thelema13

thelema13

ED

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All Content by thelema13

  1. Patient asking for something at the wrong time...

    thelema13 replied to Joe V's topic in Nurses Rock

    This happens EVERY DAY. When people come to the emergency department for sniffles, stubbed toes and lacerations that have stopped bleeding on the ride over, you can expect this to continue and get...

  2. Using ESI Levels to establish vital sign reassessment intervals

    thelema13 replied to Lunah's topic in Emergency

    We do vitals based upon our judgment, unless there is an order for continuous monitoring. if they are continuous, we do vitals q30, unless they are a high acuity or a pressor or nitro is hanging, then...

  3. Is psych getting me down, or is just my unit?

    thelema13 replied to cherubhipster's topic in Psychiatric

    We had a bad psych week at my ED. Suicide attemtps, OD, homicidal thoughts, and of course the ones that are working the system for meds. I got really run down after 2 days. Having to physically...

  4. Reporting in Florida

    thelema13 replied to Nataayy's topic in Florida Nursing

    I know at my hospital, it is protocol to report any suspected abuse. I think it is a waste of time, they never fess up to who did it and they never want to press

  5. Why can only nurses call the MD?

    thelema13 replied to wooh's topic in General Nursing

    That's why I work in the ED. VORB all day

  6. Would appriciate advice to a new ER RN

    thelema13 replied to KalipsoRed21's topic in Emergency

    Speed = prioritization. Take care of the sickest ones first. Recheck the charts for new orders every 10-15 minutes. If you are expecting something (labs, EKG, ABG, etc.) then I always do it, based...

  7. Autonomic nerve disorder

    thelema13 posted a topic in Neurological

    sorry, this is a repost from ed, thought it might get answered here. so, i was called in to work extra an as 'ed hold nurse' the other day, got an admitted pt for hyponatremia with hx of...

  8. Upfront payment for non emergent conditions

    thelema13 replied to danggirl's topic in Emergency

    This is such a touchy subject. All you need is to miss one pt that goes off to an urgent care clinic and croaks on the way. I work in a southern Florida ED, and a lot of the stuff we see should be...

  9. Autonomic nerve disorder

    thelema13 replied to thelema13's topic in Emergency

    Nope, no pacer. Thanks again Esme12, I appreciate

  10. Autonomic nerve disorder

    thelema13 posted a topic in Emergency

    So, I was called in to work extra an as 'ED hold nurse' the other day, got an admitted pt for hyponatremia with hx of nasopharyngeal CA, no sx just radiation. He does have hx of autonomic nerve...

  11. Autonomic nerve disorder

    thelema13 replied to thelema13's topic in Neurological

    Thank you for your long and precise response! Are you an

  12. We don't hire new nurses.

    thelema13 replied to rrich1084's topic in LPN, LVN Corner

    Have you walked into a unit, resume in hand, and spoken to the manager/director? That's how I got my job. After endless applications around the state for an RN position, I finally just got fed up and...

  13. Priority patient...abd pain, vag bleeding, or broken arm

    thelema13 replied to JDD1017's topic in Emergency

    I would've said not enough info to answer question. NeoPediRN had it right, too many variables. If you asked for more info, you were on the right

  14. "Accurate" Charting of Profanity

    thelema13 replied to RNCENCCRNNREMTP's topic in Emergency

    What they say goes directly in a quote, I shouldn't have to stand for that type of behaviour and abuse, and most of those types of pts end up complaining and the chart gets reviewed. No one has...

  15. How is the economy effecting Massage Therapy?

    thelema13 replied to samirish's topic in Nurse Entrepreneurs, Innovators

    My wife is an MT in Florida, initial job was at a chiro office, he was charging clients $60/hr but my wife would receive $15/hr plus tips, and have to supply her own massage creams. So we...

  16. Am I freak for charting meds as I pull them?

    thelema13 replied to Izzy11's topic in Geriatric, LTC

    Why sign meds on the MAR before giving them? What if pt refuses, throws med up, has expired, I could go on and on. Dangerous practice, ripe for

  17. Do you have a dangerous doctor in your ED? Long vent.

    thelema13 replied to NeoPediRN's topic in Emergency

    Had a similiar experience with a new MD. Ordering IV 40 mEq K+ on resulted labs WNL, ordering ridicuolous amounts of fluids on low BP's over insanely short amount of time (2 litres over 30 minutes for...

  18. Dumb things new nurses do....

    thelema13 replied to OhioCCRN's topic in First Year After Licensure

    Flush, med, flush, med, flush,

  19. best Route becoming a CRNA? BSN or ADN to BSN?

    thelema13 replied to hhamilton12's topic in Student Registered Nurse Anesthetist

    I am an ADN grad, currently getting my BSN, and hopefully CRNA. The schools I am looking at require BSN, minimum 2 years CC/ED experience, and $$$. Good

  20. Drug Seeker Stories

    thelema13 replied to ER-RN2's topic in Emergency

    We have this one pt that comes in by EMS 3-4 times a week for knee pain, leg pain, foot pain, hip pain, toenail pain, any type of lower extremity pain, always 10/10. Since I am new in my ED, I got her...

  21. Favorite and least favorite diagnoses?

    thelema13 replied to Anna Flaxis's topic in Emergency

    Very true, don't blame us for your poor health. Oh, I almost forgot fibromyalgia pts. I try not to turn off the sympathy button when I hear that medical hx. I simply do not believe it when they say...

  22. Favorite and least favorite diagnoses?

    thelema13 replied to Anna Flaxis's topic in Emergency

    I will take trauma alerts, stroke alerts, AMI's, anything, anything but those morbidly obese, dry skin flaking off into the air, don't care about themselves non-compliant DM pts. DKA, HHNC, comatose...

  23. Thanks, ER nurses.

    thelema13 replied to perfectbluebuildings's topic in Emergency

    Awesome, it's nice to get some gratitude. Rest and heal

  24. Comfortable shoes for the ER

    thelema13 replied to nursegirl75's topic in Emergency

    Asics or mizuno shoes, made for running but great ED shoes, prices range from $50-$200. Totally worth it. Go to a running store and have them analyze your gait, stride and heel strike. They will tell...

  25. Blue skin

    thelema13 posted a topic in Emergency

    So a pt came in with report of cyanosis from waist up. Pt is talking and walking fine, 97% on room air, no pain or change in mental status. The triage nurse is freaking out, but something isn't right....