thelema13

thelema13

ED

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All Content by thelema13

  1. Vent about scrubs

    I, for one, do not have a problem with tight scrub tops- if you have the appropriate body to show
  2. Worst start ever

    I'm from Canada, and I miss the seasons so much! Florida has beautiful weather, but no change in season and nothing but old
  3. How to stop the drug seeker?

    Inapsine and
  4. Juggling gtts

    Managing that many drips is precarious. You definitely needed a central line, A-line, and a few peripheral lines in that case. You should never stop those drips during transport, you did all the work...
  5. Dealimg with radiology

    Tell them no. Rad can wait, line and labs usually should not. It really depends on the acuity of your patient. I have stayed in a room during a scan because the pt was so critical, of course with...
  6. The best part about the ED is the autonomy, camaraderie, fast-paced critical situations, the crazy stories and the downtime at night. The worst is having to deal with
  7. I screwed up

    Draw both sets before antibiotic admin. 2 sets are drawn from 2 different sites to minimize contamination. I guess there is a national back order on culture bottles? We haven't had red tops in a week,...
  8. Sickle cell

    I have a few SC pts that come to my ED in a 'crisis' and they proceed to dictate their normal med routine, all while texting, watching TV, not wearing their O2, no physical expression of pain other...
  9. Bayer Aspirin and Heroin 1898-1910

    How scary if pts switched to asking for diamorphine instead of
  10. Registration Typos

    Honest to God, had a 3 month old brought in by the name of Toiletta, because the mother ended up birthing her into a toilet. People in
  11. Registration Typos

    "Gullblutter Pin" turned out to be "Gallbladder pain" "Bloody pens" meant "bloody
  12. NO LUNCH

    If your manager can't provide coverage by sitting at your station, go to the CNO and complain, although that will mostly fall on deaf ears. Gotts find a way to have your fellow nurses cover you, even...
  13. We need a bigger boat

    60 bed ED seeing 250-300/day, holding anywhere from 5-30 patients, mostly ICU and PCU patients. Not a lot of snowbirds either, just normal people with the flu getting admitted, lots of pneumonia....
  14. Travel nursing pay...

    I recently accepted a contract with $1270/week take home. 1st travel contract in Florida. Florida pay
  15. Whats your biggest pet peeve working in the ED?

    "My kid is having an asthma attack, I've been giving him nebs all night and nothing worked." Even though the child's K+ levels are WNL, and I can smell the cigarette smoke from outside the room....
  16. Whats rolled through your doors new years

    GSW to head, brought in due to spontaneous respirations. Amputated finger. "A firecracker exploded in my lap, one of the big ones." Fever, fever, fever, fever, fever.
  17. Medication tidbits an ER nurse should always know

    Always dilute your IVP meds. Certain meds must be given over time, amiodarone, lasix, opiates. Put your pt getting K+ on a cardiac monitor, and give it at MAX 10mEq/hr. If it burns, slow it down, or...
  18. Nights in the ER??

    Nights are awesome. A nice shift differential, don't have to deal with management (much). Try not to eat a meal when you go home, you will lose weight rather than gain it. I have seriously thick dark...
  19. "Better think twice using an adult
  20. SOS: FL Hospitals to Avoid!

    AVOID town and country- Tampa. lower keys medical center- Key West. north florida regional medical center-
  21. Sick of Florida

    $45/hr?! Is that with benefits or flat-rate? My base is $20/hr, and I feel as though it is a slap in the face. I accepted a travel contract in Melbourne for 13 weeks, and the agency is working on...
  22. Advise needed/expectations for travel Rns in your ER?

    I just signed up for my first travel assignment in Melbourne, FL. I have been an ED nurse for 1.5 years in a STEMI/Stroke center. I am going to be traveling to a level 2 trauma unit. Higher acuity and...
  23. Sick of Florida

    Yeah, I transferred and tried inpatient and lasted less than 2 months. I work ED so to stabilize and transfer is not bad at all. But once their admitted and have been transferred upstairs, it's like...
  24. Do you cut corners in your daily nursing practice?

    Of course I cut corners, only way to survive as an RN. I cannot give you all of your medication information when I discharge you. I give the main points, but there is something to be said for...
  25. What's your patient load?

    The level 2 I am transferring to is 4:1, my current ED is 4:1-6:1, depending on flow and