sandyfeet

sandyfeet

Emergency Nursing

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All Content by sandyfeet

  1. NEED HELP

    sandyfeet replied to siddymae's topic in Patient, Colleague Relations

    GET OUT NOW! No good can come from this situation. Family is threatening your safety. You are emotionally involved with the patient and have crossed boundaries by depositing a check. Your...

  2. Patients that fire everyone/demand everything

    sandyfeet replied to anon456's topic in Patient, Colleague Relations

    I am really enjoying all of the suggestions in this thread. I have been guilty of being the "nice nurse" who gets walked over. I had a sweet 100 year old lady that was holding in the ED because the...

  3. What are your pet peeves?

    sandyfeet replied to forgop's topic in Emergency

    Patient: Should I have told the doctor [massively important piece of info that changes plan of care]? Me: I'm just going to step out for a moment to find your doctor. *silently

  4. Patients who love their sick role

    sandyfeet replied to sammiesmom's topic in Patient, Colleague Relations

    This post brings me back to a patient that came by ambulance with her son to the ED last night. She wanted a face mask o2 because "I'm congested and the nose things won't work"...sats 98% on RA,...

  5. Linda Carter, Student Nurse

    sandyfeet replied to BrandonLPN's topic in Nursing Humor

    These are amazing! I love the nostalgia! Keep 'em

  6. Violent patients.

    sandyfeet replied to 0.adamantite's topic in Patient, Colleague Relations

    Document verbatim what the patient says. Document "Patient unaware of RN observing patient. Patient noted to be calm, watching tv, in NAD." On your vital signs sheet make notes that patient refuses...

  7. Hired for one shift but scheduled for another!

    sandyfeet replied to Bsumer704's topic in Emergency

    On orientation they usually don't want to pay you anything extra, like shift differential. (But maybe they are ok with holiday pay?) Also, Is your schedule arranged to be with a preceptor? That...

  8. being a pregnant nurse in the ED?

    sandyfeet replied to BrooklynRN11201's topic in Emergency

    We have had a lot of pregnant nurses in my ED. I would say 90% are truly amazing, hardworking, and a pleasure to work with. But the other 10%, I have to echo previously stated sentiment: you came to...

  9. Impossible standards

    sandyfeet replied to canoehead's topic in Emergency

    Our ESI 3's have hourly vitals. Our SI patients get a note written that basically states "patient remains ESI 2 but vitals will be taken every 2 hours unless a medical change is seen". Also,...

  10. Food in the ER

    sandyfeet replied to Sassy5d's topic in Emergency

    I like it when the patient can't eat because of obvious surgical possibilities, and the family is keeping vigil at the bedside...eating! Here's a mouth swab for you while you watch your family eat...

  11. Stooopid

    sandyfeet replied to Ciale's topic in Emergency

    When I first started in the ER my co-workers taught me to leave certain population's shoes ON for that very

  12. Delegation

    sandyfeet replied to amzyRN's topic in First Year After Licensure

    When I first started out as an RN, I was really shy and focused on my job. I felt like the techs gave me a hard time too. But as I opened up and got more comfortable in my role, I took more time to...

  13. GIVING REPORT!!!!!

    sandyfeet replied to friendlylark's topic in Emergency

    Can you listen to a co-worker giving report and mold your own style off of it? That is what I did as a nursing student precepting in the ER I now work in. I have learned to tweak it based on...

  14. Knew it was her

    sandyfeet replied to green34's topic in Emergency

    I always wonder in the back of my head how it would work if my ex-husband came into my ER (or his new wife, or their children). Luckily I work in a different area than where I live, so I rarely see...

  15. ED Cheat sheet?

    sandyfeet replied to MILOBRI's topic in Emergency

    At shift change when I get report, I like to write some notes on a piece of paper I fold up and keep in my pocket. It seems like I almost always have a patient who is about to be admitted (and I'll...

  16. Odd ER visit

    sandyfeet replied to inshallamiami's topic in Emergency

    In the future, I would ask to speak to a charge nurse while you are still in the ER if you are not getting good care. That way things can be resolved faster. And be careful about taking out your...

  17. "I don't want an admit..."

    sandyfeet replied to MessyMomma's topic in Patient, Colleague Relations

    This is what we do in my ER for admits: Check skin (pictures for pressure ulcers) Swab for MRSA if indicated Complete all STAT orders Start first antibiotic Complete home med reconciliation Personally...

  18. Night shift dinner time

    sandyfeet replied to kantuta's topic in General Nursing

    I must be the anomaly here because while I eat at the same time as everyone else (between 11-2 usually), I always buy food in the cafeteria. Our hospital went through a big health kick and got rid of...

  19. Pt. belongings in the ER

    sandyfeet replied to psu_213's topic in Emergency

    When I was a new nurse, I had a patient roll in ALOC that we quickly intubated. Nurses, techs, RT and the doctor flying around the room and I was charting. My charge nurse handed me a gold necklace...

  20. Crazy preceptor?

    sandyfeet replied to jrsRN07's topic in Emergency

    Just putting my two cents in: I think you should continue with two patients too. It's not a realistic situation in the ER to have only one patient (unless it's a critical patient and you shouldn't be...

  21. "Wait for the nurse"

    sandyfeet replied to brido's topic in Patient, Colleague Relations

    Would any actual nurse working in a clinic refer to themselves as "the doctor's nurse"? I work in the hospital and I tell patients "I will be your nurse" or I might answer the phone as "Sandyfeet, RN"...

  22. I was told "If they won't get out of bed don't hesitate to call rescue."

    sandyfeet replied to Alnitak7's topic in General Nursing

    That sounds like your supervisor is trying to CYA. Aren't you allowed to evaluate them? Of course there could be medical issues for why someone wouldn't get out of bed, but immediately sending them...

  23. Irritating things about being a nurse VENT

    sandyfeet replied to CrazierThanYou's topic in Patient, Colleague Relations

    At my hospital, Med-Surg patients go up with only the transporter. So in a worst case scenario, the transporter is expected to recognize a patient decline and start CPR. But to go back to my...

  24. Cry for help: I don't think I can do this.

    sandyfeet replied to -MissTake-'s topic in General Students

    I can only talk about my experience. I was hired right out of nursing school into the ER, my first choice for jobs. No Med-Surg. I had a former military as my preceptor (really!) and work was...

  25. Irritating things about being a nurse VENT

    sandyfeet replied to CrazierThanYou's topic in Patient, Colleague Relations

    Transfer staff: Is the patient in room 31 ok to go to CT? Me: Yes, you can take them. TS: (takes off BP cuff and pulse ox) Can you unhook them from the monitor? I'm not allowed to. Really?!?...