brainkandy87

brainkandy87

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All Content by brainkandy87

  1. Recieving a patient from ER

    I've worked both ends of the argument. I never understood why floor nurses got bent out of shape when I was a floor nurse and I certainly haven't figured it out as an ER nurse. Maybe it's because I...
  2. How does inexperienced RN do ER?

    If your memory is already starting to go (0-3?), you might wanna skip the
  3. Nurse/Patient ratio in the ED?

    We have a 4:1 ratio. However, I've had 8 at one time before when we were short. I had a float nurse from another floor helping me give meds and do tasks, but I still had to chart everything, and...
  4. Do you have to be tough to work in ED?

    The ED doesn't require you to be "mean," but you certainly can't be passive. If you are passive, you will have patients, nurses, and doctors walk all over you. You can't be afraid to stand up to...
  5. Done With Nursing

    You've come this far. If nothing else, pass the NCLEX and maintain your license. Don't ever let it expire. One thing I can say is, don't let nursing school deter you from nursing. The reality of...
  6. Being a male nurse?

    Always move
  7. I had a very similar experience in my peds rotation. Our instructor was a woman who had no business being in a clinical setting, despite the fact that she had an MSN (she couldn't identify the ST...
  8. Not a problem with me. It's the patient's right, in my opinion. I usually plan ahead to avoid the situation at all though. I work in the ER, so we usually have 1-2 float nurses or I'll ask a female...
  9. ACLS requires a doctor's order?

    What is wrong with some
  10. Just hired and don't know what to expect

    Did you not have any clinical rotation through the ER in nursing school? I'd write a letter and complain to your nursing school if not. Of course, I'm biased and think nursing schools need to put...
  11. New grad In ED

    I was being sarcastic and referring to the male patients even getting pelvics.
  12. Emergency Kit

  13. New grad In ED

    Even the
  14. Need Advice on Metoprolol

    This. If you were having to bolus her to get her pressure to an appropriate level, it's a "hold the Lopressor" kind of night, even if the MD felt it was OK to give. There are other options to fall...
  15. ACLS requires a doctor's order?

    I'd refuse to work in a hospital that didn't have a policy concerning ACLS protocols. That's a dangerous situation for a nurse. If you have a code and start pushing drugs per ACLS protocol without a...
  16. Emergency Kit

    I say to hell with the emergency kit. All your church needs is an AED, a telephone, and a pair of hands. If you want to help them prepare for an emergency, help them get into CPR classes. That will...
  17. Administration of blood products

    Well, my entire thought process on blood has changed and had to change after I came to the ER from the floor. On the floor, I used a pump and infused a unit over 3-4 hours. I wouldn't even let FFP run...
  18. New grad In ED

    Only eighty hours orientation for a new grad in a level one trauma center? Props to you for not totally freaking out. I think I still might semi freak out NOW if I was told I'd only get eighty hours...
  19. ER Nurses: What did you do before the ER?

    I got a B.A. from a large university, then went back to school and got my ADN from a community college. Same experience with clinicals, lots of monotonous labor that really didn't prepare me for the...
  20. New grad in the ER, yes or no?

    I think a new grad can thrive in the ER just as easily as a young nurse that's moving to ER from the floor, as long as that new grad is quick to adapt, knows when to ask questions, and knows how to...
  21. ER meds

    Your facility should, at the very least, have an IV drug book in the ER that will tell you y-site compatibility info. Hopefully your facility has an online reference you can use in which you can enter...
  22. Is ER Nursing for Me?

    There are a whole variety of personalities in the ER, but the good ER nurses do share some common traits, such as being able to prioritize, think on their feet, and stay focused on what needs to be...
  23. Alright, so I need to vent (I seem to need to do this a lot, maybe I shouldn't work every day). EMS brings me a 93 year old man from a nursing home who fell from his chair and hit his head....
  24. Head Injury and Hyperventilation

    I haven't had much experience with this topic so I'll hold any opinion, but it made me starting researching and I found a couple of good studies......
  25. Lazy techs!!!!!

    I feel bad for nurses that don't have any good or reliable techs. I'd be totally dead without my techs, so I'm constantly just thanking them for anything they do for me, even if it's just taking a...