thelema13

thelema13

ED

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All Content by thelema13

  1. Cyclical vomiting syndrome

    Just to follow up, I got questioned by my manager about the pt And I stated I think we did everything we could have, save giving her dilaudid. I was backed up by coworkers and charge nurse. Good thing...
  2. We check all womens HCG unless postmenopausal or hysterectomy. I make sure a qualitative is back before pushing most meds. Toradol is generally not given to females in our
  3. Do your Managers and Charge nurses work on the unit?

    My charge during the day does not take an assignment but will help with critical pts and I've never seen my manager on the floor except the day I was hired. The charge nurse at night takes a pt...
  4. Happy Emergency Nurses Week!

    Didn't know we had a week for
  5. Cyclical vomiting syndrome

    Sorry also forgot to mention 500cc NS bolus. Pt denied HA or hx of migraine. Pt kept asking for dilaudid by name. I felt bad for her, it's not nice to vomit so much. I advocated pain medication but...
  6. Cyclical vomiting syndrome

    whoops, read your post
  7. Cyclical vomiting syndrome

    Can you explain rationale behind giving a NTG
  8. "Did you see/Follow up with your Primary Doctor..."

    In my area, it seems pt use the ED more as a clinic than for actual emergencies. Granted, 80% of those pt have medicare/medicaid. Those lovely "this has been going on for a month now" and I usually...
  9. non-rebreather vs oxymask

    Oxymask has large holes in mask, basically free flowing oxygen to pt mouth and nose and allowing pt to exhale
  10. ER computer programs

    We use CERNER FirstNet at our ED, It's pretty easy to document on and easy to
  11. Can you be an er nurse with an assoc. Degree?

    I got a job out of an ADN school in the ED, but I also did my practicum
  12. ER handoff report to floor

    I am an ER nurse, and I understand the floor is busy sometimes, but when I have to phone up 4 different times to get my nurse to give report, I am pis***. Now, I will phone once and give the benefit...
  13. WOW THAT NEAT !!

    an urostomy drains continuously, so no not a candidate. It has to do with where the ostomy is placed, if I am right, I think the transverse colon is best? Correct me if I am
  14. Please help me figure out what happened to my pt

    Any resp hx? Older pts decompensate quicker, it sounds like fluid overload by what the doc ordered. The nurse covering for you should've responded quicker, rapid response should have been called, but...
  15. ER RN salary

    central florida..... $20/hr base, plus shift diff and benefits. I turned down insurance benefits and got $30 extra per biweekly check. PDO accrues at 6%, increasing by 1% every year with the same...
  16. Benefits of being a guy

    I am a new grad about to start in the ED, how do you stay away from
  17. Breaking into Emergency Nursing

    I am a new grad just hired to my local ED. I completed ACLS, PALS and NIMS before I applied. CEN and TNCC seem to be best taken when you have some experience under your belt, I was told to wait at...
  18. 6 months clean but so STRESSED!

    Stay strong. Stay clean. Opiates are nothing to mess with. Keep your head up and remember what is really important- you getting back to work to help the sick and needy. Good
  19. Tattoos and nursing

    I have a tattoo on my wrist from when I got married to my wife. No one has said a thing, my nursing school nor my employer. It is able to be covered by a watch. With that being said, I also have 1...
  20. NPO/clear liquid status during labor - evidenced-based?

    Our hospital policy is clear liquids for low risk. I did a report of intake during labor for my OB rotation, and from what I remember from the research is Europeans and Canadians allow clear liquids...
  21. not good with lab values. Albumin 1.6

    Normal albumin is 3.5-5. Is this patient in renal failure? Albumin dips with poor