Loo17

Loo17

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All Content by Loo17

  1. Paramedics in ER

    My boss told me once that the reason our ED does not employ medics to assist is because it would open the door for the higher ups to decide we could staff less nurses (higher ratios) and supplement...
  2. POSITIVE DRUG TEST

    As far as I know the urine drug test will not show positive for ativan. It would show positive for benzo's. If you have a valid Rx there is nothing you should worry
  3. I have the raspberry one with rainbow finish. It has not faded at all. I follow littmann's cleaning instructions and don't use bleach wipes on it, not sure if that has made a
  4. Protonix beads for g-tube

    The Protonix particles are activated at neutral pHs, like water, and the low pH of applesauce/juice allows them to safely make it into the stomach. For patients who have a nasogastric tube or...
  5. Intubation - confused about orders

    Also know your doses for the common meds the docs use. There have been several instances the residents have told me to push a dangerously wrong dose and I have had to ask them what they were...
  6. How long was your initial orientation to the ER?

    2 or 3 shifts? That would be a bad orientation. When I worked in acute care everyone got at least 4 weeks orientation regardless of experience. Newer nurses usually got 8. In the ED where I work...
  7. Is it legal to have RN's use full name on badge?

    Just my two cents but I think a lot of people would be very uncomfortable with a doctor performing surgery on them if their name tag said Dr Joe or Dr Joe with a piece of white tape over his last...
  8. lovenex

    More information would be helpful to answer this question. Lovenox can be administered at any time as long as it is about the same time every
  9. why do nurses hate medics?

    I work in a busy level 1 ED with approx 75-100 nurses, I have not witnessed or heard about any friction between nurses and medics here. In fact we all get along great. Many of the nurses are friends...
  10. resume critique

    I like it, even with the subjective information. Maybe just set up differently. I quickly set up an example which I am sure you could improve. Paramedic Provided care to patients across the...
  11. Communication Problems at Clinical

    Do not sit and wait. As long as your polite it is not rude to say, "excuse me I need to speak with you about a
  12. How to I address this with my boss

    I would email a request for a sit down meeting. I think this is something you need to discuss face to face. When face to face you should be direct, I need to plan my finances, will I be transitioned...
  13. Help! Tricky situation

    You didnt accept the position last year because it was not the desired shift. You were so excited to see a day position available because you lived the facility, department, staff
  14. Eczema on hands?

    Has the school changed soap in the bathrooms or hand sanitizers? My kids are very sensitive to the hand soaps with antibacterial properties especially in the winter when hand washing encouragement...
  15. ER nurse questions

    I work in a busy level 1 trauma, I estimate 10% of my patients are psych/SI/TI/ETOH. I work day shift. Nights, I believe the percentage to be a little more. I do not find working in the ED to be...
  16. A little off topic but at the hospital where I work the nursing assessments are not even visible to the providers. Its a
  17. Long post from new orientee with questions

    Appreciate the knowledge your preceptor brings. Kindly say when you are the one signing off the meds you would prefer to use the cow and chart in real time. If you want to swab a vial swab a vial. If...
  18. I think you should talk to whomever directs your orientation whether it be the unit manager or educator. Let them know what happened. Maybe they were not aware and it will be a non-issue. If they were...
  19. My opinion is that it would be optimal to work full-time as a new grad however I do not think it is career suicide by any means. Family should come
  20. correct dosage times for various meds

    Short acting ADHD meds (Ritalin, Adderall) would never be given at 2000. The kid would never sleep! For those that are short acting, the latest I have ever seen it given would be 5pm to help with...
  21. correct dosage times for various meds

    Daily 0900 BID 0900 2100 TID 0600 1400 2200 QID 0000 0600 1200 1800 These are the times I have seen most often in facilities that have shift times that start at 7am, 3pm, 7pm, and 11pm. The midnight...
  22. How far to insert a catheter??

    I work with a nurse that puts the betadine in the lube syringe then squirts it into the meatus of the member. I personally just lube the tip of the
  23. The guy with the high blood pressure receiving Lasix should not get D5 1/2 NS. Diuretics interfere with reabsorption of chloride and sodium in the renal tubules. This patient is on diuretics and at...
  24. I would not hang 1/2 NS @75ml/hr as the first line treatment for sepsis and dehydration with unstable vitals. I would anticipate an order to replace the loss with 0.9% normal saline as a bolus. I...
  25. resume critique

    I would agree with the above poster about taking out the first paragraph and about highlighting your previous non-nursing experience. You held jobs that have a lot of similar qualities to nursing....