thelema13

Anybody encountered a patient with this diagnosis? I had a pt come in the other day, report of vomiting x23 during past 4 hours, severe pain 10/10 in abdomen, letter from GI doctor stating she was diagnosed with cyclical vomiting syndrome and gastrop...

Central FL, charge nurse in ED with 5 years experience. BSN, CEN. $28 base with 20% night diff, no diff for weekends. No bump in pay for BSN or CEN. I'm told compression raises due in April... but I'm not holding my breath. Nonunion, not for profit h...

Most of our docs stick with 1-2 litres as a bolus, and I have given 8 litres before. Our cardio and infectious disease docs agree, give more fluid and place BIPAP if you are causing HF or respiratory distress. Has anyone else noticed once you start a...

10 mEq K+/hr (you can ask the doc for a vial of Neut, which takes the burn out completely, its 5 mL added to 10 mEq, you are adding 5mL of sodium bicarb to raise the pH of the K+ bag).

We are switching to a 'pull til full' model in a few weeks. We have done this before with bad results, mainly because our ED hires new grads and most of the charge nurses remain stagnant in their chair. Pull til full only works if you have great flow...

20g for CT's, but some techs will use 22g. CTA's are 20g AC or higher, preferable R AC. Per policy.

We use a manual BP cuff and inflate to 30-60 points above the systolic value.

Have any of the above posters tried high doses of high quality probiotics? Like 500 billion+ a day as a maintenance regimen?

How 'bout some Zofran ODT and a sandwich?

If the patient is truly recovering from their addiction, you should not give opiates because they are an addict, and the patient should state that as well, having known first-hand. You will just substitute one addiction for another. Give tylenol and ...

I once admitted a woman with a dx of morbid obesity.

For those that charge their travel expenses, which card do you use and why? Do you have a card to recommend for the most hotel points/rewards? Thanks for any input.

My advice would be to RUN AWAY from HCA facilities. They have terrible management and treat their nurses like dog doo-doo. I worked for an HCA facility in South Florida, the ED was a joke (the rumor was most of the ED staff used cocaine and CCC's to ...

51 year old male with a very large metal cock ring that was purchased a few sizes too small. He put it on and had a solid erection for 4+ hours PTA. No other medical history. This is what we did: 1: Ice packs 2: Ice bath for penis and testicles 3: Co...

We did try using gauze wrap around his penis and testicles while he was sedated with etomidate to try to compress and push some blood back to his core, but that just made his HR jump to 130's and made him very uncomfortable.

The latter.

No urology coverage for over a month. If the Dremel didn't work he was going to try either injecting neosynephrine at the source or aspirating some blood out. I have seen priaprism reversed on a 24 year old by urology after doing a local block with l...

Our techs stock throughout the shift, with nursing staff helping as well. The techs never stock too well so I usually end up stocking my own assignment.

We use Cerner, more specifically FirstNet which ports into and works with Powerchart, which is the floor charting program. It could definitely be better, compared to other programs I have used. The most frustrating thing is the monthly downtimes for ...

My VDay at work included a 24 year old that swallowed 75 tabs of APAP and a 50 year old with a surprise STEMI that was in the waiting room for 2 hours.

Employers look for experience more than certifications, and you definitely need some good​ experience before taking CEN.

Shoot, my mum didn't take me to the doctor for nearly three weeks when I had impetigo, and it covered over 50% of my body. She kept bringing creams from the OR..........

In every ED I have worked in, everything is ordered STAT, due to the fact that it is an emergency room. And I too notice that certain days, more samples are hemolyzed. And I guess colour is a perspective, sort of? I'll draw my labs off my IV start, ...

AMA form

Did something similiar to this idiotic 20 year old, but we rubbed an alcohol prep pad on the ladies forehead and told her "now this may cause you to shake or have tremors if you are susceptible to seizures." One swipe and she was shaking like a leaf....