MikeyBSN

MikeyBSN

ED

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All Content by MikeyBSN

  1. Online Courses Micro, A+P transferable?

    MikeyBSN replied to LVNfairy's topic in General Nursing

    It probably depends on the individual school's policy. I've seen school policies that state they don't accept online classes for credit. How do you do the lab

  2. Is it just me? (Nurse/patient ratio related)

    MikeyBSN replied to devi's topic in General Nursing

    There is hardly a "debate", every organization I've seen, along with the State of California, agree that the ED ration should be less than that on the floors. If we are holding a patient, sometimes...

  3. Evidenced Based Staffing

    MikeyBSN replied to sollyhue's topic in General Nursing

    There will probably be nurse-ratio research studies done on california because they are the only ones with a mandate. I've seen different estimates from various organizations. I follow these...

  4. Is it just me? (Nurse/patient ratio related)

    MikeyBSN replied to devi's topic in General Nursing

    It is largely recognized that ED nurse-to-pt ratios should be lower than those of the medical floor. I'm not saying that working oncology is easy. If you have a patient on your med-surg floor with...

  5. Is it just me? (Nurse/patient ratio related)

    MikeyBSN replied to devi's topic in General Nursing

    Butcher jobs? Nurse-patient ratios have generally decreased over the years, not increased. Salaries have also increased, as ratios have decreased. I'm sure that managers care that their nurses have...

  6. How can we protect the nurses?

    MikeyBSN replied to hdhnurse's topic in General Nursing

    We are fortunate to have a good security department. We have additional measures, such as a locked ED with security code doors or ID swipe panels for entry. Our psych ED is a completely locked unit....

  7. ER Cheatsheets

    MikeyBSN replied to **Kalko**'s topic in Emergency

    The best, and IMO only useful guide, is the ACLS pocket Guide. There are various ACLS pocket guide, but the better ones have medication charts for quick-reference acls drip rates. For example, if...

  8. Hiring Freeze and New Grad

    MikeyBSN replied to natrgrrl's topic in General Nursing

    When I graduated that economy wasn't great, but it was better than it is now. Even then, getting a nursing job wasn't cake. I had medical experience, I was at the top of my nursing class and I had a...

  9. Is it just me? (Nurse/patient ratio related)

    MikeyBSN replied to devi's topic in General Nursing

    First, our staffing situation has improved, but the point is that it was manageable. In comparison, our hospital is better than most, in many areas. I've also worked at other hospitals and I believe...

  10. Is it just me? (Nurse/patient ratio related)

    MikeyBSN replied to devi's topic in General Nursing

    When I started I often had 8 patients in the ER. On one night I might be giving blood to bed 1 because he's bleeding out into his GI tract but we have no beds in the ICU and now he's puking blood and...

  11. What gauge IV to use?

    MikeyBSN replied to Hilinenursegrl's topic in Emergency

    It depends how annoying they are! Just kidding. I'm not as aggressive with smaller gauges as I was when I started. Now, most of the patients I see get a 20. If grandma just needs some fluids, and I...

  12. TPA in pulmonary embolism

    MikeyBSN replied to kimber3ks's topic in Emergency

    We don't use TPA much in our ED, and I'm very thankful of that. I've never seen it used with PE. Every time I'm seen it used the patient bleeds out and dies. From what I remember when we do use it,...

  13. patient ratios in the ER

    MikeyBSN replied to tina_the_nurse's topic in Emergency

    Aside from CA, I don't think there are any states that have a limit on nurse to patient ratios. When I started I would have eight, nine, sometimes even ten patients. I might have a regular section...

  14. common situations encountered in emergency room

    MikeyBSN replied to vintageRXL's topic in Emergency

    Be prepared. Common situation: "I have stomach pain and I vomited 100 times. When is lunch? Can I get a sandwich before

  15. Working as an Independnet CPR/First Aid Instructor

    MikeyBSN replied to MikeyBSN's topic in General Nursing

    Thanks for all the responses. The "selling" would be the difficult part for me. I know my stuff in terms of nursing and skills, but I don't know if I'm much of a salesperson. Another thing, does...

  16. So I have a clinical in the ER

    MikeyBSN replied to IlliniGuy's topic in Emergency

    Jump in and do vital signs on patients as they come in. Ask the techs what you can help with as well. Ask them to show you how to do EKG's and accuchecks. Like thrownurse said, don't tell us how...

  17. morphine IV

    MikeyBSN replied to breaking_dawn's topic in Emergency

    Morphine is a narcotic, and with all opiod narcotics you always want to keep breathing in mind. MS can reduce respiration rates, so you want to check breathing. The second thing you want to watch is...

  18. New grad that was just hired at a rural hospital....

    MikeyBSN replied to libbyjeanne's topic in Emergency

    Are you serious? You're a new grad and you are going to be in charge of the entire ED, with up to four acute patients? I would buy liability insurance, lots and lots of liability

  19. Eat Before You Get Here!

    MikeyBSN replied to NurseJacqui's topic in Emergency

    Nice, I've noticed that some of the patients lie to the floor nurse. They tell the floor nurse that they didn't eat all day and the floor nurses would call us and yell. Now I document every time I...

  20. Eat Before You Get Here!

    MikeyBSN replied to NurseJacqui's topic in Emergency

    This is the best topic ever. I honestly don't understand what some of the patients are thinking. I'm pretty sure that sign says "Emergency" not "McDondald's." You're in so much pain that you need...

  21. So I have a clinical in the ER

    MikeyBSN replied to IlliniGuy's topic in Emergency

    I

  22. I cant start IV's!

    MikeyBSN replied to Creamsoda's topic in Emergency

    Maybe if the floors (ICU excluded) were not so pushy and demanding about the patient having an IV before coming to the floor then they would get more practice. We don't have an IV team, but if did,...

  23. How do you manage EMS pt's?

    MikeyBSN posted a topic in Emergency

    I'm sure this question plagues most ER's. We have gone through a few systems and haven't really found anything that works, although I do think our current system is better than the old ones. We used...

  24. STEMI and Dopamine

    MikeyBSN posted a topic in General Nursing

    I just wanted to make sure that I haven't been out of school that long. I had a situation the other day where I thought we should have given a pt dopamine (so did the other nurses). We had an acute...

  25. "Tips for the ED Drug Seeker"

    MikeyBSN replied to loricatus's topic in Emergency

    Ah, that website couldn't be more true. On a related issue, don't tell me you have no psych history, yet somehow you know you're allergic to Haldol, Risperdal and