mommatrauma

mommatrauma RN

ER

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All Content by mommatrauma

  1. Where I work...they are hugely evidence based...we have our own research team based in the ER, who are constantly doing at least 5 studies at a time, all the time...Our doctors are ALWAYS quoting the...
  2. Is "HOMAN'S SIGN" supposed to be positive or negative?

    There have been multiple studies however that show that not only is the Homan's test not very "sensitive" it is a poor predictor of DVT, and considered an unreliable test. Just an
  3. I read an article about a study that was done about using sterile water during cystoscopy rather than NSS...and it basically said because of the small amounts and short exposure time there was less...
  4. moral boosting ideas

    We try and do department night outs...we often do office parties for happy hour...or we all try and go to a baseball game together....that's always fun, and usually not that expensive...and the ball...
  5. Dopplers on your crash cart?

    Walt, here's one I found for you for about $130 on ebay...It is a fetal heart doppler...however, I think the only difference really is that the doppler head is larger than one on a vascular...
  6. RN transporting pt. across state lines

    Exactly, although spelled wrong..you hit the nail right on the head...ADEQUATE TRAINING...just because you are simply an RN...does not mean you automatically are qualified to do transports....thank...
  7. Draw prize at Tradeshow booth

    The palm or stethescope idea is a good one..how about an Ebay gift certificate....and let me know where your booth is so I can get in line for that
  8. Any Pregnant ER nurses out there?

    I worked full time in the ER and part time pediatric home care when I was pregnant. I planned on working both jobs up until my due date, however my son was in a big hurry and decided to be born at 35...
  9. RN transporting pt. across state lines

    Craig, just curious which state you practice in that allows you to intubate and crich someone simply as an RN without further certification or training such as being a HP/PHRN or NP or NA...I read...
  10. Dopplers on your crash cart?

    I agree, I was a med-surg nurse before I did critical care...we used dopplers there as well... In fact that is where i first learned how to use them...Its not that hard to use...and the fact that...
  11. Dopplers on your crash cart?

    We keep a doppler in all of our crash carts...and frequently use them in codes...Also keep 2 in our trauma
  12. Cooling Blankets

    We do the same as Moonpie...cooling blanket on the bed under a sheet...with q1 hour mineral oil on body surface closest to the
  13. Need 3 more interventions for my L&D care plan!

    Wasn;t sure if you were looking for during labor interventions or if it mattered...so I offer my post delivery interventions and rationales hope they are helpful... Perform post void risidual check....
  14. Ugh...bad day at work

    I know how you feel...I work in an extremely urban community and in the last 2 weeks we've had 2 pediatric codes...7 year old and a 12 year old, both shot...one died one is still clinging to...
  15. ER violence

    I find that most of our drunks are annoying at best but usually not violent...We do get alot of psych, a few of our nurses were assaulted in our old ED before security sat at the doors...One had a gun...
  16. First job - nurse extern in ER

    good luck...ask questions...and any time there is more than 3 employees in the room at once get involved, its probably something
  17. Flowsheet for Continuous Bladder Irrigation

    We have a page that has three columns 1st is total in, 2nd is total out then third column is true urine which is just the first two colums subtracted from each other. Simple but effective and pretty...
  18. pt. confidentiality between you and your fellow RNs

    At my hospital if you are an employee and you come in as a patient, you have an option of being put in under a set of numbers instead of your name, so it cuts back on who can just go in and pull up...
  19. Lawsuit?

    This sucks that you are still forced to stress out over this...It really has been all blown out of proportion. I would say hold your head up high, and hang in there. If this is your first mistake, I...
  20. pt. confidentiality between you and your fellow RNs

    I work in a 48 bed level 1 trauma center...we work the same
  21. pt. confidentiality between you and your fellow RNs

    I think as a department we are all part of the health care "team" taking care of the patient. While I'll have to admit I rarely have enough time to flip through my own patients whole chart I don't...
  22. Adenosine on stepdown unit

    Well, we do give it in the ED, and we definitely don't have a 1:1 ratio, BUT we have doctors there that are immediately available in the case of a problem...and I'm not against giving it in the SDU...
  23. Adenosine on stepdown unit

    You are also talking about a situation where the patient care is 1:1 ratio...and you don't keep the patient long after that...Of all the step down units I know of...that isn't the only patient the...
  24. Verification of NG tube placement

    what she said
  25. Does Forensic Nsng. include...

    Taken from IAFN website.... "Forensic Nursing was officially recognized by the American Nurses Association in 1995 as a specialty of nursing. Because this is a pioneering effort, roles and...