1fastRN

1fastRN

Emergency Nursing

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All Content by 1fastRN

  1. Head injury question

    1fastRN replied to Nurse ABC's topic in Emergency

    It's better to be safe, you did the right thing for having the doctor check him out! It's always different when it's family; sometimes you have to stop being a nurse and just be a parent. We rarely CT...

  2. Any advice or words of wisdom for precepting new grad ER nurses?

    1fastRN replied to turnforthenurse's topic in Emergency

    Nerves maybe? Try to encourage them to jump in there. I literally had preceptors push me in. Total deer in the headlights but now I too jump in to help out on other codes. My favorite preceptor...

  3. Post accident drug testing

    1fastRN replied to Sassy5d's topic in Emergency

    It is my understanding that they are further able to analyze drug screens for more specific levels/concentrations of the drug and also narrow it down to what type of drug it is. So a drug such as...

  4. Sepsis + Antibiotics = Severe Hypotension?

    1fastRN posted a topic in Emergency

    Someone had posted some info on this a while ago but I can't seem to find it. But isn't there a correlation with IV antibiotics initiation and a systemic vasodilation response? Pt presents looking...

  5. Dealing with stress, guilt, and emotions

    1fastRN posted a topic in Emergency

    Hi guys, Looking for a little feedback and maybe just to rant a little. Been extremely overwhelmed with large volume and high acuity lately, I finally "cracked" the other night. How do you deal with...

  6. Nursing dilemma

    1fastRN replied to NS81's topic in Nursing Career

    You need to move or find another job closer...whatever it takes to get your health and family together. Just start applying to jobs out of state if that's the only option you have. It doesn't hurt to...

  7. Question for nurses

    1fastRN replied to shonniemichelle's topic in Nursing Student Assistance

    You'll find your niche! Once you graduate just apply, apply, apply. You do not need to get anything else to apply for certain specialties, although, they may require or prefer experience. This is why...

  8. Question for nurses

    1fastRN replied to shonniemichelle's topic in Nursing Student Assistance

    What specialty areas are you thinking of? I knew right where I wanted to go before I even knew I wanted to be a nurse. Going through nursing school helped solidify my initial inclination toward...

  9. Residents....

    1fastRN replied to mwlude's topic in Emergency

    I definitely second this! I also find most of the residents are humble and I feel like I can talk to them. It enables me to have a discussion about my patients plan of care and I feel we're able to...

  10. Is nursing killing me :/?

    1fastRN replied to pheonixRN's topic in General Nursing

    I re-herniated a lumbar disc at work, making my arthritic spine with degenerative disc disease even worse... I sometime's have high blood pressure at work. I never got a UTI until I started nursing...

  11. NIGHT SHIFT CENTRAL!

    1fastRN replied to meanmaryjean's topic in General Nursing

    I work in the ER... and are no sleeping patients in the ER! Well, maybe the drunks. So we are plenty busy at night but with less resources. This means I get my cardio in pushing stretchers to...

  12. Residents....

    1fastRN replied to mwlude's topic in Emergency

    ...After suggesting we try dilaudid because morphine isn't cutting it for the patient's pain... "Does dilaudid come in IV form?"

  13. Thinking of transferring to the ER

    1fastRN replied to Catch22Personified's topic in Emergency

    Why do you want to go to the ER? Is it just because your coworker transferred? Are you happy on your tele floor? I'm just asking because you sound very apprehensive right off the bat. I love the ER...

  14. "I need my Lipitor!"

    1fastRN replied to 1fastRN's topic in Emergency

    Ah, see that's the problem.... the admitting doctor can take quite a while to see the patient, so there's a lag in getting full orders. 12-18 hours is nothing, we've lately had some people sitting...

  15. CEN/Education/Opportunities for Learning

    1fastRN replied to 1fastRN's topic in Emergency

    I am dysrhythmia certified, I completed the Step-Down, ICU, Trauma, and various other courses through my hospital. I have ACLS and PALS. I'll definitely look into more seminars, thanks! Awesome,...

  16. How does your ED handle stocking

    1fastRN replied to That Guy's topic in Emergency

    We have equipment techs that stock a lot of the department. Our patient-care (nursing) techs do a lot of the stocking as well. Nurses are not above stocking either. We live it everyday so if something...

  17. FFP infusion

    1fastRN replied to EmeryRN's topic in General Nursing

    Even in the hand? The folks in radiology state that it has to be wrist or higher with any contrast because if the line blows the patient could lose their hand. They stress that infiltration of IV...

  18. Urinary cath rant!

    1fastRN replied to DedHedRN's topic in General Nursing

    I'll have to give that a shot. I usually find it easiest to put the little old ladies in trendelenberg, bend their knees n spread em. Best way to get a visual. And always aim

  19. FFP infusion

    1fastRN replied to EmeryRN's topic in General Nursing

    So is there any research or standard for what bore is appropriate for FFP, PRBCS, and blood respectively? I know 20 is policy at my facility. What about IV contrast? Do y'all use 20 gauge or bigger...

  20. "I need my Lipitor!"

    1fastRN replied to 1fastRN's topic in Emergency

    We don't stock them but pharmacy can bring them to us. Unfortunately the hospital is packed so we are holding patients like crazy... like 60 at a time. And amen on the food and blankets thing. A snack...

  21. Sepsis + Antibiotics = Severe Hypotension?

    1fastRN replied to 1fastRN's topic in Emergency

    Looks like crystalloid solutions with ethyl pyruvate is very promising in combating the inflammatory response during fluid resuscitation. Hopefully this will hit the ground running and be applied in...

  22. Any advice or words of wisdom for precepting new grad ER nurses?

    1fastRN replied to turnforthenurse's topic in Emergency

    As a new grad (working in ER one year now) I'll offer my 2 cents from the orientee perspective. 1) Start out working side by side with them or letting them shadow you for the first few shifts. Let...

  23. Bipap and oral medications

    1fastRN replied to Superman_RN's topic in Emergency

    I've given PO meds countless times on bipap pts. Unless they're in extreme distress I wouldn't give it a second thought. Only contraindications I would think of is if they were strictly NPO or...

  24. Dealing with stress, guilt, and emotions

    1fastRN replied to 1fastRN's topic in Emergency

    I want to follow up by saying thanks for the support! I followed up on my little old lady. After bilateral PEs, sepsis, 3 presssors, TPA, and multiple antibiotics I sent to her to the ICU. Things were...

  25. FFP infusion

    1fastRN replied to EmeryRN's topic in General Nursing

    We generally just dump Ffp in wide open. If anything, run slow initially to monitor for reaction. I always use a 20 or bigger pretty much for anything (ER mentality). I wouldn't worry about it, it...