foragreatergood

foragreatergood

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All Content by foragreatergood

  1. Just Melted Away

    foragreatergood replied to NurseOnAMotorcycle's topic in Emergency

    I had one last Jan. Came in walking and complaining of pain and feeling "awful" but couldn't tell me where or be any more specific. Currently being treated for breast ca, 2 days s/p first chemo (...

  2. CEN!!!!!!

    foragreatergood replied to punkstar's topic in Emergency

    I am debating whether or not to spend $200 to go to the Jeff Solhiem course near me ( also $ for hotel and travel) or to use that towards the recommended books and study at home. I realize that...

  3. When did it become OK to treat your nurse like poo?

    foragreatergood replied to paramed1's topic in Emergency

    Our ED is experiencing record breaking volumes and acuity in the past 3 weeks. Yesterday I think I triaged 90 patients. I became quickly annoyed with the amount of " I've already got the flu but I...

  4. When did it become OK to treat your nurse like poo?

    foragreatergood replied to paramed1's topic in Emergency

    I walked into a patients room the other day - before I could introduce myself, much less assess his emergency - he asked for a ginger ale, warm blanket and the tv remote. Before I could explain why...

  5. Warmed lidocaine

    foragreatergood replied to ADeks's topic in Emergency

    I haven't heard of this, what is the benefit of warm

  6. How long was your initial orientation to the ER?

    foragreatergood replied to WannaBNursey's topic in Emergency

    New grads get 6 months in our ED. Others will vary 3-4 months, full

  7. CEN and then CCRN

    foragreatergood replied to Lev's topic in Emergency

    I have been in the ED for about 5 years and am preparing for the CEN. I don't think my experience has prepared me for the CCRN at all! When I have a critical pt, intubated, started on pressors....

  8. TRIAGE

    foragreatergood replied to canoehead's topic in Emergency

    We typically only triage for 4 hrs - because it can be a rough assignment. Fortunately there seems to be a lot of movement around this time - beds open up in the back etc.. When its really crazy - I...

  9. Third Part Observing and Possibly Filming

    foragreatergood replied to Music in My Heart's topic in Emergency

    Recently, during an exceptionally chaotic day, I had a combative drunk in the hallway. He was unsteady on his feet and was refusing to sit in wheelchair and threatening to leave. He had been...

  10. Frustration: taking over patients

    foragreatergood replied to Sassy5d's topic in Emergency

    There is that one person on our dept that no one likes to pick up from. We have discussions about how this should be addressed, but as far as I know no one has mastered this. Typically - she has no...

  11. Stroke vs overdose

    foragreatergood replied to joe007's topic in Emergency

    How accurate could the NIHSS be on an impaired person? Not to mention consent for the TPA? Just

  12. Stroke vs overdose

    foragreatergood replied to joe007's topic in Emergency

    I wouldn't have gone down the stroke pathway with this patient! All her presenting symptoms were compatible with overdose. A few weeks ago we had a woman in her 40's with a psych history come in...

  13. Fix me NOW (but on my terms or I'll leave AMA)

    foragreatergood replied to HikingEDRN's topic in Emergency

    Me : Sir, you can absolutely sign out AMA. But please be aware that the Narcan we gave you when you were dropped of in the parking lot will wear off and you may stop breathing again. You were not...

  14. Conscious Sedation in ED

    foragreatergood replied to foragreatergood's topic in Emergency

    Thank you all for the feedback. I didn't feel like we did a sedation. However this has opened up conversation in my department - and we clearly need to come up with a better definition of conscious...

  15. Big bad bullies

    foragreatergood replied to ljrn135's topic in Emergency

    I think that if experienced nurses felt more valued and respected it might curb the hostility that is sometimes focused on newer nurses. I personally didn't get too much of it as a new nurse, but I...

  16. Conscious Sedation in ED

    foragreatergood replied to foragreatergood's topic in Emergency

    To be more specific - We do have a policy for Conscious Sedation, that clarifies how to manage a pt under sedation - but it does not clarify the combinations of medications that require the conscious...

  17. Best CEN review material

    foragreatergood replied to foragreatergood's topic in Emergency

    Thank you for the suggestions. I have Sheehy's and I'm watching some of Jeff Solheims videos - If he did a review in my area I would do

  18. Bladder Cocktails?

    foragreatergood replied to guest744967's topic in Emergency

    Do I understand that this requires actually filling a bladder? I would wonder how you determine the capacity? I once had a ED MD ask me to fill a bladder to expedite US. I had never done it and felt...

  19. Going from Adult ER to all populations ER

    foragreatergood replied to NickiLaughs's topic in Emergency

    As stated above - listen to the parents. The ENCP course is very helpful - applies a systematic approach to assessing how sick a child is, first from a glance, then hands on. The biggest challenge...

  20. Cyclic vomiters (drive me up the wall)

    foragreatergood replied to Emergent's topic in Emergency

    The parent of a 12yr old that comes in q 6-8 wks vomiting said he had done some of his own research and requested that we try an amp of D50. Patient was not diabetic, and FS was 78. So after...

  21. Rules for Triage

    foragreatergood replied to Anna Flaxis's topic in Emergency

    As you step off the scale and I ask you what brings you to the ED today - please don't ask me to convert your weight from kgs to lbs before telling me what your emergency is. I have had people that...

  22. Forensic paper

    foragreatergood replied to nerdynurse22's topic in Forensic

    1.What was required (extra training beyond the nursing degree) for this position? Did you find it helpful? A one week class, followed by short orientations at the crime lab, rape crisis, Child...

  23. triage

    foragreatergood replied to jackielouisrn's topic in Emergency

    Our triage/front end was redesigned last year. It is "front loaded" meaning well-staffed with 2 RN's for triaging, and a tech to do EKG's and get vitals. The triage RN initiates appropriate orders,...

  24. A dedicated psych staff in your ER?

    foragreatergood replied to NurseStelri's topic in Emergency

    Our ED is considering utilizing a dedicated psych RN. We have recognized that these patients are often not well managed by the "average" ED RN. Some RNs just don't understand the basics of de...

  25. Assault?

    foragreatergood replied to joe007's topic in Emergency

    Wow. That's a serious accusation. I would consider contacting Human Resources if Charge discussed her concerns with anyone other than management. If charge had even the slightest concern that you may...