mommatrauma

mommatrauma RN

ER

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All Content by mommatrauma

  1. When a patient falls...

    You are absolutely right...The collar does nothing at all to maintain cspine precautions...it does not stabalize the neck, it helps immobilize it to help remind the patient not to move...
  2. A teenager with "brain too big for skull"

    You are welcome..I used to do pediatric private duty home care. The kid I took care of had spina bifida and ACM...so it sounded familiar to me...glad I could help, hope all goes well with the...
  3. special certifications?

    I guess we're old heads...lol..we still refer to it as NALS...old habits die
  4. A teenager with "brain too big for skull"

    ACM I guess my question is..does he have spina
  5. A teenager with "brain too big for skull"

    Sounds like Hydro related to Arnold Chiari malformation type 2...give me a few and i'll find you a
  6. special certifications?

    Ours is NALS Neonatal Advanced Life
  7. conjuctivitis

    conjunctivitis
  8. Ever had a M.E. notify u in LTC

    Since I work in an ER, we notify for every single death...its up to the M.E. to take it or not...the other thing that requires an autopsy is if the patient hasn't seen a PCP in a number of years...not...
  9. Admissions denials in the ER

    AMEN to
  10. Performing Orthostatic Blood Pressures

    We do it in the ER all the time it seems...we do lying, sitting, standing...with having them lie flat initially for 5 minutes then a 2 minute wait between positions..if the patient gets dizzy with any...
  11. Looking for scrubs in all the wrong places . . .

    Try here...no fancy prints, just basic unisex solids...reasonably priced... Angelica
  12. male labor and delivery nurses

    I don't think it is any different than your OB being male, which by the way mine is...and he's awesome...I guess it really all depends on the comfortability of the patients...some women are just not...
  13. sleep apnea alarm disabled "pt died"

    Excellent case, and certainly an eye opener...think about how many times even in an acute care setting we silence alarms b/c of how annoying they can be...makes you really
  14. Spouse of an Er nurse needs help

    Jennie, funny you should say that...My significant other is a paramedic...and he actually had a similar view on most ER nurses...not all of them..but most...probably as much as some ER nurses feel...
  15. Soa????????????????

    Hard to teach an old dog new tricks...we're supposed to use resp distress as well but SOB is still the norm..never heard
  16. Admissions denials in the ER

    We haven't had anything happen with such a severe an outcome, but we now have case management stationed in our ER for the better part of the day, 7 days a week, with a handy dandy admission criteria...
  17. hepatobiliary iminodiacetic acid scan....and in a nutshell it is used to evaluate the function of your gallbladder and bile
  18. What is a Thumper

    To be honest with you, we followed up with it for a while, but lost track of it...there was alot of conflicting stories, language barriers (the family was vietnamese) and the already had been involved...
  19. Need advice and reassurance on a bad situation.

    A few things here...and I'm addressing a few different issues brought up within a few posts, not just the O.P. Our ER physicians, will absolutely in no way get involved with a patient that has...
  20. Are the curtains between beds ever cleaned?

    Every two to three months, that get taken down and replaced with another set while the ones that were hanging were
  21. Five week ER orientation

    That does seem very short for even a smaller ER...The ER I used to work in that was a 25 bed suburban hosp still did 6-8 weeks depending on your experience...My level 1 trauma center does about 20...
  22. Precepting new nurses...

    I have been a new staff preceptor for the last 7 years...I have precepted both brand new RNs and 12 year LPNs as new RNs and I've precepted nurses that are seasoned just new to the ER...I have seen...
  23. Work and Pregnancy

    I worked up until the night before I delivered...of course my son decided to come a little early, but my plan was to work up until I delivered anyway...I worked a full time ER job and a part time...
  24. Pediatric care

    We use 5 and 8 fr feeding tubes to cath...We transfer all of our admitted peds out to our 3 main Children's Hosp in Phila...If the child is so critical that they need an indwelling cath, we usu just...
  25. How does your emergency room cover call-offs?

    Callouts are covered by people who volunteer to stay or people they call in...We 90% have a clinical mananger 24 hours a day so they will come out and do patient care if we can't get someone to...