TpaRN17

TpaRN17

ER

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About TpaRN17

TpaRN17 has 3 years experience and specializes in ER.


Latest Activity

  1. Questions about ENPC?

    I think that ENPC is great! Even if you have to pay for it.... There is a triage component, applicable to all ages, and I think that, an a new nurse, is great! Good luck! : )
  2. Administering Narcs and nurse liability

    I thought your advice was great! If it is ordered and the situation is apppropriate, give the med! I wanted to elaborate on the need to use your professional judgment.
  3. Administering Narcs and nurse liability

    Ultimately, YOU are giving the drug and as long as YOU are doing the appropriate monitoring of pt condition then the "numbers" don't matter. (See quote above!) The drug is in YOUR hands (as far as liablitly is concered). You don't feel it is safe to ...
  4. How do you deal with.....

    I just used this response earlier and it is the best advice I have ever received as an ER RN... "It is NOT YOUR emergency." You are the ED RN. You have to make the best of a bad situation in the time allowed. When it is done, my rule is that I give...
  5. Supplies You Can't Live Without

    AKA a carpuject! If you run across one, take it! If you have one, don't loose it!
  6. Why I'm sick of the ED

    Burn out! We all have those same complaints.... How much they are affecting our work can be fixed! What about going pool or PRN and trying out some other dept? Challenge your brain and your skills by shaking it up? That is what I did (go Pool) and n...
  7. What certifications do you have???

    Obviously ACLS and PALS are necessary but I had a significant pay increase with TNCC and ENPC. Just saying! (Working on my CEN...)
  8. CBI

    There is no "help" for that other than get the largest bag possible, running as slow as possible... And get them upstairs, ASAP!
  9. Giving Nitro Spray

    The beauty of nitro is that the half life is 1-4 mins! Usually, positioning and a few mins can correct any pressure problem. (Even if you have to give a little fluid- evaluate the extent that CHF is a problem.) It will tell you a lot, evaluating the ...
  10. still too slow and lost!!!!!

    The best piece of advice I ever got as a new ER RN was, "It's not YOUR emergency." Superficially, it may sound like a crap attitude! However, if you remember that you are NOT the patient and NOT the family, you can take a step back and breathe! You ...