ERERER

After circling the drain with compassion fatigue, I stumbled upon this article that was published in the ACEP: read it and tell me you don't feel proud! Guest Editorial ACEP News September 2006 By David F. Baehren, M.D. For a generation or two, we ha...

Omigod, i was just browsing through another forum that listed pet peeves. It was so good, but so big. I was trying to browse through for ER stuff. It's great!!! Let's start our own!!! ---TANGLED CORDS I start out every shift untangling monitor...

I know how nasty Phenergan can be. Several area hospitals only allow it to be given by IVPB. My facility still pushes, most nurses dilute down first. There are still some giving it straight push, and these poor patients sometimes develop nasty phl...

Sitting here with the flu, yuck. debating on whether or not to call in sick. what is wrong with nurses that we give work notes to hangnails, but don't take time off for ourselves if we're sick? how do you decide when to stay home? i have not calle...

so, how did you do? mind sharing some tips for the rest of us? how has the exam changed, where is it's focus, etc. thanks!

30+ years as RN, 20+ in all kinds of ER's..... used to be CEN, but unfortunately let it expire, so have to retest. Have heard that they changed the content last summer, anyone noticed??? also, wonder why Laura G-VonFrolio has not updated her tap...

well, I'm still in the ER, at my advanced age and bad feet every day I ask myself how much longer can i maintain this? There are only 12 hour shifts, new grads counted as full staff (not their fault), corporate mentality (right now you have some emp...

after handing the syringe to the doc to give, he changed it to IM and we haven't had that problem anymore. are you giving it for a high INR from Coumadin? we generally use FFP too if there is a critical need

In our ER we are assigned a group of rooms for the shift. Patients placed in those rooms from triage or EMS are "our" patients. If we are getting "slammed", everyone else usually pitches in to help out..... Lately we are having trouble with one nur...

we are trying to deal with this among ourselves. I do not like to "write someone up" or blah blah blah to management unless it is something we can't handle ourselves. This particular nurse has been taken "outside" and talked with, given direct ord...

you cannot transfer a patient to another facility if you have the ability to care for them. this does not mean bedspace, it means specialties (burns, neuro, etc). i've been doing this a long time. you would never find a physician to accept an esta...

+++++++++++ I have researched Emtala quite a bit for some problems we were having. No where did it address this issue. The patient is not "dumped" on the ER. They keep their same doctor and their same orders. The ER doctor is not involved. It is...

I do not understand why this would be an emtala violation. When the patient comes down to the ER, they continue under the care of their admitting physician along with their orders. The ER doc does not get involved in their care. If we need an orde...

I can see both sides of this problem. I am currently working in a dinky non=teaching REDNECK hospital. If a patient goes bad, ICU is full, there have been a couple of occasions where they were brought back to the ER. SIDE1: where is the safest p...

hey... i've been a nurse since the dinosaur age. This is what i carry in my pocket: "Emergency and Critical Care Pocket Guide, ACLS version" by Informed.(Paula Derr). i'm pretty sure you can get in from Amazon too. Just remember, there is no way...

Do staff nurses in your facility have any input in policy making, clinical decisions, etc? In our hospital there is upper management, who get their information on problems on the units from managers. I have read of some hospitals using shared gove...

so what is the answer? as professionals we should have input on how we conduct our profession. I personally resent all these "like it or leave it" memos that come down from above. i don't think that admin has a clue as to what is actually going o...

always, always, have your own policy. your employer will tell you that "you are covered" by theirs. smile and say thanks. then get your own. more than once, when a hospital has been sued they have turned around and blamed the nurse, then sued her...

In our ER, PT, PTT, INR are part of the cardiac panel (lab tests ordered on all chest pains, SOB's, etc). We draw them on all pts presenting with these symptoms, they are not individually ordered.

I have been an RN for 30+ years, still learn something new each shift, still go and look things up. Still read journals and scan the internet. The best thing to remember is you are never alone. I have never been angry at a new (or old) nurse for ...

Here's a cheer for working in a small ER.... I hear the same crap that you do while giving report to a hospital that I am transferring a pt. too. Little does that snippy nurse know that I have 30+ years of critical care exp, teach, and keep up wi...

i feel your pain. i have been a nurse for 32 years and have weathered through every different "innovation" of patient care. this past 10 years have frightened me the most, though. alot of the nurses i watch now are merely technicians. patient "ca...

I first thought that i would skip over this thread, but maybe need to vent??? ++all the SIDS babies and their moms ++6 month old girl who was RAPED by her step dad.... ended up with a colostomy and cystectomy after incredible surgeries ++putting the ...

i could send you an attachment that has the article (and a picture) of the doc. just need your email, not sure of the "protocol" involved on this forum of exchanging email addresses

Just a thought, but with "ER Nurses Week" coming up (oct 8-14) how about everybody sending a copy of this editorial to their local newspaper??? the doc that wrote it said feel free to distribute......