Knoodsen

Study the ENPC Manual. You should have it by now but, if you do not, contact the course director to get one.

MSE's have been done by many ED's in my area for several years now; hospitals are trying to find a way to stay in business and this is an effective tool.

I did not presume, nor state, that any particular person could afford this course. But, I do believe that it is an expense that an RN can afford.

We are professionals. ENPC is not a large expense (and is deductible). The course presents material that is essential to our practice.

By the way, I'll be nice to you because I treat people the way I like to be treated. With respect to pain meds, or any other type for that matter, I will give them to you if they are ordered if I believe the order is appropriate. Sorry. Can't give an...

You are the kind of patient that would post a question about pain control on an emergency nurses' site. Speaks volumes.

It's funny. Also an infuriating reminder of where we are as a culture.

I have been an emergency nurse for many years and couldn't begin to pick the most ridiculous complaint. People just have no idea. A major portion of our business is completely ridiculous. ER's attract nuts. Personally, my favorite ridiculous visits a...

At my level, I don't really care about OSHA, JACO, etc. That's for administrators. I have always worked twelves; you telling me I can't have fluids available to me for that kind of time? I'd be guilty of malpractice for telling you the same. Sure, th...

I find many aspects of ER culture to be endlessly entertaining. I understand the frustration related to dealing with the pain issue; it is a big part of our lives. Pain and anxiety are the biggest reasons for ER visits. (If you work nights, as I do,...

18Fr NGT is the standard size gastric tube. Every ED I know stocks them along with 16Fr Foley caths. Yes, they both appear large relative to the orifice that they go through, but they go, don't they? As for the task at hand, it's gonna take a 30-36...

The hospital tells me that I cannot accept gifts that have any value, but I think they will take "donations". In fact, they seek them out. They have set a limit on the monetary value of snacks that I may accept. It's lower than the limit establishe...

"fiberoptic cysts"

the allergies claimed by the Pt are intended to leave nothing else left to give but "something that begins with a D".

allergies to toradol, morphine, fentanyl, all NSAIDS, and any other non-narcotic pain meds = the demerol funnel

"all patients are liars. if the patients is incapable of lying, the family will lie for them." - anonymous USN ER nurse.

Perhaps emergency nursing is not for you. No shame in that. Very few people can do it.

"nursing shortage" means there are jobs available for nurses

I've done "male nursing" for a good while now. (You will have to accept that label; it's a female-dominated profession.) Lots of problem nurses fall by the wayside, but none, that I know of, ran into trouble for being "shallow". There is no reason ...

After we had a non-monitored Pt that received IV vit K go into V-Tach (probably), one of the pharmacists gave us an inservice. He said it takes 12hr for onset of action no matter what route. Personally, I don't have a warm, fuzzy feeling about givi...

"smotach hurts", CC="constipation" (guy had had diarrhea x 4d), "mosquito bite", "mental", "real sick, need lots of xrays", etc.

All these meds should be decriminalized and sold over the counter. I must be completely pain free; so what if it causes me to run your kids over.

ok nurses, let's think about this. I am seeing lot's of comments about not being judgemental coming from people who appear to be judging one another. Let's get real. Some of us need to vent. So what if I make fun of the freaks that are attracted to...

Remember what AIDS did for us. We treat everybody as if they have a horrible disease. That's so we avoid offending a few people, possibly. Here it comes. We are now going to treat everyone like they are suicidal victims of domestic abuse. The nann...

I do not believe there are any easy answers. Like all things legal in this land of ours, the decisions are made on a case by case basis in court. It cannot be said, "do this and you will be immune from prosecution" or "don't do this or you will be g...