brainkandy87

brainkandy87

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All Content by brainkandy87

  1. How do you handle the drug seekers?

    brainkandy87 replied to itsnowornever's topic in Emergency

    One of the tools you have as an ER nurse is the ability to view previous visits. If they've been in the ER once a week for a year for dental pain, back pain, abd pain.. mainly pain issues.. well,...

  2. Am I cut-out for ED nursing?

    brainkandy87 replied to TheGirl07's topic in Emergency

    I think a new grad with the right skill set and attitude can flourish in the ER. I think a few key essentials are confidence, multitasking, quick thinking and quick to pick up new things, and most of...

  3. Handling rude or dishonest patients

    brainkandy87 replied to wildlaurel's topic in Emergency

    I don't tolerate rudeness. I'm here to help them with whatever problem they are having and rudeness is never a c/c, so I don't have to tolerate it like I do someone pooping the bed. I have a very big...

  4. Day of Codes

    brainkandy87 replied to libran1984's topic in Emergency

    And this is why the ER is so much

  5. Would like a few answers from ER nurses

    brainkandy87 replied to missymiss's topic in Emergency

    Yeah, I work mids and I get screwed on my assignment nearly every day. Day shift people don't understand it. When you come in on day shift, you usually have time to get your stuff together and you...

  6. Nurse/Patient ratio in the ED?

    brainkandy87 replied to jlan79's topic in Emergency

    So, let's hear some stories about adverse outcomes for pts due to this ridiculous

  7. Pain management post open heart surgery?

    brainkandy87 replied to twinkletoes53's topic in CCU, Coronary, Cardiac

    Lol. Yeah I understand the rationale. I'm just a stickler when it comes to Tramadol. I think it's highly misused by physicians. Anyway, /rant.

  8. First peds code

    brainkandy87 posted a topic in Emergency

    So, I work in a hospital that doesn't see a large amount of peds stuff, let alone serious peds stuff, and tonight I got to experience my first peds code. Seven months, full cardiac arrest, intubated...

  9. Pain management post open heart surgery?

    brainkandy87 replied to twinkletoes53's topic in CCU, Coronary, Cardiac

    A Tramadol gtt? BARF. What psycho MD thought up that idea? Tramadol shouldn't even be on the market IMO, let alone as the method for post open heart pain relief. A seizure is just what a post open...

  10. ER Nurse (Me) calls Report to Ortho/Neuro floor

    brainkandy87 replied to libran1984's topic in Emergency

    I would've stopped the O/N nurse when she kept trying to push a veiled accusation that he is on something at home. It probably would've been very sarcastic and very sharp, along the lines of her job...

  11. Pain management post open heart surgery?

    brainkandy87 replied to twinkletoes53's topic in CCU, Coronary, Cardiac

    Oxy 5-10 mg q4h was pretty standard when I was taking care of CABG's as a floor nurse. Some people had morphine 1-2 mg q2-4h to stagger it. Some people only used their oxy once a day. It really varied...

  12. CEN requirements?

    brainkandy87 replied to itsnowornever's topic in Emergency

    Almost sounds like your instructor is wanting to make some money by setting up a CEN review, lol. I wouldn't suggest anyone take the CEN with less than a year of emergency experience. It doesn't...

  13. ER Nurses: What did you do before the ER?

    brainkandy87 replied to ivyleaf's topic in Emergency

    This is one reason I love nursing. I think the majority of nurses "find" nursing, i.e. it's not something they set out to be as kids or as teenagers like you would with medical school or law school or...

  14. Double Boarded! Passed the CCRN, Crazy!

    brainkandy87 replied to FlightJunkie's topic in Emergency

    Hey, that's great!

  15. What do you hate seeing the MOST in the ER!?

    brainkandy87 replied to CrashED's topic in Emergency

    I have a new one: Walking in to a patient's room to find them face down on the floor in full cardiopulmonary arrest. It's been a long night,

  16. First peds code

    brainkandy87 replied to brainkandy87's topic in Emergency

    Wow, props to you on getting through that. Sounds like a complete

  17. Horrified: possible accidental arterial infusion

    brainkandy87 replied to Southgoing Zax's topic in Patient Medications

    I agree fully. I love having US to gain access, but they are definitely a short term solution. Ideally, you start an 18g in the basilic and then, if a PICC will be necessary, the guidewire can simply...

  18. Is It Just Me?

    brainkandy87 replied to Mijourney's topic in General Nursing

    Well, everyone has goals. I do think a lot of new grads are focused on becoming an NP or CRNA simply for monetary reasons, not thinking about if it's what they want to do. I saw a lot of nurses I...

  19. **URGENT** I need a nurse to help me with a TB question!!!!!

    brainkandy87 replied to bnesp's topic in General Nursing

    Chill out and stop freaking out. Are you breathing? Do you have a pulse? You're alive. Welcome to the world. The results are measured 48-72 hours later, not 13 hours later. If you've got a big 15 mm...

  20. Death

    brainkandy87 replied to ixchel's topic in General Nursing

    Dying and the physical processes associated with it are far more exaggerated in your head than what occurs in reality. The important part is to disconnect yourself from the impact death has on those...

  21. Horrified: possible accidental arterial infusion

    brainkandy87 replied to Southgoing Zax's topic in Patient Medications

    Well, I don't know what floor you work on, but hopefully your ER has a portable ultrasound for inserting IV's (your cath lab def has one). That's the best way for confirming placement. I'm called a...

  22. Please help my sanity, irate family members

    brainkandy87 replied to NewlyGradBSN's topic in Patient, Colleague Relations

    I'm sorry it's eating at you, because it absolutely should not be. From what it sounds like, they had a problem with you being in a hurry? B-F-D. The world does not start and stop at the daughter's...

  23. Code Blue Announcement

    brainkandy87 replied to airborneinf82's topic in Patient Safety Issues

    My hospital used to have the whole pager system. Didn't work, ended up just being a huge clusterfk, so we overhead page again. Considering how precious time is in a code, I don't see how any hospital...

  24. ACLS

    brainkandy87 replied to LatinaRN978's topic in Patient Safety Issues

    Check your local hospitals (if you're not employed at a hospital) for classes. I would definitely take your initial ACLS certification live, not online, because you need to get the feel for how a code...

  25. Question on skin to skin touching

    brainkandy87 replied to germsjackson's topic in Emergency

    I think it's kind of ridiculous to put on gloves to put a blood pressure cuff or pulse ox on someone if they're not bleeding or covered in bodily fluids (the only exception is when I get an EMS, I...