thelema13

thelema13

ED

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All Content by thelema13

  1. Why can't you get Financial Aid with a Bachelors Degree?

    thelema13 replied to thewoods4's topic in General Students

    I'm working on my 3rd degree, and I still get federal student loans. I never got a grant though because I am not a citizen. I want free money:crying2: I pay my

  2. Med Shortages

    thelema13 replied to Lunah's topic in Emergency

    Were out of IV reglan, IV lopressor, IV toradol 30mg and 60mg, IV zofran, IV compazine. Also, the reagent for acetone blood test. We have been getting in a day or two's worth of zofran once or twice a...

  3. Are there doctors on duty in the ER?

    thelema13 replied to Anna Flaxis's topic in Emergency

    Sharpeimom: I know teeth hurt, having all my wisdom teeth extracted with just local anesthetic. Just in my area, the teeth to tattoo ratio is a pretty good indicator of socioeconomic status. I give...

  4. Are there doctors on duty in the ER?

    thelema13 replied to Anna Flaxis's topic in Emergency

    Nerve block for a toothache? We hit 'em with 60mg toradol and a referral for a dentist, and education on proper dental

  5. Clogs vs sneakers vs walking shoes, which one?

    thelema13 replied to Barnstormin' PMHNP's topic in Scrubs, Uniforms, Gear

    Go to a running store and have them analyze your gait on a treadmill. They will tell you if you overpronate, underpronate, or are a neutral walker/runner. Then you can pick the appropriate shoe for...

  6. STEMI Protocols

    thelema13 replied to Medic2RN's topic in Emergency

    Grab the STEMI box, 362mg ASA to chew/down NG, 600mg Plavix PO, 4000 Units heparin IVP, metoprolol 25mg PO, nitro drip, NS @ 100 mL/hr, minimum 2 large bore IV, O2 @ 5-10 lpm via non-rebreather,...

  7. What do you hate seeing the MOST in the ER!?

    thelema13 replied to CrashED's topic in Emergency

    I have a tough time dealing with kids that are crying that are unable to be consoled. Worst is a kid in sickle cell crisis. I will pass that patient off every time, even if I have to pay someone....

  8. Question regarding ED holding orders

    thelema13 replied to maiday's topic in Emergency

    When patients are put in a hold status, they are kept in the ED and their admission orders are intiated from the admitting doctor. There are times I have 2 ICU holds and 4 ED pts. I think it is unsafe...

  9. Advice - I'll need a meal tray too

    thelema13 replied to LalaJJB's topic in Emergency

    I mark down obesity or morbid obesity on my patient's chart if they present as such. It never makes sense to me how we are supposed to promote good health and then my hospital buys Pepsi, Dr. Pepper,...

  10. You know its a seeker when . . .

    thelema13 replied to BostonTerrierLover's topic in Emergency

    When the convulsions and shaking caused by the pain of fibromyalgia suddenly ceases to stop when the patient asks 'what am I getting and how much?' When the 'seizure' stops just long enough to let the...

  11. Rx drug abuse in your ED- steps you take?

    thelema13 replied to thelema13's topic in Emergency

    Yeah, what is up with that? It seems like more and more drugs are backordered, now that I think about

  12. Chart modification after 48 hours- fraud?

    thelema13 replied to thelema13's topic in Emergency

    Thanks for the replies, I will talk to risk

  13. Chart modification after 48 hours- fraud?

    thelema13 posted a topic in Emergency

    At our facility, we get these "love notes" from the chart auditors. They are chart corrections, 100% for billing purposes, and they ask us to modify charts as old as 2 weeks sometimes. Ex: place...

  14. Lining and labing in the waiting room

    thelema13 replied to melimaras's topic in Emergency

    Labs are routine, but if the triage nurse places a line, they wait in the sub-waiting room and are getting a bed assignment pretty

  15. Rx drug abuse in your ED- steps you take?

    thelema13 replied to thelema13's topic in Emergency

    I am not passing judgment. I have been around plenty of addiction: father was a heroin addict, step father a crack head, worked for 2 years in a rehab facility for addiction and psychological...

  16. Rx drug abuse in your ED- steps you take?

    thelema13 replied to thelema13's topic in Emergency

    I am not discounting their complaints, nor only pegging it to socioeconomic status. They could be millionaires and seeking, I don't care. When you have talked yourself blue in the face about rehab,...

  17. Hydralazine

    thelema13 replied to brainkandy87's topic in Emergency

    Yeah, and SBP 180-190 isn't really alarming unless certain signs and symptoms. We rarely treat it. Just like a blood sugar of same range. We tend to use labetalol almost all the time, and I've given...

  18. Rewards of Emergency Nursing

    thelema13 replied to mid1for5's topic in Emergency

    Pro: helping pts that truly need saving and stabilizing. Con: Dealing with upset, scared, drunk, high, stupid, obese, regular, psych, etc pts. You see

  19. Intubation and Sedation

    thelema13 replied to shannonFNP's topic in Emergency

    We use a combo of versed, succ, etomidate, and Ativan depending on pt age, condition, hemodynamic stability, and vitals. The combo chosen depends on the doc. Our facility typically uses propofol for...

  20. Intubation and Sedation

    thelema13 replied to shannonFNP's topic in Emergency

    We use a combo

  21. Highest Troponin Levels You've Seen?

    thelema13 replied to Dogstar's topic in CCU, Coronary, Cardiac

    41.02

  22. IM injections - divide into 2 or keep as 1?

    thelema13 replied to samyaira's topic in Patient Medications

    Whoever complained about a 2cc IM shot is a wimp. Especially in the glute. If it is 2cc+, it goes in the VL or VG. I have never personally IM'd someone with more than 3cc. I give 2cc deltoid shots...

  23. Nursing Dress Code

    thelema13 replied to Brian's topic in Nursing Humor

    Haha, when we renovated our ED into a 32 bed MS style floor, one of our ED docs got those 'heelys' shoes. When she was skating down the hall and busted her a** those types of shoes were

  24. Nurse handing you a coke?

    thelema13 replied to Brian's topic in General Nursing

    Funny how nurses are depicted happy with a toxic, sugary beverage. Smile, more diabetic

  25. Why I LOVE night shift

    thelema13 replied to abbaking's topic in General Nursing

    Kudos my friend! I have tattoos, gauges, and a boisterous attitude and voice: I do not need management down my