SMARN

SMARN

ER, ICU

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All Content by SMARN

  1. Whats your biggest pet peeve working in the ED?

    SMARN replied to Whts_Ur_Emergency?'s topic in Emergency

    Not sure what my biggest pet peeve is but here are a few: Def get annoyed by women who come in for a urine hcg. Ppl who come in around 0500 with "back pain x1 week" and one of the first things out...

  2. Whats your biggest pet peeve working in the ED?

    SMARN replied to Whts_Ur_Emergency?'s topic in Emergency

    I chart that "patient reports some improvement to pain, per FACES chart XX/10, pt in NAD in bed texting on phone and watching

  3. Best one sentence handoff report

    SMARN replied to emtb2rn's topic in Emergency

    Haha, I get that from the day shifters A LOT!

  4. Scrubs in the Emergency Department

    SMARN replied to Krystall's topic in Emergency

    Hosp FT - navy, white, or grey in ER. Can wear hospital tees on Fridays. Hosp PRN - anything

  5. personal question...

    SMARN replied to jpowell6024's topic in Emergency

    Viced, I am interviewing at dekalb medical next week. You nearby? Have any insight - good bad ugly? Grew up in jonesboro, lived in Kennesaw, for 12 years (it's been about 6 yrs since we moved). Just...

  6. Shoes. Yes. Shoes.

    SMARN replied to Ciale's topic in Emergency

    Omg, are you my twin?! I also wear saucony's with the arch inserts! (arch 3000 from hibbetts sports). Love them! I do love danskos and satinas though, and will change them around to keep from getting...

  7. personal question...

    SMARN replied to jpowell6024's topic in Emergency

    I'm in GA. Started out at $19.50/hr. Hospital had an across-the-board $1/hr raise for all RNs in my first six months so I was at $20.50, $21.07 at my first yr review. However, I work prn at another...

  8. Combative, awake & staying that way

    SMARN replied to emtb2rn's topic in Emergency

    What is it with elderly dementia patients and superhuman strength?! The must shocked I've ever been was with a 90yr old who almost broke my finger bending it backwards as I was holding her hand...

  9. Vent: "I should warn you, I'm a tough stick..."

    SMARN replied to Anna Flaxis's topic in Emergency

    I too have a rare talent in my ED with IV sticks. I work nights and am a go-to person for those who have a tough time with their sticks. I am happy to help too, as it just gives me more practice...

  10. Over the Animosity

    SMARN replied to nursefina's topic in Emergency

    I don't know if anything works but I for one would like every one of the floor and icu nurses at my hosp to have to work one day in the ER. I know their jobs are hard too but they have no clue how it...

  11. IV forms of Zofran and Decadron given PO???

    SMARN replied to GleeGum's topic in Emergency

    So, I asked around my ED to the other nurses if they've ever given IV meds PO. They all kinda looked at me like I was growing horns out if my head, lol. I took that as a no. I asked our night shift...

  12. Sometimes you just can't bite your tongue.....

    SMARN replied to hiddencatRN's topic in Emergency

    I find being passive aggressive is way more satisfying than any other responses. It's something I use all the time, though, so it's pretty common practice anyway, lol. I can make someone think I'm...

  13. Do you give mag off pump?

    SMARN replied to BellaInBlueScrubsRN's topic in Emergency

    Well, I read about it on the FDA site and didn't see much info pertaining to increased efficacy with longer infusion times. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1635208/ The above research...

  14. Frequent Flyers

    SMARN replied to RustyMedic's topic in Emergency

    The problem with the frequent flyers is this - THEY know their cc is BS. 99.9% of the time they aren't there bc they've had a significant change in sxs or they've completed their med regimen and feel...

  15. Do you give mag off pump?

    SMARN replied to BellaInBlueScrubsRN's topic in Emergency

    4hrs?! Wow, why the change? Manufacturer? We still run ours in over 30 min. Longest abx we run in takes 2 hours (vanc, etc). 4 hrs is crazy; as much as we use zosyn, we would def have to change...

  16. Do you give mag off pump?

    SMARN replied to BellaInBlueScrubsRN's topic in Emergency

    We can do 25 in 25mL as smallest IVPB. The docs prefer the 50mL but we don't always have

  17. Skill's Fair for the E.D.

    SMARN replied to CapeCod2424's topic in Emergency

    Surely someone with such grammar anxiety knows that's not true. I will concede that there are very few instances where it can be used correctly, however it's not "never (never never

  18. Do you give mag off pump?

    SMARN replied to BellaInBlueScrubsRN's topic in Emergency

    There are 2 drugs that I will run in w/out a pump - rocephin (in an adult only) and ivpb phenergan in 25mL NS. Everything else is going on a pump. And in my ER, all critical drips are verified by...

  19. IV forms of Zofran and Decadron given PO???

    SMARN replied to GleeGum's topic in Emergency

    I have never given the 60mg IV, and wouldn't. And when we were out of the 30mg vials, we were told not to take the 60s and give half. According to the manufacturer there is a reason for this, our...

  20. Great moments in bad judgement

    SMARN replied to emtb2rn's topic in Emergency

    Patient comes in with a headache. Given IM Nubain and reglan and sent to CT. Upon returning from CT, pt c/o itching and tongue-swelling. Doc orders saline lock and IV Benadryl, solumedrol, and...

  21. What do you hate seeing the MOST in the ER!?

    SMARN replied to CrashED's topic in Emergency

    I cannot stand lazy nurses either, which is why I choose to work night shift (my experience has been that night shifters tend to help each other more than the day shifters do at both hosp I work at)....

  22. New grad nurses in the ED

    SMARN replied to ceea44's topic in Emergency

    I agree.My hospital did not require ACLS or PALS previous to hiring; I was hired in ED as a new grad. I got ACLS, PALS, and TNCC certified during my precepting at the hospital's cost, and was paid my...

  23. Critical care drips

    SMARN replied to kc87t's topic in Emergency

    This can also be found on Micromedex with the Tressel's IV compatibility. I use that for IM meds as well to see if they can be mixed for a single inj. Micromedex is a great help...

  24. Night vs Day shift

    SMARN replied to swaffy's topic in General Nursing

    I work in the ED as a night shift nurse but pick up lots of overtime day shifts. I would never, at this point, trade my night shift for days. I have found the night shift atmosphere much more to my...

  25. At work, can you ever give drugs with no prescription?

    SMARN replied to newbiekenobe's topic in Nursing Student Assistance

    For fever, we can give tylenol and/or motrin per protocol (previously written and signed off as protocol by the Director of ED). We can also give O2 as deemed necessary. Orders for these are entered...