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In your experiences... What is acceptable practice for a one-time dosage of acetaminophen? What is acceptable practice for q4hr administration? Have you ever seen a child that received a one-time hepatotoxic dose ( What about hepatotoxic doses receiv...

I'm in triage now and this 20-ish y/o lady walks in, says "ya'ah'teh" (Navajo for hello) and shakes my hand. She lays a package of the large tissue/wrapping paper for making backgrounds on big bulletin boards down on the desk and says "this is to de...

There's two very important details that everyone is leaving out: 1 - The ER I'm from is divided into two areas of care. I don't know if many or most ER's are setup like ours, but we have a quickcare sectioned off from the rest of the ER. Esentially...

No worries! You're not a hypocrite. A lot of nurses have fear of going under the knife! That's perfectly normal.

I was in a situation several years ago where I was convinced I had started an A-line on a young guy. He was ~18 y/o muscular, fit guy, in ER for intense abd pain and being a little....shall we say dramatic. Either way, tensing abd muscles, or rathe...

It's pretty unanimous nationwide that the court will require her to complete alcohol safety awareness program. That's a big part of the money-pit. I still maintain that the BON would MUCH rather make you jump through a few extra hoops so they can st...

"PLENTY of nurses who DON'T choose to put their lives the lives of countless innocent individuals in harms way may be more deserving of a job than those with a history with the judicial system =( " I suppose no one on this forum has EVER picked up a ...

Fact of the matter is, MOST sources will say 3 mL for large muscles, 2 mL for peds VL injections. But the fact of the matter is that there hasn't been much true research on what is an acceptable volume to administer IM. We give clindamycin 600mg IM...

I have been a traveler since March '11...and on one level HATE IT!! Houston, TX was SCARY because NONE of the docs there trusted any of the nurses...especially travelers. "Hey doc, this kid has a GCS of 7 after the meds you ordered....should we con...

If your patient was an adult, they were a WEENIE. The vastus lateralis and dorsal gluteal muscles on a normally sized adult can handle 3 mL (irritating med or not) with no trouble. If I remember correctly, 1.5 mL is max for deltoid. Peds is differen...

At our facility, the big push for Magnet status has been well underway for a couple years. The dear people in HR even made a position for our "Magnet status consultant". At any rate, I feel certain that this has something to do with what our hospit...

"For ever 1meq of hydrogen loss you generate 1meq" I thought matter is neither created, nor destroyed....seeeems like I remember something about that. Give me details on this...I'm curious.

Search for "Lasix IV" and "ototoxicity".

OCNRRN63: THAT was a total waste of 30 minutes of your time. Anyone with more than two braincells would instantly look right past that useless heap of judgement calls. EricaSAFJAF: The most challenging thing (hopefully) to deal with is going to be g...

I had just recently left an assignment in Houston where ANY febrile child would receive a 500mg suppository in triage "per protocol"...regardless of age or weight. The physicians would routinely give orders for the same. "Give the kid some Tylenol."...

I've saw the same thing once. Ms. X came in repetitively, over and over and over again, but instead of just sticking to one identiy, she'd alternate between two of them. Finally, when someone caught onto what she was doing, they discovered she had ...

Theoretically, the BEST site for a PIV is in the forearm. Hand is contraindicated due to extravasation and very little soft tissue there. Wrist contraindicated due to high risk for compartment syndrome if infiltration. AC is actually contraindicat...

Hi all. I am a travelor working in a remote location on part of the Navajo reservation. I have been an ER RN for over 5 yrs and "grew up" in a level 2 trauma center with 44 beds that rolled around 200-250 pts through per 24 hrs and WONDERFUL MD's wh...

Yeah...documentation is one of the trickiest parts of nursing. But if all else fails, just plain english works great. I would have written it just like you did, Kiddo87. "Alert, but disoriented to person, place, time" works just fine.

Agreed. As a 6 yr ER nurse, I wouldn't even consider taking a patient to a MS or tele floor with a core temp of 91ºF. Whether I had the order and accepting floor ready or not. Just isn't safe. A now, common-place practice of giving the floor nurs...

The first thing I do in the ER with any MI is slap some combi-pads on them. STEMI's are notorious for inducing some wicked ventricular arrythmias. They go NSR c ST elevation → VF → ZAP! → NSR c ST elevation. What's especially creepy is when someon...