needsmore$

needsmore$

emergency nursing-ENPC, CATN, CEN

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All Content by needsmore$

  1. Caring in the ED

    needsmore$ replied to kmitch99's topic in Emergency

    I like when I feel I've made a connection- that relationship feeling works both ways--When you see someone scared and in tears because they are in an ED for the first time having chest pain and by the...

  2. Caring in the ED

    needsmore$ replied to kmitch99's topic in Emergency

    The high ED nurse-pt ratio sometimes makes it difficult to establish this relationship. I still try- I introduce myself-eye contact, shake hands, let them know I am there to help them. Sincerity, eye...

  3. Holding patients in ER

    needsmore$ replied to Nursinist's topic in Emergency

    I worked med surg/telem/PRN before going to the ED for several years (when I graduated nursing school) Another reason why I think specialty nurses should spend time in med/surg/telemetry prior to...

  4. Holding patients in ER

    needsmore$ replied to Nursinist's topic in Emergency

    Mattsmom- "While I'm sorry ER is not getting the support/staffing they want, I still have my own critical care standards to worry about and can't worry about ER. AACN says 2:1 ratio...that's what I go...

  5. Preceptorship in ER

    needsmore$ replied to francine79's topic in Emergency

    I give medsurg nurses a lot of credit-- I worked there for several years and it was tough--I felt like I lived with these patients-day in, day out. They were discharged only to return in a few days....

  6. RN Functions

    needsmore$ replied to nocturne716's topic in Emergency

    Dixie-ditto-well said. I did not say that ED nurses practice medicine, but with the protocols developed combined with the team approach-we tend to "get things started"- most ED nurses follow the ENA...

  7. RN Functions

    needsmore$ replied to nocturne716's topic in Emergency

    I find that you have a great working relationship w/ the ED docs-quite a team approach. Many times I offer suggestions that they didn't think of. I worked with one who would routinely tell me- "give...

  8. Preceptorship in ER

    needsmore$ replied to francine79's topic in Emergency

    ENA is, or has developed, a modular ER nursing program. I don't know the cost. I tried to mirror my program after theirs. Some other preceptors give a "post orientation" test -like 50 questions,to...

  9. Preceptorship in ER

    needsmore$ replied to francine79's topic in Emergency

    Sarah- 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, trauma, abd, etc. Every...

  10. Preceptorship in ER

    needsmore$ replied to francine79's topic in Emergency

    I am the educator /preceptor for an ED. I have developed a 12-16 week preceptor program that I used for GNs coming directly to the ED. I still think 6 months med/surg is helpful as it helps the...

  11. ER nurse/pt. ratio,triage times, & EHS pt. responsibility?

    needsmore$ replied to nursegoodlove's topic in Emergency

    1 charge nurse ( no assignment but floats to help out) 1 triage nurse w/ a tech 1 RN for a -4-6 pt ratio- this can be dreadful-depending upon acuity- our equipment is portable so types of pt's can end...

  12. Philly Trauma

    needsmore$ replied to trauma_junkie1's topic in Emergency

    Most popular seems to be HUP, Temple. Jefferson, if you like spinal

  13. First Dose/Medication Mgmnt in the ED

    needsmore$ replied to TlhRNED's topic in Emergency

    We now have PYXIS in our ED -that covers us for most meds. If we need something from pharmacy-we need to call the pharmacy and FAX the order to them labeled STAT (so they can tell it's from the ED)....

  14. Philly Trauma

    needsmore$ replied to trauma_junkie1's topic in Emergency

    Temple University, Hahnemann Univ, HUP(Hospital of Univ of Penn), Einstein Medical and Thomas Jefferson are all level I trauma centers in Philly area. TJ also specializes in the spinal cord injured...

  15. Protocols in the ED

    needsmore$ replied to veetach's topic in Emergency

    We use Codonix-computer system (we've used it since 1998). we have order sets programed in- (they were made up by the ED docs). We go under "ENTER ORDERS"- then click on problem based orders- like...

  16. Why am I an ER nurse again?

    needsmore$ replied to RNin92's topic in Emergency

    couldn't have said it better veetach. we're a special

  17. Owww! She bit me!

    needsmore$ replied to V. Nightingale's topic in Emergency

    i had the 'gouge the fingernails into your arm group' ( this guy had liver disease too-, broke skin-what an ohs nightmare for

  18. Philly Trauma

    needsmore$ replied to trauma_junkie1's topic in Emergency

    peds trauma or

  19. Happy Emergency Nurses Day Oct 13

    needsmore$ replied to rjflyn's topic in Emergency

    Happy Emergency Nurses day to all my colleagues-

  20. Emergency Nurse Week

    needsmore$ replied to Katnip's topic in Emergency

    Celebrate yourselves!!!! Time to take a moment and say to yourself and colleagues-well done. Happy Emergency nurse's week everyone

  21. Emergency Nurse Week

    needsmore$ replied to Katnip's topic in Emergency

    Celebrate yourselves!!!! Time to take a moment and say to yourself and colleagues-well done. Happy Emergency nurse's week everyone

  22. Holding patients in ER

    needsmore$ replied to Nursinist's topic in Emergency

    when we used to phone report- i always charted times called (attempted) and whether receiving unit was able to accept pt. this is because one of the #1 complaints by ed patients is the length of time...

  23. Personality traits suited for ER??

    needsmore$ replied to LilRedRN1973's topic in Emergency

    you must be able to function and tolerate nonstop chaos! being anal helps, and you must have great people skills because you are dealing with the front line. you have a person who has something...

  24. Phenergan Supp given to toddler; child dies

    needsmore$ replied to Mom23's topic in Emergency

    agree with the other posters-if child was dehydrated and no intervention was given w/ ivf boluses, that would lead to shock, then eventually cardiopulmonary failure and death. this is why any ed...

  25. Do any of you use PDA'S??

    needsmore$ replied to TELEpathicRN's topic in Emergency

    I also have Bejeweled!!! :):chuckle