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bear14

bear14

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bear14 has 2 years experience.

bear14's Latest Activity

  1. bear14

    Futile ressusitation

    I totally understand what the OP means but a few weeks ago we had a cardiac arrest come in and we got the guy back, got him to cath lab and he was extubated a few weeks later and doing well. It's moments like that when we celebrate the wins, because they do happen.
  2. bear14

    Why is Med-Surg so hated?

    It's not dropping them on you, at least from the Ed perspective. We have to admit those who are not well enough to go home. Sometimes they are clusters sometimes they're not. We send those who meet criteria to the ICU and the rest obs or med/surg gets.
  3. bear14

    New Trauma Nurse Help

    It's sad to say but you get more comfortable the more experience you have. The second day I was in the ED we had a cardiac arrest that we brought back. I was so nervous I couldn't even put the foley in....and it was a male. The longer you're there the more comfortable you will get. It takes time. Pretty soon you'll get IV's while they're being compressed.
  4. bear14

    When refusing to work is considered abandonment?

    I'd deal with the shift but look for a new job. If there are only two of you it is not fair to the other nurse. S/He is going to need your help. 35 to 2 is extremely unsafe. Especially, if they are high acuity.
  5. bear14

    Parkland, Dallas TX travel question

    I love history I am going to have to check that book out! Thanks!!!
  6. bear14

    Parkland, Dallas TX travel question

    Really????
  7. bear14

    Morphine

    Ok, this is what I found when I googled it so I may have answered my own question. http://www.cvpharmacology.com/clinical%20topics/myocardial%20infarction-2
  8. bear14

    Morphine

    I always knew Morphine reduced the oxygen demand on the heart, but I never knew through what mechanism. An instructor said that it is done by decreasing the pain so the patient isn't breathing as hard. However, Morphine releases histamine so does that mean it also vasodilates? I know it can affect your hemodynamic state by decreasing your bp and o2 but is that how? I love patho so I am constantly trying to put all the pieces together instead of just knowing the results. Thanks in advance.
  9. bear14

    Parkland, Dallas TX travel question

    Isn't that the same hospital they took Kennedy too???
  10. bear14

    Want to quit

    I did the Purdue online BSN course. It was all online and wasn't horribly expensive. Will your job do financial reimbursement? That helped us a lot. The Purdue course was easy it was just time consuming.
  11. bear14

    Pseudoseizures in the ED

    We did the hand thing and she pulled it away so she didn't hit herself.
  12. bear14

    Pseudoseizures in the ED

    What is your ED's philosophy in treat pseudoseizures? We had a pt come in that was in her 40's with a pseudoseizure, vitals were stable. So, that being said we still treated it as we would with any other seizures but she received a ridiculous amount of medication for it. She managed to mumble some stuff during it too. She calmed down and then later went into another one for which she was again treated for it. When I was on the floors I had a pt that had them and was not treated. What does your ED do for them?? Thanks in advance.
  13. bear14

    Bad Days

    Have you ever had it where you are on a streak and nailing every IV, even in the, "I'm a hard stick or I have bad veins" patient and then all of a sudden you could't hit a vein if there were a sign right above it and landing strip lights flashing to guide you? I don't know what is wrong with me and I am getting annoyed. ? have been getting better but now I wonder if I am over thinking this. Any input??? Thanks!!!!
  14. Don't we have to see the K+ first before giving the Lasix??
  15. bear14

    I took the bait on FB for the ER group

    I have learned silence is golden. Don't comment back it's not worth it.
  16. bear14

    impaction treatment

    We do enema's which sometimes help but rarely and then move on to attacking it from the north and giving them Mag Citrate or go lytely.
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