AZQuik

AZQuik

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All Content by AZQuik

  1. What is a typical day?

    AZQuik replied to Alexxoxox's topic in Emergency

    Those percentages are a little different where I am, but this post is a good indicator of a day in an inner city ED. Things change a bit when you factor in your duty for the day as

  2. Getting better in codes?

    AZQuik replied to amzyRN's topic in Emergency

    A lot of good advice here, but the bottom line is, the more codes you work (not practice), will make them more mundane, and settle your adrenaline a bit. Until then master the skill. Start iv's the...

  3. New Grad Nurse Starting in Tramua 1 ER

    AZQuik replied to Runner_12345's topic in Emergency

    Yeah post something calling other people cowards and see if you get a positive response. Trolling 100% I work with nurses in the Ed that are full time school nurses and they are not cowards. Come work...

  4. New Grad Nurse Starting in Tramua 1 ER

    AZQuik replied to Runner_12345's topic in Emergency

    Honestly

  5. In room charting?

    AZQuik replied to amyjm333's topic in Emergency

    Depends on what I'm charting and why. I do intakes/assessments I usually chart in room unless there is a reason I don't want to be there. Flow and discharges I usually chart out of room. Meds are...

  6. ESI question

    AZQuik replied to peaches88's topic in Emergency

    Visits/week does not factor into esi level. Period. 2's can be 1's or 3/4/5's depending. 5's can be 1's....depending. If you can justify your reason for picking X. Don't worry about

  7. Ratios changing in my department

    AZQuik replied to montecarlo64's topic in Emergency

    Ratios are ok but there needs to be some flexibility. Sometimes a migraine turns into a an acute stroke eligible for TPA(in a 6:1 zone, and other times a 2 turns into a 3, but someone freaked out and...

  8. Triage nursing: How do you keep your sanity!?

    AZQuik replied to emergencynursy's topic in Emergency

    You are allowed to tell them, there are X people waiting and, Y is the longest wait." When they complain I tell them, " based on my triage I think you should get a medical screening by a provider,...

  9. Fire fighter to ER nurse?

    AZQuik replied to Anthony11's topic in Emergency

    Pay depends on where in the country you are, but it's not great. I mean you can be ok, but you aren't getting rich. You won't starve though. It's a lot of drama and work. More than you would think. A...

  10. Frustrating... ED is Not Critical Care

    AZQuik replied to bgxyrnf's topic in Emergency

    Honestly I don't think of an "er nurse" as a "critical care nurse". Not to say a nurse can't be good at both, and there is a lot of overlap in drugs/blood tests/skills/charting. But really they are...

  11. Thoughts of an ER Tech

    AZQuik replied to vregino36's topic in Emergency

    Usually hard working, respectful people working together on an interdisciplinary team find respect for each other. Unfortunately not everyone is hard working or respectful. I work in a busy high...

  12. Ultrasound Guided IV insertions

    AZQuik replied to pluckyduck's topic in Emergency

    Are you using a cross sectional view or longitudinal

  13. What is your Nursing Kryptonite?

    AZQuik replied to Lunah's topic in General Nursing

    Body fluids in my eye.

  14. Blood Transfusions Question??

    AZQuik replied to jk2185's topic in General Nursing

    Can't quote for some reason, but @

  15. Excited about ER internship, but just found out I'm pregnant. Should I take the internship

    AZQuik replied to LovelyBlue's topic in Emergency

    If you want to feel like you are doing your share, do more of the things you can do. Most of our baby incubators do not deal with people who are violent if we can help it, aren't lifting a ton, etc....

  16. Excited about ER internship, but just found out I'm pregnant. Should I take the internship

    AZQuik replied to LovelyBlue's topic in Emergency

    The internship will not be unsuccessful due to your pregnancy. I have seen new grad nurses do it. Give it a go and see what happens. Use your maternity leave to be with your child and get your CEN so...

  17. ICU thinking about ED

    AZQuik replied to CGB1's topic in Emergency

    Many less train wrecks in the ED. The difference is they often have crashed before they arrive. No lines, no tube, knife in their pocket, restrained by EMS, blood and commit everywhere. Or whatever...

  18. Blood Transfusions Question??

    AZQuik replied to jk2185's topic in General Nursing

    Sounds like TRALI. Often transfusion reactions require a cxr because this is a

  19. Holding "Ordered Meds"..... What are the rules?

    AZQuik replied to jk2185's topic in Patient Medications

    I work in a level 1 teaching hospital in the ER. This whole conversation is amusing to me. I hold a med and walk over and tell the doc. No waking someone up, no 12 hours later someone is asking about...

  20. Reason for IV fluids

    AZQuik replied to Matt8700's topic in Emergency

    See this a lot with our regular alcoholics. We do etoh level strictly on blood. I wish we would go to a breathalyzer to get this info. If after obtaining a breath level, a more exact level is needed...

  21. Too slow

    AZQuik replied to amzyRN's topic in Emergency

    Sometimes picking up the pace simply means move faster. If you can't do it while starting an iv or hanging a med, do it while walking to get supplies

  22. Handling multiple ICU patients in the ER

    AZQuik replied to amzyRN's topic in Emergency

    Yup. Need another nurse or a few techs/medics. Managing several icu pt's is possible with enough help, remember in the Ed we stabilize. You can do this with enough help. You will not be able to...

  23. Disrespectful patients

    AZQuik replied to Mrs.in2015's topic in Patient, Colleague Relations

    I would have gotten that Hershey bar! Not because I'm so awesome, I just love chocolate (and rewarded challenges that

  24. Overdose or tbi? What would you do?

    AZQuik replied to BAP16's topic in Emergency

    Yes it's possible, but not very likely. Yes we are all sticking to the treatment. I don't judge too much. Not my job, but I don't refuse to accept that we should treat even if the pt says I don't do...

  25. Overdose or tbi? What would you do?

    AZQuik replied to BAP16's topic in Emergency

    Doesn't really sound like etoh. She should be tachycardic from diuretics and hypoxia. Unless she has crumped that far and gets tubed. I've seen a lot of that with spice but they usually come in...