HikingEDRN BSN, RN

Emergency Department; Neonatal ICU

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All Content by HikingEDRN

  1. HikingEDRN

    Lidocaine with Rocephin?

    HikingEDRN posted a topic in Emergency

    I've been in the ED for almost 3 years. We give Rocephin IM on a fairly regular basis. I have always asked for an order for lidocaine to reconstitute it instead of using sterile water. I was told by...
  2. HikingEDRN

    Fix me NOW (but on my terms or I'll leave AMA)

    HikingEDRN posted a topic in Emergency

    Just a vent, everyone. Dear patient, I cannot fix your problem of 3+ years in the ER on Sunday evening. I am sorry (but not surprised) that your doctor fired you. I am sorry you have sat in this...
  3. HikingEDRN

    Thank you

    HikingEDRN replied to HikingEDRN's topic in Geriatric, LTC

    Thanks, guys. He passed away peacefully - his vitals were fine at midnight or so and they found him later. I'm so glad it happened that
  4. HikingEDRN

    Thank you

    HikingEDRN posted a topic in Geriatric, LTC

    I am an ER nurse and have taken care of more long term care residents than I can count. However, until yesterday, I had never stepped foot in a long term care facility. I went to visit a long-time...
  5. HikingEDRN

    Bad Breath in traumatic brain injury

    HikingEDRN replied to jelisabethk's topic in Neuro Intensive Care, ICU

    Interesting. I have never heard of this and I have seen traumatically brain injured patients but only in the ED. I see you are in the neuro ICU so I assume this develops
  6. HikingEDRN

    Lidocaine (UroJect) for Male Foleys

    HikingEDRN replied to Music in My Heart's topic in General Nursing

    I've used it several times in the ED and, based on my personal experience, I think the patients with it seem to experience the same type of discomfort as the patients who don't get it (of course maybe...
  7. HikingEDRN

    Are you in a marathon today??

    HikingEDRN replied to firstinfamily's topic in General Nursing

    Good job :) It's very satisfying to see a good outcome knowing that you played a major part. At times, one frustrating thing about the ED is that I've stabilized someone who was very sick but then I...
  8. HikingEDRN

    Yesterday was weird

    HikingEDRN replied to MECO28's topic in Patient, Colleague Relations

    If you were not lucky, the pearls would go somewhere else than out of your pant leg. Then, you have to show up to the ER with the dreaded "foreign body" chief
  9. HikingEDRN

    Justify this nursing diagnosis

    HikingEDRN replied to malenurse69's topic in General Nursing

    Happy to hear this. At the risk of offending alternative practitioners (and I truly don't mean to offend), that nursing dx is the most ridiculous thing I have ever heard. I was actually hoping the...
  10. HikingEDRN

    Getting cut short on orientation

    HikingEDRN replied to Birdy2's topic in First Year After Licensure

    If it makes you feel any better, when I started in the ED, I was not a new grad but was transitioning from neonatal ICU so it was all very new to me. I showed up one morning and my charge said,...
  11. HikingEDRN

    I miss work

    HikingEDRN replied to BSNbeauty's topic in General Nursing

    I would at least wait until after the new
  12. HikingEDRN

    Cardiac Arrest

    HikingEDRN replied to starlane's topic in General Nursing

    You can certainly have cardiac arrest with MI but, as others have nicely described, they are definitely not the same thing. Hopefully, you can get to the patient soon enough if they are infarcting...
  13. HikingEDRN

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

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

    Love this. And another time, perhaps in another thread so as not to derail this one, I would love to know the "punched by the cardiac surgeon" story OP, so sorry this happened to you. Document it...
  14. HikingEDRN

    Benzos

    HikingEDRN posted a topic in General Nursing

    Hi everyone. As I've posted previously, I am an ACNP student currently rotating through the ICU. I was just wondering what others' (both RNs and NPs) experiences have been regarding benzos. It...
  15. HikingEDRN

    Benzos

    HikingEDRN replied to HikingEDRN's topic in General Nursing

    Thanks for your responses everyone. I completely agree that long term benzos are very over-prescribed. Sometimes I am appalled in the ED as a staff nurse how often I see it on the home med list as a...
  16. HikingEDRN

    Felt pretty proud of myself!

    HikingEDRN replied to KG MSN RN CCRN CEN's topic in Emergency

    I have had that happen too but only on one of my posts (the rests of my posts correctly identify my credentials). It says I'm an EMT-P and I am not. I looked at my settings and it was not checked...
  17. HikingEDRN

    Feeling very inadequate

    HikingEDRN posted a topic in Student Nurse Practitioner

    So, this is my first semester in my ACNP concentration. I am in the ICU and I love it but I am really feeling inadequate. I guess this is normal? I feel like I barely have enough time to look up my...
  18. HikingEDRN

    Feeling very inadequate

    HikingEDRN replied to HikingEDRN's topic in Student Nurse Practitioner

    I do agree that it is stressful but I have learned a lot from it. All of the attending MDs I have worked with have been very professional and they teach as they question me (and the other medical...
  19. HikingEDRN

    MY Frequent Flyer today.... :P

    HikingEDRN replied to bluebonnetrn's topic in School

    Oh good Lord!!! At first, I thought this was an ED
  20. HikingEDRN

    NP clinically

    HikingEDRN replied to Danga's topic in Student Nurse Practitioner

    It would probably be easier in an acute care program. My manager (M-F) is in a family NP program and is somehow making it work but she has been with our hospital system for 15+ years and probably has...
  21. HikingEDRN

    Out of the mouth of Octogenarians

    HikingEDRN replied to SaoirseRN's topic in Nursing Humor

  22. HikingEDRN

    Out of the mouth of Octogenarians

    HikingEDRN replied to SaoirseRN's topic in Nursing Humor

    I was working in evening when a very demented elderly woman came in to the ED from a nursing home for altered mental status. I was getting her settled with the male tech and she looked at both of us...
  23. HikingEDRN

    "I need to eat, I'm a diabetic!"

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

    One of my ED docs remarked dryly: "That's the problem, not the solution" when I told him the patient wanted to eat because "I am diabetic." Like the OP, sugar over
  24. HikingEDRN

    Fix me NOW (but on my terms or I'll leave AMA)

    HikingEDRN replied to HikingEDRN's topic in Emergency

    Kcwestportboy, I'm so sorry that happened to you. I hope you recovered well. Just as a reminder to those from the general public who might be reading this, it is a vent thread. Sometimes, the...
  25. HikingEDRN

    Fix me NOW (but on my terms or I'll leave AMA)

    HikingEDRN replied to HikingEDRN's topic in Emergency

    Exactly what I did (bye