WAheartnurse

WAheartnurse

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All Content by WAheartnurse

  1. ED Orientation (a bit of a vent)

    WAheartnurse replied to BrooklynRN11201's topic in Emergency

    I understand the PCAs to be ED techs? Someone who does EKGs, vitals, urine dips etc? I am fairly new to the ED and am having trouble getting techs to do much for me that they don't want to already do....

  2. ED Tech here - Tips for being the most helpful to nurses?

    WAheartnurse replied to emergency_love's topic in Emergency

    I have never heard a tech ask me if I want help with anything- I would love that. Many techs want to focus on the cool stuff- ekgs, wound care, splinting, etc and get resentful if I ask for urine to...

  3. Cops and Nurses

    WAheartnurse replied to GundeRN's topic in General Nursing

    I know that I (as a nurse) give cops special treatment if possible. If they are sitting with a prisoner, I offer coffee/drinks/food (from our own supply as our ED doesn't have coffee or really any...

  4. Attitudes of nurses who don't work in ltc

    WAheartnurse replied to lauriepat's topic in Geriatric, LTC

    I have never worked in LTC or a SNF but I have friends that have. From what they tell me it is a very task oriented job- you have so many residents that you are often just focused on passing meds...

  5. Violence in the ER

    WAheartnurse replied to TLS1's topic in Emergency

    Yes, this is where I make an exception. An elderly (but still VERY strong man) thought we were attacking him and wanted us to call the FBI etc. He was angry and frightened out of his wits. We were...

  6. Violence in the ER

    WAheartnurse replied to TLS1's topic in Emergency

    yes I

  7. IV Amiodarone extravasation

    WAheartnurse posted a topic in Cardiac

    I have noticed that many of our patients that receive amiodarone in a peripheral line have extravasation problems. A lot of patients. I have no ideas on numbers- I asked if we could track it to find...

  8. What do you think about this? Giving narcan to addicts, their friends and family.

    WAheartnurse replied to Mulan's topic in Patient Medications

    I have heard about this in the NW. We can look at it in several ways: 1) Addicts need (deserve?) to experience the consequences of their addictions and giving narcan is no long term solution. (BTW I...

  9. Starting an ER job with no orientation?

    WAheartnurse replied to LostnNakedNursing's topic in Emergency

    Footballnut- I think you might have misunderstood her posting. She is not going to receive minimal orientation with some support and training from others. She has no experience. From my understanding,...

  10. Antibiotic initiation/effectiveness

    WAheartnurse replied to 1fastRN's topic in Critical Care

    This is what I have seen: the patient fits sepsis criteria so we are bolusing with fluids to keep BP/MAP up. The pt develops flash pulmonary edema (hence the wheezes from nowhere) and they crash...

  11. Very encouraging and heartwarming!

    WAheartnurse replied to AnieleiLPN's topic in Ambulatory Care, Clinic

    I think that if RNs were utilized MORE in offices, pt outcomes would improve. For example, at our hospital we have a Heart Failure clinic with RNs giving education teaching pts to manage their CHF...

  12. Patient Care Checklist/Sheet

    WAheartnurse replied to KNRN2013's topic in Emergency

    I am new to the ED also (from floor nursing) and I take a blank sheet of paper at the beginning of my shift and fold it into quarters. Then I take a patient sticker and stick it on the paper and then...

  13. 33? that's a lot

    WAheartnurse replied to Mulan's topic in General Nursing

    Now I feel

  14. Gonzaga vs WSU vs OHSU

    WAheartnurse replied to Junebug0710's topic in Student Nurse Practitioner

    Are you talking about Gonzaga's RN-NP program or BSN-NP program? I already have my BSN so I thought that was 3 semesters (full-time)? I am pretty sure I will be applying for the Spring start BSN-...

  15. Rural nurses... Advice please. Why am I paying for my BSN (maybe a rant)

    WAheartnurse replied to HHN2472's topic in General Nursing

    My hospital pays an additional $1 per hour for BSN. We are union. I guess that means my school payback will take about 7 years but I think that it opens doors in areas that otherwise you may not...

  16. Waiting room

    WAheartnurse replied to Marci4's topic in Patient, Colleague Relations

    OK- on the bad breath. I have had patients with bowel obstructions who have been vomiting up what is basically fecal matter. Combined with cancer and they literally have a death smell coming from...

  17. IV push

    WAheartnurse replied to greyL's topic in General Nursing

    The only thing I feel comfortable not diluting are things that come in a carpuject- obviously they are meant to be pushed without dilution. Even so, you avoid a lot of problems by diluting meds out,...

  18. Gonzaga vs WSU vs OHSU

    WAheartnurse replied to Junebug0710's topic in Student Nurse Practitioner

    I would be very interested in hearing about these programs too, especially Gonzaga. Looking into Gonzaga- is it all done in one year (BSN-FNP)? It looked like you could do fall, spring, then summer...

  19. wasting time?

    WAheartnurse replied to smurfynursey's topic in Emergency

    I also tell people this important lesson (that I was never told during my younger days and visits to the ED for me or my family)- just because we have run a few tests that ruled out the most emergent...

  20. How much is too much morphine?

    WAheartnurse replied to Neomikeyboy's topic in Hospice, Palliative

    The policy for every facility that I have been at is that it is absolutely not acceptable (like a fireable offense) to push the PCA button for the patient. We can manually give boluses but we cannot...

  21. How do you know you are ready?

    WAheartnurse replied to amzyRN's topic in Emergency

    I am training in the ED after being on a cardiac floor for almost 2 years. I think that was a good time frame. Dont worry about how fast you can throw a foley in- that will come. You just need to know...

  22. the stuttering nursing student...any advice?

    WAheartnurse replied to Paulienursingstudent's topic in Nursing Career

    I would just put it out there for people. I tell everyone I work with and most of my patients about my hearing impairment and we make a joke about it. I remind people about it all the time "Hey...

  23. How much is too much morphine?

    WAheartnurse replied to Neomikeyboy's topic in Hospice, Palliative

    Please folks, if you cannot advocate for your patient get out of nursing (or at least bedside nursing). For those who might EVER give narcan when the family "changes their mind" you have utterly...

  24. Professionalism 101

    WAheartnurse replied to lpnpgh123's topic in Nursing Professionalism

    As I read this, I saw red flags going up. Perhaps you are surrounded by juveniles who should be working at McDonalds. I am worried that you are just above them all. If this is the vibe you are giving...

  25. HIPAA Violation Help

    WAheartnurse replied to SummerLei's topic in HIPAA Challenges

    I talk about my day to my other nurse friends and my family. They would have no way of identifying anyone from what I say. No full details but something that would be applicable to any patient in the...