mommatrauma

mommatrauma RN

ER

Member

  • Content

    470

  • Visitors

    6,940

  • Followers

    0

  • Likes

    15

All Content by mommatrauma

  1. Have question for a Crozer or Riddle nurse!!

    mommatrauma replied to Special_kay85's topic in Pennsylvania Nursing

    Actually DCCC has one of the BEST nursing programs around their NCLEX passing rates are in the high 90%...I personally went to Gwynedd Mercy in Montco...simply because DCCC was full and didn't have an...

  2. warming IV fluids

    mommatrauma replied to melanie19's topic in Emergency

    You can use a microwave, however it has to be specially calibrated and can be used for nothing else other than fluid warming or JCAHO will ding you on it...we have a warmer that keeps it warm with our...

  3. Pregnant patients in the ED

    mommatrauma replied to RNCENCCRNNREMTP's topic in Emergency

    20 or more weeks..regardless of complaint with the exception of trauma...they go to OB...Trauma's we stabalize and clear first then they go to OB..If the trauma has abd issues, or is too unstable to...

  4. patients leaving with IV lock in place

    mommatrauma replied to ellencrn's topic in Emergency

    It's a reportable incident for us...we have to notify the police...They make every effort to locate the patient and make sure its out...If its still in...they bring the patient back and we take it...

  5. Taping Trauma In Trauma Room

    mommatrauma replied to ellencrn's topic in Emergency

    We have video camera's set up in our trauma room...they are on 24/7 records everything in and out...its not uncommon...The tapes are used for teaching purposes and QA...don't know if any have been...

  6. Haldol IV??

    mommatrauma replied to dabestrn's topic in Emergency

    We use Geodon now where I work...but as for Haldol...you can give it IV, I have given it in the past...but it has never been approved by the FDA to be given that route...didn't say why it wasn't...

  7. Things I've learned from my ER patients...

    mommatrauma replied to SouthernERNurse's topic in Emergency

    Minding your own business is THE MOST dangerous activity in Philadelphia... Just because they are "cousins" doesn't make them relatives... God-sisters are family too... Dorito's cure all abdominal...

  8. Rectal temps in peds

    mommatrauma replied to MrsWampthang's topic in Emergency

    There have been multiple studies showing tympanics are not accurate...core temp is and always has been the most accurate. We do rectals on all children under 2 regardless of complaint...We do only...

  9. Pt's C/O in the ER (funny)

    mommatrauma replied to ER-RN2's topic in Emergency

    We've heard some good ones... my Virginia smells...(lady parts) I'm bleeding heavy and there were blood clogs (clots) I have wheat legs (weak) spiny metal jesus (spinal meningitis) ackdominal pain...

  10. Why reverse sedation?

    mommatrauma replied to Jolie's topic in Emergency

    Vicodan would still have worked because the narcan has such a short half life that by the time Vicodan even kicked in, the narcan wouldn't have effected anything at that

  11. Difference between Level I and Level III ER?

    mommatrauma replied to lorah's topic in Emergency

    Ok...Trauma designation is set up by the American College of Surgeon's...it is fairly standard throughout the US as far as criteria goes...That being said...just remember...you have the great red sign...

  12. PHRN certification

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

    Don't think in PA you can challenge the exam now...they have gotten a little more strict, very recently...you now have to take a PH-RN course which requires so many classroom hours and so many...

  13. CT scans and how long to wait?

    mommatrauma replied to TexNurse's topic in Emergency

    The only problem with the barium is that if the pt is suspected to have a perfed bowel...it can cause bad peritonitis, where gastrograffen won't do

  14. residents in the er

    mommatrauma replied to RN92's topic in Emergency

    We have both ED resident program and IM resident program along with 4 million fellowships and other rotations....Our primary ED residents are fairly decent...ours is a 4 year EM residency...so we get...

  15. Trauma Cart?

    mommatrauma replied to tiredfeetED's topic in Emergency

    We keep both an adult and ped crash cart in our trauma bay, we also have a small locked refrigerator w/ 3 "bags" of RSI kits...In our main department we have 3 pyxis machines and each has at least 2...

  16. CT scans and how long to wait?

    mommatrauma replied to TexNurse's topic in Emergency

    We use Hypaque (gastrograffen) we do 10gms in 16 oz H20 every 30 minutes x 3 then scan 30 minutes after last dose...so ours is a 2 hour prep w/6 glasses to drink....if you see my other posts of least...

  17. Family present during code of patient

    mommatrauma replied to sharonhayes's topic in Emergency

    According to the American Heart Association 2000 Guidelines..... "For in-hospital resuscitation efforts, especially for infants and children, family presence during resuscitation...

  18. Craziest delivery stories

    mommatrauma replied to sierranurse's topic in Emergency

    22 y/o female 9 months pregnant...recent crack/cocaine use...strolls into the ED, sits down in waiting room....triage nurse realzies she's got big belly and asks why she is there? "I think my baby is...

  19. RSI meds

    mommatrauma replied to thanatos's topic in Emergency

    I absolutely disagree with your statement that Versed does not decrease respiration...I feel it absolutely does...I have not once given Versed to a pt that I haven't had to put O2 on...I have had many...

  20. Learning thread (ER medicine)

    mommatrauma replied to TraumaInTheSlot's topic in Emergency

    We use 10 u RHI, amp of D50, amp NaHCO3 (to correct the acidosis that usu goes hand in hand w/hyperkalemia)...also, the Ca is given to protect the heart...it has no effect on the potassium level...

  21. Scheduling for ER Nurses

    mommatrauma replied to EstherdH's topic in Emergency

    We are a level 1 that sees 65-67k/year...we self schedule...every month you pick up a calandar...you fill it out with your preferences...with some guidelines, ie...you must work x number of mondays...

  22. Suggestions for ultrasound in ED

    mommatrauma replied to Reebsnrn's topic in Emergency

    I've done USG w/the help of an MD to start IV lines, but that is the extent of it...I never heard of any certifications or classes for nurses on it...I usually get the doc to hold the probe for me and...

  23. Philly Trauma

    mommatrauma replied to trauma_junkie1's topic in Emergency

    Work in level 1 Philly trauma... 1 If you want spinal cord specialty get good mix of penetrating and blunt trauma...go to Jeff...just recently got a flight service 2 HUP is very well run trauma...

  24. ER nurses compared to EMT's

    mommatrauma replied to Dinith88's topic in Emergency

    Ok friend...you can tell by your post, you have only worked in the ER a short time....I disagree with alot of what you say...where to start...at the beginning...Unfortuantely in nursing school, they...

  25. Learning thread (ER medicine)

    mommatrauma replied to TraumaInTheSlot's topic in Emergency

    You can also give a defassicualting dose of vec prior to