chip193

chip193

ER

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All Content by chip193

  1. no autonomy as a nurse

    chip193 replied to willdgate's topic in First Year After Licensure

    The "right" to autonomy is earned...it is not given. What I can do is different than what a new grad can do - and it's because everyone knows me and knows what my thought process is behind a...

  2. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    chip193 replied to DutchgirlRN's topic in General Nursing

    It depends on the service Medical Director and the ALS Coordinator - some of these folks won't let the Medics deviate from protocol at all. Others are more progressive and permit the Medics to think....

  3. Anyone ever worked 7 on/7 off shift?

    chip193 replied to oeue2007's topic in Nursing Career

    They're 9 hour shifts...10:30p-7:30a, or 36 hours per week. As part of our night shift benefit, we get paid for

  4. CLEP vs. ECE

    chip193 replied to LuvWounds's topic in Online Distance Learning

    CLEP exams are brought to you by our friends at The College Board, the same fun-loving folks who bring you the SAT. You register for a CLEP exam where you want to take it - i.e. if you want to take it...

  5. regular insulin only insulin given IV

    chip193 replied to cinnyb1018's topic in General Nursing

    Think about it this way... Why are you giving insulin IV vs. any other route? IV is for fast-action to lower blood sugar. So why would you need a longer acting insulin

  6. Anyone ever worked 7 on/7 off shift?

    chip193 replied to oeue2007's topic in Nursing Career

    I do nights 8 on 6 off now as the Charge Nurse in a busy ER. It allows me to "flip" from a night schedule to a day schedule and not be caught between. I love it. And with a mere 80 hours of vacation...

  7. Gag Me, The Hospital's Food's Rank ! ! !

    chip193 replied to CaLLaCoDe's topic in General Nursing

    I'm a night guy and our night food is actually very good. Variety isn't all that the day and evening folks have, but we pay much less - one of the night perks. It's only open one hour a night (2-3)....

  8. My ED can't decide what it wants to be.

    chip193 replied to Email4KH's topic in Emergency

    Your fast track should be seeing about 60-75% of the patients that present to the ER - at least that's what the two fast tracks that I worked with see. Can you imagine the waits if those patients were...

  9. Acls

    chip193 replied to StillBelieveRN's topic in Emergency

    We're required to have BLS, ACLS, and TNCC. We're enouraged to have PALS and/or

  10. You experienced ED nurses will get a kick out of this.....

    chip193 replied to ParrotHeadRN's topic in Emergency

    For many of the abusers, the last thing that they want to see is a physician. See my post above of the regulars that visit my

  11. You experienced ED nurses will get a kick out of this.....

    chip193 replied to ParrotHeadRN's topic in Emergency

    the regulars in my er can be divided up into the following categories: undomiciled our urban outdoorsmen begin to come into the er when the temperature reaches extremes - hot or cold. they will come...

  12. New ADN Grad placement!!!

    chip193 replied to Rbike's topic in Emergency

    When I moved inside after 16 years of ambulance calls, I made it known that being assigned to any part of the hospital other than the ER would be a deal-killer and I would find another hospital. I do...

  13. I;m New and I have a question.

    chip193 replied to ERNURSE02's topic in Emergency

    Triage is where all the Moms to be want to be put in my place. No lifting. Triage is done from a chair (which you'll appreciate as you put on weight as the baby grows). Good

  14. disrobing psych pt?

    chip193 replied to pb57's topic in Emergency

    FT Place: It is considered a faux pax to get the psych patients undressed and into a gown. It is actually considered by the psych department as a violation of the patient's rights. Yes, it's nuts. PT...

  15. Guess this chief complaint

    chip193 replied to ernurse61's topic in Emergency

    So what was wrong with the patient's

  16. ED admitting orders

    chip193 replied to bill4745's topic in Emergency

    Hospital #1 - my full-time job - 350 bed hospital with teaching programs in Medicine, Surgery, Dentistry, and Pathology. We do NOT take admission orders at all. The admitting residents see all...

  17. Trauma RN's - A question.......

    chip193 replied to JourneyCC's topic in Emergency

    My wife is an ICU nurse. I'm an ER nurse. Let tell you a little story about what we bring to work with us and what we do when we get there. Jamie has a large black bag. In the center are critical care...

  18. Would you continue to work here ?

    chip193 replied to carachel2's topic in Emergency

    Except for the call shifts, we call this the night shift, although you would need to tighten sepsis and CVA too. But, I wouldn't work anywhere

  19. Acls

    chip193 replied to StillBelieveRN's topic in Emergency

    ARC does not do ALCS. It is an AHA thing only. You also need to call your local AHA chapter and get a list of the Community Training Centers that offer ACLS. The chapters do not offer the class...

  20. Er Vs Ob

    chip193 replied to mjsobrn's topic in Ob/Gyn

    We have the opposite problem here. Nothing goes to L&D unless you see a head or can prove it's labor. But don't let them deliver in that dirty ER - take a quick run upstairs with her

  21. Critical Care/ICU versus ED

    chip193 replied to jewelsg627's topic in General Nursing

    I don't have a single pathway or protocol in the two ERs I work in. It is all critical thinking on my part of where to go/what to do before the doc sees them, which can be 2-3 hours. I'm sitting in...

  22. information literacy? help!

    chip193 replied to LucasRN's topic in Online Distance Learning

    The actual IL course was a true cake-walk. Took all of about 90 minutes for me to complete. Good

  23. WARSWITHFLOORS/Round 99,999

    chip193 replied to LooAndDoo's topic in Emergency

    We use one here - and it's what the floor takes report on. So it makes it go faster if we have it. Our rule is simple - one attempt to call, and if noone will take report, fax it and send the...

  24. New to Excelsior

    chip193 replied to lambey1218's topic in Online Distance Learning

    DO NOT BUY ANYTHING FROM THE PUBLISHING COMPANIES! It costs far too much. Seriously, the best reviews that I found out there were from Cliff's Quick Reviews (remember our friends from High School who...

  25. Questions about Excelsior?

    chip193 replied to ama27's topic in Online Distance Learning

    Nah...you certainly don't need to go and spend time in Med/Surg to work in the ER. Actually, some people will tell you that it works against you as you become too engrained in order. That doesn't...