brainkandy87

brainkandy87

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All Content by brainkandy87

  1. Benadryl and Inapsine

    brainkandy87 posted a topic in Emergency

    So, we've had a physician start working in our ER again (he worked in our ER regularly before I started working there). I have gotten used to his orders, which don't vary much, although they...

  2. Central line protocols

    brainkandy87 posted a topic in Emergency

    Ok, so I ran across something new tonight in a post-code pt I was trying to get to CCU, thought I'd get input from other facilities. Long story short: older male, cardiopulmonary arrest, CPR in...

  3. Cooler weather and homeless "patients"

    brainkandy87 replied to NurseOnAMotorcycle's topic in Emergency

    Funny/sad story.. We had one of our regular homeless come in quite a lot recently (a lot even for him), for stuff like back pain, knee pain, a fall, etc. It was so excessive, I wanted to explode. One...

  4. Triage: Documenting Ambulance Handover.

    brainkandy87 replied to Hooch's topic in Emergency

    In T-system, we have an entire page that we can pull up to put in an infinite amount of information about EMS and their report, ranging from IV site and meds given to detailed information about a 12...

  5. ED support

    brainkandy87 replied to ERnurse1983Ontario's topic in Emergency

    Level 3, 20 bed main ER, 10 bed fast track. We have a nurse-patient ratio of 4:1. Typically we have 1-2 float nurses/medics (3 on a fully staffed midshift) and 1 am tech, 1 mid tech, 1 pm tech, along...

  6. Whats your biggest pet peeve working in the ED?

    brainkandy87 replied to Whts_Ur_Emergency?'s topic in Emergency

    The patient dictating to me their course of care and what I'm going to do. Sorry, no. You are in my bed, in my room, under my care. You are here because you need me to take care of you. Emphasis on...

  7. Happy ER nurse week!

    brainkandy87 replied to Crux1024's topic in Emergency

    On Monday, Krispy Kreme gave us donuts all day! That rocked the casbah, to say the least. Today we had catering from all around town and had the "Scrubby" awards. In the words of Nurse Jackie.. only...

  8. New Graduate ER RN vs. Floor Nurse

    brainkandy87 replied to victoriachojnacky's topic in Emergency

    This is an endlessly discussed topic. My opinion is that it depends on the new grad. A motivated, teachable new grad can succeed anywhere, just like a lazy, hard-headed new grad can fail

  9. Ugh, those "I'm so stupid" moments

    brainkandy87 replied to TheCoppertop's topic in Emergency

    This whole situation just blows my brains out. Does your facility not let RN's do EJ's and/or US PIV's independently (our ER docs "check" us off on skills such as EJ, US, etc)? I love my ER docs and...

  10. Organizing the maddness

    brainkandy87 replied to Safe student nurse's topic in Emergency

    This. A simple way to explain it to someone who's not having a life threatening emergency is that we are here to make them feel better and their PCP is there to cure

  11. New to the ED

    brainkandy87 replied to 2rmartin's topic in Emergency

    Erowid This is a site really meant for people who do drugs, but I think it's a terrific resource for education about drugs. Personally, I think people who do drugs are a far more reliable source on...

  12. Certifications for an ER nurse

    brainkandy87 replied to lyttlemomma's topic in Emergency

    Actually, let me correct what I said.. they are 1200 ml/hr. I had to grab one to double check it. For some reason I had it halved in my brain. My bad! Anywho.. 600.. 1200.. my thoughts on 24 gauges on...

  13. Certifications for an ER nurse

    brainkandy87 replied to lyttlemomma's topic in Emergency

    24g angiocaths, that

  14. Certifications for an ER nurse

    brainkandy87 replied to lyttlemomma's topic in Emergency

    Our angiocaths state 600 ml/hr on the

  15. Certifications for an ER nurse

    brainkandy87 replied to lyttlemomma's topic in Emergency

    Sure, there are definitely varying degrees of trauma and yes, pretty much anything you can do in an 18 you can do in a 20 (however, I don't think a 22 should be put in any trauma pt, I don't care how...

  16. Just a question to understand the ER better

    brainkandy87 replied to sheilahdee's topic in Emergency

    Maybe the 15 minute wait was due to shuffling. We have hall beds in our ER that get used when we are totally full (as was the case tonight). However, I'd rather have a pt hang out in triage/waiting...

  17. Just a question to understand the ER better

    brainkandy87 replied to sheilahdee's topic in Emergency

    I think Stargazer said it best: triage is an extremely subjective area. One man's emergency is another man's, well, non-emergency. There's a lot of variables we don't know.. the experience of both...

  18. Certifications for an ER nurse

    brainkandy87 replied to lyttlemomma's topic in Emergency

    Well if you want to look at the numbers, you can put 600 ml/hr through a 24g. Does that mean we put 24g's in every pt that isn't going to be getting rapid infusion? Nope. Hell, most ER nurses would...

  19. I feel so dumb... I got flustered - about a patient in respiratory distress

    brainkandy87 replied to LalaJJB's topic in Emergency

    I use the term "throwing" loosely. Absolutely if you don't see a vein you can access in a couple of attempts, it's IO time. I'm not implying you should stick and stick and stick. IO is definitely a...

  20. I feel so dumb... I got flustered - about a patient in respiratory distress

    brainkandy87 replied to LalaJJB's topic in Emergency

    You page the MD and get your co-workers to help you. I don't care what they are doing. If someone is circling the drain, you go grab someone. If they feel inconvenienced, too bad. That patient's life...

  21. Books to help prepare for ED Nursing

    brainkandy87 replied to Carrie_MTC's topic in Emergency

    You should buy this and always have it on you. Learn to read EKG's and telemetry. There's a plethora of books/guides out there for EKG's. You absolutely must must MUST know your cardiac rhythms in ER....

  22. New grad in ER?

    brainkandy87 replied to gensn12's topic in Emergency

    If all you are is an adrenaline junkie (or as they are known in the ER: trauma junkies), don't even bother trying to be an ER nurse. The best ER nurses I know all share common traits and their best...

  23. Certifications for an ER nurse

    brainkandy87 replied to lyttlemomma's topic in Emergency

    I started in ER with only BLS and ACLS and I did okay, but I learned as much as I could from other nurses. So by the time TNCC rolled around, I already knew most of what was covered, e.g. spinal cord...

  24. New to ER - tips, tricks, recommendations & prioritization?

    brainkandy87 replied to acuariaRN's topic in Emergency

    I love T-system. Welcome to the ER. Always remember to stop and take a breath. If you don't breathe, you'll drown. It's a stupid analogy, but it's true. As far as triage needing to be done right...

  25. benadryl inj, in anaphylaptic shock?

    brainkandy87 replied to 7feetunder's topic in Emergency

    Is this homework? And I strongly suggest a drug handbook or an app such as Medscape or Epocrates that allows you to look up drugs including administration, pharmacology, et al. You won't always have...