Dixielee

Dixielee BSN, RN

ER

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All Content by Dixielee

  1. Can you mix 3 medications in a syringe?

    We use that in the ER as part of a "migraine cocktail" and it really does work. People who have chronic pain have an amazing tolerance to meds. I recently gave a man a total of 7 mg Dilaudid, along...
  2. Can you mix 3 medications in a syringe?

    It doesn't matter if you are mixing several meds in one syringe or separately, if they are going to have a reaction, you are still not going to know which one was the problem, because they are already...
  3. those who have worked in a variety of settings

    I have worked in ICU, ER, education, infection control, house supervisor, home health, dialysis, PACU and GI (endo, colonoscopy,etc), and I keep coming back to ER. Why? I am not sure. I think it has...
  4. Leaving the Inner-city-ER-guilt? Advice please..

    You are still young and green, so you will suffer from a lot of guilt for a variety of things for a good while, but as you age, you mature and gain experience and will realize that you have to save...
  5. ER Newbie

    I have done ER and ICU and they are different, and you do have to manage your time differently. In the ICU, you are concerned about I&O...in the ER you just want to know if they are urinating or...
  6. ACLS, only a week to study

    The algorithms have been simplified over the years and are pretty easy to remember now. If you can, once you get the book, copy each of the algorithms, either by hand or copier. Then take "similar"...
  7. Yes, baglady, you are probably hopeless! The only reason I signed on at my current hospital was my husband was diagnosed with cancer and subsequently died just 3 months after diagnosis. We were making...
  8. RN can't find job, what gives?

    Gracious, you have had a hard time. I don't know where in Arizona you are, but there were lots of travel jobs last time I looked. I have not heard about traveling ruining your resume, if anything, I...
  9. Question for ER moms

    I don't know that ER has any more risks to the baby than other jobs. I have never worked at a place that made any special concessions or treated pregnant nurses any differently. I worked until the day...
  10. Just Thought You'd Like This 65

    That would be me! God knew what he was doing when he made childbirth for the
  11. Hurricane coming: evacuate or stay and work?

    Miss ERN, my thoughts and prayers are with you and everyone in the path of this monster. I just pray it hits an area that has been able to evacuate. Our local response teams are geared up and ready to...
  12. Hurricane coming: evacuate or stay and work?

    No one ever said admin was lazy or afraid, I said whether I stayed or not would depend on how admin responded. I am glad you are responsible and appreciate the pressure of the job. I have been on both...
  13. Hurricane coming: evacuate or stay and work?

    A lot might depend on administration. Are they staying or are they taking the first train out of town? If we are expected to work under unsafe and potentially deadly conditions, are they? Is your...
  14. Warning Signs

    Yep, that is a big one! Never blow it off and tell them they are going to be "just fine". Investigate further and watch them like a hawk. 9 times out of ten, they are right and there is nothing you...
  15. Lets talk about Emergency nurse job

    I can't even begin to imagine what you and your people have been through. I am sure the emotional strain was enormous, and the scars are still fresh. When people are desparate, they reach out to...
  16. Lets talk about Emergency nurse job

    I think it varies somewhat from hospital to hospital based on leadership, but ER nurses are not treated any differently that any other nurses in the facility. ER is the only department that can never...
  17. how often are nurses tested for TB

    Every 6 months in our ER, but I think it is yearly for the rest of the hospital. Guess we are the canary in the mine, so we should have identified the TB before they go to the
  18. Bringing diseases home to your kids from work?

    While my husband was undergoing chemo and at his weakest, I came in the door, went straight to the laundry room, put all my clothes into the washer, entered the shower and washed everything. I wear...
  19. I have been offered jobs at every travel assignment I ever had. I finally settled down to my current job after 7 years of traveling. Yes, I may pick up and move on someday, but the chances of that are...
  20. least stressful area

    ER!
  21. agree 100%! i do work for less money and more job satisfaction. i have been in a position for 3 years in a high acuity er, large volumes, etc. it pays a few dollars less than i could make down the...
  22. Punitive Computer Documentation?

    I hate the computer documentation. You are right about the computer calling the shots. It is almost that patient care is a distant second to the documentation. It is definately an
  23. BSN vs. ADN

    In my travels, I have not found that having a BSN paid any more at all. If you are young and are getting into nursing, then it may pay off in the long run to get your BSN right off the bat. It won't...
  24. What would you do?

    Unfortunately, in the ER we often not only give report but care to patients in the hall or on the other side of a curtain. It is not unusual for patients and or families to strike up conversations...
  25. Should I not be a nurse?

    I have been a nurse 35 years and there are more areas of nursing I have not worked in that those I have. So, I guess it is probably OK. I have no desire to work in OB, Peds, oncology, psych, cath lab,...