brainkandy87

brainkandy87

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All Content by brainkandy87

  1. How does inexperienced RN do ER?

    brainkandy87 replied to rnoutlaw's topic in Emergency

    We share a similar story. I hated floor nursing... seeing the same patients for several nights in a row, doing a lot of repetitive tasks, etc. However, seeing that variety of cardiac patients and...

  2. how to ask patient for pain scale score correctly?

    brainkandy87 replied to 7feetunder's topic in Emergency

    I ask them: What's your pain, 0-10? Zero is no pain at all, ten is you're about to die. If they say "twelve" or something that's not 0-10, I tell them I need a number 0-10. I can be such a richardhead...

  3. Energy drinks and teens coming to ER with chest pain

    brainkandy87 replied to mt3's topic in Emergency

    Yeah, I agree with this. However, I think we can cut down the need for government to tell parents "don't let your kids do stupid things" by requiring people to have a license to breed. I don't care...

  4. Common ER abbreviations for charting

    brainkandy87 replied to cathyrn2b's topic in Emergency

    s/p = status post (I swear, it took me forever to learn this.. I'd always forget what it stood for) ETOH = ETOH. Or, alcohol. d/t = due to r/t = related to pt = patient gtt =

  5. Energy drinks and teens coming to ER with chest pain

    brainkandy87 replied to mt3's topic in Emergency

    Actually had one of these come in tonight. Wasn't my patient, but told about her. Drank a 5 hour energy shot and a Monster, had resps of 60, pulse of like 130-140. I'm all for people being able to put...

  6. Central line protocols

    brainkandy87 replied to brainkandy87's topic in Emergency

    I never said 3 PIV = central line. The whole point is that the CCU was attempting to refuse this patient, a post-code, who we stabilized, over a central line placement. That's not

  7. Central line protocols

    brainkandy87 replied to brainkandy87's topic in Emergency

    Well, I did let my director know, who contacted the CCU director. Apparently they had this issue in the past, but not lately. I spoke with quite a few people, including my director and one of the...

  8. School starting again

    brainkandy87 replied to NurseOnAMotorcycle's topic in Emergency

    This reminds me of a semi-friend of mine (I guess you call that an acquaintance?) who texted me one morning when she was drunk and at the ER with her drunk friend. It read something roughly like:...

  9. School starting again

    brainkandy87 replied to NurseOnAMotorcycle's topic in Emergency

    And this is why, despite my love for the college town I lived in for years and whose university I graduated from, I refuse to move back to for

  10. Starting in the ER soon

    brainkandy87 replied to BigheartRN's topic in Emergency

    Oh yeah, this. I was horrrrrrible about this when I started in the ER. I wouldn't clean up as I went and the only people I bothered putting in gowns were truly emergent pts, CP's, etc. Oh, how things...

  11. Is this common? The new face of the ED

    brainkandy87 replied to mariposa311's topic in Emergency

    There's a reason why nurses and, specifically emergency nurses, have a week dedicated to them. Ever notice how the only people who get weeks donated to them are the overworked and underpaid? That...

  12. Fast Track Nursing

    brainkandy87 replied to Ryan RN's topic in Emergency

    Fast track can be a tough place to work. Is it as "exciting" as the main ER? Well, of course not. However, you're taking in high volumes, have a lot more lacerations and splints, and it requires...

  13. A week in the ER?!

    brainkandy87 replied to tigerlogic's topic in Emergency

    What. The. Eff. Talk about improper use of an emergency department... I think holding pts in an ER is not only improper use, but dangerous. The ER is not meant to be a place where pts stay. You're...

  14. New RN in the ER

    brainkandy87 replied to *lorie's topic in Emergency

    The other night, one of the RN's of 22 years broke down nursing years and I thought it was really good: Years 0-2: don't know anything, know you don't know anything. Years 2-5: Think you know...

  15. I think I committed career suicide

    brainkandy87 replied to Ernurse2012's topic in Emergency

    I don't think you committed career suicide. Far from it, actually. Some people get to ER and realize it's not for them. You aren't the first and you won't be the

  16. Medication tidbits an ER nurse should always know

    brainkandy87 replied to RNstdntSVSU's topic in Emergency

    I always laugh at the shocked look I get when I tell people this about Hydralazine: give it rapid push and don't dilute it. Also, don't give it to someone who's tachycardic. It causes reflex...

  17. How do you handle the drug seekers?

    brainkandy87 replied to itsnowornever's topic in Emergency

    Because if your MD has any brains at all, he won't give Dilaudid to an obvious drug seeker. So hopefully you two are on the same page. If an MD orders Dilaudid on a FF who's obviously seeking, yes,...

  18. Nurses' were JESUS' sidekicks...

    brainkandy87 replied to ghieghie's topic in Spirituality, Religion

    Well, you're right, there are some things that science can't explain. Yet. At one point, we thought the world was flat, the Earth was the center of the universe, bloodletting was standard of care, and...

  19. Going too far?

    brainkandy87 replied to kellycinalli's topic in Emergency

    I just don't listen to overreactive, dramatic family members. I block them out. If I bothered with listening to someone who has no idea what they're doing, hence them being at the hospital requiring...

  20. Loss of Confidence

    brainkandy87 replied to felineRN's topic in Emergency

    It's very important to have good documentation and making sure that you're covering your butt. I had a pt several weeks back who was young (30-40) and in for n/v. Really a low acuity pt and all we did...

  21. What was the MOST ridiculous thing a patient came to the ER for?

    brainkandy87 replied to JUSTYSMOM's topic in Emergency

    Had one come in by ambulance last week because she needed a refill on her Xanax. The MD who saw her doesn't have the patience for that kind of stuff and has no problem telling people when they are...

  22. What's in your pocket - ER Style

    brainkandy87 replied to Frizbeeboy's topic in Emergency

    Because the one day you don't carry it, you'll need

  23. What is your ER's PCI med protocol?

    brainkandy87 replied to NeoPediRN's topic in Emergency

    Oh yeah, I definitely understand the rationale for a rural hospital where PCI will be delayed. Never seen the mobile ICU, that's pretty cool

  24. what is it? what to do? when to call 911?

    brainkandy87 replied to redroses143's topic in Emergency

    Honestly, this sounds exactly like a pt I took care of that had bacterial meningitis. It presented very similarly to a CVA. But of course, there's all sorts of stuff to rule out, especially CVA,...

  25. What is your ER's PCI med protocol?

    brainkandy87 replied to NeoPediRN's topic in Emergency

    If they are being transferred, heck no I wouldn't want Activase used. That's a very high risk med with lots of serious adverse effects that need continuous monitoring. I wouldn't rely on an EMS crew...