ErinBSN

ErinBSN

pediatrics, ED

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All Content by ErinBSN

  1. How do you treat headaches?

    Yep those darn narcotic ha's They drive you crazy. Oh you forgot throw things and curse at the nurse if told "No" Compazine I have seen work great for certain patient populations without the need of benadryl. I have seen more to Phenergan than Compa...
  2. Tell me if this is the norm in your er!

    In VA we can't inject the lido, but my best friend came from california and it was within the scope of practice for an RN to numb the site. The Saline, Absolutely, with pressure (used in the syringe) it is sufficient to irrigate the wound without ca...
  3. How do you treat headaches?

    There was an article in JAMA a few years ago about the treatment for migraines. It is shown that something like 80% of all migraines are caused by mild to moderated dehydration. the thought is give them hydration, than you will resolved migraine symp...
  4. Trauma roon in your ED... who gets it?

    We are supposed to rotate, but generally the same nurses get the "crit" rooms and the triage assignment. If I'm not in triage, I'm in a "crit" room. We have added monitors to all rooms except fast track but it still falls to the "front end" We are n...
  5. Phrase of the Night

    So, last night was the last night of a 9 day stretch. (I'm picking up hours for frivolous spending on Vacation!!) My phrase for my triage shift last night (12 hours in the penalty box) was "Hi I'm The triage nurse, what's your emergency tonight?" Wel...
  6. Difficult access: Would you go for EJ or pedal?

    Okay, Pedal is GREAT for tiny humans but.... With the older population circulation is usually compromised ANYWAY, if they are SICK, why not drop a central line or EJ. I would have so backed the EJ and actually told charge that she was at increase for...
  7. Help! Choosing between Paeds VS Adult emergency

    I have done both. I love the tiny humans the best. That being said, when you treat tiny humans, you also treat the ENTIRE family, that can get complicated. Adults, you assume they are rational and able to convey their complaint to you. Not always tr...
  8. It's Not MY Responsibility to Get YOU Home...

    2 times per night, I personally load up my mini van and drive all the stranded patients home. As we are ambulatory Ed, we don't take ambulances so they got here somehow but usually some drama resulted in them being stranded. So, I put on my nun's ha...
  9. Collecting co-pays at the ED registration desk.

    We have a small ED. our Registration collects at BEDSIDE. This way it's a discrete environment and we can work out payment arrangements etc. It seems to be productive. Is something like that an option? They have computers on wheels with credit card ...
  10. Religion in the Room

    That's a really GOOD question. I do, everyday I step through the door by serving the public I serve God. By helping those less fortunate in the community (which I do) I serve God and many times the both overlap. It can be something so simple as helpi...
  11. Weekend Only Nurse?

    It used to be called Baylor nursing and you would get paid 36 hours for working 24. Now it's weekend program or modified Baylor. It's what I do. I work Fri-Sun nights 7p-7a. I dont get a diff here but I know several nurses at other facilities who do....
  12. Religion in the Room

    Okay here I go. I am a highly religious born again Christian. Christianity is why I became a nurse. I felt that it was my "calling" I should add prior to nursing, I was actually up to taking my vows to become a nun, I had a heart to heart with an oth...
  13. Tattoos and nursing

    Honestly, like I said I have a cross on the back of my neck, I don't view it as any different than those who wear religious necklaces. You wear your cross your way, I wear mine the way I chose. Mine is just inked in so I remember how my faith drives ...
  14. Tattoos and nursing

    I have 7, 6 are easily covered one is to the back of my neck (it's a cross)I think a lot of the stigma with tattoos has changed in the past 10 years. it it's a problem, I can cover it, but I chose to tattoo because it's my way to express myself. That...
  15. The dreaded pregnancy test

    We have no L&D in my ED. We're ambulatory, we have no surgery, no respiratory nothing. We don't have vents. if someone codes, we bag until we can get them transferred. We were told that we still fall under EMTALA. So, if someone comes in and I s...
  16. Oh my, ya'll made me laugh on the bad night i'm having! 1. I need a baby sitter, can you just admit my baby(came in EMS) 2. Menstral cramps (I need vicodin cause I got my period) 3. Vomiting x 1, 3 days ago 4. Pregnancy test, pregnancy test pregnancy...