ERNURSE4MS

ERNURSE4MS

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All Content by ERNURSE4MS

  1. Lovenox IV & Acute Coronary Syndrome

    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...
  2. Funny Sign In Slips

    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-...
  3. Triage protocols. what does your ER use?

    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...
  4. What we have learned from our patients!!!

    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...
  5. Admissions denials in the ER

    :) 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...
  6. Admissions denials in the ER

    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...
  7. Soa????????????????

    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...
  8. Performing Orthostatic Blood Pressures

    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...
  9. Funny Names for Nurses

    The oral surgeon in my area is named Dr. Hurt. Made me kinda nervous about visiting him for any oral care
  10. Respect for sleeping time

    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...
  11. Lack of grip strength

    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...
  12. Spouse of an Er nurse needs help

    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...
  13. How Long Will You Nurse?

    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!...
  14. Crying about my job...

    (((((((((((((((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...
  15. Nurses with Knee Problems

    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...
  16. Public Misconceptions

    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...
  17. concious sedation

    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...
  18. Inappropriate ER doc?

    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...
  19. Tee vs. No Tee

    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...
  20. restarting prehospital IV's

    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...
  21. Working in Mississippi

    Wasn't Methodist the one that became Central Mississippi Medical Center? The only Methodist in Jackson now is Methodist Rehab and it is attatched to
  22. Working in Mississippi

    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...
  23. 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...
  24. Nurse, There's a Spider in My Throat

    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...
  25. ER violence

    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...