ScrappytheCoco

ScrappytheCoco

Emergency/Trauma/LDRP/Ortho ASC

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All Content by ScrappytheCoco

  1. Is this what nursing is about?

    I don't think it's nursing necessarily...it just seems more common because nursing is a female dominated profession. My mom and sister are teachers...same crap going on at
  2. New Grad Training: Telemetry Realistic?

    I did many basic ekg trainings as a baby ED nurse but I didn't understand jack about rhythms until I took ACLS. Defintely recommended even if it's not required for your
  3. Pregnant during third semester and deliver in Summer

    What if you get put on long term bed rest and have to be out a whole semester? You have to be aware that things may not go 100% textbook perfectly as far as pregnancy. I had a whoops pregnancy during...
  4. New nurse feeling incompetent

    A little fear of incompetence is healthy...it keeps you from killing
  5. I need advice please! Urgent.

    I'd triage this post as an ESI Level
  6. Messed up my interview

    If they are asymptomatic we would probably initiate an amiodarone bolus/drip. Unstable we cardiovert. Either would be admittred and possibly scheduled for ICD inseriton...that's up to cardiology....
  7. IV insetion lab

    I was petrified in nursing school. We used the dumb arm and I only actually got to try to start one on this 99 year old lady on Coumadin and it didn't go well. Now I can toss a large bore into 95% of...
  8. Hands break out.

    Sounds like contact
  9. so what DO you do?

    Next time call RR or insist that pt be physically seen by the MD. If he refuses call the house sup or go up the chain per policy. It sounds like you did right...did he at least eyeball her rhythm? The...
  10. 2016 Salary thread

    1. Wisconsin 2. ED 3. Fortunate to have benefits through my spouse so I take local agency contracts. I'm paid $48 an hour, $2.00 for nights and $2.50 for weekends. 1.5x hourly for overtime and...
  11. College Grad Nursing school Options

    I know you don't want to hear this...but I was in an academic situation similar to yours when I decided to become a nurse. I screwed around in college and graduated with a 2.75 GPA in my non-nursing...
  12. Who worked New Years? How was your shift?

    Meh...lots of drunks. Lots of cocaine users. One of my drunks came in police custody and when the police said he couldn't be uncuffed from the bed to stand and pee he refused a urinal, sat up and...
  13. Eating spaghetti raise blood pressure immediately?

  14. Hospital that bans family members

    I worked at one place where all visitors (with the exception of ED) were not allowed to visit from 6p-830p or 6a-830 due to shift change. They would actually make an overhead announcement reminder...
  15. Patient Nurse Ratio

    In the Emergency Department I have cared for 4 ESI level 1 pts at a time. That's 4 ICU patients that would be 1:1 or 1:2 on the floor. Really? I also regularly care for up to 4 ESI Level 2s. There...
  16. I don't want to be a nurse!!

    Are you feeling forced because they will be supporting you financially during
  17. Is heat ever applied to inflammation?

    Try to think about why you would use ice vs heat depending on the patho of the wound or injury. What is actually happening when you apply
  18. How do you know when to get an order?

    At many of the hospitals I have worked in, the physicians have access which enables them to place electronic orders from home. You can politely ask them to do this and avoid the drama of a...
  19. Just from my shift last night: Pt walks from the ems stretcher to the ED bed for triage, she was picked up by ems at a gas station so she had several shopping bags full of two liters. Before I could...
  20. Personal Guidance

    Sometimes pts just decide to get naked and walk in the hallway. Hell, I had one do it several times last night as he had altered mental status. I find this behavior to be much more common in men for...
  21. Medication error

    I gave a trauma pt an im injection of solu-medrol instead of a tdap because I had both syringes in my pocket and didn't label. He died but not because of my error. 5 rights 5 rights 5
  22. After a couple of years in the Emergency Deparment I wouldn't even know where to
  23. Is it possible to get the holidays off?

    Agency per
  24. Pre employment alcohol test

    Give your liver a high five for that negative ETOH.
  25. Seven Hells: Vent

    I'm with not2blue...I moved heaven and earth to get into my dream specialty despite all the red flags telling me it was wrong. I enjoyed the specialty but the unit was toxic and management...