needsmore$

needsmore$

emergency nursing-ENPC, CATN, CEN

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About needsmore$

needsmore$ specializes in emergency nursing-ENPC, CATN, CEN.


ED nurse for 22 years

Latest Activity

  1. Precepting a floor nurse

    And give them an empty very large 3 ring binder. I print out info about what we're caring for. I use 'up to date' alot. I highlight the important stuff and before they know it, they have made their...
  2. Precepting a floor nurse

    And a side note Do not let other staff dictate the type of patients you get. (if possible) I have had many charge nurses give me the "more complicated" stuff right off the bat because "this is a good...
  3. Precepting a floor nurse

    Where to start.... I have been precepting for 25 years or so. I find that to start, I just have the new associate work with me to watch what I do. Then we talk about the critical thinking that ED...
  4. I have been an ED nurse since 1986. And yes, I still love it. The days where I feel that I made a difference in someone's life...what a great feeling Yes, ED nursing has become more of a...
  5. Detaining impaired pts---Battery ? Kidnap?

    We don't hold the narc until the ride is here--but we do ask the patient who will drive them home so we can give it--and then we give it, and if/when the pt is discharged, we have them call for their...
  6. Detaining impaired pts---Battery ? Kidnap?

    I'm with the "consult the legal beagles" here and develop a policy that is clear cut. Our ED also is--'no ride, no narc' rule. And yes, we get the tricksters. If they leave, we document that they...
  7. Using Demerol in the ED

    search "demerol metabolites" using google and you will get some good
  8. Using Demerol in the ED

    www.paindr.com/meperidine%20guidelines.rtf try this--it's a great little article about how the metabolites build up and can lead to neurological issues. now that they have dilaudid, fentanyl-which...
  9. Reglan and Compazine IV push policies?

    syringe pumps are great as well-- you can set it to admin over a certain amt of time-- so-- compazine which is 1 mg/min and you want to take a few extra minutes? set it for 10 min reglan, the same i...
  10. Most common overdose drug of choice?

    Tylenol. Especially in the teens-- The danger is--they get no SE....right away. So, they don't tell anybody. And then their liver's shot And in others--Tylenol is the hidden ingredient...all the...
  11. Advice for ED Nurse on orientation

    I think 2 patients at this stage, is doing well--but what acuity are they? If you find that you get caught up with 2, then ask for preceptor to give you a 3rd--so you can improve time management and...
  12. ER vs ED

    To me--"ER" means Emergency Room-- and for most of us-- we are more than a room! We are a unit that specializes in emergency care of the sick and injured Maybe we should be EU
  13. E.R paper

    Healthcare crisis and its impact on Emergency Nursing--wait times, immigration, financial impact on hospitals,
  14. State Board Exam Identification

    Thank you so much. I copied your link and response and emailed it to her. I also told her that allnurses.com has great resources for
  15. Hello. I was asked a question by a friend who will be sitting for her state board exam in Feb. Her question was about showing proof of ID Now--does first and last name must be identical on both forms?...