1fastRN

1fastRN

Emergency Nursing

Member

  • Content

    196

  • Visitors

    4,069

  • Followers

    0

  • Likes

    2

All Content by 1fastRN

  1. Nursing Bibles

    1fastRN replied to Ladyt03's topic in Nursing Student Assistance

    Saunders NCLEX book hands down for taking the test. I have a couple Emergency nursing books I use for reference. oh and the micromedix app on my phone iTriage is a decent app for quick ref on...

  2. Most topics here non-clinical knowledge ones

    1fastRN replied to Emergent's topic in General Nursing

    i find the specialty sections to be more of a clinical discussion. I like AN because there are nurses with tons of experience and knowledge. Generalnsecrion tends to be more social. i also find it is...

  3. The Infamous Cab-ulance

    1fastRN replied to MedicalPartisan's topic in Emergency

    22 y old male. "I havent urinated in 3

  4. Sepsis + Antibiotics = Severe Hypotension?

    1fastRN replied to 1fastRN's topic in Emergency

    thanks for your feedback. Have you seen any difference in colloid vs crystalloid fluid resuscitation? is usually NS that is ordered. Seems to be controversy in this realm. I take it it the fluid tends...

  5. Sepsis + Antibiotics = Severe Hypotension?

    1fastRN replied to 1fastRN's topic in Emergency

    Thanks, just what I was looking for. Googled some info on Manuel Rivera and sepsis. So here is what Ive seen. septic pt, boluses conservatively ordered. Patient is old and docs are afraid of fluid...

  6. How does your ED treat chest pain?

    1fastRN replied to dsherman's topic in Emergency

    Door to EKG time under 10 mins. MONA (morphine, 02, nitro, ASA) Portable CXR, cbc, chem, trop, coags Treatment is different and much more aggressive if EKG is positive for MI. Coags, type &...

  7. Putting the Code Medicine (Abboject) Syringes Together

    1fastRN replied to PMHNP2023's topic in Emergency

    Haha this! I fought with these boxes so many

  8. POLL: nurse-to-patient ratio

    1fastRN replied to j0yegan's topic in General Nursing

    Emergency Trauma Department. No ratio. Whatever is in the department divided by the amount of nurses we have. I'm on nights and we're always short. Lately it's been 5-8:1 with a mixed bag. If one of...

  9. Nicotine Test for new employment

    1fastRN replied to hls0810's topic in General Nursing

    Agreed, I just didn't know if there was some other logic behind it. Maybe they should start testing for big macs because some of my co workers diets... oh lawd!

  10. Nicotine Test for new employment

    1fastRN replied to hls0810's topic in General Nursing

    Wow I didn't know this was a thing? Why do they care though? I mean make it a smoke free campus and don't allow smoking breaks, that makes sense. Not a smoker and I would hate to have a nurse who...

  11. how does your er treat abdominal pain

    1fastRN replied to dsherman's topic in Emergency

    Kidney stone is usually toradol and zofran. Fluids for most people unless comorbities can cause fluid over load. Morphine or Dilaudid for those very distressed. I prefer when docs write for dilaudid...

  12. Putting the Code Medicine (Abboject) Syringes Together

    1fastRN replied to PMHNP2023's topic in Emergency

    I remember trying to assemble one during my first code! How stressful and humiliating although I think I saw someone else do itor just figured it out. No one seemed to notice! But made me think they...

  13. Cosigning meds

    1fastRN replied to ICUNurseG's topic in General Nursing

    Just for drips in my ETD. Nothing for SQ. And I always verify before signing, and when it's my med I ask the other nurse to check my math.... nurses get tired too, especially at 5am I feel more...

  14. Job in Trauma 2 ER vs. Trauma 1 ER

    1fastRN replied to PacoUSA's topic in Emergency

    Second this. I work in a level 2 and we are the go to hospital in the area. Nothing gets transferred out. We actually get all the transfers... I think the main difference is credentials like how you...

  15. Night Shift and nutrition

    1fastRN posted a topic in General Nursing

    The running around, the lack of time to snack, the countless nights without breaks...(this can apply to day shift as well.) It seems nurses go one way or the other....losing or gaining weight. Maybe...

  16. Expecting better results with less staff and high ratios

    1fastRN replied to Emergent's topic in Patient, Colleague Relations

    We have a lot of the same problems at our facility! We hold admitted patients for HOURS on end, sometimes days if they're iso or they need to go to a specific unit. Do you have to give report on each...

  17. Urinary cath rant!

    1fastRN replied to DedHedRN's topic in General Nursing

    Once in nursing school I didn't advance a catheter far enough into a male patient and when I inflated the balloon, I knew right away! Luckily, no harm was done. But lesson learned, I always insert...

  18. Night Shift and nutrition

    1fastRN replied to 1fastRN's topic in General Nursing

    Great advice. I can relate a lot. I think being a new nurse (almost at my one yr mark) is a big contributing factor. I can never seem to catch up on my charting and I'm always so busy. Although, I...

  19. Night Shift and nutrition

    1fastRN replied to 1fastRN's topic in General Nursing

    I get very little time to snack, that's the problem. Like I mentioned, some nights I don't even get a break. So my only solution that I can think of is to pack additional protein shakes for more quick...

  20. Dear Student Nurse,

    1fastRN replied to BSNbeauty's topic in General Students

    Take advantage of this time.. it's a safety net. It's your time to learn and do without being fully responsible for another person's life. Ask questions, ask to do desuchferred tasks and procedures. I...

  21. When do you personally use an IV pump?

    1fastRN posted a topic in Emergency

    ER nurses are notorious for giving fluids wide open or on mini med tubing. I thought it would be cool to compile a list of the meds we use a pump for our categories. No pump: Ns on a young generally...

  22. New Nurse

    1fastRN replied to GeoffH's topic in First Year After Licensure

    Nursing school doesn't teach you to be a nurse. I learned more in a few weeks than I think I did throughout all of clinicals. You'll never stop learning. Make nice with co workers. You'll need to...

  23. SOB interventions on dialysis patients in ED

    1fastRN posted a topic in General Nursing

    Dialysis patients who present with SOB who require urgent dialysis... what interventions can be done while the patients await dialysis.... recently had a patient who was tachypic. "Can't catch my...

  24. SOB interventions on dialysis patients in ED

    1fastRN replied to 1fastRN's topic in General Nursing

    We did give nitro, and the baby dose of MS. Basically no relief. Thanks for the feed back, typically the interventions that have been mentioned are the ones I have seen. Definitely going to go up the...

  25. SOB interventions on dialysis patients in ED

    1fastRN replied to 1fastRN's topic in General Nursing

    Yep. He refused to Medicate her further. Felt awful for the poor woman. Once the doc he consulted was on board he pretty much blew her off. Hope I'm never put in this position