ScrappytheCoco

ScrappytheCoco

Emergency/Trauma/LDRP/Ortho ASC

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All Content by ScrappytheCoco

  1. Let's Ban the Phrase "I'll Go Get Your Nurse"

    ScrappytheCoco replied to nynursey_'s topic in General Nursing

    This phrase makes me want to beat my head against a wall. A rad tech called my phone one day...they were in my patient's room and they said "we need a nurse NOW." When I use that phrase regarding a...

  2. Is this low?

    ScrappytheCoco replied to ThePrincessBride's topic in General Nursing

    When I was a staff nurse and we self scheduled I would request 3 in a row at the beginning and end of the pay period so I always had a week off in between. It was awesome. As far as your PTO rate, it...

  3. No pump, no drip rates - OR

    ScrappytheCoco replied to anathema's topic in General Students

    There is tubing you can use to set a simple drip up at a certain rate...you just turn the dial to the number you want. I will eyeball fluids and not worry about it. You don't always need a

  4. Doubts about being a nurse

    ScrappytheCoco replied to bighead17's topic in Pre-Nursing Students

    Vistaril and Propanolol changed my life. Talk to your GP. Good

  5. Haldol, Pneumonia, PD

    ScrappytheCoco replied to Rnfortuna's topic in General Nursing

    Would you rather have this patient get up and fall or end up mechanically restrained? Benefits outweigh risk

  6. Nurses Performing Ultrasound

    ScrappytheCoco replied to xtymae's topic in Philippines

    I use ultrasounds to place PICCs and occasionally a peripheral IV, but I have training and certification for

  7. New grad RN, hate nursing?

    ScrappytheCoco replied to alwayslearning55's topic in General Nursing

    Hang in there for a few more months and then maybe try a specialty that interests you? You worked really hard in school to give it all up after just two months. If you try something different and...

  8. Triage question

    ScrappytheCoco replied to gvrn13's topic in Emergency

  9. Triage question

    ScrappytheCoco replied to gvrn13's topic in Emergency

    I would have used the stated complaint or epigastric pain. I agree with the assignment of ESI Level 3 based on the info presented, however it's not really acceptable to just say "I can't get an...

  10. Complaints only, please!

    ScrappytheCoco replied to ixchel's topic in Patient, Colleague Relations

    I was sitting on the toilet for the first time in 10 hours when the CT tech calls and says he needs help holding c-spine to get my pt on a slide board for transport. He is in the pt's room. I try to...

  11. 0200 BP's - Dealing with Tired Rude Doctors

    ScrappytheCoco replied to Jennifer in Cali's topic in Patient, Colleague Relations

    This is one BP reading, correct? Maybe the patient was pissed off that someone woke him up at 2am. I regularly see systolic bp's in the 200's on admission to the ED, unrelated to CC. I settle and...

  12. What do you do when a pt goes into anaphylactic shock?

    ScrappytheCoco replied to xmilkncookiesx's topic in General Nursing

    Emergency Department RN here. In 3 years I have seen only 1 true case of anaphylaxis...about 15 minutes after administering Rocephin IM. I have never ever seen a transfusion reaction. (Knock knock)...

  13. Catheters/ IV starts

    ScrappytheCoco replied to Jengon9344's topic in General Nursing

    Practice occluding the vein with your hand after you get your flash. I'm an agency RN...I have had tons of assignments in many different hospitals and only a few months ago did I even find out these...

  14. Inserting an NG tube post arrest

    ScrappytheCoco replied to abidingpanda's topic in General Nursing

    It's been a while but I did a paper on nursing school about research leaning toward ng over og in an intubated pt. Something about not having to retube once they're extubated if they still need the...

  15. It's just a ******* straight cath!!!

    ScrappytheCoco replied to %D#2's topic in General Nursing

    Come to the Emergency Department. We cath and place ivs all the time and the MD says... "Oh thanks for doing that...I'll order

  16. Will I have to deal with a lot of blood in nursing school?

    ScrappytheCoco replied to jusrene88's topic in Pre-Nursing Students

    When I was in nursing school a classmate and I were ambulating my pt to the bathroom when his recent abdominal incision dehisced. Exposed intestines obviously. nursing home=complex stage 4 pressure...

  17. Stop Interrupting

    ScrappytheCoco replied to Leanneo's topic in General Students

    I'm very scatterbrained and I used to feel like if I didn't ask while I was thinking about it if wouldn't remember. Keeping a notepad handy and asking the questions you think of at a more appropriate...

  18. Hostile work environment - Violent Doctor

    ScrappytheCoco replied to Summer70's topic in General Nursing

    I left L&D after situation after situation like this occurred with physicians and culminated with a surgeon throwing a clamp at me mid procedure and hitting me in the belly with it while I was...

  19. Being micromanaged by a CMA?

    ScrappytheCoco replied to %D#2's topic in General Nursing

    Oh helll no...no med aide would be writing me up for forgetting to label applesauce during a 50pt med pass. Stand up for

  20. Critical Care Nursing vs Emergency Nurse

    ScrappytheCoco replied to Cannary22's topic in Critical Care

    3 years in the Emergency Department...I am confident but never comfortable...that's how you miss the little things and kill someone. ED is awesome if you don't mind being the dumping ground/red headed...

  21. Medication Error: I feel stupid

    ScrappytheCoco replied to Smilie0809RN's topic in General Nursing

    I'd bet my last penny her non compliance with her beta blocker caused her to be Brady...def not 1 lousy mg of dilaudid and a muscle relaxer. No med error, carry

  22. Why no IM injections??

    ScrappytheCoco replied to kistigirl84's topic in General Students

    Think about the route. IV, SQ, and IM are all totally different when you get right down to it. Where is the needle when you give IM vs

  23. Average salary for experienced BSN in Atlanta, GA?

    ScrappytheCoco replied to DesertSky's topic in General Nursing

    3+ years ago when I started out as a new grad ADN in Atlanta I was paid $23.50 +.50 cents diff when I acquired ACLS, $2 for nights and another $1.50 for weekends. My hospital didn't give a diff for...

  24. When doctors and directors attack!

    ScrappytheCoco replied to ThePsychWhisperer's topic in General Nursing

    Every time there is something like scenario #1, you need to chart "Dr. Liar made aware of blah blah blah, no orders received." Every. Single.

  25. Do RNs do a lot of heavy lifting?

    ScrappytheCoco replied to TimTamJimJam's topic in General Nursing

    ED is tons of heavy lifting and turning. It seems like there wouldn't be a lot of heavy lifting in L&D but in my short stint there I did a lot. Pts who get epidurals sometimes require a two or...