foragreatergood

foragreatergood

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About foragreatergood

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  1. The majority of my coworkers are adhering to social distancing - taking it very seriously including not eating out, not having meals delivered at work, only going to work and back home. But we found...
  2. How private is your triage?

    I think its surprising that hospitals aren't more concerned with protecting private health information in the triage setting. So much emphasis is putting on privacy ( minimizing computer screens,...
  3. Alternative to shouting a name

    I think using a number would be best - but making it clear when the patient is assigned a number that it not sequential. So random numbers could be assigned - like 67, 4, 22, 952 - then patients...
  4. How private is your triage?

    We are trying to start a new process of not having anyone but the patient (unless its a child) back to the triage area. Most staff and patients seem to be fine with it. It makes the process faster and...
  5. How private is your triage?

    Just wondering how important is privacy in your triage area? Do you limit visitors? Close curtains? If a patient had a very personal complaint, could they describe it to you without others hearing
  6. ED staffing ratios

    In our dept the fast track area RN has 5 patients but they are all 4's and 5's. No easy 3's, no kidney stones, migraines, they don't even want the severe back pains. The rest of the dept is 4:1. We...
  7. Does the ER get easier or is it time to call it quits?

    Stick it out for a year. I lost track of how many times I almost quit, walked out in tears and felt like I was never going to manage 4 patients. 6 yrs later - I still have days I struggle. But I am so...
  8. Decreasing Falls in the ED

    Not so well! But it also prompts the RN to identify that the patient is high risk and implement precautions - leave curtain open, offer toileting, bed alarm, siderails up etc.. The contract always...
  9. Decreasing Falls in the ED

    A written agreement for high risk patients to sign that states they agree to use their call bell to ask for assistance. Time consuming, but reduced our
  10. What if I chose wrong?!

    #1 will earn you a lot of respect and improve your chance of
  11. 69 Medications Every New ER Nurse Must Master!

    Our ED does still use it. But it's our older docs that order it. It is linked to fatalities related to mesenteric ischemia. From what I understand, the pathophys has not been established but there is...
  12. Heavily considering change to Day shift

    I worked night shift for about 2 yrs. I took a few weeks off as you did. I didn't realize how crappy I felt until I started sleeping 7-8 hrs every night. As soon as I went back to work I requested a...
  13. first code/compressions

    Part of ACLS training is to evaluate the compressions and encourage the staff member to adjust them if necessary. We have orderlies come to our codes and sometimes I have to tell them to lighten up -...
  14. question about maintenance fluids and drips

    It sounds like you have a tricky medication/fluid admin system. Our system its clearly written how much is ordered, and it keeps a running tally - and it has a stop time. I have found that with...
  15. What is correct way to do gastric lavage using NGT?

    I have often heard the phrase " getting stomach pumped". Hearing the description of the Ewald tube now I understand where that term came from!