chip193

chip193

ER

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All Content by chip193

  1. When a baby is born....what does your hospital do?

    chip193 replied to DutchgirlRN's topic in Ob/Gyn

    During the day and evening, they play Braham's Lullaby. Working nights, I never get to hear it! It's a great idea as it brings a smile to just about everyone in the place.

  2. ER Dept Scrub Color

    chip193 replied to blufoxtrot's topic in Emergency

    I'd hate that...I already spend most of my life sweating! We wear whatever we want. Tonight three of us happen to be wearing black pants...but that's the definate exception. Every now and then, we'll...

  3. Any tips for reducing fever?

    chip193 replied to noclpn's topic in Pediatric

    It all depends on how high the temp is and what the cause is. When we send kids home with a temp 102 gets the alternating tylenol and motin. That's our general rule of thumb! And no, I don't have any...

  4. ER Pet Peeves

    chip193 replied to ERERER's topic in Emergency

    I work in a Planetree hospital that lives and dies by the Press-Ganey survey. Of course we get it for them!

  5. Questions regarding epinephrine.

    chip193 replied to Mithrah's topic in Emergency

    You're dating yourself! Chip P.S. Anyone else remember

  6. CPR, EKG & ACLS QUESTIONS?????

    chip193 replied to thatoneguy's topic in CCU, Coronary, Cardiac

    Tachys aren't so bad as long as you break it down something like this: (1) Stable or Unstable? Unstable - sedate and cardiovert. Stable - keep going. (2) Wide or narrow? Wide - try a...

  7. Questions regarding epinephrine.

    chip193 replied to Mithrah's topic in Emergency

    It all depends on why you are giving the epinepherine. You can give it IV/IO push, IV/IO drip, ET, or SQ. IV/IO push is usually in cardiac arrest. However, allergic reaction can also be treated with...

  8. CPR, EKG & ACLS QUESTIONS?????

    chip193 replied to thatoneguy's topic in CCU, Coronary, Cardiac

    ACLS is not the impossible task that it was years ago. No one fails an ACLS course these days - you're invited back to remediate. So long as you're not taking a Paramedic ACLS course, you've got it...

  9. Southwick or Great Barrington, Massachusetts

    chip193 replied to mandykal's topic in Massachusetts Nursing

    In Great Barrington, there is Fairview Hospital and two NHs - Fairview Commons and one other, the name of which escapes me. About 30 minutes north is Pittsfield, where there is an academic center...

  10. babies in the ER

    chip193 replied to ERERER's topic in Emergency

    We do NG and OG on little ones...depends on whether there's an ET as well.

  11. MRSA Room-mates?

    chip193 replied to Butternut's topic in General Nursing

    MRSA patients can share a room here. They do not share with non-MRSA patients. Same for VRE.

  12. Reglan IV

    chip193 replied to gwrn99's topic in Emergency

    That was how we used to give Solumedrol to asthma patients who were being discharged after a bunch of ventolin. But that was many years ago!

  13. I was horrified today!!!!

    chip193 replied to nursejennie76's topic in Emergency

    If this were in MA, I would be required to report this. We are mandated reporters for abuse/neglect of the handicapped/disabled.

  14. Reglan IV

    chip193 replied to gwrn99's topic in Emergency

    Everyone loves a good dystonic reaction from time to

  15. No More Demerol IV Push???

    chip193 replied to VickyRN's topic in Emergency

    Demerol is actually off formulary in my hospital. Of course, this simply means that we need to fill out another silly form when we give it - there's still 25 mg and 100 mg preloads in the narc...

  16. what is included in a urinalysis?

    chip193 replied to GingerSue's topic in General Nursing

    A culture is not included in the UA.You can use the UA for many other things that testing for a UTI - DKA, trauma (hematuria), and dehydration are just a few that pop into my head right now. The...

  17. Is Indiana RN allowed to give Ketamine for procedural sedation ??

    chip193 replied to samaritan's topic in Emergency

    I did go there and I will stand by the statement. My whole statement. And I never said that Paramedics were better than anesthesia at airways. Kindly keep the whole quote or at least the context...

  18. Dilemma, Advice on NY Programs Please!

    chip193 replied to Preci0us's topic in Pre-Nursing Students

    If you are the self-motivated type, you can try using CLEP, Dantes, and Excelsior College exams to get the needed classes. CLEP is through the College Board at www.collegeboard.org. Dantes is now on...

  19. pain management for bone ca

    chip193 replied to dinkymouse's topic in Hospice, Palliative

    It goes something like this - she gets addicted. So what? So you have to give her more and more of it. So what? So you have to change to a different opiate. So what? Give the lady a break! It's...

  20. Excelsior A&P (SCARED!)

    chip193 replied to LadyMadonna's topic in Online Distance Learning

    Physiology. Physiology. Physiology! The anatomy questions were "gimmes"! Be sure you know your physiology from the cellular level on up. And take a look at Cliff's Quick Review for A&P. I...

  21. ER/hospital billing for aggravated sexual assault

    chip193 replied to chollieduke's topic in Emergency

    The charge is paid for by the Commonwealth of Massachusetts where I work. This avoids letting anyone at all know about the situation - including the insurer. Of course, since I assume that you do not...

  22. Is Indiana RN allowed to give Ketamine for procedural sedation ??

    chip193 replied to samaritan's topic in Emergency

    Paramedics can do far more with an airway than most RNs - save CRNAs,some APRNs, and some transport/flight RNs. Please, the Paramedic's bread and butter is airway - and ACLS.

  23. Is Indiana RN allowed to give Ketamine for procedural sedation ??

    chip193 replied to samaritan's topic in Emergency

    In MA we routinely give the RSI meds while the ER MD is ready to intubate. We also do CS (but we do not use propofol for it!) mainly with opiates and benzos. While I can intubate (a medic in NY), I...

  24. New LPNs going to EC....why not?

    chip193 replied to luv4nursing's topic in Online Distance Learning

    Conversely, I graduated in 4/04 and had four job offers. It depends on where you are. You need to look at your local job market. And they were all ER...which is what I

  25. Firefighter to Nurse

    chip193 replied to Firemedic7's topic in Emergency

    I came from EMS - limited hospital experience and that was long, long ago, and was a PT gig at another hospital. EC is what you make of it. You need to be exceptionally motivated to make it...