sandyfeet

sandyfeet

Emergency Nursing

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All Content by sandyfeet

  1. Report an online post hinting suicide?

    sandyfeet posted a topic in Nursing Professionalism

    Say that you find posts in an online group that seem to hint that the writer will attempt suicide. My question is, as a nurse are you legally obligated to report it (i.e. have the authorities perform...

  2. How many nitro tabs before pt should call 911?

    sandyfeet posted a topic in General Students

    I am studying for my final in Med Surg II and am totally confused about nitro. I am doing practice NCLEX questions from an NCLEX book. The question was "Which comment by the client would indicate to...

  3. A Day In The Life Of An OB Charge Nurse

    sandyfeet replied to JanineKelbach's topic in Ob/Gyn

    I am 37 weeks pregnant and on maternity leave, but still wanting to flex my nurse brain by reading AN. Your article made me decide to give the L&D nurses who will take care of me catered...

  4. Oncoming nurse refuses report and leaves the room...

    sandyfeet replied to Kharma711's topic in General Nursing

    YES. Also say "I guess you will be paying me overtime while you find another nurse to take report, because Nurse A refused to take report". That will get a manager's

  5. I'm in tears--to accept or decline?

    sandyfeet replied to esrun77's topic in General Nursing

    I think this would only help you if you were planning a career in academia. If you are hoping to end up in public health, clinics or long-term care, you should seek out internships in those areas. It...

  6. Has pain scale contributed to opiate problem?

    sandyfeet replied to Emergent's topic in General Nursing

    My ED is constantly full. I get where OP is coming from. While I am treating your chronic pain that your PCP/pain management doc has not adequately managed, Grandma with a broken hip is waiting in the...

  7. Can a hospital retract their job offer

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

    Yes, this happened to me for a nurse aid position. The recruiter said that there were budget cuts. I was bawling over the phone but it's not in my nature to be rude so I just tried my best to keep it...

  8. Calling in for no sleep

    sandyfeet replied to Nurse131382's topic in General Nursing

    This is the real issue here. If OP crashes her car because she fell asleep, miscalculates a pediatric dose, gives a med to the wrong patient, or doesn't catch that her patient is crashing until it's...

  9. I failed my school drug test. Am I finished forever?

    sandyfeet replied to Breatholife's topic in General Students

    I believe some nursing student sins are forgivable. Before I started my pre-reqs I ran a red light with a camera, and got a ticket. Went to traffic school and got it all taken care of. When I applied...

  10. Safe/unsafe ER Transfer times to Inpatient Units

    sandyfeet replied to Sashat3's topic in Patient Safety Issues

    This is always a hot topic. It would be interesting to include in your research the acuity of patients waiting in the ER lobby for an open room...also at risk of worsening symptoms. When we have...

  11. "Two-yearitis"

    sandyfeet replied to Ruby Vee's topic in General Nursing

    I am in your target demographic; I just passed 2 years this summer. I am starting to get more involved by doing clinical ladder. The people I started with (also mostly new grads) are starting to do...

  12. My PT called 911

    sandyfeet replied to joyful_wanderer's topic in Emergency

    I had a patient on a 5150 who threatened to call the news because we were holding her against her will. Luckily her husband was able to take her phone away from her. I always wondered what the news...

  13. Cleanser for catheter placement

    sandyfeet replied to mellowman's topic in Emergency

    So interesting! After I read your post, I used my school access to look up "iodine allergy" and found an article from the journal Allergy and Asthma Proceedings that talked about iodine allergy and...

  14. 4th week at ED.. it's hell, we should be called gods of labor

    sandyfeet replied to tarotale's topic in Emergency

    Couple of tips... Does meditech have something like 'acronym expansion'? I use SCM and will use the acronym $discharged that the system writes out as "Patient AOx4, respirations even and unlabored....

  15. Do you ever contend with pesty ancillary staff?

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

    Ancillary is the correct term, because it means someone who provides support. It's not diminutive. I had only one serious problem with an US tech in my two years so far as a nurse. I had a pregnant...

  16. child safety

    sandyfeet replied to amoLucia's topic in Patient Safety Issues

    The problem with leaving a shoe or a purse in the backseat (or a diaper bag in the front) is that the parent has to have the foresight to arrange it that way. Excluding negligent parents, the problem...

  17. Um... Can you hit before you get hit?

    sandyfeet replied to tarotale's topic in Emergency

    Patients usually don't get violent out of nowhere. There are many verbal and physical cues that lead up to physical violence and you should be trained to spot them so you can de-escalate the...

  18. What's a "difficult pt" to you?

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

    Emergency Department: Patients who "know" they need an MRI or other expensive test for chronic condition. I love when the doctors shut them down with statements like "Since this is a chronic...

  19. Well here's something I didn't think about: secondhand pot smoke?

    sandyfeet replied to Guttercat's topic in General Nursing

    I happened to look this up recently because I was worried about my own exposure to second hand marijuana smoke and found this article referencing a study from 1986. Not much else out there....

  20. Ever have a patient complain about you?

    sandyfeet replied to love lilacs's topic in Patient, Colleague Relations

    My patient was playing sports and hurt himself, came in my ambulance SCREAMING. When the doctor came into the room, his cell phone rang and he took the call. I.e. pause the screaming, take a phone...

  21. Parents!!!

    sandyfeet posted a topic in Emergency

    Had a 17 year old female come in by ACLS; heroin OD in field, found by mother. Medics bagged her and gave Narcan IM. When she arrived in my room she was angry at the world. Patient refused vital...

  22. Cannabinoid hyperemesis syndrome

    sandyfeet replied to Emergent's topic in Emergency

    Yup. Home care instructions: "Stop smoking pot. It is making you sick."

  23. Interventions without MD orders

    sandyfeet replied to Novo's topic in General Nursing

    I just want to say that this comment is pure genius! I love it. That is exactly how I feel in the ED; watching, watching, watching for signs of an

  24. I have the time (to pee)

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

    The secret bathroom is KEY to survival! I have the key codes to 2 different department's bathrooms, and also have another secret bathroom in the basement just in

  25. Do you ever get sick?

    sandyfeet replied to akey77's topic in General Nursing

    I like how this thread has turned into "let's gross out a pre-nursing student". I didn't feel nausea very often in nursing school or at work, but I did have anxiety diarrhea for weeks when I first...