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S.T.A.C.E.Y

S.T.A.C.E.Y LPN

Emergency
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S.T.A.C.E.Y has 2 years experience as a LPN and specializes in Emergency.

S.T.A.C.E.Y's Latest Activity

  1. S.T.A.C.E.Y

    The single best piece of advice you've gotten/gave

    Suck it up, learn what it is the profs want to hear, and tow the party line. While yes, there is alot of good stuff you need to learn in nursing school, the key is realizing that a huge chunk of surviving nursing school is realing that much of it is BS that you simply need to get through in order to graduate and be the kind of nurse you want to be.
  2. S.T.A.C.E.Y

    Trauma Nurse

    In my hospital, the trauma bay is staffed by the general ER nurses. The float nurses in the ER float into the trauma room when there is a trauma, and if it is a particularly crazy or busy trauma (or lots of 'em), the ER nurses have to cover each other to allow more ER nurses to go assist in the trauma room. Not all patients who come in as a trauma are a big messy trauma, so the time limit can vary greatly. A particularly bad trauma may only be in the trauma room for At my hospital, trauma patients are admitted to the ICU if critical or the trauma floor if stable. Our trauma floor nurses (med-surg, mostly surg), and our ICU nurses all consider themselves trauma nurses as well. They deal with the trauma patients in the longer term. Trauma floor nurses deal with the quads, paras, nasty dressings, chest tubes, traction, casts, etc. Does this help?
  3. S.T.A.C.E.Y

    TNCC or not

    The course was required by my dept (and probably every other ER), so I took it. I was genuinely looking forward to the course, and having looked at the text and content that the course was supposed to cover, it looked like it would be totally worth the money. Sadly, my TNCC teacher wasn't the greatest. I really felt like it was big waste of money. Was it worth it in my experience, no. Could it have been a great course, yes.
  4. S.T.A.C.E.Y

    Top 10 Meds Used In The ER

    From my own personal practice: 1. Tylenol 2. Gravol (Canadian anti-emetic/anti-nauseant) 3. Ancef 4. Dopamine 5. Ceftriaxone 6. Fentanyl 7. Versed 8. Morphine 9. Ativan 10. Aspirin
  5. S.T.A.C.E.Y

    Learning materials for ED

    http://www.icufaqs.org/ ICU material, but a great review for ER nursing.
  6. S.T.A.C.E.Y

    Dysrhythmias

    Like daytonite said: 1. Learn the basic electrical pathway of the heart, and how a NORMAL heart rhythm travels. Learn NORMAL SINUS RHYTHM. 2. Learn your sinus rhythms, normal sinus, sinus brady, sinus tachy, sinus arrhythmia, sinus arrest, sinus block. Learn what each rhythm is actually doing electrically, the correlation between electrical and mechanical, the criteria you look for to diagnose a rhythm, and then study what to do about it. 3. After you have mastered sinus rhythms, move on to other atrial rhythms. A-fib, A-flutter, PACs, SVT, PAT. Same as above: Learn what each rhythm is actually doing electrically, the correlation between electrical and mechanical, the criteria you look for to diagnose a rhythm, and then study what to do about it. 4. Then move further down the electrical pathway of the heart. Learn the junctional rhythms, and info associated with each rhythm. PJCs, junctional rhythm, accelerated junctional, junctional tachycardia. 5. Then move further down the electrical pathway of the heart. Learn the ventricular rhythms, and info associated with each rhythm. PVCs (lots of terms to know here), V fib, Vtach (stable, unstable, pulseless), idioventricular, accelerated idioventricular, etc. Don't bite off more than you can chew. Work through these rhythms slowly, and don't move on to the next rhythm until you have mastered the previous group. It will not help you in the least of you can KIND of recognize a rhythm, but aren't sure if maybe it is afib or maybe it isn't. Don't even start looking at 12 lead ECGs until you master the dysrhythmias.
  7. S.T.A.C.E.Y

    trauma nursing courses in ontario

    Hmmmmmmm, try calling or emailing the trauma centres near you. Specifically, you want to speak to the ER nursing educator at that hospital. They would be able to point you in the right direction.
  8. S.T.A.C.E.Y

    skirts required for community health clinical???

    Psych and community clinical we had to wear business casual attire. No specific colours or specifics. Profs were insistent that we were NOT to wear scrubs, jeans, running shoes, shorts, or short skirts.
  9. S.T.A.C.E.Y

    Things you'd like the ER to Know

    As an emerg nurse I desperately wanted more education on: - How exactly patients are supposed to be weaned (I had no idea what the RT was doing when they said they were weaning) - Hemodynamic monitoring (MAP, CVP, Central Line stuff) - ET tube cuff pressure assessments. (10cc vs less, fistula development, and cuff leaks) - The expanded neuro assessment
  10. S.T.A.C.E.Y

    Question about CAD

    Your assessment of the patient, may effect which health issue to tackle first. The patient may be very interested in losing weight and eating healthy, but have no interest in hearing about quitting smoking. In that case, it may be better to tackle the diet issue first. On the other hand, if the patient is from a culture that consistently eats high fat foods, and the patient has expressed willingness to quit smoking, then smoking may be the better idea. Sometimes its all about picking your battles. Sure the patient should do both, but in reality, that may not be case.
  11. S.T.A.C.E.Y

    Newbie Question: Blood Pressure...?

    I've ALWAYS been taught that it goes by what you hear. Sometimes if you can't hear where at first, you watch the needle for some indication of where you SHOULD be hearing the sound, then listen closer. As the previous poster said though, ask the prof just in case. Nursing school is mostly about towing the party line, so if the prof that is testing you insists it goes by the bouncing needle, just do as she says for the test.
  12. S.T.A.C.E.Y

    Worst RN Experience Ever!

    So I just did a quick couple of nights for an agency in a local ER, thought the extra cash on the side might be nice, and see how I like the agency thing....but have since decided it has been the worst experience of my RN career. I don't know how so many of you travellers could stand going from place to place with short-staffed departments, staff bitter that you're making twice what they are, no orientation, no help, urgh. I realize that the departments I ended up are known to be hard on agency but oh my goodness. RNs would ignore me, pretend I hadn't told them something which I know I did, yell at me for not doing something that second, roll their eyes at me any time I asked a question....it was ridiculous, everyone felt I should just KNOW whos who, and was more than peeved that I couldnt look up my own bloodwork on the computer (which I wasnt given access to). After two long days, I seriously think that it really wasn't worth the extra cash. How do some of you do it
  13. S.T.A.C.E.Y

    seizures

    100% NRB usually
  14. S.T.A.C.E.Y

    Where to go after ER Nursing?

    So I've been doing some long-term career thinking and have been trying to come up with a list of jobs/positions that might potentially interest me after having worked in a busy ER environment. I suspect that one day I will eventually get tired/bored/burned out, and would like to start at least thinking about other options out there. So, this is where I turn to you all...... So far some possible future career paths: - Educator - ER Manager - Nurse Practitioner - Paramedic - Firefighter - Flight/Transport Nursing - ICU/CCU Nursing - Disaster & Emergency Planning/Management - International Disaster Response I realize there are TONS of nursing specialties out there, but I'm looking for some ideas of jobs/positions that would be a part of the emergency world, but not necessarily nursing related. Any ideas??? What could YOU see yourself doing after working in the ER?
  15. S.T.A.C.E.Y

    I was slapped by a doctor!

    We have a doc at work who apparently used to fly off the handle and yell at the nurses all the time. For stupid crap, for not having 5 hands to do everything at once, for not doing his job, for calling him, you name it. Finally someone had enough, and not only wrote him up within the hospital as an incident report, but to the medical director of the entire hospital (his boss), and to the physicians licencing college for the province. Apparently shortly thereafter he reigned himself in, and now only has a stern word here or there, but no longer yells and screams as he once used to. This doctor needs to be reported through an incident report in your hospital, with a copy of your report sent to the manager, medical director, and his licencing body for unprofessional behaviour. This should not EVER happen, not just the slap, but the yelling & screaming.
  16. S.T.A.C.E.Y

    Rapid Response Team?!?!

    I think education would definitely be the critical part of rolling out a RRT program. I like the quote you posted! Although, no its not ALWAYS the right call (as the previous poster pointed out....."did you try some O2 first???") I think the important part would be getting people to call, later the problem of those who call inappropriately can be taken up on an individual matter.