MedicFireRN

MedicFireRN

Emergency Department, ICU

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All Content by MedicFireRN

  1. 5/01 WILTW: Margaritas and Oral Thrush

    DSI is seriously awesome in certain patients. BiPAP can work wonders, and giving a patient ketamine to help them tolerate BiPAP when they are combative/confused from hypoxia can be a great tool to...
  2. Excelsior LPN to RN

    Have you been utilizing the faculty phone conferences? You should be setting up one a week to do until you test so that you can get immediate feedback from a faculty member. I did their provided free...
  3. 5/01 WILTW: Margaritas and Oral Thrush

    I was reminded this week that I remain perplexed by the docs who don't want to intubate patients who clearly cannot manage their own airways, instead wanting to see if we can wake them up enough for...
  4. My Path:LVN to RN @ Excelsior

    As a grad, I can definitely say it was worth it. I am happy with my decision, and I found gainful employment as a nurse within a month of me starting to fill out applications (but I will say just like...
  5. Bit off more than I can chew?

    Are you wearing compression stockings? Are you drinking enough water on work
  6. CEN Study Recommendations

    I'm in the same kind of boat you were and that's why I'm kind of debating when I should test. I just started in the ED like 6 weeks ago after passing my boards back in January. I was a medic for 6...
  7. CEN Study Recommendations

    I'm kind of debating when to take it. Is there such a thing as taking it too soon? What made you decide when to take it?
  8. CEN Study Recommendations

    I'm following to see what kind of answers you get
  9. I think I give a really good report, but it drives me crazy when I get asked for what times I gave or started what meds. It's charted, they can see it. I don't remember all that down to the minute, I...
  10. I learned that eating lunch before 4pm on day shift is a luxury not often afforded to me even on orientation (ouch). I also learned that when I cannot take this lunch break due to a critically ill...
  11. What kind of unit do you work on? I'm still orienting and I am still learning new things even taking a full pt assignment in the ED (4:1). I think a lot of it at a certain point becomes...
  12. Excelsior Pass Rates!!!

    Based on a survey being done right now via facebook with a little over 100 students responding: Albany- 87.5% Pass, 12.5% Fail Chambersburg- 71.4% Pass, 28.6% Fail Faxton St Lukes- 50% Pass, 50% Fail...
  13. Prayers and good thoughts and vibes for you, ixchel! WILTW.... Cardizem isn't very effective for HTN. It is a pain in the butt to pull a vial of zofran only to get to the room and realize that the...
  14. Discouraged 1st year ER/ ED nurse

    This is gold. I read that you are on nights and you feel like most of the people you're working with now are new grads. What about your charge nurse? Also, what about an evening shift or even a day...
  15. IV Benadryl

    Valium is the main one in the ED in terms of meds that you would add via IVP directly into an infusing IV line that would not be compatible with NS....You need to give it undiluted, directly into the...
  16. 04/09 WILTW: Confused LOLs

    I have been reminded of how essential leather restraints are when you need them. Oy vey! I learned that we don't have Levemir in the ED. I mean, it makes sense that we wouldn't. However when we hold...
  17. RN's in my ED are having a problem with a tech, need advice

    Yeah I would escalate that up the chain of command until you get an appropriate response. What about risk management? That's a huge safety
  18. What is your Nursing Kryptonite?

    Nothing like someone eating spaghetti and meatballs and having to suction that out of their airway after they've vomited and aspirated/gone into arrest. I have vivid memories of pinching meatball...
  19. What is your Nursing Kryptonite?

    Patients who come in to the ED screaming about their pain and the wait to see a doctor that then get medicated with narcotics and then pull out their own IV, leaving blood everywhere all over the room...
  20. 4/2 WILTW: Disney Edition

    -hugs- I think being an informed medical professional makes the prospect of surgery much more terrifying than it is for the general population. They don't see the complications of surgery day in and...
  21. 4/2 WILTW: Disney Edition

    The AHA is actually saying this window can be extended to 4.5 hours since symptom onset at discretion of the physician :) Just a cool little tidbit. I know they teach us 3 hours but part of ASLS is...
  22. Something Positive: Your 5-Year Plan

    This is a cool idea This year: I just started working as an RN in the ED Next year: CEN hopefully in the spring (if not sooner, I am debating taking it sooner rather than later since I've been a medic...
  23. Money aside

    Having done both, I appreciate both methods. I would say if you can afford it, take the courses for the classes that are hardest for you to understand the material and test out of the others. I don't...
  24. Money aside

    I believe you are correct, it was around 2013 when that became an
  25. Differences in US nursing vs the rest of the world

    Not true around here, I can't speak for the rest of the US