needsmore$

needsmore$

emergency nursing-ENPC, CATN, CEN

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All Content by needsmore$

  1. Anyone taking the CPEN

    needsmore$ replied to needsmore$'s topic in Emergency

    I know--it just opened for testing applications in Jan-- I am starting to see some "prep" courses now-so hopefully one may come by locally-- Scott DeBoers is holding some and he is excellent (His...

  2. Most likely a stupid question...

    needsmore$ posted a topic in Emergency

    Good morning I am helping our computur gurus develop documentation screens for our ED Being a 'veteran' nurse (as opposed to an old nurse:wink2:)--when I would document --"Central Line placed by Dr So...

  3. prehospital EKG transmission

    needsmore$ replied to quickcath's topic in Emergency

    Great minds think

  4. Paramedic triage

    needsmore$ replied to klerrn's topic in Emergency

    WE follow the ENA position statement re-who's able to be assigned to the triage area That being said, I firmly believe that there are many paramedics that I work with that would do an excellent job...

  5. prehospital EKG transmission

    needsmore$ replied to quickcath's topic in Emergency

    Larry-

  6. prehospital EKG transmission

    needsmore$ replied to quickcath's topic in Emergency

    We are also looking into this as well, the ECGs are great to have but unless they can be scanned in I don't know how we can include THAT Faved copy to the chart--or perhaps a paper copy can by handed...

  7. Triage at the bedside

    needsmore$ replied to MAISY, RN-ER's topic in Emergency

    WE also bring patients back right away if the ED beds are open--Like many EDs, we combine our triage process with the initiation of registration or the formation of the ED chart. Triage is a process....

  8. Who numbs for needlesticks?

    needsmore$ replied to care4kids's topic in Pediatric

    We also can orde LMX without the ED physician-- many times we apply it at triage as 'magic cream'--both antecubs. By the time they're done triage, in a treatment area--20 min or so have gone by to...

  9. Who numbs for needlesticks?

    needsmore$ replied to care4kids's topic in Pediatric

    We use LMX- We have Painease but that seems to make it sting ? alcohol content on the skin? We tried the "ZingO' which was pretty good but that was removed from availabilty We mostly use non-pharm...

  10. A Useful Bedside Test

    needsmore$ replied to ACRN06's topic in Emergency

    I like when ED patients tell me thier pain is a 10/10. I ask them- Are you sure that it can't get any worse? When they so No--I ask them--so if I stomp on that sore foot you don't think I could hurt...

  11. Most likely a stupid question...

    needsmore$ replied to needsmore$'s topic in Emergency

    Thank you--that's what thought too but I was being shut down as 'opening a can of

  12. Motrin PR?????

    needsmore$ replied to RNintheER's topic in Emergency

    Can you provide some links re this practice? Was this admin route approved by the FDA? Is it evidence based? We do not currently utilize this route of admin but it sounds quite interesting.

  13. PIXIS and Narcotics

    needsmore$ posted a topic in Emergency

    hi guys just a quick question--kind of debating with pharmacy dept at my hospital re-the pixis and returning meds i always thought safe nursing practice was--if you remove a narcotic to administer and...

  14. PIXIS and Narcotics

    needsmore$ replied to needsmore$'s topic in Emergency

    The in-patient part of the hospital utilizes eMar- I'm not sure exactly how that works --I know the med ordered must be in the patient's profile before it can be removed. This is done by the pharmacy...

  15. PIXIS and Narcotics

    needsmore$ replied to needsmore$'s topic in Emergency

    You guys have given me great ideas--Thank you all so much-- I had my clin manager review your responses and she's with me on this--our process needs to be fixed--hopefully we can get the phamacy...

  16. PIXIS and Narcotics

    needsmore$ replied to needsmore$'s topic in Emergency

    But our pixis has a return option, and when two nurses return it, it goes right back into the count and then a receipt conformation spits out This option works for me-- I'm hoping to take all these...

  17. PIXIS and Narcotics

    needsmore$ replied to needsmore$'s topic in Emergency

    I have never had a pharm tech ask me to witness them adding narcs to the PIXIS either-- some days there are 2 of them, other days, like today, only 1. Adding them incorrectly would certainly cause...

  18. PIXIS and Narcotics

    needsmore$ replied to needsmore$'s topic in Emergency

    Thank you for your input--I have never had a pharm tech ever ask a nurse to witness the retun bin-- emptying. Nor have I ever been prompted to have another nurse witness returning a narc to that bin...

  19. protocol for pediatric triage

    needsmore$ replied to ermickie's topic in Emergency

    http://www.ENA.org

  20. PIXIS and Narcotics

    needsmore$ replied to needsmore$'s topic in Emergency

    Thank

  21. The Emergency Nurse Guide to Dealing with Early Pregnancy Loss

    needsmore$ replied to Aneroo's topic in Emergency

    Wonderful thoughts. I hope to share this with MY

  22. AWOL-seen any patients using this yet?

    needsmore$ posted a topic in Emergency

    hi- just trying to educate my ed staff-'new toy out there'- called awol- it's like nebulizing alcohol- you can buy these machines and inhale alcohol. being hyped as "less hangover, less calories"...

  23. MD/NP in triage?

    needsmore$ replied to Dixielee's topic in Emergency

    I think it's great in helping weed out those that could be referred back to their FMD--the non-urgent/ clinic types. It would also cover the EMTALA screening exam requirement as well. May help with...

  24. suboxone and sublingual narcan

    needsmore$ replied to 9309's topic in Emergency

    You and me both! :) Thanks for the articles up

  25. Restocking

    needsmore$ replied to EMSnut45's topic in Emergency

    i stock my own areas. since patient care and their outcomes could be determinate based on equipment, i feel that it is imperative that my area is stocked and equipment functioning-so i do it myself!...