S.T.A.C.E.Y

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

Emergency

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All Content by S.T.A.C.E.Y

  1. Tips For New Grad ER Jobs

    Hi all! In the next couple of weeks I plan to start getting in contact with some hospitals I'm interested in working for after I graduate, and I've got some questions for you before I start calling......... I'm wondering what is it that your hospi...
  2. Does this exist anywhere? After a needlestick injury, is there a law in your area to protect/inform health care workers by making HIV/Hep testing mandatory for the patient involved? How would you feel about this, if there was one in your area? I'...
  3. I was reading the thread "Vent: I absolutely HATE stupidity! Not ignorance.....STUPIDITY!!" and it got me thinking about a potential topic for one of my nursing classes: Should there be more encouragement for nurses to contact police if they feel a...
  4. 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...
  5. 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 oth...
  6. TKO IV question

    Everyone always has a different number. Usually something less than 50 ml/hr. Common rates I've heard people state/defend: 10ml/hr, 30ml/hr, 35ml/hr I have never heard of any solid references for any number, but there has been a suprising number of ...
  7. What do you want O.R. nurses to do during a trauma alert?

    In our hosital, the OR was notified when a bad trauma was suspected (not all trauma cases) OR nurses NEVER came up to the trauma room. Occassionally trauma patients were in the operating room
  8. 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 ...
  9. 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
  10. Learning materials for ED

    http://www.icufaqs.org/ ICU material, but a great review for ER nursing.
  11. 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 bl...
  12. 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.
  13. 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 p...
  14. 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 ...
  15. 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 p...
  16. ER Nsg Neuro Assessment

    I've been second guessing my neuro exams on ER patients, and am now wondering what kind of neuro exam others do on a patient presenting with neuro symptoms? Confusion, dizzyness, balance issues, stroke symptoms, etc. My usual neuro exam include ...
  17. Standard Rule is an ECG within 10 minutes of arrival for any chest pain or cardiac symptoms. Maybe researching the barriers to staff obtaining an ECG within 10 minutes. Can look into training issues, process issues, attitude issues, etc. I think t...
  18. Cath Lab Nursing Help

    I'm doing an assignment for a post-grad RN course, specific to cardiac nursing. I followed a patient through the cath lab and into CCU, and now have to write a case study about it. One criteria of the assignment states: "Discuss nursing concerns d...
  19. Cath Lab Nursing Help

    Actually, the assignment has several parts. Initially I was looking for info for one section, then started looking for info on other sections. Thankyou for the search word suggestions.....I will try those.
  20. Cath Lab Nursing Help

    Thankyou very much for that suggestion! I'll look for articles from there!
  21. Cath Lab Nursing Help

    Ok, I've tried several database searches including CINAHL, but have only come up with about three articles so far. I found three about the patient's perspective, and the nurses role in decreasing anxiety, and helping the patient through the procedur...
  22. Ever been shocked during a code?

    We were doing a code in the simulation lab with a dummy on the table who you actually shock with a real defib. We were going through the code, leader called clear and we all stepped back. Just as she hit the shock button, someone noticed I had put ...
  23. 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...
  24. about to become a fearless leader...

    I agree with you, and while thats all well & good, thats not always the best option. I know in my department, so many new people have been hired over the past few years that the senior staff have actually gotten very tired of orienting new peopl...
  25. 130 miles/2 hours 15 minutes each way to work?

    I would go to a local college/university and look for student rooms for rent in the area....try even craigslist or other similar boards. Even just to have a small room in a house nearby, with a futon, a tv, and a mini-fridge will make this situation...