ERNURSE4MS

don't get me wrong, i love er, but not one episode goes by without me shouting at the screen. and the docs doing nursing stuff. that has me rolling on the floor. i have never seen a doc give an injection of anything more that local anesthetic, and ch...

i totally agree. we have been called to the carpet for waits of 4 hours!! can you imagine that. the pt, family and administration seem to think that we keep them down in the er for spite or to cause trouble. we don't!! most of the time i have no cont...

Okay this is kind of long but I would like your opinions on this. Let me give you a little set up- I work in a rural level 4 ER (small 9 bed). In our hosp we triage all OBs before they go to L&D unless they are a scheduled induction or section. I...

Okay, this is kind of long but I wanted some input on this. Let me give you some back ground. I work in a rural ER( level 4 and 9 beds). We triage all OB's that come in except scheduled inductions or scheduled sections. We call L&d if they are gr...

EEEKKK! That is a bad siuation. My advice to you is to research emergency treatment for OB's in your TNCC courses. Also I would recommend NALS as well as PALS these have some really good neonate info in them. Also do you have round the clock ER docs?...

WOW. Talk about overkill. Unless there was something not in your post, what they did sounds alot like persecution. The scenerio does not add up. Has this happened to other nurses that you know of( in that faciliy)? Have you any other actions against ...

Midwife- what I hope happens from this is that the lines of communication between L&D are opened. There seems to be a big lack of communication in general but most of all with L&D. I don't understand it. There are weekly incidences of L&D...

Thanks for the replies. I have an update. The L&D nurse manager called me today and told me that I did a good job with that pt. She said I did exactly what I was supposed to do in that situation. She also said she took care of the comments about ...

Thanks for all the replies. I have an update. The nurse manager for L&D called me today. She said I did a good job with the pt. She said I did exactly what I was supposed to do and probably saved the mom's life. I appreciated the kudos from her e...

Thanks for the posts. This was stressful for everyone involved. I have never see an abruptio before today, but had studied the s/sx in TNCC several times. There were several factors that were difficult here. One thing I haven't mentioned was that thi...

Thanks for the input. I do know the signs of OB emergencies. I felt that the mom was in too much distress to transport her without stabiliztion. BTW I checked FHT immediately and could not find any ( probable fetal demise prior to arriving to the er)...

Thanks SIRI. I don't have alot of OB experience( little to none lol). I can't think of anything I would have done differently. I understand how stressful it mest be for an L&D nurse to go through this senerio in their side but I don't want them t...

wow i am a woman an just reading that mad me double over in agony. can you imagine? :uhoh21:

okay it does sound like the er doc missed the mark, but i have to stand up for the er nurse. i have been in this situation, where it was obvious the pt was having an mi but the er doc refused to believe this and even after being shown an elevated tro...

i just wanted to put in my 2cents worth. i agree with dixielee. also i have noticed that the older generations( over 60) are more stoic. the younger generations have been raised ( for the most part) to think that they are entitled to never feel pain....

the popular drug in our area seems to be lorcet plus and demerol. we have a doc who got real popular for rx demerol im in the er for their pain ( usually h/a or back pain) and then writing them a rx for lorcet plus. for about a year we were overrun b...

I would require surgery to remove the broken french fry AND said beer bottle. That's when I.....

exactly. or when they come get you out of a room with a pt that is crashing just to ask if mom can have a tray because she hasn't eaten all day( at 1am). i want one that says i am a nurse not a: waitress, housekeeper, babysitter, concierge, referree,...

love it!!!!!!! :rotfl: :rotfl:

Also its kind of a groove that some ER nurses get into. Where I work, there are 3 RNs on each day rotation. The rotation I work, if we see a chart in the rack we grab it, They are OUR pts. Some times if it is an extremely complicated case 1 of us wil...

WOW, how does a 10lb end up needing sq epi? It's not unheard of, though. Most facilities do not carry smaller than a 25g though you can get smaller.I have a 29g 1/2" that I use for allergy inj for a little girl I take care of. And yes, it is normal f...

deaccessing a port a cath is not difficult but i am concerned that you will not be flushing it. most places have a policy that when an infusion is dicontinued or completed the port is flushed with 10cc normal saline then 5cc hep-lock, the the huber ...

:rotfl: :rotfl: :rotfl: where do you find this stuff!!! :rotfl: :rotfl:

I just want to add. Trust your gut. If you have that feeling SOMETHING is wrong, trust it. Sometimes thats all you have to go on. And as always give it time. It WILL come. You will look up one day and you are going in there diving into a trauma and n...

I agree with everyone A is the most likely choise. There was and article in JEMS(journal of emergency medical services-I don't remember which one) that showed an ET tube can move up to 2"(enough to dislodge or to puncture the mainstem bronchi) just w...