Dixielee

Dixielee BSN, RN

ER

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All Content by Dixielee

  1. Your Most AWKWARD Nursing Moment

    I had a patient many years ago who had a progressive neurological condition that had advanced so far she could not even turn her head, but was alert and oriented. Her mother was with her constantly...
  2. Clinicals in my BSN bridge program were NOTHING like clinicals in my ADN program. I actually enjoyed them. We spent time at the state capital working with the nursing association lobby, we sat in on...
  3. What does Generate BM list and give MOM mean?

    I presume they want the MOM given on evening shift, so they will have the BM in the morning when there is more staff?? You don't want to give it on days and have the poor patient up all
  4. Level 1 trauma

    In a "real" trauma, we usually have 3 RN's and at least 1 but usually 2 techs initially as well as the ER doc and or trauma surgeon. One RN serves as recorder because things move so fast you don't...
  5. Hey Hospital X Are You Guys Doing Anything For ER Nurses Week?

    Our docs had Cracker Barrel meals catered at 1100 and 2300 on Wednesday. We did get a nice email from our
  6. Happy Emergency Nurses Week!

    Yes, Happy ER week to one and all! Speaking of tacky gifts...one year our NM gave us all blue ribbons that said "you're number one" or something like that and she had all of us line up as she pinned...
  7. Advice to the LTC nurse...

    I agree the previous few posters. I'm not interested in a long history of the patient on the report. I do like the list that was given a few posts ago. If it is in a checklist type form, organized and...
  8. OK, I'm old, please define what you mean by argumentation. I have no idea what you are asking. You are asking about communication, but I don't understand what you are trying to
  9. IV in an artery

    Just to echo what others said...yes, you were in an artery. Please tell us you took it out immediately and held good pressure and found another site. In all my years of starting IV's, I have only hit...
  10. What do you do on the drive to work?

    I hope you don't make that drive twice per day! I had a job 5 hours from home once and worked 6 on 8 days off. My husband gave me a subscription for XM radio at that time. I have had it ever since! I...
  11. Increase abuse of Bath Salts

    It has been a big problem in our area of western NC. Yes, paranoia and extreme agitation are the biggest symptoms we see in the ED. On a related note, someone mentioned Oxycontin....had a guy recently...
  12. Neurological Assessment

    I usually do something similar. You can get a lot of information just from casual conversation. As far a neuro questions, I do tell them that I know the questions seem silly but it is part of a...
  13. Making Reservations for the ER

    I would venture to say at least 80% if not more of our patients are not emergent anyway. The first few patients of my day yesterday were sore throats (I woke up with a sore throat today). The next...
  14. You will get better exposure if you post this under the state forum where the schools are. Good luck to
  15. Making Reservations for the ER

    I am considering moving to Southern California early next year and one of the hospitals I have considered is owned by Tenet and uses this system. I check the site periodically just see what they list...
  16. Single moms and every 3rd weekend

    People in our ER are usually assigned a preceptor who stays with them the entire orientation, so you are assigned to work their schedule. It may be that you need to adapt the best you can for the...
  17. Is this a good offer in Cali???

    I'm considering moving to that area next spring, as that is where my grandkids live. I have checked into Fountain Valley as permanent employment and have heard pretty good things about the ER. I have...
  18. Peer interview

    The peer interview seems to be something that is becoming more common. I have only had to do it once, and it is much more relaxed than the interview with the manager. Yes, that is the time to learn...
  19. What does an RN REALLY do?

    Nurses end up doing what no one else can or will do. If there is no transporter, the nurse does it. If there is no housekeeper and the room needs cleaning, the nurse does it. If the pharmacy is too...
  20. Nurses using EKGs

    I also work in ER and agree about the need for one handed attachment and tangled wires. I presume you are talking about portable monitors and not EKG machines. I want a portable monitor that is not...
  21. I don't know if most drug screens test for alcohol or not, but if I were an employer and you tested positive for alcohol at 1100, I would not hire you. It would show very poor judgement and I would...
  22. Just curious- When pt's are drug tested..

    If there is no clear chain of custody, the results are not evidence that can be used by law enforcement. If there is no chain of custody, it is only used for medical evaluation. There also must be...
  23. Why are so many new nurses having problems?

    I think a lot of it has to do with the charting requirements. I have been a nurse a long time and have seen many trends come and go, but the electronic charting is a disaster. If I have a critical...
  24. Everyone's laughing except me.

    Let me tell you about the first catheter I ever put in. I was green, green, 18 years old, fresh out of high school, first semester nursing school and let's say "sexually nieve". I don't think we had...
  25. Everyone's laughing except me.

    Everyone has horror stories about finding a hiding meatus. I have even placed my index finger in the lady parts to occlude it, then try to slide the foley over the top and it usually hits the spot....