MedicFireRN

MedicFireRN

Emergency Department, ICU

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All Content by MedicFireRN

  1. Canadian Triage and Acuity Scale (CTAS) for Triage?

    MedicFireRN replied to Lunah's topic in Emergency

    very cool

  2. New graduate, new ER nurse.

    MedicFireRN replied to emergencynursy's topic in Emergency

    You can also ask the pharmacy- our pharmacy sent us a list recently of the 21 meds that constitute 71% of the meds administered in our ED. That's a cool, focused way to study up on the most common...

  3. Canadian Triage and Acuity Scale (CTAS) for Triage?

    MedicFireRN replied to Lunah's topic in Emergency

    If you implement this I would love to hear how it

  4. Feel like I'm gonna

    MedicFireRN replied to emtpbill's topic in Excelsior College

    You're making great progress, keep up the good

  5. when do you chart?

    MedicFireRN replied to amzyRN's topic in Emergency

    If I am the one doing the initial triage on my patient, I also go ahead and do the necessary focused assessment and chart it before I leave the room. If I am coming in to a patient that has already...

  6. Massachusetts nurse needs help!

    MedicFireRN replied to Green-eyedNurse's topic in Excelsior College

    The CPNE is totally doable. I also passed on my first attempt in July of last year. I'm working in the ED as an RN now and I LOVE it. The stress of the CPNE was so worth it. Just think of everything...

  7. keeping up with the pace and acuity?

    MedicFireRN replied to amzyRN's topic in Emergency

    I would say one thing to be sure you do is to help your co-workers when you aren't drowning and they are; makes them more apt to help you because they won't think of you as someone who only does their...

  8. ED Education Topics

    MedicFireRN replied to jgriffRN's topic in Emergency

    I would agree with the topics listed, and I would second Pixie's suggestion for vent troubleshooting, or at the very least where to find what needs to be charted because a lot of people seem to...

  9. Tips and tricks for FirstNet

    MedicFireRN replied to outlierrn's topic in Emergency

    Please explain "saving your favorites". We use firstnet and were not shown anything about

  10. Change of shift admissions

    MedicFireRN replied to Nurse131382's topic in General Nursing

    This is also an issue- the ER doc may make the decision to admit, but sometimes it takes hours for the inpatient doc to come see the patient and then even longer for them to actually put their orders...

  11. Change of shift admissions

    MedicFireRN replied to Nurse131382's topic in General Nursing

    I can just say from the ER side at my hospital- once we get admit orders and a ready bed, I call report. I don't pay attention to what time this happens. We are hounded for good throughput times-...

  12. Excelsior to boost undergrad gpa?

    MedicFireRN replied to anchorRN's topic in Excelsior College

    I haven't heard of EC's grad level courses or degrees being looked at differently from other accredited programs. They are accredited, and they are not competency based. They should be evaluated w/...

  13. Struggling

    MedicFireRN replied to russianbear's topic in Emergency

    This is good :) I'm a new grad in the ER, and though I have prior paramedic experience, I have no problem admitting that there's lots I don't know. Carry a notebook with you at work. As you come...

  14. 5/01 WILTW: Margaritas and Oral Thrush

    MedicFireRN replied to Purple_roses's topic in General Nursing

    Can we start using this nickname in real life?

  15. 5/01 WILTW: Margaritas and Oral Thrush

    MedicFireRN replied to Purple_roses's topic in General Nursing

    You hit the nail on the head; the only difference at my hospital is like I said, we have a little over 300 beds and only 15 ICU with no step down. Unfortunately our floor nurses can get some pretty...

  16. 5/01 WILTW: Margaritas and Oral Thrush

    MedicFireRN replied to Purple_roses's topic in General Nursing

    Yeah, we share similar thoughts there. It's tough because we don't have a step down unit of any kind, so they're either ICU or they aren't.... and that's rough on the floor nurses who get a bunch of...

  17. Feel like I'm gonna

    MedicFireRN replied to emtpbill's topic in Excelsior College

    Congrats!!

  18. 5/01 WILTW: Margaritas and Oral Thrush

    MedicFireRN replied to Purple_roses's topic in General Nursing

    First, welcome! I feel like it's a lot harder to get a doc to intubate a patient if that decision isn't made immediately upon their arrival to the

  19. 5/01 WILTW: Margaritas and Oral Thrush

    MedicFireRN replied to Purple_roses's topic in General Nursing

    I feel for your situation. Our Intensivists are very picky about what they take. They'll come look at a patient and decide in a quick minute that the patient can go to the floor and we can just send a...

  20. 5/01 WILTW: Margaritas and Oral Thrush

    MedicFireRN replied to Purple_roses's topic in General Nursing

    Yes! I now have a go to request of an ABG whenever the doc wants to say "let's just see how they tolerate....." ... nah... "how about we check a blood gas doc, and then

  21. 5/01 WILTW: Margaritas and Oral Thrush

    MedicFireRN replied to Purple_roses's topic in General Nursing

    nope, I didn't. Honestly I think its one of those things where certain docs struggle with the idea of being proactive with airway management in a patient that comes in that can at least kinda talk. My...

  22. 5/01 WILTW: Margaritas and Oral Thrush

    MedicFireRN replied to Purple_roses's topic in General Nursing

    Oh yeah, I agree. I think we have very approachable docs. I love our docs, and they're even nicer to the patients than they are to us (as in they have great bedside manner even when having a bad day,...

  23. Day 5: 2016 Nurses Week Mashup Contest

    MedicFireRN replied to allnurses's topic in General Nursing

    "Patiene here is for bovine 5-H-1-T" (a polite way to say bull sh**). "positive texting sign" for any patient who is no doubt reporting the worst pain of their life but is texting during triage....

  24. Day 2: 2016 Nurses Week Fill In The Blank Contest

    MedicFireRN replied to allnurses's topic in General Nursing

    blood or feces smeared on all the reusable equipment in the

  25. 2016 ENA Conference

    MedicFireRN replied to Lunah's topic in Emergency

    I want to go, but