LakeEmerald

LakeEmerald

Emergency/ICU

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All Content by LakeEmerald

  1. Need advice! Contract or travel to work??

    LakeEmerald replied to ER.rn0922's topic in Nursing Career

    Take the level 2 ED if you are confident that you are competent and tough enough to soak up the training and roll with it. The training you will get will further you along in your ultimate goal. Do...

  2. PLEASE HELP! fired/demoted RN still on orientation

    LakeEmerald replied to jrobbin44's topic in General Nursing

    Am I the only one who sees a silver lining because the DON wants to try the OP in a different department? The DON must see something good about you, and may see from his/her broader perspective that...

  3. What makes a nursing contract binding & official?

    LakeEmerald replied to Kit.Kat's topic in General Nursing

    I think it's Department of Labor. Labor laws likely wouldn't support the company orienting you without paying you. It sounds sneaky and unprofessional, just like your contract. However, your...

  4. Working PRN for paragon?

    LakeEmerald replied to nyc2011's topic in Emergency

    I was looking to check out other opportunities in my area while keeping my current job, so I signed up with Parallon when they promised me a similar offer. The 1st person I spoke to at the company,...

  5. Win $100! May 2015 Caption Contest

    LakeEmerald replied to Joe V's topic in General Nursing

    "It's 6:58 and there goes another one! It's been pretty entertaining since they moved the time clock over to building

  6. Patients allowed to go outside and smoke???

    LakeEmerald replied to JackiRN's topic in Patient, Colleague Relations

    We inform our patients in writing and verbally that ours is a nonsmoking campus and smoking indoors or out is not permitted. They sign an acknowledgement to this effect. Hopefully this covers our...

  7. Taking care of DNR patients. The point?

    LakeEmerald replied to cholmes1223's topic in General Nursing

    This does beg the question, "Why is a DNR on tele in the first

  8. Nursing dream nightmares!!

    LakeEmerald replied to EmergencyRN22's topic in General Nursing

    Recurring: I arrive at work without my scrubs. I suddenly have a full patient load (ED) but I cannot start work without my scrubs. My boss and coworkers will be wondering where I am, but I am...

  9. Med Error

    LakeEmerald replied to Daisie4100's topic in Patient Safety Issues

    You made a mistake. You were honest. You took appropriate action afterward to ensure your patient's safety. You operated with integrity. That says a lot about the kind of nurse you want to be. It...

  10. I hate night shift

    LakeEmerald replied to Wrangler156's topic in General Nursing

    Don't know if this has been mentioned, but night shift is definitely not for everyone. Some people thrive, some people get by, and some people dive. If someone is unsuited for night shift, it can...

  11. Drug seekers

    LakeEmerald replied to SierraBravo's topic in Patient Medications

    How about hanging the med instead of pushing it? If not contraindicated, a 50 or 100mL NS drip over 5-10 minutes would deliver the dose without giving the patient a buzz. Pushing it too fast, (by...

  12. Esme Needs Your Prayers

    LakeEmerald replied to ixchel's topic in General Nursing

    Love and hugs from all the souls out here who have been blessed with the gift of your uplifting spirit. Get well

  13. The Story of Jahi Continues

    LakeEmerald replied to EaglesWings21's topic in Nursing News

    "Corpse care" (not my term) takes place every every minute of every day all across this country in ICUs and LTACs. There's no indignity in this and is done by some of the finest nurses out there. This...

  14. COPD and O2 sat

    LakeEmerald replied to Soran's topic in Emergency

    68% sats on 4L and not a DNR? Grab a nonrebreather and give the patient some relief. And call respiratory! She's in a crisis, and you are correct, the benefits far outweigh the risk of increasing...

  15. Most surprising/shocking/interesting thing you've seen

    LakeEmerald replied to TexMex22's topic in General Nursing

    Pt bought in by EMS to ED. Wife called them because her husband wasn't eating x 1 week. Essentially no chronic problems. Paramedic met me outside the room and told me to prepare. I girded my loins,...

  16. I need help. =(

    LakeEmerald replied to MissyERnurse's topic in General Nursing

    Your director may have messed up. If the med/surg unit really likes you, and you like them, then maybe there's a new match! Keep thinking positive! Best

  17. Pixus waste never witnessed

    LakeEmerald replied to bella14k's topic in General Nursing

    I suggest you bring up the unwasted morphine with your preceptor, and ask her to help you waste it. It may come back to bite you in an audit later on if you don't. Do you recall the patient's name...

  18. VENT!!

    LakeEmerald replied to tuxedopenguino's topic in General Nursing

    I used to be a business HR manager. My advice: If you can hold out 2 more months (maybe as per diem?) it will look so much better on your resume. If after 6-10 months you are communicating to...

  19. Patient rights to refuse?

    LakeEmerald replied to wezzie, RN's topic in Psychiatric

    I am not in psych nursing, but it seems it would be more appropriate to offer a reward system to all patients for attending group and meeting goals; rather than a punishment system that creates anger...

  20. When did it become OK to treat your nurse like poo?

    LakeEmerald replied to paramed1's topic in Emergency

    Foragreater: NO! You are not wrong. That's what vending machines are for. And besides, it sounds like your compassion remained intact while you carried out your ultimate objective - to get all those...

  21. My bedside quirks...wakey wakey

    LakeEmerald replied to blackvans1234's topic in Nursing Humor

    This is a pet peeve of mine in the ED. Overly dramatic patient with minor ailment cannot be awakened when it is time to go home. The sternal rub works wonders, but I love Esme's techniques....

  22. New Nurse Proverbs.

    LakeEmerald replied to richardgecko's topic in General Nursing

    Alan Shepard's prayer, Lol! You always have time to stop and think before you act; and, You can only do ONE thing at a time, figure out what the most important thing is and do it, ALL day long! I...

  23. When did it become OK to treat your nurse like poo?

    LakeEmerald replied to paramed1's topic in Emergency

    Yes, it's like: You have been in this ED TOO many times when you come in demanding socks, ice chips, an extra pillow, a warm blanket, and specific snacks (vanilla pudding pack - because you haven't...

  24. What is your ER like.....need advice?

    LakeEmerald replied to Theocbean's topic in Emergency

    1:5 is a hard ratio with which to ever feel caught up in the ED (not including fast track). With that ratio, you would definitely need more techs/floats to keep things moving. Maybe another ER would...

  25. What to Do When the Doctor Throws the Nurse Under the Bus by Lying

    LakeEmerald replied to blackdiamond407's topic in Patient, Colleague Relations

    In my hospital, the consent for transfusion form may be signed by the patient with the nurse as witness. This may occur only after the MD has informed the patient of the risks and benefits of having...