mommatrauma

mommatrauma RN

ER

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All Content by mommatrauma

  1. concious sedation

    mommatrauma replied to canoehead's topic in Emergency

    You are welcome...I hope it helps you feel a little more comfortable with using it. Emedicine is a great resource for up to date information..I get a lot of my stuff from there. Good

  2. concious sedation

    mommatrauma replied to canoehead's topic in Emergency

    Haha...sorry half asleep typing up that one..didn't realize...sorry about

  3. Routine assessment on night shift - how thorough?

    mommatrauma replied to estrogen's topic in Medical-Surgical

    I 100% agree..they can sleep when the get home...while they are under my roof...my rules...Their safety is in my hands...stable is only one second away from unstable...and its better safe than...

  4. concious sedation

    mommatrauma replied to canoehead's topic in Emergency

    Canoe...read this article from emedicine.com...it was just updated in Jan 2005...It may help answer some of your questions and concerns... Ketamine

  5. ER violence

    mommatrauma replied to night fox's topic in Emergency

    We now use Vitamin G...good stuff!!

  6. concious sedation

    mommatrauma replied to canoehead's topic in Emergency

    We take an 18G angiocath (minus the needle of course) 1 1/2 inch and hook the syringe end. and inject it rectally that way...however Versed does not do well in the rectal form...its bioavailability...

  7. CEN testing and resources

    mommatrauma replied to canoehead's topic in Emergency

    Mosby is a great resource..I took a CEN review course and seemed to be a waste of time..I had visions of being back in nursing school again...Doing questions seems to be the most effective

  8. concious sedation

    mommatrauma replied to canoehead's topic in Emergency

    EMLA is nice..when you have the 20 minutes to let it sit for proper effectiveness...and what happens if you miss the vein you emla? You have to start all over again...In the ER its not always an...

  9. concious sedation

    mommatrauma replied to canoehead's topic in Emergency

    We do it all the time..We use IM ketamine and both IM and rectal Brevital...We use them specifically so we don't have to put an IV in...We monitor them the same way we do any other conscious...

  10. Positive Urine Drug Sceen-Please Read

    mommatrauma replied to catkaminski's topic in General Nursing

    Dicyclomine is an anticholinergic drug, a medication that reduces the effect of acetylcholine, a chemical released from nerves that stimulates muscles, by blocking the receptors for acetylcholine on...

  11. Hospital nurses: Nursing student has four simple questions.

    mommatrauma replied to MommyJoy's topic in General Nursing

    1.Yes and then some..there is a surprise around every corner! 2.25% pt care, 75% paper work 3.Level 1 trauma center ER 4. I would have to say

  12. Positive Urine Drug Sceen-Please Read

    mommatrauma replied to catkaminski's topic in General Nursing

    It is given mainly to prevent painful spasm of the gut and urinary bladder and is especially helpful for Irritable or spastic bowel, diverticulosis, diarrhea, colic and bladder

  13. Public Misconceptions

    mommatrauma replied to annmariern's topic in General Nursing

    If you don't eat within one hour of arrival to the ER the potential is very high for starvation... It is okay to spit on, yell at, threaten, curse at, kick, bite, and not cooperate with your...

  14. My husband wants to go to nursing school but........

    mommatrauma replied to catkaminski's topic in General Nursing

    They do take that into consideration...I think they look more for the consistancy of it...do you constantly pay late, multiple closed accounts and whatnot...Its more how you handle your...

  15. Public Misconceptions

    mommatrauma replied to annmariern's topic in General Nursing

    Hi, my doctor told me to come to the Emergency Department and he'd meet me here... My pain is starting to go away (Even though the Morphine you are pushing hasn't even gone through the IV yet) Your...

  16. My english is horrible !!!

    mommatrauma replied to earthlovers123's topic in General Nursing

    LOL..as soon as I saw your post I knew it was about an East Coaster...we like to use "youse"in Philly too...a sorta modified Cali...lol...we also like to pronouce our double "L" words as "W" ie call...

  17. Question about an accident

    mommatrauma replied to Ready's topic in General Nursing

    I absolutely agree..being a PHRN and also living with a paramedic...I can tell you that when they get calls like that..they are tripping over each other to get out the door...even the most jaded...

  18. Tattoo's on Nurses

    mommatrauma replied to gentlemother's topic in General Nursing

    Alot of our nurses have tattoos both visable and not..I myself have 3. All of which you sometimes can see sometimes can not...noone ever makes a big deal. I have never heard anyone make any negative...

  19. Positive Urine Drug Sceen-Please Read

    mommatrauma replied to catkaminski's topic in General Nursing

    Ativan will show up as positive benzos in a UDS, so just make sure you tell them you are taking

  20. Positive Urine Drug Sceen-Please Read

    mommatrauma replied to catkaminski's topic in General Nursing

    poppy seeds give positive opiates not

  21. Question about digital rectal exam guidelines/ possible abuse situation

    mommatrauma replied to Jenifer Hermes's topic in General Nursing

    For our rectal exams gloves and lube always used...For adult males we do not have a chaperone in the room. Females if it is a male doctor a female nurse will go in...If it is a minor, either the...

  22. Routine assessment on night shift - how thorough?

    mommatrauma replied to estrogen's topic in Medical-Surgical

    My personal opinion, and having worked night shift for at least 4 years out of the last 10...You have a professional responsibility to wake that patient up if need be and do a full assessment....

  23. ER patient ratio & ancillary staff question.

    mommatrauma replied to Hrtnurse14's topic in Emergency

    We have a set amount of nurses and ancillary staff, but thats the only thing that is set...Our ratios depend on acuity..and because the ER is ever changing in can really vary from shift to shift...As...

  24. ER nursing journals

    mommatrauma replied to ckh23's topic in Emergency

    I belong to both ENA and STN (Society of Trauma Nurses) both run you about $100 per year, although, I think as a student you get a reduced rate. Both have publications included in the dues...both are...

  25. Lowest H/H I ever saw...

    mommatrauma replied to my2sons's topic in CCU, Coronary, Cardiac

    HGB is usually about 1/3 of the crit...so you can guestimate that it was probably about a 12 to a 7 drop....That is a lot in 3