Gabby-RN

Gabby-RN

Emergency Nursing

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All Content by Gabby-RN

  1. Does your hospital require color coded scrubs?

    Gabby-RN replied to Loo17's topic in Scrubs, Uniforms, Gear

    I am sure there is are people at Loo's hospital who feel the same way but not everyone has the same body

  2. Does your hospital require color coded scrubs?

    Gabby-RN replied to Loo17's topic in Scrubs, Uniforms, Gear

    If the scrubs are embroidered would the hospital logo I would think the hospital would be required to pay for them because they are a uniform. Especially if they provide uniforms for other...

  3. IV sites for Abd CT

    Gabby-RN replied to Louerrn's topic in Emergency

    20G or bigger above the wrist is my hospital's

  4. APPENDICITIS

    Gabby-RN replied to KYARNP's topic in Emergency

    The usual orders I see are IV, labs, NS, zofran 4mg, morphine 4mg (adults) x 3 doses, CT, surgical consult. We don't give antibiotics initially and transition to LR only after 2L of NS. We also will...

  5. Heparin bolus administration

    Gabby-RN replied to RDH-RN's topic in Patient Medications

    Where I work the order usually states to give the bolus IVP. I would draw up the bolus and give it IV or program the bolus into the pump. Our heparin is 5000 units/mL for the bolus. With the...

  6. Unsafe ED

    Gabby-RN replied to HeartRN13's topic in Patient Safety Issues

    If these things are happening it is certainly wrong but all the fault can not lie on the ED staff nurses. The doctors should be held responsible for not adequately stabilizing the patient. The...

  7. Best Bag?

    Gabby-RN replied to 84RN's topic in Home Health

    The ez view med bag from hopkins is great. There is a center pocket I kept patients files in that can be locked and a side section on both sides to put all of the supplies commonly used. Plus a place...

  8. Giving Report

    Gabby-RN replied to BoyNamedSue's topic in Geriatric, LTC

    My report would go something like this: patient is full code, alert oriented x3, vss, dx of htn, chf, sleep apnea, uti, ambulates independently with a walker, regular diet thin liquids -good appetite,...

  9. Insulin Administration: Standing and Sliding Scales

    Gabby-RN replied to blackdiamond407's topic in Patient Medications

    The patient would get 8 units before eating dinner according to how the order is written. You would not wait to see if the patient actually ate all of their

  10. Unsafe ED

    Gabby-RN replied to HeartRN13's topic in Patient Safety Issues

    I introduce myself to every patient on our first encounter and almost daily at least one of my patients asks me to get their nurse or tells me they haven't seen their nurse and I have to remind them...

  11. Unsafe ED

    Gabby-RN replied to HeartRN13's topic in Patient Safety Issues

    First off, I can tell you that boarding an admitted patient in the ED typically does not prevent me from getting another patient, so if I am able to transport the admitted patient to the floor I am...

  12. question to ER folks

    Gabby-RN replied to tarotale's topic in Emergency

    I work at a large level 1 teaching facility, residencies are only for new grads with no previous nursing experience. I applied for my current position with telemetry and critical care experience, but...

  13. Fake crying and bad acting in the ER

    Gabby-RN replied to Emergent's topic in Emergency

    My favorite is the bad acting that starts when you walk into the room as opposed to when you spotted them texting on their cell phone looking comfortable as ever as you walked toward their room...

  14. Blood pressure medication / checking blood pressure

    Gabby-RN replied to abeautifulmind's topic in Medical-Surgical

    I think its important to use your nursing judgement. If you are unsure it is important to look at where the patients BP trends. I had a patient that consistently had a SBP 90-105. Nurses that were not...

  15. Mentors

    Gabby-RN posted a topic in Western Governors University

    How much communication must you do with your mentor? I am the type of person that would much prefer to just know the person is there if I need them rather than be forced to talk to a stranger. Email...

  16. Should I apply for a per diem job now if I plan to be away for all of Sept?

    Gabby-RN replied to adpiRN's topic in Nursing Career

    I just think that while 1 shift per week will be good for your home life, more shifts per week at first would be better for you in your work life. It is hard to feel comfortable and really like a job...

  17. Ugh...Bedside Report

    Gabby-RN replied to Vespertinas's topic in General Nursing

    Let me just say, I hate bedside report. The physicians where I work are going to be trying out bedside rounding at their shift change in the ED. Should be

  18. Pregnant/New Job - when to tell employer

    Gabby-RN replied to SharkPuppy's topic in Nursing Career

    Personally I would not formally tell anyone. They can't discriminate formally. I would not hide it either though. If your preceptor asks if you have kids I would happily explain I am xx weeks pregnant...

  19. Should I apply for a per diem job now if I plan to be away for all of Sept?

    Gabby-RN replied to adpiRN's topic in Nursing Career

    While most hospitals only require a set minimum shifts per month, most places will not want to hire you if you only want to work the minimum. I have a per diem job that requires 24 hours per month...

  20. Patients who want to be admitted for minor things

    Gabby-RN replied to Emergent's topic in Emergency

    A sprain is definitely not something a patient should be admitted to the hospital for. I just meant offering for a visiting nurse to check on him once or twice if his insurance allowed. I should have...

  21. Patients who want to be admitted for minor things

    Gabby-RN replied to Emergent's topic in Emergency

    I shouldn't have worded it "making people feel better about going home". It is about improving patient outcomes. A week of VNA services is far less expensive than the subsequent trip to the ED and...

  22. Patients who want to be admitted for minor things

    Gabby-RN replied to Emergent's topic in Emergency

    I am not saying people should be admitted to the hospital for sprains. I said that where I work older patients that do not feel comfortable going home due to an injury are often held in the ED while...

  23. Patients who want to be admitted for minor things

    Gabby-RN replied to Emergent's topic in Emergency

    Where I work older adults (55+) with sprains or fractures could be held in the ED or admitted for observation while they await placement at a skilled rehab if they cannot safely care for themselves at...

  24. Do you have to count lyrica at your LTC facility?

    Gabby-RN replied to Blackcat99's topic in Geriatric, LTC

    I have worked for facilities that have opted to have nurses count Lyrica and Tramadol because they were disappearing. One place even made up count Prilosec for a couple of months because they...

  25. Working crazy hours

    Gabby-RN replied to francoml's topic in General Nursing

    I work 3-12's at my FT job in the ED and work 16-24 hours at my PRN job every other week. Sometimes when The PRN place doesn't have hours I want, I will pick up a shift at my FT place but I try not...