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Kuriin

Kuriin

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  1. Kuriin

    What would you do

    Something similar happened on Nurse Jackie on the last (?) season. And, as far as I am aware, insulin drips are a double RN check where you can't bypass the sign off in the flow sheets like you can with pressors. Granted, I guess this all depends on facility policy. In any case, it's a med error and likely to be reported which would result in either suspension or termination. Hopefully the hospital is unionized and not a right to fire facility.
  2. Kuriin

    Central Line Placement and Masks

    Generally the people placing the lines wear the masks or the people that are almost breathing on the patient's neck have to wear the mask. Otherwise, no.
  3. Kuriin

    Discharging patients on the board

    I had a charge who would discharge patients without telling the nurse and the patient would still be in the room. It's to keep the discharge times If management did this, I would notify not only the union, but CMS as well.
  4. Kuriin

    Needing some advice

    EMTs and Paramedics told me this: Most of the time, you will be a glorified taxi driver for transport. HOWEVER, those crazy moments you see tend to make up for the crap transport. I have the utmost respect for our first responders.
  5. Kuriin

    ER patient wanting pain Meds

    One of my facilities has a .phrase in Epic for narcotic administration that says patient must agree to have a ride home, etc. I've adopted this at my other facility to protect me as many patients say they have rides, but in fact, do not.
  6. Kuriin

    CEN as a new grad ABSN?

    Just get the CEN. You will learn a ton. Forget the naysayers who tell you that it's required to get the experience. If you got the time and money to study, do it.
  7. Kuriin

    How to ask for mentorship?

    I flat out tell my charge nurses that I used to do floor nursing and that I would prefer not to be in the observation side of ED. They generally respect that and put me in high level acuity or typical ED patients.
  8. Kuriin

    Futile ressusitation

    You guys are saying these are futile resuscitative attempts. To your eyes, yes, they are. To the families watching that every possible thing is being done for their loved one IS NOT FUTILE.
  9. Kuriin

    Tips for ER interview

    Have you had any conflict with a manager, coworker, or another unit? Prioritization for sepsis, stroke, or chest pain. Strengths/weaknesses How do you allocate your resources? What was one thing you did wrong and what did you do to correct it?
  10. Kuriin

    Will I be fired

    I would just in case start applying to other hospitals while you still have a job.
  11. Kuriin

    Inpatient Boarders?

    It happens from time to time that you board inpatients patients in the ED for >3 days. However, I haven't been in a hospital that sounds like that bad.
  12. Kuriin

    New Trauma Nurse Help

    I'm assuming by now you've taken your TNCC? Nurses don't do a whole lot in trauma aside from the line and labs and blood transfusions. As the primary nurse, your main goal is to chart the primary and secondary survey and place orders that the doc says.
  13. Some people do take notes in the ER like they would on a medsurg floor. I don't get it at all. The important stuff should be able to be memorized and even if that's not the case, just glance at the chart while giving report. Most ER nurses will understand that it can be busy.
  14. Anyways. You can read up on Sheehy's Manual, ER nursing bible, critical care pocketbook. Brush up on PALS, ACLS, and NIHSS. Get your TNCC fast.
  15. You hate medicine? As in primary care? Or medical-surgical? Most of your ER patients will be medsurg based, few will be ICU, even fewer will be trauma unless you're in a major trauma center. The way you make it sound it's as if you shouldn't be in the MEDICAL field in general.
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