Valium and NS have a different pH, hence the crystalization. Valium should be given undiluted. In fact, I have slight OCD and even put a tiny air bubble in the saline lock before and after I...
I work in a cynical ER...really who doesn't?! Last shift being cynical caught up w/ us. I often hear from my co-workers that I am "so naive," regarding the drug seeker patient. I have always...
I was expecting a horrific nursing story with a title like this. Is that as bad as it gets for you? Sounds like your a pretty good nurse. Have confidence in yourself, you are a nurse, you obviously...
EDrunnerRN replied to amarilla's topic in Emergency
Ohh please tell me you are joking?! Sadly, I could see my ER forcing one more juggling act on the ER staff nurse. The ONLY time I note skin assessment is if there is reason. For instance, my patient...
EDrunnerRN replied to NurseMaybeBaby's topic in Emergency
Babies/Children are ALWAYS the worst! As for advice, be aware of your religous/spiritual aspect. When I have a patient die I say a prayer for the family/friends and find comfort in comforting the...
EDrunnerRN replied to CalidthreeN's topic in Emergency
Off the top of my head I would say I give Zofran, Phenergan, Albuterol, Solumedrol, Prednisone, Decadron, Benadryl, Pepcid, ASA, Tylenol, Motrin, Toradol, Morphine, Fentanyl, Lopressor, Metoprolol,...
I dont know all the details but if a Nitro drip is involved I use a bedpan. One of our hats is to keep the patient safe. Any cardiac complaint gets a bedside comode and if drips are involved or the...
It's true we, nurses, are not perfect...gasp! I keep a note pad on my night stand because it seems that around 2 am I wake up and remember that I forgot to chart something. Personally, I have noticed...
EDrunnerRN replied to lilyellowfireball's topic in Emergency
I know a D.O. who did this. It is my understanding that DO programs are more likely to take people from the medical field than an MD program. But heck, I also know anesthesiologist who went from GED...
Ok...a few days ago an ICU nurse, at my facility, stated that stable intubated patients on the Unit use bedside comodes. My first thought was you are joking, right?! No, she was serious! I don't...
How do the different hospitals out there charge for IV fluids and IV tubing??? We currently use a pharmacy charge sheet, where we place pharmacy stickers, that are located on each package of the...
As a brand new nurse, I remember thinking no one told me in nursing school how HARD being a nurse is. When I say HARD, I mean HARD. There are days when you get off work and feel as if you literally...
EDrunnerRN replied to 80sNurse's topic in Emergency
It is also required where I work to swipe the top of each bottle with an alcohol pad. I ALWAYS do this step because I have received many phone calls from lab with "out of range" blood cultures, which...
I ALWAYS, ALWAYS dilute with Lido. When administering this medication I do a slow push allowing the lido to numb the area, as that is the intention of the Lido. I also make sure the medication is well...
In the ER where I work we have both MD's and DO's. I LOVE our DO's. Unlike many of the MD's they are not so quick to prescribe a "cure all medication." In fact, one of our DO's gets a lot of grief...