mommatrauma replied to NewERLPN's topic in Emergency
Despite his bad decisions, if the patient was Awake and Alert, oriented and answering questions appropriately, the patient has every right to refuse treatment...Unfortunately stupidy doesn't qualify...
Level 1 trauma center ER..we probably do it at least once a day...seems it depends alot on the day of the week and holiday...i personally in the last 2 weeks have done it 6 times that I can...
mommatrauma replied to PedsERRN's topic in Emergency
We use the T-chart system but are switching to a computerized system in the fall...we have department policies and standards that govern our documentation minimums. Check your policy book, you should...
mommatrauma replied to NurseLeeLee's topic in General Nursing
When I was in nursing school...there was a woman that was in class with me...she's been my idol ever since...She found out she was pregnant with her 5th child while in school...She went through most...
Just wondering, my flight service is now requiring CFRN as part of their employment requirements....I know the BCEN recommends 2 years experience first but its not required, but curious to those who...
Thanks, the flight service in question, which as a disclaimer, I may add, is very reputable in this area and is very well known...they are requiring it to be done within 6 months now..both for the...
Not true...I am a hands on learner...and I am strong in a clinical setting but when it came to nursing school, which I went to 10 years ago when I was young and unattentive and had ADD...I was only a...
mommatrauma replied to JohnRN04's topic in Emergency
I don't know if it is different anywhere else, but where I took ATCN, it was taught concurrently with ATLS..the lectures were done together, the only difference was the the nurses and docs were...
All of these things you list here, I learned in nursing school...with the exception of maybe the second part of number 2, which I did learn in my critical care trauma course when I started working in...
Exactly and as I said, there would definitely be times when saying those things would not be appropriate, this is one of them...I always ask about attempts and how long have you been trying and how...
mommatrauma replied to FINDURPASSION's topic in Emergency
I am not an ER NP, but we do have quite a few that work in our ER...They rotate between 3 ERs in our system...One is a community ER in which their capacity is to see fast track type patients under the...
I don't think that you can assume these people never experienced the same situation just because they feel that "everything happens for a reason and you are young and have time to have more...
Some women need to hear that is okay..and that they still may be able to have children again some day, along with how sorry you are for their loss...having hope for the future is not a bad thing, and...
Actually I hugely disagree, i think every patient is an individual...and what may be insensitive to one person, can be very helpful to another...I have 2 very close friends that a similar situation...
mommatrauma replied to VickyRN's topic in Emergency
We no longer give it at all, there were studies done that showed poor efficacy, high rate of toxicity, and multiple drug interactions...and there are so many other drugs that have better analgesic...
Ok, I am an ER nurse, so here are my thoughts...maybe the way the doctor said what he said to you was insensitive, but what he said I don't think was necessarily out of line....We VERY often see women...
mommatrauma replied to SWFlorida's topic in Emergency
Exactly what we get...they used to ask for Demerol all the time, but since we don't have it, now they always ask for Dilaudid...and the certain amount of MG they want...Our seekers don't waste their...
mommatrauma replied to traumamedic's topic in General Nursing
Agreed, if you use the link in my first post it does indicate that +Nitrites there is bacteria present, but can't differentiate where in the urinary system it is...Nitrites are 90% sensitive and 70%...
mommatrauma replied to traumamedic's topic in General Nursing
Clinical symptoms do not always correlate with site of infection bladder vs kidney or with the amount of bacteria involved. No test differentiates the difference between bladder infections and kidney...
mommatrauma replied to wannabenursetx's topic in General Nursing
Sorry for your loss...In everything I looked up...all I could find is prevent what you can and cut out the risk factors..smoking, over-eating..e-i-e-i-o...and since there is a genetic factor and it is...
mommatrauma replied to mattsmom81's topic in General Nursing
I did it for 2 years part time with a pediatric vent case...It has its pro's and con's it was great independence, I got to learn a lot, both about nursing skills in a home setting...adapting and...