needsmore$

needsmore$

emergency nursing-ENPC, CATN, CEN

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All Content by needsmore$

  1. 2 hour reassessments in Triage

    needsmore$ replied to Opinions matter's topic in Emergency

    we do reassessments including vitals hourly. we do a q 15 min across the room check. we utilize triage lpns to assist with the recheck and reports to the rn if the rn is busy, or the rn does it...

  2. pedi code

    needsmore$ replied to rlgiv's topic in Emergency

    i'm sorry. but you did what you could do. you recognized the seriousness of the child's condition, you intervened appropriately- it just was too little, too late. and the 'too late' wasn't your...

  3. Orientation priorities

    needsmore$ replied to missionnurse's topic in Emergency

    Our hospital is starting to put all the policies, etc "on-line" on their intranet web site-so you can click on your area and review your dept specifics in addition to Admin policies, IV policies, Risk...

  4. Drugs, Law, Nursing Role

    needsmore$ replied to southernbelle4lu's topic in Emergency

    GREAT topic. Here's a twist on it and I'd LOVE your input Supposed pt arrives to ED under the influence -let's say alcohol- ETOH level- 280's He's brought to the ED by friends/family who now have...

  5. Hired Paramedics in your ED???

    needsmore$ replied to DSplendid's topic in Emergency

    We hire EMTS/ EMT-Ps but their job description does not include meds, intubation, IV starts. They are hired as ED techs-and although they may be able to do higher practice skills under the EMT-P...

  6. IV size

    needsmore$ replied to danger's topic in Emergency

    well said- full of great info! we use ios in codes adult/pedi if an iv is not readily in place. they stay in place until the pt stabilizes enough to get a 'good' peripheral or better yet, a central...

  7. Question/Concern about pt and Dilaudid IVP

    needsmore$ replied to Christy1019's topic in Emergency

    christy- it does suck to get so many different preceptors-- i am a strong advocate for having new nurses 'mirror' their preceptor's schedule--just so what happened to you (all that frustration and...

  8. Orientation priorities

    needsmore$ replied to missionnurse's topic in Emergency

    Agree-- well

  9. Can you guess what the doc I missed.

    needsmore$ replied to HyperRNRachel's topic in Emergency

    I believe you're referring to left shoulder- Kehr's sign -- but I don't know why it couldn't also be in the right side-- Referred pain due to blood irritating the peritoneal lining/diaphragm...

  10. Orientation priorities

    needsmore$ replied to missionnurse's topic in Emergency

    Plenty of time to practice ED specific skills Patient

  11. Orientation priorities

    needsmore$ replied to missionnurse's topic in Emergency

    Time management, priority setting, critical thinking

  12. New ED nurses who "know it all"

    needsmore$ replied to rnflie's topic in Emergency

    We used a transfer type of report that we faxed up to the floor - (that was when our mgt decided we shouldn't phone report anymore) I think filling it out helps when giving report so the actual phone...

  13. Question/Concern about pt and Dilaudid IVP

    needsmore$ replied to Christy1019's topic in Emergency

    EXCELLENT POST! I bolded my favorite statements-- I tell this to my orientees all the time! I printed out your post and am giving it to my orientee I have now-- WELL

  14. Would I be a good fit?

    needsmore$ replied to CainRN's topic in Emergency

    we have lpns in our ed-- thank god. what a treat when they're

  15. Would I be a good fit?

    needsmore$ replied to CainRN's topic in Emergency

    Why not 'cross train' to see if you like it-- pick up as a 'casual' or perdiem and if you find you like it, then transfer FT Cross training looks great on a performance

  16. Would I be a good fit?

    needsmore$ replied to CainRN's topic in Emergency

    ED specific: phlebotomy ECGs dressings wound care OGL splints crutch training assist at triage with RN pt registration, order entry assist with MD/RN with other procedures as needed assist with dept...

  17. Best Letter written by a patient

    needsmore$ replied to patrice meursault's topic in Emergency

    *snort*

  18. TNCC/ENPC anyone?

    needsmore$ replied to mwboswell's topic in Emergency

    It's funny, in our area it always seems that they hold ENPC courses on the same weekends as TNCC- except in different areas, I wish ENA could tell a course director-- "Hey, there's a TNCC already...

  19. New ED nurses who "know it all"

    needsmore$ replied to rnflie's topic in Emergency

    Yes, it was a quite a surprise to me when I was told I was being returned to 'staff' nurse (I did 70% clinical, 30% off clinical to develop educational stuff for the staff), and during orientation...

  20. New ED nurses who "know it all"

    needsmore$ replied to rnflie's topic in Emergency

    Exactly!! And that inexperienced nurses will have MORE difficulty in these situations than those with some experience. So, if you're new to nursing--make sure you are signing up to train in an...

  21. New ED nurses who "know it all"

    needsmore$ replied to rnflie's topic in Emergency

    When I trained new GNS, I was removed from the clinical schedule for 3-4 weeks - by then, the GNS were more comfortable with the flow, the equipment, they only had to work on documenting (we have a...

  22. New ED nurses who "know it all"

    needsmore$ replied to rnflie's topic in Emergency

    No- I was the educator-- I love to teach, the educator position was removed by the ED director, and the staff nurse who does the scheduling just assigns new grads to various staff members who are...

  23. New ED nurses who "know it all"

    needsmore$ replied to rnflie's topic in Emergency

    I am old school-- but unless your precepting program allows your preceptor the luxury of teaching and training and NOT having to do this and maintain their normal work assignment, then look elsewhere....

  24. Question/Concern about pt and Dilaudid IVP

    needsmore$ replied to Christy1019's topic in Emergency

    We have this lady come in to the ED several times a week with 'pancreatitis'-- {which she has}, the story of-- "I have appts with my specialists next week, I'm a nurse, blah blah blah} who is very...

  25. ASA given for vasodilator effects?

    needsmore$ replied to pm80's topic in Emergency

    I've never heard of this either. I'm at work currently and asked the 2 docs who are on-they've never heard of that effect-- Not a citeable reference but these guys are pretty