1fastRN

1fastRN

Emergency Nursing

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All Content by 1fastRN

  1. NJ RN in RAMP...can i Work?

    I just enrolled in RAMP...I was accused of diverting a non-narcotic drug at my previous job. I was fired, despite testing negative on a drug screen. After consulting with my lawyer, I decided to enter...
  2. Frequent Fliers...seeking ENEMAS!

    Do you folks have your fair share of older folks c/o constipation? Sometimes coming in numerous times for enemas, laxatives, etc? Don't get me wrong, I know from experience that this can be quite...
  3. Patient Families

    Ever feel like our jobs would be 10000x easier if families were not allowed in the ED? I'm not a complete jerk, I'm very nice to family members, try to accommodate, make them comfortable, keep them...
  4. How is this procedure normally done? Numb+clean the site, aspirate fluid, and then what medications are usually utilized? Do they inject solumedrol into the joint space? One of my teammates just had...
  5. Patient Families

    WHY do some ppl want the hand? i know some ppl with no veins sometimes say they only have luck in the hand...i get that...but some people WANT the hand. why! that ish HURTS! And i understand not...
  6. new RN, first job, having tough time, need advice

    maybe you need to look into employment at another facility.... personally i try to "kill em w kindness." I am always super nice to the meanest of patients...sometimes it works and my positive and...
  7. Training to look impressionable for ED?

    any chance of getting a part time or per diem gig in another ED or critical care setting? maybe at a smaller
  8. Patient Families

    Ever get the pain seeker with the trashy looking friend/gf/bf who is overly concerned with the medications being administered to the patient? What medication is that? Dilaudid. How m any mg? 1. Oh...
  9. A while back a young woman came into the ED with angioedema/oral swelling. She was treated with the usual cocktail IV: benadryl/pepcid/solumedrol. I believe she was given epi as well, but I can't...
  10. Why isnt Emergency Nursing listed under critical care?

    We definitely are critical care, but I always view CC more as ICU. Emergency nursing is a beast of it's own,; we take every patient as they walk in. Of course, the ICU patients start in the ED, and as...
  11. Transferring to the ED

    Congrats! Noc-nursing is where it's at! I love my night crew!!! Night shift usually has great teamwork; we have less resources so we work together and help each other out. Hopefully it's the same...
  12. Allergy/Anaphylaxis treatment and Shivering

    Cool, I was thinking it was the epi, but I couldn't remember if she was given it which is why I was wondering why she had that reaction. So I guess we did give her epi! And yeah I think the blankets...
  13. I have the time (to pee)

    I often get caught up so I just end up "forgetting" to pee. I'm getting better with it though! The main problem is that the bathroom is so far away it's really inconvenient. If they had one in each...
  14. Medsurg nurse transition to ED

    ^^Ditto to the above poster. The best piece of advice someone gave me when I started: "The ER is like a game of chess. You want to figure out how you are going to get your patient in and out as fast...
  15. Gero psychs

    I dread these patients! Unless they're sick with legitimate AMS compared to their baseline, I honestly don't know what they want us to do about the irritated sundowning patient. Sometimes it seems...
  16. Frequent Fliers...seeking ENEMAS!

    Definitely! I'm not saying the complaint is unwarranted. Without a doubt we often roll our eyes at a patient's complaint and they end up way sicker. You just never know, but hey, that's the fun of the...
  17. Nurse to patient ratio in ED

    What is the nurse to patient ratio where you work? I work at a busy trauma center and we max out at 10 patients per nurse. At 4-6 patients I feel okay (depending on acuity). But when it reaches...
  18. Wondering if anyone else runs into this situation... When transporting a critical patient to CT/Xray or the unit (step-down/ICU), it is required that the nurse travels with the patient and monitors...
  19. ED staffing and transportation of critical patients

    I can't think of a better word than "juggle" to describe our
  20. ED staffing and transportation of critical patients

    Well atleast I can rest easier knowing someone is in the same boat.... LOL Ugh how frustrating is it to come back to an assignment full of new orders to catch up on, and patients that are upset...
  21. Yes!
  22. Top 10 Reasons We Get Fired: Sleeping on duty

    ....an occupied patient's bed!? WITH a
  23. Does This ED Tech Screening Question Seem Odd?

    what is the relevance? makes no sense and dont see how this
  24. Top 10 Reasons We Get Fired: Sleeping on duty

    Who has time to sleep at work!? I'm too busy to even think about taking a nap! I do really wish there was a quiet area designated for nurses to nap during breaks though. I think by giving RNs 45...
  25. The best laid plans...

    When I first started, a nurse told me every new ER nurse spends the first year drowning. Completely true. Stick with it! Nobody is perfect off that bat, but from what I've seen you either "get it" or...