sjt9721

sjt9721 BSN, RN

Emergency/Trauma/Education

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All Content by sjt9721

  1. a rant (pts come to hospital for the littlest of things)

    I don't claim to to know the details of your particular situation, but wanted to add some food for thought... It isn't uncommon to leave the ED without a specific diagnosis. I've admitted and...
  2. AED on Rehab units in LTC

    Our Inpatient Rehab Unit is in a building adjacent to & conntected to our hospital. The IRU emergency cart has a LifePak 12 monitor/defibrillator with AED capability. The AED mode is initiated by...
  3. Lovenox IV

    I posted, stayed curious, and found this site from Vancouver. Since that's outside of the US, then the FDA wouldn't have jurisdiction, right? http://www.vhpharmsci.com/pdtm/Monographs/enoxaparin.htm...
  4. Lovenox IV

    Haven't heard of IV Lovenox yet. I agree to check with the Pharmacy. (He can always do the IV bolus with good ol' unfractionated
  5. concious sedation

    Canoehead... You mentioned some of your docs who haven't intubated in a long time. Our facility requires physicians to complete a credentialing process specific to conscious sedation before they can...
  6. Parkland Crictical care/Trauma internship???

    The Internship program is for BSN graduates & is offered annually. Here's the link: http://www.parklandcareers.com/content.asp?c=cricarandtra Residency programs are offered up to 3 times per year...
  7. Things Patients Have Taught Me NOT To Do

    Never...ever...stand naked on the edge of the tub to change a lightbulb in the ceiling. Heaven forbid you may slip, fall, and land square-on-top-of a shampoo bottle...(at least that was the story he...
  8. CPR Question

    mommatrauma... Glad you posted the documentation. My 'paraphrasing' on the reason behind 15/2 is a little too brief!
  9. CPR Question

    If the patient was intubated, bagging should be at 12-20 per minute, and compressions should be at 100 per minute without pause for respirations. But...if you were still using a bag-valve-mask device...
  10. ER Nurses in Parkland/Dallas area

    Csunkis, Centennial's ED staff is made up of mostly old Parkland people. (I say 'old' cause I'm one too!). Have a conversation with the manager or some of the other staff nurses. Stories are usually...
  11. Help please, Nurse Compact

    Chad, I think I understand. Maintaining AR as your 'home' state allows you to practice in other compact states such as VA and MD while living in DC. If you move to VA or MD then change your 'home...
  12. What is a Thumper

    the thumper hasn't changed but there is a newer device on the market: www.med-worldwide.com/product0.html our fd calls it the "geezer-squeezer"... so far it's proven to be firefighter-proof and the...
  13. Verification of NG tube placement

    Many of our procedural policies are referenced by a clinical skills text written by Perry & Potter. The book recommends aspirating & checking pH to determine if the tube is placed correctly....
  14. funny charting errors

    First, I'll tell on an EM resident: "Return to ED for signs of infection...redness, fever, pu$$y drainage..." (This was an arm laceration!) Then, I have to tell on myself: "Pt c/o right wrist pain...
  15. Response to external code blue

    RJ... I was thinking the same thing yesterday when I saw this thread. EMTALA does come into play when it is on the hospital campus. There are specific distance rules & such, but I can't (and won't...
  16. I agree with you guys. It was okay...could've been more factually based but then it wouldn't be attractive for the general TV audience. My husband also noticed the wrong type of helicopter. We're...
  17. The most recent issue of NURSEWEEK gave the show a thumbs-up in regards to its portrayal of
  18. ER the T.V. Show

    My recent issue of NURSEWEEK gave it a thumbs-up saying it really highlights the role that nursing played during the '14 hours'. One of the main characters (played by JoBeth Williams) is the ED charge...
  19. Poor journalism? Of course! Smacks of the CBS/Dan Rather brou-ha-ha a few months ago...(please, no political tangents!) :) I am for the death penalty. I don't believe it makes me less of a nurse. I...
  20. Anyone ever hear of this?

    I haven't seen anyone with salivary gland infection, but have seen quite a few with blocked/obstructed salivary ducts. Such patients in the ED got lemondrops or some other sour candy to suck...
  21. Nipride drip and no MRI/MRA?

    Guess that manufacturer isn't on our list of corporate contracts!
  22. Nipride drip and no MRI/MRA?

    I agree with rstewart. The pump cannot enter the MRI area & Dial-a-Flow tubing probably wouldn't be accurate enough for the Nipride. And the patient is not stable enough to be off the Nipride....
  23. New ACLS and BLS Tests are OUt

    They are only new tests to catch up with recent curriculum changes. (Example: We've been teaching Pedi AED for awhile but the test is just now reflecting that change.) I don't think the big curriculum...
  24. ER the T.V. Show

    The reason she recovered so quickly is because the show has to be over by 2200 CST!! :) I enjoy ER most of the time, even though it's nothing like the larger, busier trauma center where I worked in...
  25. Fellow student made a nasty comment what should I do?

    Some people can only make themselves feel better by putting others down. That's sad. And that is their problem...not yours. Forget his comments. This is actually a lesson for your future. There will...