CodeteamB

CodeteamB

Emergency

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All Content by CodeteamB

  1. the homeless that wander in...

    Same here, also in Canada. We'll sometimes pay for a cab/bus ride to take them to shelter/rehab/whatever, social work is really good about helping out. We have books of resources (everything from...
  2. Ever work with a broken finger?

    Call in ASAP and stay home. Your charge will thank you for not forcing her to find a last minute replacement because I can't picture them letting you work. Relax, you have a legit
  3. The right to refuse has so many interpretations

    Speaking as a hospital nurse... Many of the transfers we see into our ER from nursing homes are atrocious. Pts with old soiled briefs, teeth with green slime, skin breakdown, deconditioning etc. The...
  4. Doubles

    I used sometimes work doubles, my employer only does this if they are desperate for a particular shift and it is policy that you will be removed from the schedule for the following day (if you are on...
  5. History of Varices an Absolute Contraindication to an NG?

    Agreed, we still use the good old linton tube, but I'm not touching that bad boy with a 10 foot pole. Good that your residents do typical "nursing procedures" I always thought it would be
  6. Am I being too sensitive?

    A little too sensitive. This will improve over time as you get to know people. Your name/avatar have me convinced you are pretty cool, so I'm sure you'll be fine you just need to build up some...
  7. Irritating things about being a nurse VENT

  8. Is the cynicism inevitable?

    I started out in the ER all bright and shiny with stars in my eyes. I knew that not all the patients I would see would be truly ill but I had the impression that it would be the "man-flu" over...
  9. History of Varices an Absolute Contraindication to an NG?

  10. Irritating things about being a nurse VENT

    The vacutainer has a preservative in it which lets samples last longer without refrigeration, apparently prevents bacterial overgrowth. Anyhow, we suck out a little from our sample into a vacutainer...
  11. Rhabdomyolysis

    Yup, trauma, overtraining (weekend warriors), drug overdoses, little old ladies who have fallen and can't get up. Crush injuries are particularly problematic but anything that causes sufficient...
  12. Rhabdomyolysis

    In rhabdomyolysis the patient has some mechanism of muscle damage leading to waste products from cell destruction in the blood stream. The waste products, especially myoglobin are extremely hazardous...
  13. Irritating things about being a nurse VENT

    Lmao.... So true. Lab: The doctor ordered a c&s for this urine Me: Yes....? Lab: You sent it in a sterile specimen container Me: Yes...? Lab: We like the urine to be in a vacutainer Me: The...
  14. Who reads your mantoux (PPD) test?

    Self reporting for routine testing and have to go to the OH office for post-exposure
  15. Some basics on Peds ED stuff

    No. We had floor nurses in the class I
  16. Some basics on Peds ED stuff

    Ah, I see. You should definitely take ENPC. It is a really good course. It increased my confidence with pediatrics in an amazing way. I still hate getting kids but my peds panic is
  17. Some basics on Peds ED stuff

    1- serious emergencies There is a wide variety of emergencies, what I see most often is respiratory issues (croup, asthma), sepsis and trauma. We manage them very similarly to adult emergencies with...
  18. Has anyone ever been careless and gotten stuck?

    Something else to consider. Blood and body fluid exposures can happen in all sorts of ways, not necessarily needle sticks. I, for example am now in the process of post exposure testing and have never...
  19. Something funny

    Make that 3. We have an RN assigned to ensuring that inpt beds get filled STAT. We have a set time limit to get the patient upstairs once a bed is assigned, and heaven help the nurse (ER or floor) who...
  20. Patient refusing to leave

    I work in the emergency room so I probably see this once or twice a week. If a patient is refusing to leave I first try to address their concerns (answering questions, give bus fare, etc.) if they...
  21. Nurses who go on breaks during report

    That's ridiculous. First, who is responsible for their patients while they are on break? are they assuming that person can give report? The only time you should ever be working without some kind of...
  22. Clonidine patch for opioid withdrawl?

    With a little research I found a study from 1980, so not too recent I imagine methadone is a lot more popular for obvious reasons, but maybe that is my over-cynical nightshift self speaking. I would...
  23. Clonidine patch for opioid withdrawl?

    Caveat: I have an extremely basic understanding of this, I'm sure someone else can explain it a little better but here goes. Here is how I understand it: basically opioid addicts have long term CNS...
  24. My Bad.

    As a student and new nurse I recall seeing certain errors made and thinking, "Nope, not me." I am a cautious person. I check and double check. I don't take anyone's word for it. I assess every patient...