Nalon1 RN/EMT-P BSN, RN

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All Content by Nalon1 RN/EMT-P

  1. Nalon1 RN/EMT-P

    Favorite Apps in ED

    Nalon1 RN/EMT-P replied to NurseHeart&Soul's topic in Emergency

    No phones allowed. Due dates, it is in the triage form and there is a "calculator" function in the software that does it. For meds, if it is an ordered med, we can right click on it and it brings up...
  2. Nalon1 RN/EMT-P

    Hourly charting

    Nalon1 RN/EMT-P replied to russianbear's topic in Emergency

    Well, this is posted in the Emergency Nursing forum... ESI is Emergency Severity Index, a way to quickly triage patients. Level 1 is most severe, Level 5 is very minor. Level 4 are usually pretty...
  3. Nalon1 RN/EMT-P

    Hourly charting

    Nalon1 RN/EMT-P replied to russianbear's topic in Emergency

    Our charting has an "awaiting" section we can click, lots of pre-listed options (lab results, radiology results, dispo, transport, ride, admit orders, bed assignemnt etc, as well as a free text...
  4. Nalon1 RN/EMT-P

    Do you huddle?

    Nalon1 RN/EMT-P replied to SerenaBeana's topic in Emergency

    Before each shift in the break room. 6:45 is our clock in time, 7:00 on the floor. Shift assignments and other news is given at this time. Mid shifters are supposed to go to the evening one, but many...
  5. Nalon1 RN/EMT-P

    Paramedic and nurse?

    Nalon1 RN/EMT-P replied to Sirena_615's topic in Emergency

    The bolded is one of the big reasons the pushed me over to try nursing. Although I was a paramedic with over 12 years experience, every place I would apply would have their own testing to be done....
  6. Nalon1 RN/EMT-P

    tips and tricks for difficult IV starts?

    Nalon1 RN/EMT-P replied to amzyRN's topic in Emergency

    A warm pack and gravity on the back of the hand. I have used the 24g in the hand (thumb actually) and then run fluid with tourniquet on to get an AC to show up, just don't forger to shut the flow off...
  7. Nalon1 RN/EMT-P

    Having a beard and CPNE

    Nalon1 RN/EMT-P replied to Kona_black's topic in Excelsior College

    I had a goatee when I did mine and was not an issue. You will not have a patient in isolation that would require you to wear a N-95, and your not fit-tested at the testing facility anyway. So long as...
  8. Nalon1 RN/EMT-P

    Is MD Anderson hiring?

    Nalon1 RN/EMT-P replied to blueindigo79's topic in Texas Nursing

    As HouTX mentioned, MD Anderson has been laying people off recently, mostly management and such (no nursing or physicians). I know one of the Pharmacists in our ER was just laid off from there and was...
  9. Nalon1 RN/EMT-P

    What's the average salary for an experienced nurse in Houston?

    Nalon1 RN/EMT-P replied to sun2525's topic in Texas Nursing

    Who makes $50/hr? Maybe PRN, but not regular full time floor nurse unless you have a lot of experience. How much experience do you have? Even $34/hr is high for someone with less than 5 yrs...
  10. Nalon1 RN/EMT-P

    Why the double standard.

    Nalon1 RN/EMT-P replied to RN2364's topic in Men in Nursing

    So current male nurses are not competent or communicative? And less of what? One female nurse has some male co-workers that don't want to do their job so all males are thrown into the same group?...
  11. Nalon1 RN/EMT-P

    Should ED put in lines before sending up arrest patients?

    Nalon1 RN/EMT-P replied to Paris01's topic in MICU, SICU

    If on pressors, then yes, otherwise 2 peripheral sites is the minimum, central line if time permits. It also depends on facility. If you have an ICU intensivist or resident, then they should have no...
  12. Nalon1 RN/EMT-P

    Why are you listening to the heart?

    Nalon1 RN/EMT-P replied to grizun's topic in Emergency

    I would not know it if I heard it. What does it sound
  13. Nalon1 RN/EMT-P

    Why the double standard.

    Nalon1 RN/EMT-P replied to RN2364's topic in Men in Nursing

    I agree, but there is sexisim going on, most people still expect that their nurse will be a female, and there is not an option. A male having a female nurse is seen as "the norm" and just goes with...
  14. Nalon1 RN/EMT-P

    Why are you listening to the heart?

    Nalon1 RN/EMT-P replied to grizun's topic in Emergency

    Not all the time, unless there is an indication to do so (elderly, chest pain, SOB, weakness, fatigue, severe trauma, etc). That is maybe 1/3 of my patients that fall into that. But this is the same...
  15. Nalon1 RN/EMT-P

    Trauma Room MEds

    Nalon1 RN/EMT-P replied to canoehead's topic in Emergency

    Of course that is how it is supposed to be. Level I has the resources to do that. Level III/VI may not. Many times it is you, a tech, physician and hopefully another
  16. Nalon1 RN/EMT-P

    Trauma Room MEds

    Nalon1 RN/EMT-P replied to canoehead's topic in Emergency

    Only meds are in the crash cart. Everything else you have to go get. I believe that it is a JCAHO (or state) item that all meds must be secured in a locked area. Somehow crash carts get around that...
  17. Nalon1 RN/EMT-P

    Safe Discharge

    Nalon1 RN/EMT-P replied to OldIsNew's topic in Emergency

    The only real answer is to check every sheet, every time. It is a PITA, but only way to make sure no extra sheets got in there. Nothing worse than the wrong Rx on top of the discharge paperwork, or a...
  18. Nalon1 RN/EMT-P

    Career Advancement after working in the ER

    Nalon1 RN/EMT-P replied to appleandoranges2's topic in Emergency

    I have seen fellow nurses from the ER go to ICU, IMU, PACU, Case Management, hospital management, Hospital administration, pre-op, post-op, day surgical centers, stand alone urgent care, school...
  19. Nalon1 RN/EMT-P

    A Headache is not an emergency

    Nalon1 RN/EMT-P replied to Patient4life's topic in Emergency

    I would not go to the ER for 95% of what people
  20. Nalon1 RN/EMT-P

    A Headache is not an emergency

    Nalon1 RN/EMT-P replied to Patient4life's topic in Emergency

    Umm, yes they do. Had one
  21. Nalon1 RN/EMT-P

    Do you ever wish you were a doctor?

    Nalon1 RN/EMT-P replied to adventure_rn's topic in General Nursing

    no, I do
  22. Nalon1 RN/EMT-P

    Step down to ICU or ER? (Expected GN w/medic experience

    Nalon1 RN/EMT-P replied to Flightmed123's topic in Excelsior College

    I was out of my element for sure when I started in IMU, but most of it is the same, just have to think long term instead. Glad I went IMU -> ICU -> ER. I think I would have been a little too...
  23. Nalon1 RN/EMT-P

    Step down to ICU or ER? (Expected GN w/medic experience

    Nalon1 RN/EMT-P replied to Flightmed123's topic in Excelsior College

    Personally, I would get some IMU/ICU experience for a year or so then go to the ER. I actually have a similar background. I was a medic for 16 years, was an ER tech for a year then got my RN. I...
  24. Nalon1 RN/EMT-P

    Foley Cath Insertion

    Nalon1 RN/EMT-P replied to sammiesmom's topic in Critical Care

    People wear pull up diapers 24/7 and have no problems with it. So long as it is changed appropriately there is no issue with it. Now I agree a foley tends to go with intubation and sedation, usually...
  25. Nalon1 RN/EMT-P

    Foley Cath Insertion

    Nalon1 RN/EMT-P replied to sammiesmom's topic in Critical Care

    So are you asking if you can insert a foley without an order or can you insert a catheter against patients will? To insert a foley without a physician's order is practicing without a license and you...