AZQuik

AZQuik

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All Content by AZQuik

  1. Spice Spice Baby

    AZQuik replied to joyful_wanderer's topic in Emergency

    Yup. Posted about it a few weeks back. The crazy thing is the way a pt crumps can depend on what brand they

  2. Depressed self-referral to ED

    AZQuik replied to jana82's topic in General Nursing

    I believe the disconnect lies in weather or not an RN can implement a hold. While we do not specifically implement a hold we will stall a pt long enough for a physician to evaluate and decide....

  3. Depressed self-referral to ED

    AZQuik replied to jana82's topic in General Nursing

    Actually the locked psych units I've worked on, pt's had a lot more leeway to act out before being put in restraints. The ED is just way too public of a place to allow that. My experience, and that of...

  4. Depressed self-referral to ED

    AZQuik replied to jana82's topic in General Nursing

    Nope. Not naked. 4 pointed all the time though. That said, I will repeat, there seemed to be no indication for any type of restraints in the OP. BSN GCU 2014. Sent from my iPhone using

  5. Depressed self-referral to ED

    AZQuik replied to jana82's topic in General Nursing

    While I am not disagreeing with the psych people who have chimed in, several qualify their posts with," I'm a psych X" Just to be clear, people get restrained in the Ed MUCH quicker than in a locked...

  6. Depressed self-referral to ED

    AZQuik replied to jana82's topic in General Nursing

    Don't think I said anything about that. I don't disagree with you. Restraints are for immediate threats when other less restrictive means have failed. I was referring to changing clothes and placing...

  7. Depressed self-referral to ED

    AZQuik replied to jana82's topic in General Nursing

    We do it in the Ed as well. Doc has an hour to evaluate after restraints are applied. BSN GCU 2014. Sent from my iPhone using

  8. I need an ER nurse to answer this question for me (pt with HIV related)

    AZQuik replied to Risan's topic in Emergency

    Oh yes. Even well educated people that know about the virus still get cross eyed. BSN GCU 2014. Sent from my iPhone using

  9. Depressed self-referral to ED

    AZQuik replied to jana82's topic in General Nursing

    I agree the restraint was out of line unless the pt was somehow dangerous. The clothes thing is not uncommon. In my facility their belongings/clothes are taken and they are dressed in paper scrubs of...

  10. Depressed self-referral to ED

    AZQuik replied to jana82's topic in General Nursing

    Restraints on a cooperative pt? This was a physicians decision? I'd be writing a report up about that. Completely unnecessary. Restraints are a last resort. I have never applied then to a flight risk...

  11. Stroke protocol in ER

    AZQuik replied to Ggraf's topic in Cardiac

    Yep pretty standard for stroke centers. Fingerstick, Cincinnati, ct w/o contrast, neuro consult, tpa, mri, if everything goes right. There is more but that's the gist. BSN GCU 2014. Sent from my...

  12. IV Cather kinking when advancing

    AZQuik replied to sreynolds's topic in Emergency

    This. Do it every time. BSN GCU 2014. Sent from my iPhone using

  13. Universal Precautions

    AZQuik replied to Samt9's topic in General Nursing

    I worked ems as an emt then medic starting in the late 90's. Now am an rn in an er. I wear gloves all the time for just about everything and nobody has ever said I was too slow. Do your thang! BSN...

  14. Firearms

    AZQuik replied to cracklingkraken's topic in General Nursing

    I've seen research point both ways. I don't trust any of it tbh. That said in the state I'm in CC is a right for any legal gun owner. I have carried concealed for years. I do not carry at work. I...

  15. Can TJC close/shut down a hospital?

    AZQuik replied to TurnerSW's topic in Activism, Healthcare

    They pulled Medicare funding to a hosp in my state due to JC issues and the hosp shut down. Not sure if JC can chain the doors like the IRS can though. BSN GCU 2014. Sent from my iPhone using...

  16. New Grad in ER (Time Management and Prioritization)

    AZQuik replied to gemmi999's topic in Emergency

    A good team can make or break anyone on a bad day in the ED! Glad you're getting along! BSN GCU 2014. Sent from my iPhone using

  17. New Grad in ER (Time Management and Prioritization)

    AZQuik replied to gemmi999's topic in Emergency

    Good advice here. I also try not to take anything too personally. Fast paced stressful environments tend to lack some of the niceties in communication. I always try to use my manners and be pleasant,...

  18. New Grad in ER (Time Management and Prioritization)

    AZQuik replied to gemmi999's topic in Emergency

    4 months might be a bit short, we did 6 and some still struggled after that. I mean everyone struggles at first, but some really are unsafe due to struggling. Safety first, communicate, and ask for...

  19. Ethics: Does knowledge of a patient's blood borne pathogen change your care?

    AZQuik replied to JMed18's topic in General Nursing

    Not treated differently per day, but it can be a factor in care plans or diff dx. They way some of these things ravage a body is certainly a consideration as well as potential med issues. Yes people...

  20. Spice?

    AZQuik posted a topic in Emergency

    Anyone else having a lot of cases? We seem to be getting bombed with spice in the city I work. So hard to anticipate POC. Might b52 might intubate without the need for RSI drugs. So variable! BSN GCU...

  21. Male catheters

    AZQuik replied to libran1984's topic in Men in Nursing

    I feel strange vibes from some pts, and I get a female to hook up a five lead sometimes. That said I am always helping others. I have zero issue asking the opposite sex to do something private...

  22. Did anyone find nursing school challenging?

    AZQuik replied to RNCoda's topic in General Nursing

    I agree with not hard but time consuming. I think a lot of what ns teaches I learned from day 1 from my dad. Learn the standard, apply standard, admit and learn when you're wrong, go forth and do the...

  23. To ER or not to ER?

    AZQuik replied to Nevada_RN's topic in Emergency

    If you know "sick" vs "not sick" and you can nail that down quickly, and understand that this is an ongoing assessment of all pts around you (not just your assigned pts) the rest is details you can...

  24. ER NURSE PEEVES

    AZQuik replied to wojoRN's topic in Emergency

    Yeah I work hard. New to nursing but not healthcare. That phenomena is not just nursing but life in general. It's funny, we all work hard to make things easier for our children, then we are shocked...

  25. Spice?

    AZQuik replied to AZQuik's topic in Emergency

    It's ironic it's marketed as a synthetic thc, but effects we see (obviously plenty use it and never have the effects we see at the er) are more like pcp. Some we get just get labs, fluids, restraints...