1fastRN

1fastRN

Emergency Nursing

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All Content by 1fastRN

  1. Conscious sedation in the ER

    1fastRN replied to merilynRN's topic in Emergency

    Yup definitely ask the doc, draw up the meds, and double check your math. I do the same prior to intubation. You begin to learn what docs prefer what drugs. And having narcan handy is def a smart...

  2. DNR status and therapeutic hypothermia

    1fastRN replied to MunoRN's topic in General Nursing

    Interesting point. I once had a 98 y old DNR/DNI who came in circling the drain and our ER doc decided to put her on bi-pap. I felt bed for her as she fought the bipap... can't be comfortable having a...

  3. Are you good at charting in "real time?"

    1fastRN replied to Ativan's topic in General Nursing

    I'm in the ER and I try to. I try to do a quick patient rounding, quick charting atleast a little blurb. Lately with staffing at an all time low and patient volume at an all time high I feel like I...

  4. NIGHT SHIFT: Health and Fitness

    1fastRN replied to WHODEYzach's topic in Health, Stress Management

    I've had some trouble with this lately as I haven't been eating enough to fuel my workouts. But I work nightshift and prefer to workout after my shift is over, bright and early. Quick snack, then

  5. Migraine treatment in er

    1fastRN replied to dsherman's topic in Emergency

    Why do narcotics cause rebound pain? Vasodilation? Just curious on the

  6. Boots & curls to an interview: Yay or Nay??

    1fastRN replied to ProudMom511's topic in Job Search, Interview, Resume

    I usually wear business pants and a nice fitted button up shirt. Pretty plain but it's conservative and doesn't detract from the interview itself. I feel like you can do whatever you want with your...

  7. pica

    1fastRN replied to dsherman's topic in Emergency

    We have one patient who frequently comes in putting various objects into his

  8. Conscious sedation in the ER

    1fastRN replied to merilynRN's topic in Emergency

    Most of our docs use etomidate or versed. The MD is supposed to give the first dose even though we use these drugs in other situations freely with an order. Propofol can only be pushed by anesthesia...

  9. Shocked by facial piercings at work

    1fastRN replied to BSNbeauty's topic in Nursing Professionalism

    I wear a small nose stud. I had a tongue ring but took it out before I started nursing school because I thought it didn't look professional. I don't think be respected with a tongue ring. No one has...

  10. Dealing with stress, guilt, and emotions

    1fastRN replied to 1fastRN's topic in Emergency

    Feeling the love! ER nurses tend to be a little stoic so it's nice to be able to share my woes anonymously. I love my co-workers but with everyone being as equally overworked, I don't think they'd...

  11. Migraine treatment in er

    1fastRN replied to dsherman's topic in Emergency

    Toradol + Reglan (diluted) Sometimes benadryl if they're anxious to begin with but usually just the two. Sometimes we'll give PO

  12. Mistakes Are Inevitable: No One Is Perfect.

    1fastRN replied to Ruby Vee's topic in Nursing Professionalism

    Don't get down on yourself! You'll find your niche. Maybe it's another unit or another ED. Or maybe you'll get up to speed and give the ED another shot. It's a hard environment for anyone and it's so...

  13. anxiety depression and adhd have caused me to struggle to find my fit as a new nurse

    1fastRN replied to brad0428's topic in Nurse Disabilities

    Are you looking for a certain type of specialty or environment? I was undiagnosed ADHD, thought I just had anxiety problems and a short attention span. I tried ADHD meds for the first time in my life...

  14. How does your ED treat chest pain?

    1fastRN replied to dsherman's topic in Emergency

    We let our docs call it, because it literally activates the cath team. But our docs see the EKG right away and if it looks sour I'll often call the doc over while they're doing the EKG. Same for...

  15. How does your ED treat chest pain?

    1fastRN replied to dsherman's topic in Emergency

    I'm an RN. I don't give any meds as an independent action. I order the EKG, CXR, throw in an IV, draw labs, and set them up on O2. If the patient is very distressed I'll let the doc know and often get...

  16. Interview for ER

    1fastRN replied to kateBNRN's topic in Emergency

    How will you deal with time management, prioritization, stress etc. What will you do when you're feeling overwhelmed? Why do you think you will be a good fit in the ER? How will your...

  17. back pain

    1fastRN replied to dsherman's topic in Emergency

    Weird, I've only heard of those "frequent fliers" for narcotics. Sounds like that patient needs to find somewhere else to

  18. Caring as Facade profession

    1fastRN replied to souleater11's topic in General Nursing

    HAHA amen! My non-nurse friends always joke bout my "nurse salary" like I'm rich or something. We're all mid-twenties entry-level jobs, so most of them work in an office and get paid dirt to do one...

  19. Caring as Facade profession

    1fastRN replied to souleater11's topic in General Nursing

    Some of the "coldest" nurses I've seen are excellent nurses. They're just burnt out. But they do a great job in assessing and managing their patients. Of course, this isn't going to keep patient...

  20. Dealing with stress, guilt, and emotions

    1fastRN replied to 1fastRN's topic in Emergency

    Thanks for the feedback thus far, just wanted to see how you guys deal. :) Nothing I can't bounce back from, just a tough string of shifts

  21. Experienced ED nurses please help me make a decision!

    1fastRN replied to snbell's topic in Emergency

    Congrats on the job offers! Both seems like great opportunities. I personally love the ED because it's something different everyday. The nurses in our cath lab seem very happy, but it wouldn't be a...

  22. Mistakes Are Inevitable: No One Is Perfect.

    1fastRN replied to Ruby Vee's topic in Nursing Professionalism

    What a great post! Thanks! I'm always so afraid to make errors. When pulling dangerous meds, I often ask co-works to double check my math. In fact, I probably annoy them with it but I just want a...

  23. What area of nursing can you spend a lot of time talking/working with patients

    1fastRN replied to Nola009's topic in General Nursing

    This was my initial thought. What about out patient? I know someone who does outpatient hepatitis C/ID and it's scheduled visits with the same patients, a lot of education. Pays well where she does...

  24. Sepsis + Antibiotics = Severe Hypotension?

    1fastRN replied to 1fastRN's topic in Emergency

    Wow this thread is extremely informative and helpful. Thank you so much! I thought I'd been done with research after school, but I'm finding myself researching everything new after a shift and it...

  25. ADHD Nurses-what area do you specialize in?

    1fastRN replied to k31kozumi's topic in Nurse Disabilities

    ER, is a perfect fit. I would be too bored. I did ICU rotations during my orientation, and I was so bored. ICU was too OCT and not enough chaos,