Mobeeb RN

Does anyone out there have concerns about the ESI Triage protocols, specific to the length of stay incurred when a certain "number" ESI score is given? It's not news to anyone that over the past 2 years, the volume of ER patients has grown exponenti...

Thanks, guys, for your responses. I think it helps this old nurse to read your comments (especially the rants) because I am reminded that the problems (or challenges---management term) of nursing are the same, no matter where you go. :)

We do have a Fast Track as well as Emergent, Urgent and 4 Trauma bays (soon to be increased to 8).

Yes, protocols are used in the Triage process.

http://taimapedia.420chan.org/wiki/Opioid_comparison_chart

I think that a lot of surgeons went through a course of "if it can't be cut, then I don't care" philosophy. Several years ago a young man (24) was transferred to our Trauma Center with a "severe crush injury to the chest" (according to the transferr...

I agree with all posters, but President Nixon signed on the dotted line of the HMO Act in 1973.

I thought the following article might be helpful to you-----"Facing Neuro Assessment Fearlessly". I work in a busy Level I ED and we do quick initial assessments which include each of the practices you mentioned. I find it helpful to know the distr...

My place requires us to work either CD or CE and the same with NYE and Day. Can't have both days off together. Therefore a lot of our folks who have out of town families can't make a trip to see them. In addition, no vacation days may be taken dur...

The use of the TB syringe is only for the IV admixture. Some of the older RN's use the TB syringe for subcu doses because they can see the lines of the syringe much better. I want to add that the admixture procedure I mentioned is a standard with o...

We have to do this all the time in our big ED. We use a TB syringe without the TB needle. If you use Insulin 100units per cc, then 0.1cc = 10 units and so on. We use a 22ga needle, draw up the Insulin and inject it in to the IV bag. We usually ...

Go here. Maybe this will help. http://www.biology-online.org/1/3_respiration.htm

I have about 10 of these shirts that I wear underneath my scrub top, plus I purchased several buttons to wear, also.

I would do it again. I have been an ER nurse in a busy Level I Trauma Center for 20 years. Are we understaffed? You bet. Is the turnover of nurses high? Yup. Is the census high? Once again, yep. Do the powers that be ram JCAHO and other regulat...

Old thread addresses your question. https://allnurses.com/forums/f35/rhogam-question-214267.html

I work in ED of Level 1 Trauma Center and we are bursting at the seams. Unfortunately the Academy of Medicine in our city has prohibited any ED's to divert patients. So, we pack, stack and rack the ambulance cots in the hallways until the next avai...

I am a preceptor for new RN's and nursing students in our Emergency Department. I have received cards and small gifts from many of my preceptees. I cannot tell you how very much these tokens of thanks and gratitude have touched my heart. And, most...

CID = cervical immobilization device

hmmmm......despite the info below about pancreatic failure, it seems that soap heroes usually recover from the majority of life threatening illnesses. after all, how many of them have come back from the dead? the pancreas is about five inches long a...

At our place, it's a tornado.

Hmmm.......as of today, our facility has 94 RN vacancies......makes ya wonder.

In our Level 1 Trauma Center ED, we follow the above guidelines with the exception of those trauma patients needing to be aggressively resuscitated with blood/FFP/Platelets. Then we use the Level 1 Infuser attached to a central line (8.5fr) and infus...

If God is calling you to serve Him in the area of nursing, then......this will be your ministry, and it's not to be entered in to without a great deal of prayer for His direction. I have been serving Him in a busy ER of Level 1 Trauma Center for 20 ...

I've been a nurse for over 20 years and these years have all been in the Emergency Department of a Level 1 Trauma Center. Over the years, I've had good times and bad times...too many patients, not enough staff, management difficulties,etc., etc.. an...

In our ED of Level 1 Trauma Center, we encounter many folks wanting pain meds. As a matter of fact, Tennessee was listed as the #1 state for drug abuse in 2007. I know, kinda hard to believe that southeners would switch from Jack Daniels to oxycont...