1fastRN

1fastRN

Emergency Nursing

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All Content by 1fastRN

  1. Nurse to patient ratio in ED

    1fastRN replied to 1fastRN's topic in Emergency

    Wowzers, definitely thought what I was experiencing was the norm across the board. I guess it all comes down to cost and they just downright don't want to pay for the staffing. Crazy, when they're...

  2. Nurse to patient ratio in ED

    1fastRN replied to 1fastRN's topic in Emergency

    We have trauma which has 3 beds, a prompt care area (sprains, minor lacerations, etc.), and then 3 main areas where the acuity can be anything from a belly pain to a cardiac arrest. There is no...

  3. Best fitting scrubs?

    1fastRN posted a topic in Scrubs, Uniforms, Gear

    What brand would you say are the best fitting women's scrubs for an athletic body type? And soft too! Like the stretchy material. Needs to be solid colors. I'm tired of the cheap hospital supplied...

  4. Drug Seeker Stories

    1fastRN replied to ER-RN2's topic in Emergency

    Do you guys have any drug seeking "couples"? We have a few that frequently come in. One instance is a female "fake" sickle-cell patient and her husband who comes in with untraceable abdominal pain...

  5. ED Tech here - Tips for being the most helpful to nurses?

    1fastRN replied to emergency_love's topic in Emergency

    I think the first poster hit the nail on the head! Be proactive! It comes with experience but you'll be able to "anticipate" what is needed for each patient depending on their chief complaint. I have...

  6. Butterfly Injections

    1fastRN posted a topic in Emergency

    Does anyone actively practice this or come across this in their ERs? A couple weeks ago I had a treat and release patient who didn't need a line... the doctor ordered IV toradol and I clarified the...

  7. Drug Seeker Stories

    1fastRN replied to ER-RN2's topic in Emergency

    So is this true? I researched a bit and saw enzymes are elevated at first but then drop off. Hmm good to know! The cases I've seen, enzymes are usually abnormally high. Either way, I get the...

  8. Drug Seeker Stories

    1fastRN replied to ER-RN2's topic in Emergency

    It's so unfortunate.... the fake sicklers that give a bad name to the people actually suffering! I also have people who say, " i have pancreatitis but my blood work doesn't show it." I had one of my...

  9. Pain management in hypotensive patients

    1fastRN posted a topic in Emergency

    Case one, I had a septic guy come in who took pain meds regularly for back pain. He was in so much pain but I had to hold off on giving him IV dilaudid because his pressure was in the 60s-80s. I had...

  10. Drug Seeker Stories

    1fastRN replied to ER-RN2's topic in Emergency

    "Im allergic to aspirin, ibuprofen, toradol...." Why don't you just say, "I'M ALLERGIC TO EVERYTHING BUT DILAUDID!" The best is, "what does is this? Oh 1mg isn't enough!" Most legit people don't know...

  11. Antibiotic initiation/effectiveness

    1fastRN posted a topic in Critical Care

    Hey guys, I lost my first patient the other night....a patient that was actually my assignment. Ive had other patients that were in cardiac arrest upon arrival but I dont consider that the same. It...

  12. Antibiotic initiation/effectiveness

    1fastRN replied to 1fastRN's topic in Critical Care

    Great words of wisdom. Thanks

  13. Antibiotic initiation/effectiveness

    1fastRN replied to 1fastRN's topic in Critical Care

    Another question, if we are going to assume pulm edema is what caused the wheezing (which makes total sense) would a nebulizer treatment be counterproductive? Ive been told neb treatments are a no no...

  14. Antibiotic initiation/effectiveness

    1fastRN replied to 1fastRN's topic in Critical Care

    Wow I learned a ton from this thread! Thanks for posting all the great info. To answer your question, the doc ordered them pretty quickly but it just so happened it was an antibiotic we dont normally...

  15. How Hard is it to Start in the ER?

    1fastRN replied to madisenclaire's topic in Emergency

    It is all about networking. I got an ER job right out of school but it just happened to be networking and timing. And hold the phone on the NP thing.... Everyone wants to be a NP right out of nursing...

  16. 8 months in and suddenly can't start an IV!

    1fastRN posted a topic in Emergency

    Hey guys, I'm 8 months in to my career as a new nurse in a busy NYC ER. I am seeking advice and perhaps some words of wisdom! I learned IVs when I first started, and over the course of my orientation...