thelema13

thelema13

ED

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All Content by thelema13

  1. Blue skin

    thelema13 replied to thelema13's topic in Emergency

    I actually asked him if he was taking any OTC containing silver, or if he had liver problems. The blue discoloration came off with ETOH wipes and some wet washcloths. Would've given a whole new...

  2. Looking for a good Diagnostic Lab results book...

    thelema13 replied to JuLeSx7d7's topic in Emergency

    I know it's not a book, but MDezLabs is a great app for the ipod/iphone, has every lab test imaginable, plus possible reasons for

  3. Am I cut out for the ED?

    thelema13 replied to Hope.A's topic in Emergency

    You will tell when you are thrown to the

  4. Floor nurse, please forgive me....

    thelema13 replied to Anna Flaxis's topic in Emergency

    I always feel bad giving the floor nurses those mean, cold, old ladies that are miserable for the sake of being miserable. I try to feed, gown, wipe and hydrate them with their choice of beverage, not...

  5. What is the most interesting case you've seen in the ER?

    thelema13 replied to BigDiesel's topic in Emergency

    1. Stroke alert by EMS, right side completely flaccid, blown right pupil, hypertensive 220's/130's, GCS of 8. We get a second call to have respiratory on standby because his O2 sats were dropping and...

  6. Best thing you saw come in on New Year's Eve

    thelema13 replied to mybrowneyedgirl's topic in Emergency

    Abd stab wound with lacerated liver and had to be flown out. No pain complaints. That was my most critical.7 day old wih nausea, no vomiting no fever, just nausea. At least the parents weren't out...

  7. Bedside hand-off/report?

    thelema13 replied to Lunah's topic in Emergency

    Started doing this a few months ago in our ED, pts love it and families do too. They feel as though they are included in their care, plus they are being updated on everything. I usually give bedside...

  8. Best one sentence handoff report

    thelema13 replied to emtb2rn's topic in Emergency

    Same old Ricky, fall due to drinking, off for his 10th CT this

  9. Cyclical vomiting syndrome

    thelema13 replied to thelema13's topic in Emergency

    You and yours are an exception to the bunch. The general public come to the ED for things that are non-emergent, we all know that. This lady may have had CVS, she may not. It was her adamant demands...

  10. Number of beds and daily census

    thelema13 replied to Lunah's topic in Emergency

    Currently, our ED is in an old 15 bed transition unit and see ~100 a day, with 3 docs working 7a-7p, 11a-11p, 7p-7a. Always short on nurses, and our pts population is mostly 60+. I hate living in a...

  11. Worst doctors orders ever received

    thelema13 replied to jenfromjersey's topic in Emergency

    Right ovarian cyst, pt rolling in pain, admit for sx, pain med of choice? 600mg ibuprofen q6h... That's

  12. So disgusted with everything

    thelema13 replied to JDougRN's topic in Emergency

    Yeah buddy I feel for ya. I worked 17 hours yesterday and had a seeker threaten a disabled person because she "hasn't gotten any pain meds god dammit!" It's BS, it never ceases to amaze me on how rude...

  13. Your body did what?!?

    thelema13 replied to pink_shoes99's topic in General Nursing

    I had an old man come in from the nursing home, confused. Fixed his blood sugar, fixed his confusion. Doing my assessment, I took off his socks to take a look and his 4th toe fell off, black and...

  14. drawing labs in triage

    thelema13 replied to TeresaEDRN06's topic in Emergency

    Urine, nose and throat swabs in triage. XR and CT if they are waiting for a while. I draw blood when i start an IV unless the vein is going to blow, and I always try to draw blood just in case so I...

  15. overdose on RX meds

    thelema13 replied to pm2rn's topic in Emergency

    Our ED docs during the day seem to give out less narcs than the night docs. Opposite of what I thought. We have one doc that labels everyone as a seeker. A huge part of the problem is drug companies...

  16. How do you decompress/debrief?

    thelema13 replied to cokeforbreakfast's topic in Emergency

    Yoga is awesome! I ride my bike to work and back everyday about 6 miles round trip. It gets me energized for the shift and helps me de-stress afterwards. Upon arrival at home, I soak in the hottub for...

  17. Miss Thing visitor

    thelema13 replied to abbaking's topic in Patient, Colleague Relations

    Code green- manpower

  18. Reporting child abuse

    thelema13 replied to Airidis's topic in Patient Safety Issues

    You did the right thing, and shame on the doctor for allowing the abuse to

  19. Are you doing this at work?

    thelema13 replied to vivasmom's topic in Emergency

    Giving nebs- NO RESP DOES Drawing own labs- MOSTLY Starting your own iv's- ALWAYS Running own blood gasses- NO RESP DOES Cleaning own rooms- SOMETIMES Walking pt to radiology, CT etc- SOMETIMES...

  20. Chest tube policy at your hospital?

    thelema13 replied to JuliaC~RN~'s topic in General Nursing

    Ours are sutures without any marking. We apply xeroform and 4x4's and that super strong tape, sorry I am brainfarting right now. I've never had a chest tube migrate. I make sure the site is properly...

  21. The first time your pt crashed

    thelema13 replied to tech1000's topic in Emergency

    Just the other day, I had a 75 year old male come in with chest pain. Poor guy was on the way out of town with his wife to go on a cruise. I triaged, got an EKG, started a line, drew labs and informed...

  22. Elevated troponin with renal failure?

    thelema13 replied to thelema13's topic in Emergency

    Thanks, it makes sense when I think of it from a fluid overload aspect. Do you have a source for this? Very

  23. Humor: You Might be an ER Nurse

    thelema13 replied to TrafalgarRN's topic in Emergency

    AMEN!

  24. IM dilaudid

    thelema13 posted a topic in Emergency

    In our ED, we have a flowsheet for pts who are given dilaudid, we must monitor vitals Q15 minutes until pt is stable. I have completed these sheets on IV and IM admin routes, but I worked a night...

  25. IM dilaudid

    thelema13 replied to thelema13's topic in Emergency

    Stable as in RR, O2 and LOC. I have not seen much adverse reactions to IM, but a few have passed out right after admin of IV. Flowsheet is completed just to monitor VS, usually dont have to do vitals...