alkaleidi

alkaleidi

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All Content by alkaleidi

  1. RN vs. PA

    alkaleidi replied to TraumaNurseRN's topic in Emergency

    i haven't experienced this because i would never have the balls to expect one of our mds, pas, or nps to get a patient off a bedpan. sit their bed up or hand them their urinal? sure. but the other?...

  2. LTCF quick med pass, plus all the other stuff

    alkaleidi replied to destiny100's topic in General Nursing

    That *almost* sounds like an insult masked by a phony compliment. I have done agency work PRN as well as a few contracts since 6 months after graduation as an RN. Working PRN at a variety of...

  3. How do you treat headaches?

    alkaleidi replied to Anagray's topic in Emergency

    I have been looking around online, and have yet to find where a Patient Care Technician is "licensed." I have found many mentions of "Certified Patient Care Technician." Please do not confuse the two....

  4. Accidental arterial stick !!!

    alkaleidi replied to Li'lOne's topic in Emergency

    OK, I have a possibly VERY stupid question (mostly because I've never taken care of a pt with an art-line)... Wouldn't the cath be facing the wrong way? I know arteries are bigger than veins, maybe...

  5. Accidental arterial stick !!!

    alkaleidi replied to Li'lOne's topic in Emergency

    LOL! I did this too when I first started... was in a 90-something little old lady's right arm... going for what I thought was a vein on the... medial side of the arm. Wasn't even a large vessel but...

  6. How do you treat headaches?

    alkaleidi replied to Anagray's topic in Emergency

    If it's truly a new-onset or a headache unlike anything the patient has ever had before, most of our docs and PAs won't give pain meds until they see a CT. (Real life story, sorta-kinda related in...

  7. Do you let ambulances drop off in triage?

    alkaleidi replied to Anagray's topic in Emergency

    Well thank the lord all of our lead nurses are all for sending non-ambulance-material ambulance pts out to triage. I can't count the number of people who have come by ambulance, been taken out to...

  8. IV fluids to gravity, infiltration?

    alkaleidi replied to kmoonshine's topic in Emergency

    Um, I agree with you to a point that, in general, we should support and educate each other. However. When someone rolls up on here with an attitude that is that easily interpreted in TEXT, I don't...

  9. Diagnoses you never thought you'd see?

    alkaleidi replied to KarafromPhilly's topic in General Nursing

    One thing I never thought I would see come by ambulance in the ER: two parents bringing a baby with a very mild case of diaper rash. And, the EMTs literally stated that in their report prior to...

  10. Nurse Phobias?

    alkaleidi replied to pattycakeRN's topic in General Nursing

    I think I've gotten tolerable of a lot... including feet, eyeballs, sputum, dirty dentures, etc. The one thing I still haven't gotten past is smegma -- especially in the form of an uncircumcised...

  11. Looooooong rant... Condescending nurse... advice please!

    alkaleidi posted a topic in Emergency

    I am finishing my orientation as a new employee in an ER, and over the past couple of weeks I have been working alongside another nurse who, unlike literally everyone else, has not even bothered to do...

  12. STEMI..EKG in less than 10 min..

    alkaleidi replied to CoolhandHutch's topic in Emergency

    Everyone is educated. Techs generally grab an EKG machine the second it's known a chest pain is being brought back from triage or coming in via ambulance. Registration folks know that chest pain or...

  13. a dumb question

    alkaleidi replied to Uptoherern's topic in Emergency

    Am I wrong for suggesting this? Might be simple and not very helpful, but why not IV push the protonix instead of piggybacking it in? We give IV push protonix all the time in the ED I work at...

  14. Best approach to patients and relatives complaining about "long wait."

    alkaleidi replied to uniquenurse's topic in Emergency

    I think the "Estimated wait time" display would be awesome. Kind of like when you call an 800 number for customer service and they say, "We are experiencing unusually long wait times. Your estimated...

  15. Anyone have Polycystic Ovary Syndrome?

    alkaleidi posted a topic in Health, Stress Management

    I just got rx's filled for Yasmin (oral contraceptive, the most anti-androgenic out there that I know of) and Metformin. Just curious if anyone else here has PCOS, and if any of you have been treated...

  16. Friend calls herself a nurse but never really worked as one

    alkaleidi replied to MommyandRN's topic in General Nursing

    Um, me also. Shoot, I went into an odd specialty (mostly because of the unique experience plus the fact that it was offering about $8 more an hour than the due-paying med/surg jobs out there) directly...

  17. sending nurses home early

    alkaleidi replied to Uptoherern's topic in Emergency

    We occasionally send people home -- rarely on day shift, more commonly on midnights (7pm-7am) -- minimum staffing I believe is 5 nurses + 1 lead + 2 (or maybe 1) ED Tech... the other night we had 7...

  18. Scope of Practice?

    alkaleidi replied to lblondie1128's topic in Emergency

    Wouldn't the answer to this question ultimately be first and foremost in the Nurse Practice Act and then in the Policy and Procedure Manual of the specific

  19. Any tips for getting patients transferred faster?

    alkaleidi replied to AggieD04's topic in Emergency

    What is your take on what? I worked Med/Surg/Peds prior to working in the ED. I agree this shouldn't turn into a floor vs ED nurse thread -- if you are wanting to discuss policy and practice...

  20. Any tips for getting patients transferred faster?

    alkaleidi replied to AggieD04's topic in Emergency

    I agree with what Nicole said... Once you know you have someone that is going to be admitted, gather your thoughts and maybe jot down pertinent things for report (fresh vitals, significant lab values,...

  21. What's your favorite pair of nursing shoes?

    alkaleidi replied to changeofpaceRN's topic in Scrubs, Uniforms, Gear

    Like others, I've spent hundreds of dollars on shoes -- from Nike Shox to Z-coil to New Balance to Adidas, K-Swiss, Phat Farm, Ecko, Nurse Mates, Rockers, you name it... Crocs are the only thing that...

  22. Any tips for getting patients transferred faster?

    alkaleidi replied to AggieD04's topic in Emergency

    I don't know how it is at your hospital, but I know that where I work, when I come on shift at 7pm it is absolute chaos and there are probably at least 3-5 patients if not more with "Admit" next to...

  23. Ever Gotten STUCK w/a Needle???

    alkaleidi replied to nitesky83's topic in General Nursing

    Luckily enough *bruised fingers crossed*, I have never stuck myself with a dirty needle. I always manage to have my fingers slip or get bumped by someone passing by in a rush and stab myself prior to...

  24. "Ask me if my hands are clean"

    alkaleidi replied to bethin's topic in General Nursing

    YEAH. Every single door of our ED has a sign plastered to it. It's a picture of green hands, with the words, "Code Green" written across the top. This all on an 8 1/2 x 11 piece of paper, laminated....

  25. crocs

    alkaleidi replied to RN2B07's topic in Scrubs, Uniforms, Gear

    I have two pairs of the Cayman style crocs -- one orange, one blue. I have a question for crocs fanatics: Have any of you noticed a difference in the feel of Cayman style crocs vs. Beach style? I...