CrashED

CrashED

EMERG

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All Content by CrashED

  1. Common ER abbreviations for charting

    CrashED replied to cathyrn2b's topic in Emergency

    D/C- Discharged ERP- Emergency Room Physician CAMS-CandyAssManSyndrome (We say but never chart it!) CP-Chest Pain CBA-Clear Bilateral Auscultation GAEBL-Good Air Entry Bi-Laterally PSBO-Possible...

  2. Pharmacy Techs in ED

    CrashED replied to wildlaurel's topic in Emergency

    We have pharm techs in our department and have for a while now. Our techs do medication recs once the patient is placed in a room. It has really assisted in getting appropriate med lists, as they...

  3. Treat for staff on my first night of work? Opinions please?!

    CrashED replied to insnurse's topic in Emergency

    Food......the one thing no ER nurse will

  4. transitioning from floor nurse to ER

    CrashED replied to lawandaluxnurse's topic in Emergency

    I moved to the ER almost 3 years ago with a background in General Surgery, Vascular Surgery, Urology. (And before that had worked Neuro and Rehab nursing). I found the transition was overwhelming at...

  5. Nurse/Patient ratio in the ED?

    CrashED replied to jlan79's topic in Emergency

    It completely depends on the environment you are working. My ED is broken into 4 parts, fasttrack where the ratio is 1:9, Acute where the ratio is 1:4-5, and Critical/Trauma area has a 1:2 ratio. In...

  6. Is Med/Surge considered acute care?

    CrashED replied to Born_2BRN's topic in Medical-Surgical

    In my area we are in a nursing home shortage, so half of our acute care beds are being taken by LTC patients...so unfortunately when you work Med-surg, It turns out to be a bunch of seniors awaiting...

  7. Verbal Abuse...I Gave What I Got...

    CrashED replied to abundantjoy07's topic in Emergency

    You are not alone! Sometimes you just need to hand it back...then fill out an incident report to cover your own

  8. What do you hate seeing the MOST in the ER!?

    CrashED posted a topic in Emergency

    What is the thing that you hate seeing in the Emergency Room? Is it kids, traumas, lost causes, frequent flyers or........... What gives you heebeejeebies, Creeps, Chills, gags. Tears, bad taste in...

  9. Nurses taking patient's off backboards without doctor clearnce?

    CrashED replied to the big nurse's topic in Emergency

    We are working on that at my trauma center, more so because our medics have rediculous protocols. Anyone with fall or mvc below the age of 5 or above the age of 65 automatically comes in boarded and...

  10. Vent: "I should warn you, I'm a tough stick..."

    CrashED replied to Anna Flaxis's topic in Emergency

    Unless its an IV drug user telling you "I am a tough stick"....I don't believe

  11. Calling Code Blue in ED

    CrashED replied to becca001's topic in Emergency

    I don't know about any of you, but at my hospital if a code blue is called, so many people arrive that it can spin someones head. We run our own codes in emerg, and it runs smoother then any floor...

  12. Ruptured Appendix

    CrashED replied to MassED's topic in Emergency

    I have only been an emerg nurse for a few years but my previous back ground is Gen Surg. And I have seen the wait and see approach to a ruptured appy many times. There is obviously certain criteria...

  13. ER meds

    CrashED replied to ketonesRN's topic in Emergency

    Emerg drugs are scary, because we deal with everything from pain and nausea meds to antibiotics and PALS/ACLS Drugs. See if your facility has a parenteral drug therapy manual. We have one and it is...

  14. Vent: "I should warn you, I'm a tough stick..."

    CrashED replied to Anna Flaxis's topic in Emergency

    Does your hospital not have policy for venipuncture?? We are only allowd 2 attempts per RN unless its an arrest/emergency situation and then we pull out the old IO to get things going until we can get...

  15. Paramedic Students

    CrashED replied to celticcare's topic in Emergency

    We have several nurses in our department who preceptor Medic Students. It gives them an eye opener of what goes on once they drop the patient off. As their clinical rotations, they do several shifts...

  16. Great moments in bad judgement

    CrashED replied to emtb2rn's topic in Emergency

    Good old smoking cigarettes with the home O2 cranked at 6lmp via Nasal Prongs....KABOOM! (((And they didn't learn the first time, because it happened

  17. Scrubs in the Emergency Department

    CrashED replied to Krystall's topic in Emergency

    We can basically wear whatever we want. T-Shirts or scrub tops. And some of our Male Nurses wear Cargo

  18. Help! I am failing orientation.

    CrashED replied to amzyRN's topic in Emergency

    The ED is a hard place for any nurse to go. The style of nursing is completely different. You need to be able to prioritize, recognize problems, emergencies and acuity. Some new RN's have trouble with...

  19. ED Diversion

    CrashED replied to Pudnluv's topic in Emergency

    Diversions are really hard. I work in a city where there is a level 4 center that is open until 11 pm. It will see almost anything that can be seen, and sent....but people are afraid of waiting!!!!...

  20. Are there doctors on duty in the ER?

    CrashED replied to Anna Flaxis's topic in Emergency

    Last week I am pretty sure my whole city had DIARRHEA/VOMITING, and ofcourse INEFFECTIVE COPING! And everyone of them came to emerg! I must have triaged 80 people with the runs in a 8 hr triage shift!...

  21. Advice - I'll need a meal tray too

    CrashED replied to LalaJJB's topic in Emergency

    I tell them we are instructed to keep them NPO until a physician order along with all disgnostic results are reviewed. If they are diabetic, we will monitor their sugars....and if they are really...

  22. Nurse practitioner in EM/ER

    CrashED replied to danceluver's topic in Emergency

    We have 2 NP's who work at our trauma center, and the implementation of them has been a marvelous asset to our hospital. They see the levels 3-5 within their scope. It works great, and makes for...

  23. You know its a seeker when . . .

    CrashED replied to BostonTerrierLover's topic in Emergency

    They present with _____ pain, and you go to get them an order for something and this is what the allergy list looks like....HINT #1 TORODOL FENTANYL MORPHINE ADVIL TYLENOL CODEINE TALWIN LYRICA...

  24. Differences between Vapotherm and CPAP/BIPAP

    CrashED replied to gt4everpn's topic in NICU, Neonatal

    I love the gardenhose

  25. What is the most interesting case you've seen in the ER?

    CrashED replied to BigDiesel's topic in Emergency

    1) Paramedics report patient is found acting "Bizarre", diaphoretic, co Chest Pain radiating to his neck. Turns out the patient had a whole slue of problems. STEMI, Menningitis and to top it all off...