DanRn

we just enter what ever we can uusally john doe or the room/ bed number. trauma patients are put in by registration before arrival (if we are that lucky :) )as a sequentially number : jane / john doe trauma 182. i guess the pharmacy fixes any problems later, i have never heard it even mentioned before. the real problem we had, was with our new blood sugar machines. they originally only had them set up to take the pt id # to start up. which was a problem when some one in triage was went out secondary to low b.s. before they were registered. they soon corrected that issue.

we just enter what ever we can uusally john doe or the room/ bed number. trauma patients are put in by registration before arrival (if we are that lucky :) )as a sequentially number : jane / john doe trauma 182. i guess the pharmacy fixes any problems later, i have never heard it even mentioned before. the real problem we had, was with our new blood sugar machines. they originally only had them set up to take the pt id # to start up. which was a problem when some one in triage was went out secondary to low b.s. before they were registered. they soon corrected that issue.

london 88 I find it hard to believe why an icu nurse cannot deal with a hypertensive / hypotensive pt. if you have one pacu nurse on call at night, how would that person handle the case alone, when it took 3 nurses in your dept to handle the pt. would that be safe for one nurse????? what would be BEST for the pt???? your extra work aside. do you think i received extra training from anesthesia when i became a pacu nurse. hahahaha. two drugs : morphine, phenergan. and fluid bolus. there is no real reason why a pt that is intubated (that will not be extubated soon) needs to stop in pacu. recovery is about waking up, orienting the patient. making sure that the patient is safe on a med surg floor, ie can call for help, or will not vomit and aspirate. level I trauma accreditation looks at this point exactly. any multisystem trauma pt from OR should go straight to icu whenevr possible. if it is really a hardship on your dept. call the on call pacu nurse in to HELP recover the pt. i have no problem with helping out another dept.

london 88 I find it hard to believe why an icu nurse cannot deal with a hypertensive / hypotensive pt. if you have one pacu nurse on call at night, how would that person handle the case alone, when it took 3 nurses in your dept to handle the pt. would that be safe for one nurse????? what would be BEST for the pt???? your extra work aside. do you think i received extra training from anesthesia when i became a pacu nurse. hahahaha. two drugs : morphine, phenergan. and fluid bolus. there is no real reason why a pt that is intubated (that will not be extubated soon) needs to stop in pacu. recovery is about waking up, orienting the patient. making sure that the patient is safe on a med surg floor, ie can call for help, or will not vomit and aspirate. level I trauma accreditation looks at this point exactly. any multisystem trauma pt from OR should go straight to icu whenevr possible. if it is really a hardship on your dept. call the on call pacu nurse in to HELP recover the pt. i have no problem with helping out another dept.

we have had good success with droperidol and benedryl.

we have a sign, 2 in fact, that read patients will be seen in order of severity of illness, which may not always be in order of arrival. it doesnt matter. people yell and complain anyways. it is always ME ME ME. i had a young girl (10ish) approach the triage desk with an obvious wrist fx. i triaged her next and got her to a bed right away. when i got back to the triage desk, yes, someone came up and told me that they were here before that girl. and that person's complaint......... toothache. she waited a long, long time. ooooops. the best sign we had was behind the triage desk. it was from the frank and ernest cartoon. they are at a sign-in desk and ask "where do we sign in?", they are told, we go by the honor system, to which they reply, "oh, we're next" triage to a T.

i work 11a-11p, 3 days a week. get to sleep in a little, and get the kids off to school in the am. it is the busiest time to work (ed), but i like missing ruch hour too!!

imagine the " nursing shortage" if they tried....... http://www.nurseweek.com if ya wanna check out the on line version.

I think most men (including me) leave med surgical units because they are tired of being used as an aide to help lift (on bed, to chair,off floor, to bsc...) everyones' patients. hahaha I basically left med/surg because I was tired of always working REALLY short staffed. In ED, i still may have 5-6 patients, but it is better than 10-12. or maybe us guys arent organized enough to handle large assignments, so we gravitate to areas with smaller pt loads??????????

WHAT A LOADED QUESTION !!!!! No one, in any job profession, is prepared by education alone. 30% of teachers quit in the first three years. My business major friends have had numerous jobs in the last 3 years. 1st year residents - enough said. WE ARE NOT ALONE. AND CAN WE PLEASE HAVE MORE POSITIVE TOPICS ??