needsmore$

needsmore$

emergency nursing-ENPC, CATN, CEN

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All Content by needsmore$

  1. anyone using tPA for acute ischemic stroke in the ED?

    needsmore$ replied to dewp_63's topic in Emergency

    We use TPA as well- seen some good outcomes and some not so good- it seems to be the way of the future--now we just have to educate the public and some docs to send their patients in, instead of...

  2. Depressed about working ER

    needsmore$ replied to ernurse2244's topic in Emergency

    Sounds like you had a day from hell!! Hopefully tomorrow will be better (the beauty of the ED is that everyday is a different day). I'm in my mid forties and have been doing this for more years than...

  3. Anferior MI and NO order for NTG drip...

    needsmore$ replied to LPN47331's topic in Emergency

    Good post-- we do many rt sided ECGs as well to differentiate-doesn't take long-just switch the V leads around when you finish the initial 12 lead- then you have more info right off the bat!

  4. Preceptorship in ER

    needsmore$ replied to francine79's topic in Emergency

    ERnurse afterall makes very good points-stability with one preceptor is great-as long as staffing is available. Some nurses, although experienced, are not good mentors -mentoring requires knowledge...

  5. Frivilous Question of the Day

    needsmore$ replied to CarVsTree's topic in Emergency

    We had both as well- many years ago the "snap" gown was for ICU patients- and in the ED we had the regular 'pull on' kind. When we would transfer our pt to the ICU-we were expected to change the pt...

  6. suturing information required

    needsmore$ replied to barrabird's topic in Emergency

    True- my husband is a PA and graduated w/ a BS from Hahnemann University years ago ( now part of Drexel University)

  7. suturing information required

    needsmore$ replied to barrabird's topic in Emergency

    https://allnurses.com/forums/archive/index.php/t-70429 This thread has info regarding RNs and suturing

  8. suturing information required

    needsmore$ replied to barrabird's topic in Emergency

    In PA they cannot

  9. Anferior MI and NO order for NTG drip...

    needsmore$ replied to LPN47331's topic in Emergency

    do you have staff meetings? we have combined meetings at times w/ the ed physicians and have a "grand rounds" presentation- many times we discuss a difficult case and listen to the options or ideas...

  10. suturing information required

    needsmore$ replied to barrabird's topic in Emergency

    Please check with your state nursing practice act - I don't believe that nurses in the USA can suture unless they are advanced practice trained-like NPs.

  11. i have a chance to triage...

    needsmore$ replied to SnowymtnRN's topic in Emergency

    Our triage orientation includes 16 clinical hours w/ a preceptor, and written exam based on CEN triage questions that you have to pass before you can sit at triage. We have developed a triage...

  12. i have a chance to triage...

    needsmore$ replied to SnowymtnRN's topic in Emergency

    Same as us, Netstaff. Triage should be for the highest trained, most experienced ED nurse- I believe that the ENA recommends 1 yr ED experience, ACLS, PALS certified and CEN preferred. Many triage...

  13. Advice for GN

    needsmore$ replied to Bridge's topic in Emergency

    As a preceptor/mentor for new staff/GNs in our ED--ask questions!! You are responsible for making yourself an ED nurse--Join the ENA-attend your local chapter meetings and all the education that is...

  14. how to be er?

    needsmore$ replied to whiteri's topic in Emergency

    https://allnurses.com/forums/showthread.php?t=75303 This thread has alot of advice on education /preceptoring etc Good luck

  15. Your help is much appreciated on this poll.

    needsmore$ replied to Jetman's topic in Emergency

    No differential- they pay for ACLS, PALS. No extra for CEN but will reimburse the cost of the test if you pass. Weekend and shift differentials though And some weekend programs that get higher rates...

  16. Privacy & Confidentiality in ER

    needsmore$ replied to Sarah, RNBScN's topic in Emergency

    We have a 16 bed treatment area. Rooms 1,2, 6-10, 14, 15 and 16 are private. they have glass sliding breakaway doors and are negative-vented as well 3,4 and 5 are separated by curtains. 13 is a...

  17. Question for ER Nurses

    needsmore$ replied to fuerza757's topic in Emergency

    https://allnurses.com/forums/showthread.php?t=75303 This is another one about new nurses heading to the ED out of school- lot's of good advice

  18. Question for ER Nurses

    needsmore$ replied to fuerza757's topic in Emergency

    There are threads about this topic to check out Here's one: https://allnurses.com/forums/showthread.php?t=3648 Good luck

  19. On-call

    needsmore$ replied to CB's topic in Emergency

    Now that's interesting.. .. (tucks that one away for future use ) :wink2:

  20. It's Thanksgiving, and well, I'm at work

    needsmore$ replied to Carotid's topic in Emergency

    It's cholecystitis season!! Harry Thanksgiving you all- I'm dreading tomorrow - it's not called Black Friday for nothin'

  21. Life is futile, dead is dead, the other side

    needsmore$ replied to MrsWampthang's topic in General Nursing

    Pam- My thoughts are with you at this time. God bless you and your family.

  22. On-call

    needsmore$ replied to CB's topic in Emergency

    What about lunch? Sometimes (rarely) we do get a break- and once in a while we have a nurse who wants to drive off to Burger King to pick up a sandwich and fries. She feels since this is her "30...

  23. 1st ED interview tomorrow

    needsmore$ replied to jaimealmostRN's topic in Emergency

    Good luck FYI- Our HR dept gives out a test for med/IV calcs to nurses who are interviewing- might be something to review

  24. Protocols in the ED

    needsmore$ replied to veetach's topic in Emergency

    Veetach We will be switching from Codonix to Meditech in the next year- many of our staff are used to Meditech for order entry, magic office email, etc. The nurses on the medsurg floor and telem use...

  25. Scheduling lunch breaks in the ED

    needsmore$ replied to Elle2's topic in Emergency

    When I trained as charge- my clinical director that was on days said-"make sure your nurses get to eat and you go last". When I went to 3-11 and mentored for several days prior to taking over as the...