sockov

sockov ADN, ASN, BSN, CNA, LVN

Emergency nursing, critical care nursing.

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All Content by sockov

  1. Valuable life lessons from an ER nurse....

    You accidentally fell on
  2. CEN

    Hi. Taking the CEN. Any advice? What were the questions like? Thank
  3. ER RN NYC /Pt:RN Ratio

    14 patients to 1 nurse? I would not work in that department! That is so unsafe, for the patient and the nurse! The ratio should be 3:1 for trauma centers, trauma patients being 1:1 until stable or...
  4. ESI question

    Her vitals and clinical picture, I would of made this patient a level 1. Symptoms of a
  5. He was manipulating staff. You're too busy for that. He's being non compliant, so I wouldn't feel bad to have him leave. People like that usually don't get better. Now you have time to care for...
  6. I feel so incompetent and dumb

    I'm new to the ED. I came from ICU to ED and I feel new all over again. I have to regain different assessment skills, and not try to be so in depth with the patient. My preceptor says to get in and...
  7. Triage

    OMG! Where you located? So not Magnet! JCAHO?
  8. Best one sentence handoff report

    Patient been in the unit for months. Report: SAY. Same As
  9. endovascular repair question

    Curious.. If you forgot to tell the Doc. About the history of AAA, wouldn't the doc see it in the history or when they go into assess and get a history? Or is this heavily relied on the triage? I'm...
  10. Fix me NOW (but on my terms or I'll leave AMA)

    WHY did they ever come in for help then????? I will let the door hit them on the way
  11. My PT called 911

    I was working in Critical Care and had a patient call 911 once saying he was being held hostage. We had to talk to the police telling them that he was in ICU and wasn't being held hostage but was...
  12. What do you mean, check the "stickie at the top of this forum?" Where to look for that? Thank
  13. What do you mean, check the "stickie at the top of this forum?" Where to look for that? Thank
  14. My Unit Is Bleeding Staff & Morale...Vent!

    OMG, what state you in? I just don't want to be sick and need to go to your ED. Sounds
  15. NP replacing RNs in ER?

    I highly doubt this will happen. The NP's don't want to do bedside nursing work, why they went to NP school to begin with. If they hire an NP that doesn't have nursing experience, that is a total...
  16. The ASA + battery combo is one of my favorites. I'm surprised this hasn't been on Breaking Bad. Please explain this?
  17. Say again? Please explain.
  18. CCRN vs. CCRN-CSC

    What's a CSC and CMC?
  19. ICU RNs running CRRT?

    I work at a Level 1 trauma center. The ICU nurses run the CRRT, but the HD nurses set it up. Most times the patient is grouped with another assignment, depending how sick the CRRT patient is, but we...
  20. ICU RNs running CRRT?

    It all depends on staffing and acuity of the patient. CRRT has been grouped with another patient or been 1:1 depending how sick they are and
  21. Post your daily nightmares here.

    You had all 4 of these patients in the ICU you work in!?!? That's
  22. Ooops, I told off a doctor

    That is not telling off a doctor. That is what you are supposed to do. Be aware of the situation and critical think. It's a multidisciplinary care approach. Good
  23. BP Cuff Readings vs. Arterial BP

    I meant, "manual" flush like with a syringe. Sometimes you have to flush gently with a 3cc to get it unstuck from the vessel wall. Sorry for
  24. BP Cuff Readings vs. Arterial BP

    Most institutions have policies NOT to flush an invasive
  25. BP Cuff Readings vs. Arterial BP

    I'd go by cuff. There could be a small fibrinous clot at the end of the tip of the A-line catheter. Pts. baseline B/P is taking with a cuff pre-op. When the pt. gets out of the ICU to the floor, or...