needsmore$

needsmore$

emergency nursing-ENPC, CATN, CEN

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All Content by needsmore$

  1. New ED nurses who "know it all"

    needsmore$ replied to rnflie's topic in Emergency

    well

  2. How to deal with the constant violence

    needsmore$ replied to cursenurse's topic in Emergency

    Walking with my IPOD --enjoying the fact that no conversation is needed, I can look at the scenery, houses, gardens, etc. Good exercise and 'quiet time" And I leave work with my 'stethoscope' in my...

  3. Stress Test Algorithm?

    needsmore$ posted a topic in Emergency

    hi everyone. does anyone have an algorithm already in place for determining when you would do a stress test and which variety, on a patient that presents to the ed with chest pain? we are developing...

  4. Stress Test Algorithm?

    needsmore$ replied to needsmore$'s topic in Emergency

    That's WONDERFUL- we're SO HAPPY! It's a beautiful thing!

  5. Docs and their dirty sharps...

    needsmore$ replied to neneRN's topic in Emergency

    Our ED docs also are very conscientious regarding their sharps. They are NOT as concerned about their bloody dressings, bloody irrigation returns dripping off the stretcher unto the floor, etc. The...

  6. Triage and the LPN role

    needsmore$ posted a topic in Emergency

    Currently, our ED (community hospital) uses an RN/ ED Tech and a greeter person at triage area. The greeter is the traffic director; the ED Tech assists the RN with triage eval, first aid, VS if...

  7. Triage protocols. what does your ER use?

    needsmore$ replied to lifsavER67's topic in Emergency

    Similiar to mommatrauma- we use the ESI ratings. We apply LET at triage, Tetracaine eye complaints, Motrin PRN, xray injured extremities. We also splint/ice etc. -(this is for the minor acute fast...

  8. what's in your pocket?

    needsmore$ replied to srknurse's topic in Emergency

    The 'cleaning out of the pockets' is an important part of LEAVING work. Funny how I go to work with some pens, while I'm at work I never have one, and when I come home I have 3 or 4!! Regarding tape-...

  9. what's in your pocket?

    needsmore$ replied to srknurse's topic in Emergency

    I carry PDA, tape, scissors, pens, highlighter, tape, alcohol preps, penlight, hemostat, and my own fresh 30 ml vial of NSS for flushing IVs ( we keep multidose 30 ml vials in with the IV stuff in...

  10. "to go" medicines?

    needsmore$ replied to mtnmom's topic in Emergency

    I agree with checking with your state board of nursing- are you allowed to dispense or does this fall under pharmaceutical practice? (something to consider) Our hospital stopped this practice as they...

  11. Need advice/giving report to uninterested nurse

    needsmore$ replied to ernurseafterall's topic in Emergency

    i just think nurses, especially new nurses, or new to an area should give as detailed a report as they feel they need to. it takes a while to get to know everybody, and their preferences - and it...

  12. Techs Triaging

    needsmore$ replied to tracelane's topic in Emergency

    ENA standards of practice and guidelines has specific recommendations on the qualifications of a triage person. I guess if your hospital has no specific policy or guidelines on who may triage it's...

  13. RN intubating in the ED

    needsmore$ replied to matt033174's topic in Emergency

    matt- sounds like you are trying to put together a good plan- if you do train in intubating- make sure your education includes what needs to be done to maintain competency, as this is a skill that is...

  14. RN intubating in the ED

    needsmore$ replied to matt033174's topic in Emergency

    perhaps you should also check with your state board of nursing to see if this is permitted or do you require state mandated higher level of education? an example would be- nps can but staff rn cannot...

  15. Intoxicated Crisis Patients

    needsmore$ replied to Foolmoon's topic in Emergency

    Our crisis workers also wait until BAL is less than 0.1. They feel they cannot do an accurate mental/behavioral assessment on an incapacitated person.

  16. Need advice/giving report to uninterested nurse

    needsmore$ replied to ernurseafterall's topic in Emergency

    I would continue to give a thorough shift report. If the on coming shift isn't paying attention-that's their decision and could be their loss. At least you are giving the oncoming nurse the info...

  17. Five week ER orientation

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

    As the preceptor for a community based ED -38,000 pt visits/year, I also believe 5 weeks is too short. We offer 3 months- with didactic review, skills review, etc as well as on the unit direct...

  18. Intoxicated- does it mean incompetent?

    needsmore$ replied to TlhRNED's topic in Emergency

    this is a huge legal gray area- what to do if the intoxicated pt that the police or well meaning friend brings to the ed who refuses care? are they competent enough to let them leave? what are...

  19. Collecting co-pays at the ED registration desk.

    needsmore$ replied to TlhRNED's topic in Emergency

    We also collect copays at discharge- community hospital- about 38,000 visits/year. Doing this has decreased a lot of lost revenue for our facility! Echoing Dixielee-this is not a nursing function,...

  20. ER violence

    needsmore$ replied to night fox's topic in Emergency

    i find that the patient's family could be the violent ones. They are frustrated by long wait times, stressed out by someone's illness and their desire to have their family member seen...

  21. ER nursing journals

    needsmore$ replied to ckh23's topic in Emergency

    Join your local chapter of ENA. You will get quarterly journals with great articles and updates from this publication. Also- most chapters have frequent meetings with education offerrings as well....

  22. suggestions on a EKG BOOK!

    needsmore$ replied to janetrette's topic in Emergency

    Dubin does it!

  23. ICU gets differential and not ER??

    needsmore$ replied to jentenrn's topic in Emergency

    This happened at our hospital as well. It was a tactic used to attract new nurses to our critical care area as there were staffing issues. The ED nurses met with the administration of the hospital...

  24. Hateful ER Docs

    needsmore$ replied to MrsWampthang's topic in Emergency

    Good luck

  25. Redesigning our ED. Do other places have a room at triage or just a bench?

    needsmore$ replied to ednursemanager's topic in Emergency

    Be careful with medics in triage--watch those standard of practice!! ( If you base your department standards on ENA Guidelines and Standards--though I firmly believe that some medics triage much...