mish_RN

mish_RN

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All Content by mish_RN

  1. Because it's true...

    Awww how nice. I love it.
  2. pica

    Restraints? One to look out for.. hehe
  3. Conscious sedation in the ER

    Don't forget your CO2 monitor. Find out which meds your docs like to use and look them up, familiarize yourself so you know what to be on the look for. We used to have RT at bedside prior to procedure too, but I don't know your policy. Speaking of, u...
  4. Sepsis + Antibiotics = Severe Hypotension?

    Wow Thanks for the info.
  5. Migraine treatment in er

    25-50 of Benadryl, 10 of Reglan, 1 L NS bolus, and a dark room/side of the curtain. Sometimes given with 10 of Decadron and some O2. Never any narcs for migraines. Causes that rebound pain, one MD said.
  6. Just started and....

    1 week after orientation I found out that I'm pregnant with my second child. How soon would you inform management? How to survive without monster or coffee? Thanks in advance.
  7. Just started and....

    My fear comes from telling before the first trimester, worried I'll jinx it. Although I was very worried the other night, had a lot of pts With the flu, diarrhea, hiv, etc. Then not to mention a very combative pt. And lastly, worried about benefits....
  8. Just started and....

    Was told still very early in the pregnancy, poss 4-5 weeks. Worried because just started a new job then no benefits until April and the risk of exposure at work. I don't want to say much because it's still early. As for the caffeine, I can have less ...
  9. Cool ER Videos

    Thanks for the share.
  10. Politeness in the face of rudeness and cellphone use

    I do 2 things: 1. I tell them I can come back when they are ready to go home. This usually catches their attention and they get off the phone. 2. If it was during my assessment, I just ask them to "please finish your call after I examine you. I need ...
  11. New ED position.

    Thanks guys. The level 2 is in a smaller city and is a community hospital, so I know the move to this bigger city will have more opportunities for me. I plan to go back to school and hopefully save money for a house, thus moving back in with the fami...
  12. New ED position.

    First of all, Happy Holidays and thanks for taking the time to read/reply to my post. I currently work in a Level 2 Trauma ED for 15 months now. I was on a MedSurg/Oncology floor for 1 year prior to my transfer to the ED. Keep in mind, I moved my fam...
  13. Twas the night before christmas...

    Love it
  14. wasting time?

    When people come in for things that their PCP can take care of can be "waste of time." However, the simplest complaint can lead to straight to surgery or a common back pain with no health history can be a GI bleed. I've learned with being in ED for a...
  15. 15 Secrets the Emergency Room Staff Won't Tell You

    Cool! Thank you for posting :)
  16. Propofol and NS

  17. the homeless that wander in...

    There have been times that I feel crappy about discharging some (not all) of our homeless folks especially when the weather is really cold and really hot because I know they have no where to go. The shelters are close already by time of d/c and some ...
  18. the homeless that wander in...

  19. the homeless that wander in...

    Thanks for the reply guys. We can't let them stay in the ED room/pod chair after D/C. I usually let them hang out in the lobby and tell them to be good so security won't kick them out. It does suck and it can happen to anyone at any point.
  20. Do you have a nurse manager dedicated to the ED?

    1 manager and 2 assistant managers (1 for days & 1 for nights). They are ER only.
  21. I was on MedSurg/Oncology for a year then moved to a Level 2 ER 8 mos ago. It's a totally different pace, gotta be quick and accurate. Trust your gut and believe in team work (we do team nursing). Don't be scared to ask questions, better safe than so...
  22. legal blood alcohol

    Here in TX, our techs draw those labs. The pts can either consent or not, if they don't, they get an extra charge. PD brings their own consent and kits. However, if the pts are already under custody, PD doesn't need consent.
  23. out of control.

    Tonight was busy as usual (stabbing, gsw, MBA, etc), I work at a level ll trauma center. First night I was called a **** and a ***** in one sentence from a drunk that got jumped at a club. I had to leave the room to make sure I keep my job. How do yo...
  24. Nurses week gifts from employer

    We got lab coats and food.
  25. When the patients aren't looking..... Rockin' ER video

    That was awesome!