zaleah

zaleah

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All Content by zaleah

  1. med errors

    Very interesting thread going in the general discussion, a med error caused a death and the nurse that hung the med is looking for support or others... she/he states that 7,000 med errors occur every year....I think it is higher then this. Let's offe...
  2. ER Nurses. Read This!

    Very old letter, should be poster size, laminated and in everyone's waiting room!!
  3. charge nurse role

    Our institution has brought in this new 'rotating role' to our department the CCL. Essentially the clinical care leader is the charge nurse. One is expected to be a leader, mentor, educator and problem solver. The kicker is that is an '18 month rotat...
  4. Final grade of high school with no idea what I wanted to do other then being a Vet, but I failed physics and they would not take me...... My best friend was filling out an app for nursing school at a technical college, I said "give me one of those an...
  5. ER must haves

    Pen behind my ear, stethescope looped in my ties for my scrubs, hemostats on my thigh with tape and a tourniquit, and my trauma shears tuck int he waist band of my scrubs on the left side. (I can't stand anything around my neck) I even reach for the...
  6. clinical care leading

    Our institution has brought in this new 'role' to our department. Essentially the clinical care leader is the charge nurse. One is expected to be a leader, mentor, educator and problem solver. The kicker is that is an '18 month rotating position' ...
  7. Question for night shifters

    I too have always been a night owl....worked nights for 22 odd years now, as a waitress in a bar--not getting home til 3, then onto nursing, where I only work nights. On my days off I do try to switch, as you are right you have to be awake during t...
  8. I too have made errors. In 15 years I have made 2 significant (sp) errors that were potentially deadly. The first actually ended up benifitting the patient. I work ED and was fighting with the internal med team to intubate and sedate a very sick s...
  9. My favorite.... "I just want to get checked out". Checked out for what? This is ussually stated post minor MVC, fall, child falling off couch onto carpet, tumbling off a bike, doing new drugs, having 'relations' with people one is unsure of, etc......
  10. Learning thread (ER medicine)

    just read back in the thread and realized this had been answered, I gotta stop just trying to jump in at the end of the thread...LOL I am really liking this thread....it is amazing how smart you people are!!!! I went to ED rounds this am...amazed at ...
  11. Learning thread (ER medicine)

    3-5 p in my house is the "witching hours"---I hate them!!! the kids get nuts, dinner needs to be made, you have to get someone somewhere by some time...the kids are hungry but you can't let them snack too much or they will not eat dinner, you can't l...
  12. Oh yeah... My favourite thing to do is get them off the EMS stretcher and inot the main waiting room...good pr for the folk in the waiting room, and makes the medics happy.....(sometimes they bring coffee after that!!)LOL.
  13. when people get antsy/bitchy about the average 7.5-8 hours wait time that we have in our antiquated far too small department with 7 speciality programs that draw from way outside our catchment area.... My favourite answer remains...."You do not want ...
  14. care errors

    Has anyone read the recent Time magazine article that basically concludes that 'care errors', all errors, including meds, vitals, food, allergies, dressings, x-rays, etc. are actually the 'norm' in the hospital? (They interviewed docs who had family...
  15. When Docs Cover Up Surgical Errors

    at one of our sister hospitals a pt did not pursue litigation even thought the doc replaced the wrong knee. The doc went to the pt and apologized, the pt agreed the doc was remorseful--he was really upset. Obviously, the other knee was eventually re...
  16. Ekg's

    Wondering what other departments do to get EKG's done at triage when they are packed...... with a gigillion to come in.....and a line at triage......and all beds in use, no one is moving...............typical ER on Monday afternooon about 5 pm. How d...
  17. Learning thread (ER medicine)

    You can give it IV, but..... 1 in 10,000 will have an adverse reaction where their BP goes through the roof, and their head can literally explode--huge ICB. Ussually they get tachy, and fell flushed but it goes away quick. Someone gave it IV in our...
  18. Learning thread (ER medicine)

    Some one reply to the epi question....I am itching to tell about the 1 in 10,000 response that we saw........
  19. Learning thread (ER medicine)

    Just read the whole thread, and not just the last page--did not realize you meant shearing regarding a nipride gtt, which thank god was answered because I have never heard of that.......LOL.....and I have been doing this a looooooonnnnnnggggg time!!!...
  20. Learning thread (ER medicine)

    reply to er julie Shearing is just what it sounds like. A single structure ripped apart ie. a spleen or a brain, shearing from the lining....(very bad as they it ussually just results in little tiny bleeds that are not able to recover from...bad, b...
  21. Learning thread (ER medicine)

    Exciting learning on night shift.... Why should you not give 1:1000 Epi IV for an allergic rx? (0.3 ml's slow push)
  22. What exactly do you do as an ER nurse?

    I agree with the above, but remember we also wash stretchers, push patients on stretchers, empty linen bags, and empty garbage bags. Emergency nursing means moving people through, no matter what there is always someone's grandma, aunt, mother or kid ...
  23. I had a healthy male, about 30 call an ambulance for his chapped lips. Yes, they were chapped,and ugly. He had never heard of vaseline or any other remedy available OTC.
  24. A piece of strong advice

    After many years of nursing I have learned that COMMON SENSE is not common. We do not have enough info to judge what was right or wrong. Did the pt just get pain meds and settle? Then use COMMON SENSE let them sleep!!!! The body heals with sleep....
  25. 12 hour schedule

    I am on a retention committee within our department and we are looking at our schedule. I am wondering if anyone has a master schedule with full timers working every 3rd weekend?