HikingEDRN BSN, RN

Emergency Department; Neonatal ICU

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All Content by HikingEDRN

  1. HikingEDRN

    Frequent Fliers...seeking ENEMAS!

    HikingEDRN replied to 1fastRN's topic in Emergency

    A former educator of mine once claimed that she had only given one enema during her years as an ED staff RN. She said she always successfully argued that "constipation is not a medical emergency."...
  2. HikingEDRN

    Things you'd like to say to....

    HikingEDRN posted a topic in Emergency

    Okay, I know there are a lot of threads out there with variations of the theme of "things I'd like to say to..." but honestly, they are always fun to read and, as I am sipping the second part of my...
  3. HikingEDRN

    FFP infusion

    HikingEDRN replied to EmeryRN's topic in General Nursing

    Couldn't have said it better myself :) Good job OP. And in my former job in the NICU, all we had were 24 gauges so we always infused prbcs through
  4. HikingEDRN

    Mistakes Are Inevitable: No One Is Perfect.

    HikingEDRN replied to Ruby Vee's topic in Nursing Professionalism

    I will never forget when, as a new ED nurse, I pushed 100 mcgs of fentanyl instead of the ordered 50 mcgs (our vials have 100 mcgs). As I sit here typing this out on my iPad, I remember the sick...
  5. HikingEDRN

    Most topics here non-clinical knowledge ones

    HikingEDRN replied to Emergent's topic in General Nursing

    Love this idea. I would love to bounce things off my allnurses colleagues but I do worry about HIPAA issues. This is especially since most of the cases I would like to discuss are unique and thus more...
  6. HikingEDRN

    Expecting better results with less staff and high ratios

    HikingEDRN replied to Emergent's topic in Patient, Colleague Relations

    Love the original post! And not to mention that, in addition to staffing matrices that are inadequate, there is nothing built in for the dementia/confused patients requiring a sitter. No staff for it...
  7. HikingEDRN

    Your most embarrassing experience with a patient

    HikingEDRN replied to FranEMTnurse's topic in Patient, Colleague Relations

    With my very first patient in my very first clinical (I was never a tech or CNA so she was truly my first healthcare encounter), I could not figure out how to use the dynamap. It wouldn't work and...
  8. HikingEDRN

    Things you'd like to say to....

    HikingEDRN replied to HikingEDRN's topic in Emergency

    Oh it never fails - I think I'm getting a relatively easy EMS (chief complaint is fall) and it turns out they fell because they have altered mental status after skipping dialysis and their pressure is...
  9. HikingEDRN

    Things you'd like to say to....

    HikingEDRN replied to HikingEDRN's topic in Emergency

    These responses are cracking me up! Here's one from today: If you are "new" to the facility and as such, are not familiar with your resident's baseline mental status, how did you know that your...
  10. HikingEDRN

    It's end of shift and I'm leaving on time. Not!

    HikingEDRN replied to nursefrances's topic in Patient, Colleague Relations

    Oh I'm sorry but I'm laughing. I think I'm laughing in relief that I am not the only person this happens to. It's especially annoying when your relief is late because they had to meet with someone...
  11. HikingEDRN

    Stupid Nurse Tricks (Or How To Look Incredibly Stupid)

    HikingEDRN replied to Ruby Vee's topic in General Nursing

    Asking a patient with a chief complaint of diarrhea if she has had any constipation in the last day (me). Asking the ED nurse if the adenosine given for SVT was given PO (not me) Bending over in the...
  12. HikingEDRN

    Nurse of 10 years can't start IV's

    HikingEDRN replied to peaceful2100's topic in General Nursing

    OP, I am so sorry about the loss of your child (((hugs))) As for IVs, or any other skill, you gain proficiency by repetition. If you have not started an iv in 8 years, there is no reason to think you...
  13. HikingEDRN

    Has anyone ever look down on you because you are a nurse

    HikingEDRN replied to dulcet's topic in Patient, Colleague Relations

    When I was thinking of changing careers, I first considered medical school. I spoke with several physicians I knew, both experienced and just out of residency. One of my colleagues was married to an...
  14. HikingEDRN

    Safety concern

    HikingEDRN replied to Armywife08's topic in NICU, Neonatal

    In my previous NICU job, I was floated to peds a couple of times for the first eight hours and then sent back to the NICU for the last four. It only happened two times and I don't think I had...
  15. HikingEDRN

    Sleepy Nightshift nurse

    HikingEDRN replied to jackpp's topic in General Nursing

    I agree with this. Especially if this is a newer development since you've been on nights for 7
  16. HikingEDRN

    I notice nice veins!

    HikingEDRN replied to Emergent's topic in General Nursing

    It's ok. I do it
  17. HikingEDRN

    "Dear" doctor that just yelled at me

    HikingEDRN replied to anon456's topic in Patient, Colleague Relations

    OP, love the visual here Attempting to shift blame to another member of the healthcare team in front of family is incredibly bad form. Sorry you had such a bad
  18. HikingEDRN

    Colorful Shoes - Unprofessional?

    HikingEDRN replied to applesxoranges's topic in Scrubs, Uniforms, Gear

    I have the red marbled patent leather danskos and I love them. Patients frequently comment on them and will say they see my shoes coming under the curtain so they know it is
  19. HikingEDRN

    What are the little things you do to help the next shift?

    HikingEDRN replied to kristandrews's topic in Patient, Colleague Relations

    In the ED, I try to get all workup tasks done - cathing, blood work, second set of cultures, second line if necessary. I can always chart assessments after I give report and the oncoming nurse can...
  20. HikingEDRN

    Bitter Cold

    HikingEDRN posted a topic in General Nursing

    So, we get our fair share of cold temperatures where I live but tomorrow the high is supposed to be -2 with wind chills at -30 or something like that. I work tomorrow and my car will sit on an open...
  21. HikingEDRN

    Does nursing really suck that badly?

    HikingEDRN replied to Irish_Mist's topic in Nursing Professionalism

    I don't know who originally wrote this but it is one of my favorite stories/parables (and has varying settings): A traveler came upon an old farmer hoeing in his field beside the road. Eager to rest...
  22. HikingEDRN

    Bitter Cold

    HikingEDRN replied to HikingEDRN's topic in General Nursing

    Wow, Ruby, it really sounds cold where you live! And you also have a smart dog :) I remember when I was first living on my own in my first apartment without roommates. Something was wrong with the...
  23. HikingEDRN

    What is the lowest HGB you have seen?

    HikingEDRN replied to I<3H2O's topic in General Nursing

    3.6 or somewhere in that neighborhood. Guy had cancer with mets and had had multiple surgeries and complications. All of this was done at another hospital. So when he felt bad after his latest...
  24. HikingEDRN

    Bitter Cold

    HikingEDRN replied to HikingEDRN's topic in General Nursing

    Yes it warmed up to 23 yesterday - more what I'm accustomed to :) I had one case of (bad) frost bite. And he wouldn't admit it but I'm pretty sure that alcohol and/or drugs were
  25. HikingEDRN

    Bitter Cold

    HikingEDRN replied to HikingEDRN's topic in General Nursing

    Thanks for your thoughts, everyone. My car made it through the day and is now safely ensconced back in the garage :). It's a balmy -2 F