foragreatergood

foragreatergood

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All Content by foragreatergood

  1. How do you address co workers that are not adhering to social distancing - then coming to work?

    foragreatergood posted a topic in Disaster Preparation

    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?

    foragreatergood posted a topic in Emergency

    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

  3. How private is your triage?

    foragreatergood replied to foragreatergood's topic in Emergency

    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,...

  4. Alternative to shouting a name

    foragreatergood replied to heavydmg's topic in Emergency

    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...

  5. How private is your triage?

    foragreatergood replied to foragreatergood's topic in Emergency

    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...

  6. ED staffing ratios

    foragreatergood replied to EDdad's topic in Emergency

    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. Best CEN review material

    foragreatergood posted a topic in Emergency

    I am looking for suggestions on the most helpful review material for the CEN. There are a lot of books out there! I have about $150 to spend on review material/books. How can I get the most bang for...

  8. Does the ER get easier or is it time to call it quits?

    foragreatergood replied to RNTEE's topic in Emergency

    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...

  9. Decreasing Falls in the ED

    foragreatergood replied to widi96's topic in Emergency

    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...

  10. Decreasing Falls in the ED

    foragreatergood replied to widi96's topic in Emergency

    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

  11. What if I chose wrong?!

    foragreatergood replied to gemmi999's topic in Emergency

    #1 will earn you a lot of respect and improve your chance of

  12. 69 Medications Every New ER Nurse Must Master!

    foragreatergood replied to Michael M. Heuninckx's topic in Emergency

    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...

  13. Can we talk about NG/OG tubes?

    foragreatergood posted a topic in Emergency

    I have recently had patients that I have questioned the safety of NG tube placement. Are they certain diagnosis/history/symptoms/labs that flag you that NG tube is a bad idea? For example - alcoholic...

  14. Conscious Sedation in ED

    foragreatergood posted a topic in Emergency

    Is it just some good drugs to relieve pain and relax muscles? Or is it procedural sedation that requires 1:1 monitoring by a nurse? Looking for details in specific combinations of meds/timing of meds...

  15. Heavily considering change to Day shift

    foragreatergood replied to rearviewmirror's topic in Emergency

    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...

  16. first code/compressions

    foragreatergood replied to buckeyeRNED's topic in Emergency

    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 -...

  17. question about maintenance fluids and drips

    foragreatergood replied to seventhirtynine's topic in Emergency

    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...

  18. What is correct way to do gastric lavage using NGT?

    foragreatergood replied to rearviewmirror's topic in Emergency

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

  19. What is correct way to do gastric lavage using NGT?

    foragreatergood replied to rearviewmirror's topic in Emergency

    Just wondering why sterile water? Do you place OG in patients that are not sedated? Seems like that would be tricky if they are

  20. What is correct way to do gastric lavage using NGT?

    foragreatergood replied to rearviewmirror's topic in Emergency

    I can only remember doing this once. We didn't use sterile water ( stomach not sterile, right?) I think the most important thing would be verifying placement of the tube. We used to verify placement...

  21. How do I deal with the emotions?

    foragreatergood replied to BecomingNursey's topic in Emergency

    I think that being able to associate the death of a family member to the patient lying in front of you makes you a better nurse. I cant explain why or how - but these situations seem to be easier to...

  22. ::vent::

    foragreatergood replied to LJ85's topic in Emergency

    I understand you're rattled because of what almost happened. But for the rest of your nursing career, this experience will effect your decisions in a positive way. The next time someone hands you a...

  23. Relationships with floor nurses?

    foragreatergood replied to theantichick's topic in Emergency

    I cant count how many times a priority 1 unresponsive patient or cardiac arrest has rolled into my room at shift change. I have no option but to deal with it. I know I will get out late, but that's...

  24. My Unit Is Bleeding Staff & Morale...Vent!

    foragreatergood replied to All4NursingRN's topic in Emergency

    Our department has been overwhelmed since beginning of December. Staff is stressed, we are short staffed. But not to the degree of OP. When you start feeling like your license is at risk its time to...

  25. ED computer systems

    foragreatergood replied to Rolltider's topic in Emergency

    My friend works at hospital that uses Paragon - It has been a huge nightmare for them. And she talks more about Paragon issues than patient care issues. She said its difficult to see any documentation...