MacERRN

MacERRN

Emergency Room

Member
  • Content

    39
  • Visitors

    1,522
  • Followers

    0
  • Likes

    0

All Content by MacERRN

  1. I got to beat the dead horse, I'm feeling it today as I read the classified's. Before flaming me to the burn unit, I was the 89th paramedic in Iowa. I got in on the first class opened to general population at UIHC in 1980.My license was #89. I also p...
  2. Paramedics are taking our Nursing job!

    Any of you paramedics know what High, Hot, & Hell of alot refers to? Yeah If you worked with me you'd get all the enemas. I'd even teach you how to administer a kayexalate retention enema, a contrast enema, and the proper mixture of a milk and m...
  3. Paramedics are taking our Nursing job!

    No, I'm afraid someone is going to give a med that they're not familiar with, or legally able to give, like propofol, and a bad outcome will occure. I have worked, and precepted with many EMT-P's, and the training they receive is narrow, and the resp...
  4. Paramedics are taking our Nursing job!

    In2b8U, Are you doing brain surgery too? A few meds not carried on rigs that you had to get use to...yeah right. You hang propofol?? Your way out of your scope. We are Nurses' here. You are NOT!!
  5. Paramedics are taking our Nursing job!

    Default Re: Paramedics are taking our Nursing job! How are the hospitals replacing RNs with Paramedics? Sorry, I did'nt understand your post. It's mostly in the ED's; Instead of hiring RN's they're hiring EMT-P's. Saves the hospital a boat load on $...
  6. Last Name on ID Badges

    22 yrs as a ER nurse and have never had my last name on my badge. We take care of the prison population in our state, and of course, a active psych population. I have NEVER felt unprofessional by not having my last name. If you think that a full name...
  7. Greeting fellow RN's: Anyone have any info on the hospital located at Red Lake, Minn. I saw a RN job listing there and am trying to gather data. If you do have some insight, please post. Thanks, JoeMac ER RN
  8. IV Phenergan and Toradol "Push"

    I practice the same way. Everything is given either in a mini bag and dripped in, or at the farthest port from the pt, slowly. I'll give morphine or dilaudid at the closest port, but not tordol.
  9. Male RN-assist with pelvic exams?

    This is my favorite post on this entire site. You can really visualize..... But this is a stupid thread as common sense always rules. And there are lazy people on every unit that that will do anything, use any excuse to get out of doing their job.
  10. How do you prevent psych/etoh elopements?

    I just had a pt leave with IV inplace this weekend. No way was I going to tackle him and take his IV out. He was upset we were discharging. I'm just getting sick of taking care of these ETOH/Psych pts who come in demanding something to eat, drink, an...
  11. IV tips and tricks

    My #1 rule, ALWAYS asses both arm's when looking for a good vein. After 22 yrs I still forget this rule and after an unsuccessful attempt, go to other arm and find the gold mine. I get a kick out these threads as you can find who the gun-ho I never ...
  12. Best places for nurses?

    I've been an RN for 22 years. My daughter is starting nursing school this fall and here are some of the things I'm telling her: Look for a hospital that offers school loan repayment: Some hospitals will repay those loans and pay your regular salary f...
  13. Emergency Room vs. Motorcycle Accident Patient

    Fast exams have become a standard assesment tool during a work-up in our ER. And the MOI of speed, and becoming thrown from vehicle would make him a trauma ALERT! We do not give oral contrast for abd/pelvic trauma CT's . Non-trauma yes, and sometime...
  14. Emergency Room vs. Motorcycle Accident Patient

    Yes, I know. But the NP's and PA's I've worked with in level 2's and 3's over the years, have never been primary on a trauma pt.
  15. Left ED job due to unsafe staffing...

    Sounds like a typical weekend noc shift in our ER. But we have 6 working RN's and 1 Charge nurse who should be taking pt's but doesn't, (that could be another thread). 35 beds. Usually full when we start at 19:00 till about 0300 then trickles down. U...
  16. Emergency Room vs. Motorcycle Accident Patient

    What is that hospitals trauma designation?? Level 1,2,3?? Does sound like he was triaged to a fast track area is he was seen by a NP from the start. Although his MOI would have made him a trauma ALERT at our hosptial and he would have been evaluated...
  17. Tenure vs Newbie (feel sunk?)

    2 yrs med-surg could mean the difference between flourishing vs failing in the ER. I just haven't seen and good extended orientation in the ER that would prepare a new grad well enough to get comfortable for a long time. Where as ICU's and step-down ...
  18. Greetings all: Interesting reading all these threads indicating our problems are not isolated to certain regions, but rather a national problem with poor staffing, over crowed ER's with non-emergant pts, being lead by incompentent managers, and low s...
  19. I work a weekend package Fri. Sat 19-07 and will be fishing during the week. Sunday am after work I'm heading North to Alexandria Minn. for a week of walleye fishing. Nothing better than a walleye shore lunch!!!
  20. Hey man, I turkey hunted on a plantation (Tara)just outside of Vicksberg, Mis. I won the trip from a show on ESPN. Wayne Pearson's Outdoor adventure. Anyway it was a blast. Saw abunch of critters running around that I thought was a pack of dogs...tur...
  21. Tenure vs Newbie (feel sunk?)

    This summer we are adding 5 new grads to our staffing.It is a managment decision, not supported by our working nurses. Will they be put in a sink or swimm situation?? Probably. But that is the nature of the beast. 5 yrs ago there was a policy that ...
  22. New ER Nurse

    Best advice is don't complain and just do your job. The doc's will like you cuz all of us old nurses are jadded and love to complain about everything.
  23. Got any funny acronyms at your ER???

    GIve them a "B52" (5mg Haldol 2mg Ativan) Code Pink (Babe in the depatment) HBT (High Bit%H Titer)
  24. Nurses who Hunt and Fish

    Greetings, any of you guys like to chase turkeys in the spring? The turkeys here in Iowa are starting to strut and gooble in the am. Season starts April 11th. Getting the itch to catch some crappies too. Joe RN Univ. of Iowa Trauma Center Iowa Cit...
  25. Nurses who Hunt and Fish

    "Not a guy, but I do love to trout fish" So Tina, you single?...you have a boat? If so, send a pic...of the boat! Joe ER RN