mommatrauma

mommatrauma RN

ER

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All Content by mommatrauma

  1. Elevated BUN and Creatnine

    mommatrauma replied to webblarsk's topic in Dialysis, Renal, Urology

    Dilantin and Seroquel are both metabolized primary by the liver...so the fact that his renal status is poor should not effect the metabolism too greatly...However, people that are on dilantin often...

  2. Lung Sounds: Diminished or Shallow?

    mommatrauma replied to Spider Cat's topic in Medical-Surgical

    Diminished lung sounds are just what it sounds like. It means that the normal lung sounds are decreased and harder to hear. Either because of poor inspiratory effort. Asthma can cause this before you...

  3. Do I need a refresher course

    mommatrauma replied to ajaxgirl's topic in Medical-Surgical

    I'm sure if you get hired on a surgical floor they will give you some sort of orientation...Use that as your refresher course...its not like you left nursing to be a banker...you were still in the...

  4. What is your least favorite kind of med-surg patient?

    mommatrauma replied to DutchgirlRN's topic in Medical-Surgical

    The discharged kind...are my favorite... abd pain and sickle cellers are my

  5. double-checking insulin with cokworker

    mommatrauma replied to bth44's topic in Medical-Surgical

    I work in the ER now, but I know on our med-surg units it is not a policy to double check SQ insulin before giving it...however our ICU's policy as well as ours is to double check an IV insulin bolus...

  6. Help with Strips

    mommatrauma replied to proudmommielpn's topic in Cardiac

    This is what tombstones would look like on the EKG...usually seen in anterior wall MI's...Also, you can sometimes see it after you give thrombolytics...it's a reperfusion injury..usually goes away in...

  7. tar removal

    mommatrauma replied to jimminy's topic in Burn

    We've used mineral

  8. Wearing Masks and gloves in Triage

    mommatrauma replied to mdslabod's topic in Emergency

    We have the same...and its amazing really how many people really want to wear them...I don't wear gloves in triage unless, I have to touch the patient more than putting on the BP cuff...but I wash in...

  9. Anybody waiting for RSV or rotovirus results before sending a peds pt to the unit?

    mommatrauma replied to Vicki_RN's topic in Emergency

    We don't admit all of ours either, we also transfer all of our peds admissions out, so usually our receiving hospitals like to know the results, so they know if they need isolation or not ahead of...

  10. Rectal temps in peds

    mommatrauma replied to MrsWampthang's topic in Emergency

    I absolutely agree with you Anne, and you are so right...we are not only there to take care of their children, we are there to educate them as well....and sometimes, all they need is a little...

  11. Pulseless patients: shock or drugs

    mommatrauma replied to EricTAMUCC-BSN's topic in Emergency

    I wasn't trying to be trite, or ridiculous...I was stating my opinion, you don't agree with it, you certainly don't have to...He was looking for feedback, I gave him mine...I researched my answers and...

  12. Pulseless patients: shock or drugs

    mommatrauma replied to EricTAMUCC-BSN's topic in Emergency

    You are right Bob, unless the pt is in Aflutter or PSVT, then you can try 50J the first time...but most people start at 100J, unless its biphasic..then its

  13. Pulseless patients: shock or drugs

    mommatrauma replied to EricTAMUCC-BSN's topic in Emergency

    It's actually pretty old school...however there have been studies that show it is no more effective for cardiac output then regular compressions...and you look silly doing

  14. Pulseless patients: shock or drugs

    mommatrauma replied to EricTAMUCC-BSN's topic in Emergency

    If the pt is PULSELESS VT what did you syncronize?? There is nothing to syncronize..that's called a code....At best I can give you a is a wide complex PEA maybe...You can cardiovert the pt when VT or...

  15. RN transporting pt. across state lines

    mommatrauma replied to imenid37's topic in Flight, Surface Transport

    Danger...danger..danger...good rule of thumb...if you have to ask if you are covered to do something...you probably aren't...You are not covered under your basic nursing license in PA to go on a 10...

  16. PHRN certification

    mommatrauma replied to traumajunkie03's topic in Flight, Surface Transport

    AMEN to that...it isn't easy...and I'd like to hear a paramedics view on 11's statement "I am operating as a paramedic"...it's already hard enough to gain respect from the medics...I am constantly...

  17. What do you LOVE about your job?

    mommatrauma replied to Aneroo's topic in Emergency

    I love my job because....when I wake up in the morning, I know when I go to work..although someone may not pat me on the back or tell me thank you...I helped someone...even if it was by tying them...

  18. Phone Triage?

    mommatrauma replied to RNinOZ's topic in Emergency

    Our clerks screen all of our calls...They do the no medical advice over the phone schpeal...works out well....keeps the bothersome calls to a

  19. How Long Is Your Wait In The Er?

    mommatrauma replied to mdslabod's topic in Emergency

    we did this in the hospital I used to work at...It's all about PR and incentive....and Press Gainey...

  20. How Long Is Your Wait In The Er?

    mommatrauma replied to mdslabod's topic in Emergency

    Same minus the medic in triage, but we sometimes have a tech as a "meeter-greeter" they will get CC and VS...our wait can vary from 0 minutes to 6-8 hours depending on the number of holds we...

  21. Taping Trauma In Trauma Room

    mommatrauma replied to ellencrn's topic in Emergency

    well i think that even if the original interested parties aren't around anymore..ALL of these threads could be helpful to other

  22. Haldol IV??

    mommatrauma replied to dabestrn's topic in Emergency

    Also have to be careful w/Haldol, because it lowers the seizure threshold..so for your high risk seizure pts...ie alcoholics and druggies....benzos are probably a better choice because you cover both...

  23. Blood vs NS Question

    mommatrauma replied to traumamedic's topic in Emergency

    We use both Nss and LR...two lines for a trauma...both fluids get hung..one on each line...in a trauma situation..H/H doesn't matter so much, we do a bedside Crit just to get a baseline, by the time...

  24. PHRN certification

    mommatrauma replied to traumajunkie03's topic in Flight, Surface Transport

    You're right "PH-RN" is not a "title or a cert" but HP is...and if you didn't take the test..you aren't one...and your nursing license doesn't cover you in a pre-hospital

  25. Taping Trauma In Trauma Room

    mommatrauma replied to ellencrn's topic in Emergency

    So you can't post on old