needsmore$

needsmore$

emergency nursing-ENPC, CATN, CEN

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All Content by needsmore$

  1. Hateful ER Docs

    needsmore$ replied to MrsWampthang's topic in Emergency

    I agree with discussing his behavior with him but not at a time when both of you are trying to work-or the department is really busy--try to find some down time and be professional-- use privacy, use...

  2. Do you have to deal with these?

    needsmore$ replied to nursestudentx's topic in Emergency

    It sounds like you want a high paying job-without the messy work-- You seem to have a lot of reasons why you "can't" follow the some of the most beneficial advice given- it seems you want the nurses...

  3. warming IV fluids

    needsmore$ replied to melanie19's topic in Emergency

    WE use Ranger Fluid

  4. SANE's in ER's?

    needsmore$ replied to Aneroo's topic in Emergency

    I work with SANEs in our ED- excellent field-leads into forensics. Not my thing but many love it. It's like an off shoot of ED nursing that turned into it's own specialty! I'm glad they're around- I...

  5. Do you have to deal with these?

    needsmore$ replied to nursestudentx's topic in Emergency

    I'm with Dixie as well- not only do you ave to deal with them- you can use "them" to help in your assessment tools- "Sputum of many colors Urine that has certain odors and colors GI bleed breath C...

  6. ER nurses compared to EMT's

    needsmore$ replied to Dinith88's topic in Emergency

    As the preceptor for our ED, I work with our local EMS. New nurses to the ED get to spend a shift riding with the medics- just a small taste of life on the other side of our doors. I started this...

  7. mandatory scrubs?

    needsmore$ replied to NativeTexan's topic in Emergency

    We are not allowed to wear black pants per the Infection Control nurse. She is concerned that we could get blood/body fluids on our clothing and "not see it". I guess it looks cooler to have blood...

  8. mandatory scrubs?

    needsmore$ replied to NativeTexan's topic in Emergency

    ED color codes- Nurses- white scrub on top- any warm up jacket must be white- any color bottom ( we decided to buy men's PJ bottoms at Walmart real cheap to add a little personality-but we stay away...

  9. ER Orientation - Anyone like to share theirs?

    needsmore$ replied to ER2Ed's topic in Emergency

    Since it is GN time again-do any of your EDs have new nurses sign a contract of sorts? It can be common for new people to go to one place-get orientation/training for several months- a critical care...

  10. Choosing the best prep for ER

    needsmore$ replied to RNhopeful19's topic in Emergency

    i agree with dixielee--excellent advice as usual. i started as a gn- medsurg- helped me enormously when i went to the ed- medsurg helped me to develop a solid clinical background and also critical...

  11. ER Orientation - Anyone like to share theirs?

    needsmore$ replied to ER2Ed's topic in Emergency

    From a prior post: For GNs: My director took me off clinical for 3 weeks- During that time- I made GN notebooks- sectiioned off by systems--(a great source was wild iris .com) cardiac , resp GYN,...

  12. First person you meet

    needsmore$ posted a topic in Emergency

    our hospital is beginning it's redesign process. we are expanding from a 17 bed-to a 40 bed unit. currently, when a person enters the ed entrance- the first person they encounter is usually the...

  13. First person you meet

    needsmore$ replied to needsmore$'s topic in Emergency

    Thanks all for your insight- It seems the common ideal would be that security should maintain a visible presence in the ED entry /triage area 24/7. This is my ideal as well.

  14. First person you meet

    needsmore$ replied to needsmore$'s topic in Emergency

    Our security will intervene if needed, but they seem to never be in the ED area-they roam around and do rounds-also go to meal breaks all together. I'd like to see the security area not be in a...

  15. The crud you ER nurses put up with

    needsmore$ replied to sharann's topic in Emergency

    DDD=Degenerative Disc Disease Security was called- and we do involve the local PD- (I hate testifying at these "disorderly conduct" cases) Triage can be a dangerous place to work- ( I'm tempted to...

  16. The crud you ER nurses put up with

    needsmore$ replied to sharann's topic in Emergency

    The other day at triage there was a long wait in the WR.(as always) Family member brought in mom (50's) with chronic DDD-c/o exac. of her lower back pain.(freq. flyer) They were upset that she had to...

  17. CVP and SV02 monitoring in the ED

    needsmore$ replied to Kireri's topic in Emergency

    i also agree with dixielee- high pt-staff ratios that are always in flux make this unrealistic imo-ed staff not able to provide the intensive monitoring that is the standard that is given on ccu type...

  18. Are you required to have NRP or at least PALS Certification?

    needsmore$ replied to dawngloves's topic in Emergency

    we require pals, acls. encouraged to be cen within 2 yrs of hire. recommended tncc, enpc. many nurses taking these. i personally enjoyed nrp- made me feel more confident w/ the neonatal...

  19. Learning thread (ER medicine)

    needsmore$ replied to TraumaInTheSlot's topic in Emergency

    it's a neuro test-for lesion or loss of higher cerebral function- checking for deterioration when you turn your head-your eyes should stay fixated on a certain point-that's normal if abn-when you turn...

  20. Anybody waiting for RSV or rotovirus results before sending a peds pt to the unit?

    needsmore$ replied to Vicki_RN's topic in Emergency

    We do not admit all our RSV patients as well- admission is based on degree of resp distress, history, VS, underlying issues, etc. Some can be very sick while others perk up with some neb use, fever...

  21. Rectal temps in peds

    needsmore$ replied to MrsWampthang's topic in Emergency

    Dear nursewannabe- You have the right as the parent to refuse any care that is being given to your child ( unless it borders on abuse/neglect, etc due to it's omission). If you feel this strongly,...

  22. Why reverse sedation?

    needsmore$ replied to Jolie's topic in Emergency

    I'm also in agreement with the other posters- If we use Narcan or Romazicon for reversals it sets up a whole string of reports and extra monitoring protocols. Unless there are airway or VS concerns,...

  23. Scheduling for ER Nurses

    needsmore$ replied to EstherdH's topic in Emergency

    we also do self scheduling- holidays assigned. we have some ft nurses who work eow- 80 hrs/pay and other ft who work every third weekend 72 hrs/pay period. they both get ft benefits. we also have...

  24. EMR in the ED

    needsmore$ replied to ERnursie172's topic in Emergency

    We use codonix currently in our ED. The hospital uses Meditech. These 2 do not work together. The docs bought Codonix to help with their billing-fair program- We will be switching to Meditech in...

  25. questions about working in the ed

    needsmore$ replied to bsherry's topic in Emergency

    Rollins makes an EXCELLENT point about knowing your equipment!! Use down time to stock your areas (if you can)--open up those locked code carts and check them--I orient new staff and they spend a...