ImaERtraumaRN

ImaERtraumaRN

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All Content by ImaERtraumaRN

  1. ER Orientation

    In our level II... ...experienced RNs get 6 weeks, new grads get 20 weeks or longer if they need it. The new grad orientation is based on ENA recommendations. New grads also have 5 hr weekly classes...
  2. How do you handle shift change admissions?

    Ouch. I think there are some assumptions being made in this thread that many times are just not true - at least in our ER. In our ER we do not have any control over when our patients get beds....
  3. Burnout In ER

    A friend of mine just went to critical care transport for the same reasons. One on one, or TWO on one pt. care, no primadonna docs. They *do* transport our crackheads and other mental health...
  4. Once you have experienced first hand EVERY situation you can possibly encounter, THEN you feel completely comfortable. :lol2: Truly we all have questions and situations that arise that we just...
  5. I'm so ashamed...

    While I know that the OP said that she is ashamed about this behavior, I just can't get over the fact that she just "tucked him back in" and left the room. I am quite certain that this would equate...
  6. Med-surg for all?

    I say listen to your instructors, your mentors and your heart. If you are someone who adapts to an environment quickly, has good organizational skills and learns quickly then a specialty area might...
  7. New Nurse with Preceptor Issues

    I have NEVER heard of a preceptor telling a nurse to leave during a shift and ESPECIALLY without explanation. We can only learn from our mistakes if we are told what we did and are given the...
  8. I got in.. now I'm nervous.

    Congrats on getting into Nursing school. It is quite the roller coaster ride but you sound dedicated and that is really what it takes. Safety is incorporated into your schooling and it becomes part...
  9. Will I ever be fast enough?

    Priorities are different in the ER, it takes more than a couple of days to learn the pace and to "get in the groove". Watch your preceptor and how he/she does things and in what order, but dont...
  10. Floors VS ER

    This is an age-old problem. At our hospital we tried using faxed written reports but it seemed that something was lost in not giving a verbal report. Also, sometimes the paperwork was lost and that...
  11. I'm an ER nurse and I love my job because...

    nope...dont think this is crazy at all...I have a few I get attached to, but I really like not taking every one of them home with me. I think if I had to care for them day in and day out I would be...
  12. I'm an ER nurse and I love my job because...

    Of course I like knowing I'm helping people on one of (for the most part) the sickest and probably worst days of their lives. For all that I complain about the "whiners" and the "whiner's familes" I...
  13. Question on sisters visit to ER

    Appendicitis can be misdiagnosed as UTI - it depends on how the symptoms present. We do not do abdominal ultrasounds on every pt - especially if the urinalysis comes back positive and there is no...
  14. decorticate, decerebate keeping them straight

    One step further - Decorticate means you are still protecting your core, which is a GOOD thing, therefore decorticate is the BETTER of the
  15. Question on sisters visit to ER

    Me too! Hope she is feeling better
  16. Question on sisters visit to ER

    Hi there! When someone comes into the ED with a complaint we generally try to do the least invasive and cost effective tests first so that we can rule out something simple without a huge cost to the...
  17. New ER Tech

    I think the fact that you are wanting to anticipate what is expected of you, and what to expect is a good sign that you will be an asset to your ED. I see techs and nurses who stand around and talk...
  18. Why is this guy's glucose 230? more...

    Yes, our hospital is doing an aggressive study on managing glucose levels in the ICU. We use something called a Glucommander. It is a laptop that is kept at the bedside. You put in MD parameters...
  19. When I was in school my classmates had to do a presentation every two weeks in our last semester. We had fun trying to outdo each other. One did a skit, another group did a jeopardy game on...
  20. What Grossness Is Cool?

    I love watching chest tube placements. When the surgeon digs his fingers into the hole to spread the ribs, then put the chest tube in and ...whoosh! So cool to watch, and for all the pain it causes...
  21. What Gets to You??

    About two months ago we had a lady who came in with a maggot infestation of the lower leg - so infested the whole leg was pulsating and they were falling off - we found a few crawling in the hallway...
  22. suggestions for paper topic

    How about how to manage repeat visitors to the ED - chronic pain, etc. and treat more quickly/effectively? For that you will have to review current processes in your ED, pt populations and find ways...
  23. "Dorf sign"

    Today we were going through the ENA's ED orientation manual and in the written material regarding trauma to the chest there was mention of the "dorf sign". Our RN IV (the president of our local ENA...
  24. ER Dept Scrub Color

    Our uniform colors are hospital-wide. RN - Ceil blue or white Tech - tropical green (?) EMTs (ER only) - Hunter green Housekeeping - multicolored tops (hospital issued all the same) Lab - burgandy...
  25. Choosing a Specialty

    I posted in another forum about this earlier. I thought I wanted to do Labor and Delivery when I went into school. I changed my mind several times - I always knew I didnt want to do med/surge and...