Adenosine6

Sometimes I wear contacts and when they get dry I/we use saline flushes or saline "pink" bullets to re-wet them My coworker told me that's actually bad for the contact. Has anyone else heard of this? I can only speculate: the sodium and/or chloride is bad for the contact?

I work in California where I don't see any snow where I'm at. When there is heavy snow and you're on shift; do you guys camp out in the ER if the roads are closed? And do you keep working since the other shift can't come in? I've always been curious about that

My hospital that uses EPIC is now retraining RN's/Tech's to document in certain areas of the chart to collect revenue.... And yes, we have to check a box that the EKG was done so the bean counters can collect and charge for it...

Best to ask a Paramedic for an Emergency Bag in your car. They are one of the most prepared for first-responders for out-of-hospital cases. But basics: Gauze, seat-belt cutter, trauma sheers, car window breaker, towels, road flares, blanket..... etc. They main thing you did in this scenario above; was to make sure another human being was ok =)

Simple: Ask for ID of any form; if none (highly suspicious) then you can contact the police if you have reasonable doubt (drug seeking behavior) if the patient is committing fraud. By law in California you must keep some type of ID on you at all times. Real Life examples: 1) pt comes in via ambulance "Kidney Stone" pain, I remember this patient months ago from a tattoo I recognized. My memory flashes to me "Drug seeking behavior, he will cut himself somewhere and place a drop of blood in the urine sample" I have him a chance to confess his true name; he didn't, I called the police. He then Eloped 2) pt comes in via ambulance, another nurse recognizes him as a pt before, but pt gives a different name. Asked him first to clarify, he denies allegations. Called police and they found his correct name and sited him for fraudulent behavior.

Ah yes, "Roc" he must be old school.

This recent TRUE story that happened 1 wk ago; thought it would be funny to my fellow RN's here. 3AM Code Blue called to M/S floor ERMD and ER Charge respond. ERMD about to intubate and says "I need Succ!" M/S RN leaves and brings back socks.... (ER Doc jaw drops...) True Story!

In general for ER's you have some "standard guidelines" Example: ER (A), Line and lab all urgent patients (ESI 3,2,1) ER (B), Line and lab, place orders: Chem 7, CBC, Lft's, Meds: I.e Zofran (docs will then co sign) ER ©, Line and lab if your nursing judgement thinks your patient needs it ER (D), If you have an old-school doctor that rarely orders much, then wait... Best thing to do as a new-grad who is unfamiliar with treatment in the ER; as your fellow coworker "Hey, should I line and lab him?"

Looks like Littmann Cardio III has won the vote! Don't buy the electronic one; 3 of the nurses that have bought it in my ER have glitched and had to be returned to fix it (free of charge to fix).

From what was stated: - Yes, you should have been reassigned - Did you write/file "objection of assignment" form? (not sure if you are Unionized - CNA)

That topic has been brought up in my ER and the majority of those non-emergent cases are young adults. They new generation have poor coping mechanisms for minor complaints/illnesses - and/or - mostly are impatient to wait or scheduling an Urgent Care Appt. The main thing is the culture now is; "impatience" IMO; Facebook, Instagram, Google search - gives the younger generations instant gratitude by posting comments and receiving instant replies/satisfactions. So they want everything now...

Majority of the responses above are "No," which I to concur. However, I'm part of the ER interview committee in my Dept., having the CEN would mostly benefit you if, another applicant has similar Nursing background as you (Tele/ICU, and years of experience). Our culture in my department and most ERs, if there are two applicants; ER experience vs. Tele/ICU experience; 95% of the time we will take the ER RN. The only 5% of RN's (Tele/ICU) that have worked their way in, is "who they know" (managers, charge nurses, nursing sup) or Job Realignment and they are pushed into the ER (because we are somewhat always hiring). GL

^ I second that =)

When I escort the homeless out the ambulance doors, I say "Welcome Home!"

Alcohol

As long as u have excellent "Critical Thinking skills" and the "need of Urgency" you will be fine =)

25 Bed ER, 1 Director, 1 Manager, x2 Asst. Manager all for the ER only 10 yrs ago it was 1 Manager, 1 Asst. manager, Support manager.

What was your initial IVP Lido dose? Should be around 1mg/kg for first bolus over 3 mins. And No I have not seen Lido cause Tachycardia

Something a Nurse told me that I will ever forget: "When you are pushing any Core Electrolyte (Chem 7-10's), push them SLOW!"

Things I look for when I precept new-grads (15+ yrs in an ER): - Eagerness (If everyone is rushing to a room, I want to see them rushing too without me telling you.) - Outgoing (You can't be shy in the ER!) - Strong Personality (Got to Challenge ER Docs at times) - ADD (They are best focused in chaos "traumas") - If you like the Adrenaline Rush - Must have a good sense of humor! (All the politically incorrect jokes said among-st ER staff, can usually never be said in any other department) GoodLuck!

To put it simple (15 + yrs in an ER), the best thing is when they AWOL (unless they are 5150's / non-altered). AWOL - They have taken it upon their-selves to leave without notifying any staff. No need to go over an AMA or advising them to stay. Simple charting "Pt AWOL, not found in room nor WR. No answer to the number provided; left message, MD informed." This is coming from an ER RN that doesn't put up with that crap.

I'm a RN in the Bay Area, CA and there is a trend in the past 3 yrs that I've noticed. Hospitals are getting rid of 12 hr shifts and converting them to 8 hrs; can anyone tell me why? Does this save money from the Hospitals in the log end? A Managers insight would be great! - ER RN, "You're here for what?"