SionainnRN

SionainnRN

Emergency Room, Trauma ICU

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All Content by SionainnRN

  1. Rounding on patients at night

    SionainnRN replied to proud nurse's topic in General Nursing

    I worked breifly on a surgical floor (so wasn't for me!) and when i worked nights I would make sure to talk to my pts before the fell asleep if they wanted me to wake them up for their pain meds, or...

  2. I screwed up

    SionainnRN replied to SionainnRN's topic in Emergency

    Yep nothing worse than that feeling, especially when you only have yourself to blame. Safe to say I had a knot in my stomach the rest of my shift. Good news is that I caught a similar mistake on a...

  3. Co-signature for Insulin administration

    SionainnRN replied to MissRN7's topic in Patient Safety Issues

    I would just feel more comfortable giving insulin having done the check myself. We all make mistakes cause we're human and with someone else doing the accucheck there's a larger area for a mistake....

  4. Do you stand up for yourself to patients?

    SionainnRN replied to evolvingrn's topic in Patient, Colleague Relations

    In the ED we get lots of ETOH, some are funny (old guy literally fell off the bar stool and gave himself a head lac) some just sleep it off, and some are rude and violent. Sometimes you have to go...

  5. NGT residual question..

    SionainnRN replied to maiohmai's topic in Patient Safety Issues

    When I was in the ICU we always returned residuals because it held important gastric juices the pt needed. It wasn't so much about returning the volume because it wasn't usually that much, and they...

  6. Co-signature for Insulin administration

    SionainnRN replied to MissRN7's topic in Patient Safety Issues

    Until coming on here I didn't know anyone other than nurses did blood sugar checks! Even as nursing students we weren't allowed to check blood sugar. I agree that sometimes the nurse double check...

  7. I screwed up

    SionainnRN replied to SionainnRN's topic in Emergency

    She forgot but remembered in time to tell you? Yikes. A lot of times we draw labs when we put in the lines but sometimes things just get away from

  8. JUST an LPN

    SionainnRN replied to new clinic nurse's topic in General Nursing

    During my first code as a new grad in the trauma ICU I felt just like you did, shaken, unworthy of being there, and my head spinning. Now 3 years later and coutless codes (now in ED), I know a lot...

  9. I screwed up

    SionainnRN replied to SionainnRN's topic in Emergency

    Did you mention to the nurse you got report from that the cultures should have been drawn before the abx were hung? Yeah when I told the doc I felt like a complete idiot, luckily he didn't dwell on it...

  10. Adult ER or Pediatric ER?

    SionainnRN replied to GonnaAmazeYou's topic in Emergency

    Good luck OP! I love kids, was a nanny during my undergrad, but as much as I first wanted to go into peds ER I don't think I could handle it. When I code an adult, or deal with their abuse it makes me...

  11. Rude nurse?

    SionainnRN replied to obloom14's topic in Emergency

    I was responding to the fact he told her he was having flu sx and she wrote chest pain. Once again nothing was done TO THEM, " They were laughing when they said there was no chest pain." Like I said,...

  12. 12 Hour Shifts

    SionainnRN replied to BigCSN's topic in Patient Safety Issues

    I personally LOVE 12's and wouldn't do 8's if my life depended on it. On the floor it helps cut down on missed information as you only have 2 RN's per 24 hours. In the ER, where I work now, it doesn't...

  13. Rude nurse?

    SionainnRN replied to obloom14's topic in Emergency

    Did you ever think that they were laughing with relief that a CP hadn't been sitting in the waiting room for 2.5 hours? And how do you mix up flu and chest pain? And your biggest complaint is...they...

  14. I screwed up

    SionainnRN replied to SionainnRN's topic in Emergency

    Just the first set usually. Second set isn't drawn for a bit after. Luckily we knew where the infection was coming from. Poor pt is failure to thrive, dementia, and has aspirated pneumonia. Thank you...

  15. I screwed up

    SionainnRN replied to SionainnRN's topic in Emergency

    Thank you. I felt horrible cause it caused us to "fall out" which costs the hospital money, and I know it didn't impact the pts health (hopefully), but it was just one of those days when you're trying...

  16. What do you do first, besides "ABC"?

    SionainnRN replied to BSNbeauty's topic in Emergency

    Honestly sometimes the doc beats me into the pts room, especially when I'm busy with sicker peeps. Hang in there, you'll get the

  17. What do you do first, besides "ABC"?

    SionainnRN replied to BSNbeauty's topic in Emergency

    It all depends on what the new pt is in for. My triage nurse usually lets me know what they've put in the room, if it's an unstable pt they usually bring them back into the room first and start...

  18. I'm getting terminated from my first nursing job

    SionainnRN replied to Nurseadam's topic in First Year After Licensure

    So by hooking up do you mean you actually had sex in your car after work? I worked with a nurse who kept hooking up with one of our RTs during work. Word got to HR cause her husband found out and...

  19. new nurse/seasoned nurse

    SionainnRN replied to Isitpossible's topic in General Nursing

    I've had coworkers sleep...in their lunch breaks. They only take the time allowed for meals. Granted this was in the ICU at night so it wasn't too hard. On any other floor I don't know how this is...

  20. Frustrated with pts!

    SionainnRN replied to SionainnRN's topic in Emergency

    Glad I'm not the only one who's

  21. Frustrated with pts!

    SionainnRN posted a topic in Emergency

    So lately it seems like I've had a lot of pts getting overly annoyed with wait times. Had a little kid brought in with fever, so we did X-rays, meds, straight cath, and all we were waiting on was the...

  22. Frustrated with pts!

    SionainnRN replied to SionainnRN's topic in Emergency

    I try to tell them things only happen quickly when you're dying and you don't want to be that pt. Sometimes it works, sometimes it doesn't. Just annoying cause if you're sick enough to go to the ER in...

  23. bolus w/o order....yes or no?

    SionainnRN replied to sarahbeth2006's topic in General Nursing

    When I worked in ICU we would often order labs, X-rays, etc and let the md know afterwards. But that's once they knew and trusted

  24. Nurse with Disdain

    SionainnRN replied to StuckInTheMiddle's topic in Patient, Colleague Relations

    Some more details on what you don't like and why you got into nursing would really help. But depending on what floor you're on now a switch to ICU or ER may

  25. The good, the bad, and the ugly

    SionainnRN replied to R!XTER's topic in General Nursing

    Good: sticking a 12 day old with a 24g on the first try!! (Esp cause they were born at 36 weeks!) Bad: more and more ETOH pts who come in. The ugly: being puke hugged by a ETOH on suicide watch who...