TexanTough

TexanTough has 7 years experience and specializes in Emergency Nursing, Critical Care Nursing.

Latest Activity

1. Intubation - confused about orders

   TexanTough replied to RNexplorer's topic in Critical

   " However, she gave me direct orders: "you must follow exactly what the physician tells you to do," plain and simple. " RnExplorer: Your charge nurse has done a great disservice to you by saying this. (Warning: Soapbox). Yes you are a new nurse and m...

2. Tips 'n Tricks: Pearls the Newbies Need to Know

   TexanTough replied to Music in My Heart's topic in Emergency

   -You can't dilute valium. -If families are going to be in a room with a patient and are capable, utilize them to assist with the patient's care. -Label your meds as you draw them up. Which syringe is zofran? Which syringe is 2mg Dilaudid? -Don't be...

3. Learning sick vs. not sick

   TexanTough replied to Eatrealfood's topic in Emergency

   Unfortunately, it's one of those things you acquire with support and assistance from your coworkers. When I was new, I asked a lot of questions about the 'worst case scenario' so that I could gain a sense of what to be prepared for if the S hit the F...

4. ESI Triage concerns

   TexanTough replied to Mobeeb's topic in Emergency

   *Sigh* This is a huge source of frustration for me. First and foremost, facilities where I have worked will let green and inexperienced nurses in triage. This results in an ESI of 4 assigned to the full blown aids patient complaining of dental pain ...

5. New CEN exam

   TexanTough replied to Erikó's topic in Emergency

   Two words: PASS CEN. Chuck the book itself and utilize the questions by category/system. It was truly invaluable and I recognized a lot of similar question structure on the test itself. Also, I had several questions about epidemiology (TB, Strep) Mos...

6. I need some advice

   TexanTough replied to TexanTough's topic in Emergency

   I understand the point you are trying to convey. I do not take issue with repetition of so called menial tasks *IF* there is a clear reasoning/point behind them. Do you not think I made sure my trauma bays were stocked, calibrated, all systems go ev...

7. I need some advice

   TexanTough posted a topic in Emergency

   I was an ER nurse for several years and recently moved into an intensive care setting. I did this to make me a more desirable candidate to become a flight nurse. As much as I am learning in the ICU, I am clearly unlike the rest of my peers. My brain ...