needsmore$

needsmore$

emergency nursing-ENPC, CATN, CEN

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All Content by needsmore$

  1. Precepting a floor nurse

    needsmore$ replied to inteRN's topic in Emergency

    And give them an empty very large 3 ring binder. I print out info about what we're caring for. I use 'up to date' alot. I highlight the important stuff and before they know it, they have made their...

  2. Precepting a floor nurse

    needsmore$ replied to inteRN's topic in Emergency

    And a side note Do not let other staff dictate the type of patients you get. (if possible) I have had many charge nurses give me the "more complicated" stuff right off the bat because "this is a good...

  3. Precepting a floor nurse

    needsmore$ replied to inteRN's topic in Emergency

    Where to start.... I have been precepting for 25 years or so. I find that to start, I just have the new associate work with me to watch what I do. Then we talk about the critical thinking that ED...

  4. Does anyone who has made a lifelong career of the ED still love their job?

    needsmore$ replied to NeoPediRN's topic in Emergency

    I have been an ED nurse since 1986. And yes, I still love it. The days where I feel that I made a difference in someone's life...what a great feeling Yes, ED nursing has become more of a...

  5. Detaining impaired pts---Battery ? Kidnap?

    needsmore$ replied to 5n2_is4u's topic in Emergency

    We don't hold the narc until the ride is here--but we do ask the patient who will drive them home so we can give it--and then we give it, and if/when the pt is discharged, we have them call for their...

  6. Detaining impaired pts---Battery ? Kidnap?

    needsmore$ replied to 5n2_is4u's topic in Emergency

    I'm with the "consult the legal beagles" here and develop a policy that is clear cut. Our ED also is--'no ride, no narc' rule. And yes, we get the tricksters. If they leave, we document that they...

  7. Using Demerol in the ED

    needsmore$ replied to mandasueRN's topic in Emergency

    search "demerol metabolites" using google and you will get some good

  8. Using Demerol in the ED

    needsmore$ replied to mandasueRN's topic in Emergency

    www.paindr.com/meperidine%20guidelines.rtf try this--it's a great little article about how the metabolites build up and can lead to neurological issues. now that they have dilaudid, fentanyl-which...

  9. Reglan and Compazine IV push policies?

    needsmore$ replied to MollyMel's topic in Emergency

    syringe pumps are great as well-- you can set it to admin over a certain amt of time-- so-- compazine which is 1 mg/min and you want to take a few extra minutes? set it for 10 min reglan, the same i...

  10. Most common overdose drug of choice?

    needsmore$ replied to KungFuFtr's topic in Emergency

    Tylenol. Especially in the teens-- The danger is--they get no SE....right away. So, they don't tell anybody. And then their liver's shot And in others--Tylenol is the hidden ingredient...all the...

  11. Advice for ED Nurse on orientation

    needsmore$ replied to inkedRN's topic in Emergency

    I think 2 patients at this stage, is doing well--but what acuity are they? If you find that you get caught up with 2, then ask for preceptor to give you a 3rd--so you can improve time management and...

  12. ER vs ED

    needsmore$ replied to SpacemanFL's topic in Emergency

    To me--"ER" means Emergency Room-- and for most of us-- we are more than a room! We are a unit that specializes in emergency care of the sick and injured Maybe we should be EU

  13. E.R paper

    needsmore$ replied to amy1129's topic in Emergency

    Healthcare crisis and its impact on Emergency Nursing--wait times, immigration, financial impact on hospitals,

  14. State Board Exam Identification

    needsmore$ posted a topic in First Year After Licensure

    Hello. I was asked a question by a friend who will be sitting for her state board exam in Feb. Her question was about showing proof of ID Now--does first and last name must be identical on both forms?...

  15. State Board Exam Identification

    needsmore$ replied to needsmore$'s topic in First Year After Licensure

    Thank you so much. I copied your link and response and emailed it to her. I also told her that allnurses.com has great resources for

  16. Seeing a lot of Flu symptoms, or is it just media hype..??

    needsmore$ replied to MassED's topic in Emergency

    It is my understanding (from our health infomatics and ED docs) that the regular seasonal flu had not yet hit our area so anyone with 'flu-like' sxs was probably experiencing h1n1 as this was the only...

  17. Meditech ER Software

    needsmore$ replied to Michael Froebel RN's topic in Emergency

    We currently use Meditech for Order Entry, Lab/Rad results, PCI We will be switching from Codonix (our current system of ED charting) to Meditech in the New Year I, too, am interested in how Meditech...

  18. Propofol IV push by non-CRNAs in non-intubated patients--allowed in Oregon

    needsmore$ replied to stevierae's topic in Certified Registered Nurse Anesthetist, CRNA

    Stevierae--your letter was perfect. I hope you don't mind but I would like to borrow it for use in our ED setting-- some of our docs want the ED nurses to PUSH Propofol for moderate sedation --not...

  19. Seeing a lot of Flu symptoms, or is it just media hype..??

    needsmore$ replied to MassED's topic in Emergency

    we're seeing 10-15 flu-like sxs/day--again mostly the peds, young adult crowd if they meet the symptomology criteria, we're not even testing anymore--just 'assuming' it's flu the high risk group get...

  20. Goal Setting documentation in the ED

    needsmore$ posted a topic in Emergency

    Good afternoon colleagues. With the Joint Commission focusing on certain aspects of documentation, I was wondering how specifically any of you document patient goals for their ED visit. Do you free...

  21. Goal Setting documentation in the ED

    needsmore$ replied to needsmore$'s topic in Emergency

    http://beavercute.blogetery.com/2008/01/19/nursing-process-for-health-promotion-using-kings-theory/ This is kind of what I'm getting at--that our assessments include pts' goals as well as we assess...

  22. Goal Setting documentation in the ED

    needsmore$ replied to needsmore$'s topic in Emergency

    Our director wishes to add to our routine documentation--patient's specific goals on WHY they came to the ED. And then--after this is identified, to document how well we met thios goal. It's not...

  23. DEveloping a documentation tool

    needsmore$ posted a topic in Burn

    Our ED (which currently uses Codonix documentation) is switching to a Meditech-- EDM Client Server sourse. This necessitates the development of screens for the ED nursesb to use to document...

  24. Anyone taking the CPEN

    needsmore$ posted a topic in Emergency

    I am planning to sit for the CPEN exam this summer. Has anyone taken it yet? If so--any specific resources they recommend (Currently certified ENPC, PALS, APLS) The site has about 6 books listed. I...

  25. Anyone taking the CPEN

    needsmore$ replied to needsmore$'s topic in Emergency

    Congratulations first off-well done Well- that makes me feel a bit better-- I have PALS, ENPC (used to be an instructor), CATN so good to know that someone with similiar background relied on their...