LakeEmerald

LakeEmerald

Emergency/ICU

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All Content by LakeEmerald

  1. Time to vent - my apologies in advance.

    LakeEmerald replied to Levitas's topic in Medical-Surgical

    I totally understand your frustration and I don't think you were in the wrong. There are plenty of little things we can/should let slide, but this isn't one of them. The ED physician and ED nurse...

  2. We need sitters!

    LakeEmerald replied to applesxoranges's topic in Emergency

    This is not OK and it puts you and your patient at extreme risk. Our ED does not allow this to occur because it puts everyone's butt on the line. And this is a major JC issue. If a...

  3. Does it ever get better?

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

    You lost 2 days pay because a patient's roommate complained against you? Is that legal? How is that even done? I would not work for a company that would do such a thing to me. I hope you find a...

  4. Stroke vs overdose

    LakeEmerald replied to joe007's topic in Emergency

    This is why our ER runs a CT on most (if not all) altered patients. They don't all go code stroke, but they get a stat CT. Reason is: A: You cannot always trust the accuracy of what you've been told...

  5. Doing away with Scrubs

    LakeEmerald replied to Kcwestportboy's topic in Nursing Professionalism

    What about the pockets? Gotta have big

  6. Bariatric surgery

    LakeEmerald replied to Christy1019's topic in Health, Stress Management

    I have not done any research on the subject, but I can tell you what my perspective is from the Emergency Room. I have seen several patients with complications from gastric bypass surgery that are...

  7. Esme Needs Your Prayers and Well Wishes

    LakeEmerald replied to tnbutterfly - Mary's topic in General Nursing

    A lot of us out here know and love you from your wonderful and informative posts. Just know your nursing family from far and wide are thinking of you and praying for a great recovery. We await your...

  8. CEN

    LakeEmerald replied to Happynurse12's topic in Emergency

    Your urgent care experience will help you a good bit if you are doing splints, basic pediatric conditions, STD's, fractures, and skin conditions. There were several questions about such things. Study...

  9. shotgun knowledge from emergency geniuses

    LakeEmerald replied to tarotale's topic in Emergency

    Lactic acid may also be elevated after a grand-mal seizure. If the seizure is prolonged, the pH may be low, anion gap high. It usually resolves soon after the seizure (within an hour unless seizures...

  10. A New Day Dawns and No One is Diagnosed in the USA

    LakeEmerald replied to RNSue's topic in Disaster Preparation

    It is also good news that none of Thomas Duncan's 48 family members/contacts contacted the Ebola virus and their 21 day quarantine is complete. In particular, the four family members who shared his...

  11. First death....

    LakeEmerald replied to clh8987's topic in Geriatric, LTC

    Maybe it was her time to die? Without knowing her history, it's hard to say, but it sounds like not too bad of a way to go to

  12. Hate med/surg is ED any different?

    LakeEmerald replied to RNKX's topic in Emergency

    I find the fast pace and constant demand of the ED invigorating. However, the ICU gives a great challenge without the constant push/pressure of the ED to move-move-move! And, patient ratios in the ICU...

  13. College Algebra 8/25/2014, proctored !!

    LakeEmerald replied to ladyD123's topic in University of Texas Arlington

    GOBS of homework, I feel like my brain has increased 3 sizes in a week - lol! But so far MUCH more doable than the 8 week course. Goodbye life (til December 5th) - hello

  14. Potassium Rates

    LakeEmerald replied to bear14's topic in Medical-Surgical

    So you ran 3 separate 100ml bags, containing 10meqs each, over a total of 3 hours and 45 minutes? If so, sounds ok to me. Typically the max IV dose of K+ is 10meqs per hour. A little slower shouldn't...

  15. College Algebra 8/25/2014, proctored !!

    LakeEmerald replied to ladyD123's topic in University of Texas Arlington

    Yep. Went back and verified the latest syllabus. A calculator, a note card, and scratch paper are allowed for

  16. College Algebra 8/25/2014, proctored !!

    LakeEmerald replied to ladyD123's topic in University of Texas Arlington

    I read in the syllabus that a calculator and a 3x5 note card for formulas are allowed for the proctored exams. Am I wrong? Don't scare

  17. How to not get fired as a new grad ?

    LakeEmerald replied to arack05's topic in General Nursing

    This may just be me, but, after 6 months on any unit, a new grad should be able to function independently (with some help). Ideally, you should be managing care on your own and asking the occasional...

  18. Is it right for me?

    LakeEmerald replied to aimerson's topic in General Nursing

    If blood, wounds, vomit, and broken bones don't make you run for the hills, you are probably suited for nursing. Poop still grosses me out, but we all just have to tough it out and keep going. The...

  19. Top heavy

    LakeEmerald replied to KaylaRNBSN's topic in General Nursing

    Let it out, darling - we feel you! You made some great points. Hope you feel

  20. College Algebra 8/25/2014, proctored !!

    LakeEmerald replied to ladyD123's topic in University of Texas Arlington

    Hang on to your hats and start studying early unless you are a math whiz. This is not for the weak. Best wishes to

  21. College Algebra 08/19

    LakeEmerald replied to twindad85's topic in University of Texas Arlington

    Cara, I bought the book and it was expensive (loose, unbound, not user friendly), but if you have a good algebra reference already, you may want to save some money and just purchase the online access...

  22. Nurses' liability to assess ... and act

    LakeEmerald replied to nurseprnRN's topic in Nursing Professionalism

    GrnTea, I am fascinated by this topic and enjoyed reading the article. Would you mind sharing the name of the legal nursing list you are on? One of my favorite sites is Legal Eagle Eye at Legal...

  23. ED Tech while License Pending???

    LakeEmerald replied to NurseEric81's topic in Emergency

    At my hospital, you can apply to be a Nurse Extern if your license is upcoming (usually within the year). The pay is tech pay, and you would work as an ED tech. Once the license comes in, you become...

  24. I feel like giving up

    LakeEmerald replied to sven's topic in General Nursing

    Endoscopy, which is typically outpatient, might by a great way to get your foot in the door at a hospital, and a way to get into the OR eventually. Have confidence in yourself and move forward. It...

  25. The best excuses for positive drug screens

    LakeEmerald replied to rnaturcervix's topic in Ob/Gyn

    In my ER we can do a UDS in my state without specific consent. I think it is inferred when the patient gives consent for treatment. It is a great help in identifying possible causes of altered mental...