Dixielee

Dixielee BSN, RN

ER

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All Content by Dixielee

  1. Same patient's over and over again

    Dixielee replied to MattNurse's topic in General Nursing

    Yep, I know that guy too!! I have had them go straight back to the triage line from the discharge area because they didn't get the drugs they wanted, so they start over hoping they can get a...

  2. Same patient's over and over again

    Dixielee replied to MattNurse's topic in General Nursing

    That's a great advantage of working in the ED! Yes, you may see the same person from time to time, but chances are, they will come back in someone else's

  3. IV flulids/solutions and WHY??

    Dixielee replied to Tsatalstrana's topic in General Nursing

    ESME, Great resource with the IV fact sheet. I just printed it for my reference. Thanks! OP, as far as specific scenarios, they vary from patient to patient and doctor to doctor. Many times it is just...

  4. jehovahs witness- refusing to..

    Dixielee replied to Skylar86's topic in Emergency

    I don't have a definitive answer, but it may have been just a translation misunderstanding. He may not have understood that it was a lab test and not a transfusion. Just my

  5. Great moments in bad judgement

    Dixielee replied to emtb2rn's topic in Emergency

    Or the guy who decided to make home made fireworks. He was sitting in the recliner with the bowl of gunpowder in his lap when he decided to smoke a cigarette! Boom! No need for a vasectomy :) Or...

  6. Skill's Fair for the E.D.

    Dixielee replied to CapeCod2424's topic in Emergency

    As an RN who has been through more skills fairs than I care to remember, I have just one thought. I know you want to make it interesting and fun, but remember, these folks are coming in on their day...

  7. Great moments in bad judgement

    Dixielee replied to emtb2rn's topic in Emergency

    All of my good stories come from the ED!! Foreign bodies I have seen.....three golfballs (same guy, wife snuck them in there), 2 pears (same guy, slipped while mopping floor in the nude, fell onto...

  8. Can you put gloves on after tying tourniquet?

    Dixielee replied to wish_me_luck's topic in General Nursing

    My gloves are usually the last thing to go on. You should have already washed or sanitized your hands, and presumably you are working with intact skin. I open all of my IV supplies and arrange them as...

  9. Scrubs in the Emergency Department

    Dixielee replied to Krystall's topic in Emergency

    I can't remember when the trend of wearing scrubs in the ED began, but it was a long time ago! I've worked ER for almost 40 years, and looking back, I can only remember wearing white uniforms ( and...

  10. Blood Infusion

    Dixielee replied to Medic7714's topic in Emergency

    Most pumps have an automatic locking device that engages when you take it off the pump. This is a safety device to prevent free flowing if someone accidentally pulls the cassette off the pump. Many...

  11. Keeping track of your CEUs

    Dixielee replied to Robublind's topic in Emergency

    I keep all of mine in a 3 ring binder filled with page protectors. I make two copies. The original goes in my notebook, and a copy to my mailbox at work and a copy to my manager so it goes in my file....

  12. studying on your days off

    Dixielee replied to sophie<3's topic in First Year After Licensure

    I'm not a new grad, in fact I graduated in 1973! In this competitive job market to gain and keep employment, you must continually study, learn, test, repeat! I suggest all nurses join a nursing...

  13. Clogs vs sneakers vs walking shoes, which one?

    Dixielee replied to Barnstormin' PMHNP's topic in Scrubs, Uniforms, Gear

    It depends on your foot. My arch is high and I can never get into a clog, much less wear them comfortably. I personally love New Balance. I find one that fits well and buy 2 pair of the same, then...

  14. Late name change. Worried.

    Dixielee replied to KnJkirk's topic in General Nursing

    Many people don't change their name at all after a marriage. After my second marriage, I didn't change my name on anything for a year just in case it didn't work out :) If you want to change your...

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

    Dixielee replied to CrashED's topic in Emergency

    Mean drunks! I actually like having patients who really have an emergency and need help! It's the drunks that the cops found behind the dumpster who are too drunk for the drunk tank that make me...

  16. Appropriate order for diabetic + COPD + pneumonia?

    Dixielee replied to KatePasa's topic in General Students

    While it is more labor intensive for the nurse, IV insulin is the best way to correct and prevent problems in a very sick

  17. Appropriate order for diabetic + COPD + pneumonia?

    Dixielee replied to KatePasa's topic in General Students

    This person needs to be in ICU for careful monitoring of respiratory and metabolic status. He probably needs to be on an insulin drip at a minimum. He may very well need bipap or vent support. He also...

  18. Pros & Cons 3a-3p and 3p-3a shifts

    Dixielee replied to jgoettemoeller's topic in General Nursing

    I have worked a lot of different shifts over the years, and I can't think of a worse one than 3a-3p! You would never get any normal sleep, the turn around would be horrible, you would be dead tired at...

  19. Conflicted about interview with fancy hospital

    Dixielee replied to lisa333's topic in Job Search, Interview, Resume

    If you are happy where you are and the situation works for you, then why rock the boat? That fancy hospital will always be there and there are always opportunities to change your focus later. I have...

  20. Breakroom Politics, Parenting, or Weight Loss Article Contest

    Dixielee replied to Brian's topic in News, Announcements

    How do you submit an article? I just wrote a "letter" reflecting my weight loss process for a friend who wanted to know how I had recently done it. I don't know if that would qualify for what you are...

  21. Failing a student in clinical

    Dixielee replied to Berkshire1995's topic in Nursing Educators, Faculty

    I agree! If he had fallen to his knees sobbing over the incident, I might have been able to counsel him and expect him to remember this grievous error, but since he was flip about it, he's gone! I...

  22. STEMI Protocols

    Dixielee replied to Medic2RN's topic in Emergency

    We have really streamlined the STEMI protocols over the last few years. We used to be responsible for all the things you mentioned as well as a pubic shave! We do always have 2 RN's and a tech with a...

  23. What does your educator do?

    Dixielee replied to EDEduc8R's topic in Emergency

    Too

  24. What does your educator do?

    Dixielee replied to EDEduc8R's topic in Emergency

    I work in a regional trauma center, close to 1000 bed total hospital beds (usually full), 70 bed ED. Our educators never work the floor although our current one's did so in our ED. It is strictly an...

  25. Why Is It That Everyone Thinks They're A Good Nurse?

    Dixielee replied to Ruby Vee's topic in Patient, Colleague Relations

    I think I am a good nurse in my present position, but I was just barely competent for the first few years after I became an RN! I have changed specialties over the years and done a number of things,...