mommatrauma

mommatrauma RN

ER

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All Content by mommatrauma

  1. RSI meds

    mommatrauma replied to thanatos's topic in Emergency

    The best patient is paralyzed and intubated.... head injuries we use Lido...1mg Vec as defasiculating dose, then Etomidate and Succs and vec and versed to keep them down.... your basic RSI we do...

  2. EMT-P Question

    mommatrauma replied to MikeyBSN's topic in Emergency

    Apples and Oranges...I agree...I am both an ER RN and a PH-RN....being an ER nurse did nothing to prepare me for working as a medic EXCEPT...I knew where stuff in the body was, I could already start...

  3. Anferior MI and NO order for NTG drip...

    mommatrauma replied to LPN47331's topic in Emergency

    Transient hypotension w/NTG...nausea...chest pain...all have the soundings of an inferior wall MI...Right sided EKG...IVF...Cath lab/thrombolytics....I would have held the NTG

  4. Triage question

    mommatrauma replied to vaughanmk's topic in Emergency

    We use a 5 tier triage system...without obvious globe injury and visual disturbance...in my experience...i would have made it green and you would have been seen in fast track...is their potential for...

  5. Tele transports from the ER

    mommatrauma replied to Surfnurse's topic in Emergency

    Our "stable" tele patients go to the floor with a tech who is ACLS certified...HOWEVER, they are not transported on a monitor...If they have to go to Step-down or ICU..with an RN with pt on...

  6. ER RN salary

    mommatrauma replied to newfloridaRN's topic in Emergency

    My base is $31.00...w/ shift diff...I'm getting about $34.00 working

  7. Nurse Patient Ratios in the ED?

    mommatrauma replied to acutecarenp's topic in Emergency

    48 bed ED..3 trauma beds and 6 fast track...for the MOST part...we have a 4:1 to 5:1 ratio...Trauma is 3:1 This is not set in stone and we work well on a very acuity based system...We have a...

  8. Enpc

    mommatrauma replied to ernurse728's topic in Emergency

    I disagree...I found it to be more challenging than PALS...some ENPC courses actually encorporate PALS into it and you can recert PALS at the same time...however the written test...not so challenging...

  9. Your least favorite patient.

    mommatrauma replied to errn7's topic in Emergency

    I hate anything abd pain related...pelvic exams, po contrast and CT scans...oh yeah...and middle aged men with the flu, and their "Intensive care

  10. New Triage system

    mommatrauma replied to teeituptom's topic in Emergency

    I totally agree with the three tier...although mine were a little different... Dead Still Breathing Who

  11. LPN's in ED

    mommatrauma replied to ednurse's topic in Emergency

    We use LPN's in our fast track...What an asset...No reason to tie up an RN for easy in and out stuff...The rare occasion that someone need something IV push, an RN will go over and do it, short of...

  12. What was the MOST ridiculous thing a patient came to the ER for?

    mommatrauma replied to JUSTYSMOM's topic in Emergency

    First time mom...brand new baby...CC:"Belly button fell off" The scab of the remaining umbilical cord fell

  13. Pulseless patients: shock or drugs

    mommatrauma replied to EricTAMUCC-BSN's topic in Emergency

    First, maybe I'm misunderstanding...maybe I'm not...however...if you could see that the HR was 160...it wasn't VT...PEA maybe...not VTach...in which case, treat the cause....hypovolemia, hypo/per...

  14. questions about working in the ed

    mommatrauma replied to bsherry's topic in Emergency

    Been a nurse for 10 years...spent 4 in med/surg/tele/onc..6 months in Surgical ICU and 3.5 years in Suburban ED (Bordering a major city)..Now I am in an Urban level 1 trauma center ED and have been...

  15. Got any funny acronyms at your ER???

    mommatrauma replied to RNin92's topic in Emergency

    Funny, no matter where you are an ER Nurse...the sayings are universal!! DED...Dead, Extremely Dead (For those folks who have already shown signs of lividity!) TMB...that's a favorite of ours......