thelema13

thelema13

ED

Member

  • Content

    263

  • Visitors

    10,411

  • Followers

    0

  • Likes

    4

All Content by thelema13

  1. Facebook: Should I Just Give in and Join?

    thelema13 replied to ScientistSalarian's topic in General Students

    Facebook is EVIL, just like Monsanto and

  2. Lidocaine IV causing SVT?

    thelema13 posted a topic in Emergency

    40 yr old male with hx of PVC's comes into the ED with palpitations. Vitals stable, labs within normal limits, pt is pretty asymptomatic besides the discomfort of feeling the PVC's. EKG shows sinus...

  3. Have you traveled to Florida?

    thelema13 replied to yukka99's topic in Travel

    Recently completed an ED travel assignment in Melbourne, FL. 13 weeks, take home ~$1200/wk. Overtime was triple time with the agency I was with, so I picked up shifts as often as possible. I used...

  4. Lidocaine IV causing SVT?

    thelema13 replied to thelema13's topic in Emergency

    The dose was 1mg/kg. I pushed it over 2 minutes. I was expecting a decrease in his HR not a sudden increase. Just checking to see if anyone else had a similar experience. I have asked ED and ICU...

  5. Lidocaine IV causing SVT?

    thelema13 replied to thelema13's topic in Emergency

    PVC's were frequent, every 3-4 beats, and PAC's every 4-5 beats. He would have 2-3 PVC's in a run every once and a while. HR was holding in the

  6. Warfarin and lovenox ...trach bleeding

    thelema13 replied to usRNs's topic in Patient Medications

    Why was she receiving these anticoagulants? What was the platelet level? Type and screen on chart? I would have held both meds, contacted MD for clarification. In regards to the hematuria and active...

  7. No cardioversion due to risk of embolism?

    thelema13 posted a topic in Emergency

    35 yr old female comes in crying, anxious, coughing. States her chest hurts. Hx of Graves disease. EKG shows SVT 240's. RR 40's, and BP 140's/100's.We get her ready for a dose of adenosine, doc walks...

  8. 5150 holds

    thelema13 replied to Music in My Heart's topic in Emergency

    In lovely Florida, we have the Baker Act. We have held patients 72 hours waiting for acceptance at a psych facility, and before the Baker Act expires (at 72 hours) a psych doc comes in to evaluate...

  9. No cardioversion due to risk of embolism?

    thelema13 replied to thelema13's topic in Emergency

    Honestly, she looked like crap. I had a feeling she would poop out soon, and when we did cardiovert her, she was slumped over the siderail, crying and exhausted. Giving her some electricity definitely...

  10. No cardioversion due to risk of embolism?

    thelema13 replied to thelema13's topic in Emergency

    Wow, how quickly people turn to arguing... I was stating frustration because she was in distress, and we have the tools to improve he condition, so why wait around? I haven't heard of not...

  11. No cardioversion due to risk of embolism?

    thelema13 replied to thelema13's topic in Emergency

    This was the first time working with this doc. He would not listen to any of the nurse's suggestions. I do not know why we didn't continue with the adenosine, it didn't work so he switched instantly...

  12. Nurses week gifts from employer

    thelema13 replied to floridaRN38's topic in Emergency

    An umbrella, because the sh** usually hits the fan where I work

  13. out of control.

    thelema13 replied to mish_RN's topic in Emergency

    Give 'em a 16G to get some

  14. ER Nurses!

    thelema13 replied to ConRadical's topic in Nurses Rock

    KUDOS to us

  15. CERNER VS PICIS EDPulseCheck - NEED SOME QUICK HELP!!!!

    thelema13 replied to ERpinup's topic in Emergency

    You can change a drip rate, click on the large box in the MAR, then on left side of matrix, click on drip rate, then

  16. CERNER VS PICIS EDPulseCheck - NEED SOME QUICK HELP!!!!

    thelema13 replied to ERpinup's topic in Emergency

    I like FirstNet, other than the downtimes And now we scan all pt armbands and meds before admin, very very annoying. Sounds like they are getting rung up at Walmart. I like ED Manager much better,...

  17. Per Diem Nurses?

    thelema13 replied to JoeDEDRN's topic in Emergency

    I work the ED in Florida, 2 years experience, $21.40/hr is my base. Working per diem at the other local hospital making $36/hr without

  18. Wuesthoff or Cape Canaveral...which is the best hospital to work for???

    thelema13 replied to AubrieRN's topic in MICU, SICU

    Wuestoff = worst off I worked at holmes regional and everyone that came to the ED complained of

  19. street drugs vs. prescribed drugs

    thelema13 replied to ERRN92's topic in Emergency

    Geodon is the best

  20. Grateful Patients :)

    thelema13 replied to SweetMelissaRN's topic in Emergency

    Got a $50 gift card from a rich patient in Key West after she was discharged, bought my crew coffee and

  21. non-rebreather vs oxymask

    thelema13 posted a topic in Emergency

    Just a quick question, are non-rebreathers and oxymasks basically the same? When would it be more beneficial to use one over the other? Your answers are

  22. Pedi code

    thelema13 replied to ezgreazin's topic in Emergency

    Debrief with the code team/docs, take a few days off if possible, drink some beer, get back to

  23. blowing veins during IV starts

    thelema13 replied to queenjulie's topic in General Nursing

    Very true, I always go for the forearm. Also, on the obese, they always have a few good veins in their shoulder area that you can usually throw at least a 20g

  24. Worst start ever

    thelema13 posted a topic in Emergency

    So I woke up and went downstairs to walk out in the beautiful morning sun. As my toes fanned out and my feet relaxed on the freshly mowed grass, birds sang and a slight breeze moved my hair. As I...

  25. Is ER experience wanted ANYWHERE?!

    thelema13 replied to ashfost's topic in Emergency

    Had no problem going ED to ICU, I just did not like ICU. Critical, but boring..... Had no problem returning to the ED either. Just keep phoning in, speak to the ED