AZQuik

AZQuik

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All Content by AZQuik

  1. Discouraged 1st year ER/ ED nurse

    I usually find a few docs I can bounce things off as well. Many people enjoy showing of their knowledge. Docs are no different. I also study cases that stumped us. Humans are dynamic creatures which...
  2. Inadequacy and Incompetence

    We do finger sticks on anyone who is AMS even if EMS did one. Any suspicion of stroke we also do a finger stick even if they aren't altered. Tuck this one away for future
  3. Random: best lotion for dry nursing hands!

    Aveno Eczema. A little greasy for a minute or two then goes away. Three days and my cracked bleeding hands are good
  4. Of course, it's always the nurse's fault.

    Which is why you redraw. Maybe everything else was off but looked normal due to the hemolized sample. If things are clotted or hemolized, we
  5. Prednisone

    A flush would have pushed more dec in. And yes it should have been flushed. Given dec thousands of times and haven't had a pt tell me this was their experience. Maybe I pushed it slow enough (most...
  6. "Smart" students make bad nurses?

    Oh, rarely does anyone ever ask me where I went to school, and nobody has ever asked me what kind of grades I got. Most coworkers want to know if I'm going to show up when scheduled, and if I can hold...
  7. "Smart" students make bad nurses?

    Work hard, be humble, work hard to fit in with the team, don't be arrogant and show people up. Continue to learn, and don't act like you know more than somebody else. Nobody wants to be around...
  8. Why can't nurses intubate?

    Awesome perspective in this post! Thanks! Enjoy the rocking chair. Here's hoping my retirement allows me to use all the fly rods I'll have collected while working. Maybe teaching a future grandkid...
  9. Advice for a OR nurse wanting to make move to the ED

    Just to prepare you, you don't spend most of your time in the ED feeling like you're," making a difference and saving lives" It does happen, but this is probably not how you will feel most of the...
  10. ER wait times

    I use the the word unstable over sickest. When walkie talkies tell me they are unstable while I am running through the hall trying to find enough epi to make an epi drip on a guy we are coding at 4 am...
  11. About to start in ED

    The ESI book is free
  12. About to start in ED

    Don't worry too much about ESI out of the gate. Get the free book and become familiar with it. To really be able to use it you kinda need to know what work ups will be done with what presenting chief...
  13. Hand washing lesson

    Not really. Not if your audience is healthcare workers. 40 min is very long for second graders and their families. Better include lots of bubbles
  14. Valuable life lessons from an ER nurse....

    You're doing great! Hold
  15. Valuable life lessons from an ER nurse....

    Can you use a
  16. Help, Pls! New to the ED

    Yes. That is
  17. Future ER nurse

    Yes but a lot of flight programs value ICU experience. Some don't. Kinda depends on their specialty. I know several flight programs around here that drool at RN's that have
  18. How long to be really comfortable?

    Everyone is different. Schedule is horrible though. If you are going to work overnights it really needs to be: you decide when (as in you work days but pick up a night here and there) or a dedicated...
  19. Antibiotics and allergies

    Pharmacy. We have a couple great PharmD's on through the daytime and into the night. When it's late and they go home we call Central Pharmacy. We have some great ones there as well. This kind of...
  20. Do you hold drunks against their will?

    Yup. We have many regulars who have ended up tubed, in the ICU with dt, or after they arrived we found out there was spice/cocaine/heroin/bath salts involved and it was another adventure all together....
  21. Do you hold drunks against their will?

    Yeah. We try to shoot for their "sober" or baseline. Usually around a etoh level of 100. Then po challenge, road test, and let them go to medicate their own dt's. When we overshoot that mark they...
  22. Do you hold drunks against their will?

    Nothing. We get them all the time. Mtf or metabolize to
  23. New ER Nurse - Feel Like Quitting Job

    I disagree. Plenty of hospitals orient on one shift and then someone spends the last few weeks on their soon to be primary shift. I was oriented for 6 months. 5 were on nights. Maybe it's not your...
  24. Spice Spice Baby

    Unresponsive and bradycardic has been a common presentation here. Particularly after an initial episode of hallucinations and violent towards ems/ER staff. Also etco2 drops into the low
  25. Med/Surg to ER: General work flow in ER at night

    38. No problems with the