailed. You are immune to office or floor politics. You have a temporary force-field that repels cynicism and absorbs knowledge/skills with enth...
I guess my only qualms with day shift include: (1) More "suits" who like to walk around and flex their administrative muscle (2) Feeding people. I have to say I left a med/surg type floor so that I wouldn't have to deal with meal trays etc... Unfortu...
EMS has gotten pretty frequent with bringing in asystole> 25 min (CPR the entire time with no response to any intervention.) Said person is dead and long gone. We drag in the crew, do a cardiac ultrasound to confirm lack of activity, and call it. ...
For the record: The dead on arrivals are frequently (1) Greater than 80 with some sort of hx of ca, renal pt, ef of 5% etc etc.... (2) Traumatic codes: Knife in L chest, stopped breathing x an hour ago -____- Also, I was kidding in regards to my hyp...
I'm going to step out on a limb here. I know this might be specific to specialty, facility, co-workers, etc... What ever happened to nurse's discretion? I know there are multiple threads on autonomy, but good god. (1) Case in point: Pt with GI bleed....
felineRN replied to Willow Moonsidhe's topic in Relations
Forgive me for this one...but seriously: "The Downward Spiral: Nurse Researchers Fail at Being Taken Seriously Again by Researching Topics Such as Incivility."