Ugh...in my ED we give a IM combo of : Narcotic: Demerol Dilaudid Morphine and one anti-emetic Phenergan Reglan Zofran there is an occasional Toradol slipped in there for pt's who are not *allergic* to every NSAID or non-narcotic pain reliever know...
NewERLPN replied to Joebird21's topic in Emergency
i can totally identify with this. as a nursing student i would frequently gag during dressing changes, cleaning bm, etc. the worst is a lower gi bleed! i usually just grab a little vick's and keep going. luckily i have been able to disguise most of m...
i have been racking this situation through my head and needed some outside input. so, the other day a police officer presented to the er with a 30ish male. pd stated that he pulled over the pt for failure to stop at a stop sign. when he approached th...
Thanks for the feedback y'all. Generally if someone comes into the ED, well my ED at least, under the influence of any substance we can 1013 them for a preliminary screening at least. I know I can't fix everybody but darn if I don't try. The wierd th...
In my ED we use IBEX which automatically transferes data to Meditech that is used in the rest of the hospital. We love IBEX (especially when they buy us lunch ). We have many protocols which usually aren't used unless there is prolonged door-doc time...
NewERLPN replied to night fox's topic in Emergency
I once had a frequent flyer psych pt pull out a knife, proceed to slit his forearms multilpe times and then point the knife at me. Thank god for a brave male tech that came to my rescue. Ugh, security sucks at my ER.
NewERLPN replied to JUSTYSMOM's topic in Emergency
I have had a lady come in because she "hid" a hundred dollar bill in her rectum. Needless to say, she couldn't get it out. She said that she had unsuccesfully tried to "dig" it out. The MD did a rectal exam but refused to get an anoscope to go search...
I work in a very busy ER where we pay critical staffing for extra shifts that a nurse picks up. I have an amazing Nurse Manager whose goal is to have a waiting list for ER nurses. The critical staffing shift diff is an incentive to come in for extra ...