ERNURSE4MS replied to pricklypear's topic in Cardiac
I work in the ER where we routinely give 30 mg lovenox IV then immediately 1mg/kg SQ. We started this practice because the LOvenox representative that frequently comes to our facility stated that was...
ERNURSE4MS replied to TraumaInTheSlot's topic in Emergency
Here's some: Cycle cell crizis- they had sickle cell got the vomikinand dyin rear- I think they meant vomiting and diarrhea my bowel have runneded off- that could be a problem?! my thing dun swole up-...
ERNURSE4MS replied to lifsavER67's topic in Emergency
We are a level 4 trauma center and rather rural. We only have a 3 level trauma center-emergent, urgent and non-emergent. I can't remember all the criteral but here are some. Emergent- cardiac...
I have learned that the virgin birth was not an isolated incident, (we have about 4-5 aweek in my rural ER) I have learned that when you fight with the LAW the LAW will always win. I have learned that...
ERNURSE4MS replied to ERNURSE4MS's topic in Emergency
:) Thanks for the replies. My thing is that the CM and DON acted like everyone was supposed to know all the medicare guidelines. What I know about CM would fit in a thimble with room left over. Also...
Today I had something wierd happen. We had and elderly female come in by ambulance. CC diarrhea x 3 days, weakness, generalized malaise. This pt had HX of DM2, HTN, Arthritis, and recent-aputation of...
ERNURSE4MS replied to nursejennie76's topic in Emergency
We still use SOB for symptoms reported but for documenting c/c(on our face sheet in the ER we have the c/c) we use difficulty breathing. Sometimes an old habit is hard to break. Like at my facility we...
At the facility I work we do orthostatic bp-lying, sitting, and standing. We record both the BP and the pulse rate. Generally wait 5 min between each. That was also what I was taugh to do. We do these...
I agree with what everyone else has said. It only took 1 or 2 times of me coming out of my room growling and raising **** to get it through to my family. Now when I come home from a night shift my...
I don't know about your area, but in the ER where I work we have to work together. There is always someone that can help turn or move. I am not old yet(28) but I want to keep my body in working order...
ERNURSE4MS replied to jvalloric's topic in Emergency
I don't know what your situation was before she started in the ER , but with as little of information as you have given, this is all I can suggest. Start with an open and honest approach. Ask her if...
ERNURSE4MS replied to UM Review RN's topic in General Nursing
I am still young (28y) and intend on nursing for many years to come. I cannot imagine doing anything else. I have been a nurse for 7 years now and every day I still get that silly, O boy I'm a nurse!...
(((((((((((((((hugs to all new nurses))))))))))))I am so sorry that you have been subjected to this. I wish I could tell you that these are isolated events, but they are not. For some reason the...
ERNURSE4MS replied to UM Review RN's topic in General Nursing
I am 28 and have been a nurse 7 years. I have noticed a steady worsening in my knee pain. When I started out I had no knee pain at all, now I have days that I have to rely on a knee brace and advil...
I like this one- my-brother, sister, cousin, wife, husband, etc- wants off that hard board and says that thing around their neck is too tight, talking about the long spine board and c-collar. yeah and...
ERNURSE4MS replied to canoehead's topic in Emergency
Moderate sedation(what Joint commision is calling concious sedation) at my facility requires 1: a doctor to fully assess the pt for entubation risks and prepare for an entubation( even though 99% are...
ERNURSE4MS replied to elizabells's topic in Emergency
I hope you do say something about this. I work in an ER with an extremely weird MD. He says and does inappropriate things, just not enough that I could report him and be taken serious, but enough to...
ERNURSE4MS replied to Atlnurstudt's topic in General Nursing
When I was in nursing school we had to wear these hideous maroon smocks over a white button down and white scrub pants. They covered almost everything, so when I got my 1st job on a peds floor I...
We don't restart unless there is a problem with the site( infiltration or redness) Our policy is if site prep is alcohol restart in 72 hrs, if prepped with chloraprep then restart in 96hr. I have not...
ERNURSE4MS replied to PedsNurse07's topic in General Nursing
I work in a small Ed in central Mississippi so I can't talk about UMC or ST. D's, but as for nursing in general in MS, I think we have it pretty good. I have been reading other threads and we make...
107 in an amphetimine(SP)related hyperthermia crisis, He had been up 4days straight. It took 7 people to hold him down to start iv and give meds. He was totally out of it Shipped to higher level of...
ERNURSE4MS replied to AngelSpirit's topic in Emergency
AAAAAEEEEEEEIIIIIIIII!!!!!!!! Okay I am over my screaming fit. Another arachnaphobe here. I just don't understand how anyone could conciously swallow a spider, even if it is in a coke. OKAY I amy...
ERNURSE4MS replied to night fox's topic in Emergency
Where I live, the old drunks are usually not that violent, just silly. Its the sober people who are in the ER for their weekly(or daily) shot of demerol/nubain/stadol/dilaudid. They think just because...