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Best ER Tricks what it meant is like putting two tourniquet to get the IV
That would work on a person not addicted to drugs....Won't make a bit of difference except in your own head. What they actually heard was that they have cancer and now when they come in they need more and better drugs.
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Cyclic vomiters (drive me up the wall)
Most of our cyclic vomiters are related to marijuana use. There are actually some good articles out there that you can find to read about it.
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In my ER, we're required to do preg tests before giving Toradol. Does anyone else do this?
We used to be able to do dip urines and hcg in the ER way before CLIA regs. Not anymore. If your lab is taking 4 hours to get labs back I would be writing a vriance each and every time. That is not stat and can be way dangerous. There should be no reason especially on a test that is complete in under 2 minutes.
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In my ER, we're required to do preg tests before giving Toradol. Does anyone else do this?
If you check your drug references it is contraindicated in pregnancy. We do ucg first. Toradol is also contraindicated in early pregnancy. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking Toradol during labor can increase the risk of bleeding during childbirth. Do not take this medication during pregnancy unless your doctor has told you to. This medication can affect fertility (your ability to have children). Do not take Toradol while you are trying to get pregnant. Toradol can pass into breast milk and may harm a nursing baby. Do not take this medicine without telling your doctor if you are breast-feeding a baby. Do not give this medicine to anyone younger than 18 years old.
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Best ER Nurse quotes
I don't remember working with an Eric.....
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Help..fellow RN breaking into co-workers E mail
Call the corporate compliance hotline. This takes it out of your managers hands.
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Should the H1N1 Vaccine be mandatory for Healthcare Professionals?
I think the Walmart greeter should be required to get it.
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pyxis dilemma
You can also be sure that pharmacy hasa system in place to see how much medication that this nurse is taking out. If all of your facts are true you will actually place your own license in danger by not reporting. anonymous isn't going to work later, everyone might decide to claim that they were the anonymous tipster. You can call your ethics hotline. Umm and palliative care is an awesome place to be for someone with a diversion problem............ She may not have pyxis access, but these pts may be on pca devices, some folks will actiually steal pain patches right off he patients. Or how about. "You look busy, how bout you pull out some pain meds and I will give those for your." Then her name appears no where and the documented care giver take the fall in the end. Oh and people who NEED the meds aren't getting them and suffering.
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Where Do People Dream This Stuff Up?
No one smokes more than a half a pack a day.......... No, 99.5 is a high fever for me because mine normally runs low......... I am havinga seizure.....right now in fact......... ooohhhh these contractions hurt soo ba......OOOOWWWWW that IV hurts.....
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got shouted at yesterday night
oh i would have had "a little chat with him," it would have had nothing whatsoever to do with a breakdown of my patient load. i would have informed hime that i understand that you are unwell but at no time is it appropriate to speak to me in such a fashion. i will take very good care of you, you will recieve very good medical care. your part of this relationship is to be respectful no if's and's or but's. i have had this conversation with many patients, i do not care how old they are.
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Immediate Bedding. Thoughts?
We do this to some extent. The patient will be brought to a room by either a tech, or a nurse. Either will at least get vs, give them a gown, and sent to collect a u/a if applicable.
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drug testing
Pretty much every employer requires a drug test for any worker related injury. The insurance companies require it. Presumably so that if the owrker tests positive they can state that may have caused the error that led to the injury.
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"I need someone who can give me regular IV's "
There are so many "interesting out there" I had a patient a few weeks ago who sent her husband to town to try and buy her a foley catheter because she "felt too weak to walk to the bathroom."
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how many of you go to the grocery store after working with patients?
What about those people who pick their nose while driving their car? Where do you suppose they're going with those nasty fingers, and do you think they're going to be washing their hands before handling those tomatoes? Oh Thanks. Now I will never be able to eat a tomatoe ever again. I agree. To the Original poster do you believe that all of those other non-scrub wearing folks are sterile? These are the people spreading contagion, not me.
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*Weird* Patient Allergies
Had a pt once tell she was allergic to saline.