XmasShopperRN

XmasShopperRN ASN, RN

Emergency

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All Content by XmasShopperRN

  1. Nurses Who Smoke Marijuana

    Best reply in this entire thread! Thanks for the
  2. Obamacare and Nursing.. what do you think?

    Actually, there are several facts in this reply that are incorrect. First, Medicaid is structured so that the majority of healthcare reimbursements come from the state level as managed care...
  3. PHRN certifican valuable in the ED

    Case in point, University of Maryland operates Express Care, their transport company that other hospitals also use for patient transport. I've spoken to several of the EC transport nurses who've...
  4. Obamacare and Nursing.. what do you think?

    Such as? FTR, I wasn't referring to the occasional misuse of emergency services. I'm talking about situations where on a daily basis-if not multiple times per day-EMS picks up a "regular", drunk...
  5. Obamacare and Nursing.. what do you think?

    I think this brings up an interesting question. Until some semblance of personal accountability takes hold in the mindsets of those who abuse entitlement programs and other protections provided by...
  6. PHRN certifican valuable in the ED

    Not to mention the doors that the pre-hospital certification would open for you in terms of marketability for hospital systems that operate their own transport companies. A nurse who has demonstrated...
  7. Use of Restraints on Intubated patients - ER and ICU

    Hehe
  8. I was given it for refractory vomiting last summer. All I know is that I thought I was dying, so I would've taken anything the MD offered. I remember the MD explaining that I needed to have an EKG...
  9. annoying little thing some of our docs are doing

    Altra, I'm totally with you on this one! Maybe 2 months into my orientation my preceptor left me on my own to make a coffee run. This particular morning the entire ED was swamped and we all were...
  10. written up for having back pain

    Just because an employee isn't protected by FMLA for whatever reasons, the ADA is much more encompassing (namely the ADA Amendments Act of 2008) and applicable to many more employees. Without...
  11. I was an ER nurse for 3+ years until the hospital canned me 2 months ago after hand surgery. It's a long story, so I'll spare you the details. But basically I really, really liked what I was doing,...
  12. Offered position.... Bad career move?

    That's one of the things that concerned me. When I asked where their Braslow cart was, the nurse looked a little puzzled. Their crash cart was a tackle box. I looked in it and saw a few Epi pens, some...
  13. Dealing with triage

    Haha that's funny! This didn't happen in triage, but I had a frequent flyer abd pain pt who frequented our ED so much and got so accustomed to how pt's were triaged and that the "less acute" (4s and...
  14. Being thrown to the wolves during orientation

    If you were promised one thing but being given something else, something that you're not comfortable with, speak up. With an ICU background, you probably know how to handle the critical pts, but add...
  15. How has "nursing" helped you at home?

    Just recently while listening to my daughter's lung sounds during a nasty cold, I knew that it was time to make a trip to the pediatrician. Early pneumonia Last year, a neighbor fell outside of my...
  16. Advice & Tips for working with pediatric er patients

  17. question on ACLS algorithm: cardiac arrest

    No worries, glad to help. The algorithms can be really confusing until you actually see ACLS in practice. The reason the algorithms go in a circle is because your next intervention depends on what's...
  18. question on ACLS algorithm: cardiac arrest

    I would just add that the intervention of choice during for ACLS for shockable rhythms (vfib, pulselss vtach) is defibrillation. When a code's beginning, BLS (compressions and ventilation) applies....
  19. Lining and labs/ hemolyzed specimens

    The ER I worked in was really trying to push this double stick for line and labs. If the patient had decent access and I had the time, I'd place an IV and straight stick for labs. But a large portion...
  20. Petition to help new grads get experience

    This thread has become embarrassing. What originally began as an attempt to initiate dialogue about a very real issue that many new graduate nurses have and will continue to experience has morphed...
  21. Whats your biggest pet peeve working in the ED?

    Yup! Even better when they have no veins thanks to a 20 year hx of IVDA! Sorry buddy, not my
  22. Dealing with triage

    Also, I'm not sure about how your ER works, but utilizing any protocols that your ER has in place prior to patients being seen may help alleviate some patient frustration. For example, whatever the cc...
  23. Dealing with triage

    I've worked with some triage nurses who are as tough as nails; no matter what someone or even a group of people says to them, it just rolls right off of their backs. Easier said than done I know. You...
  24. Petition to help new grads get experience

    A medical resident's salary is paid via Federal money for the sole purpose of providing hands-on, clinical experience and continued education for medical school graduates. That's the objective of any...
  25. Petition to help new grads get experience

    Patient care within hospital and LTC settings is comprised of many disciplines including medicine AND nursing, along with others such as social work, pharmacy, etc. Namely in acute-care settings,...