MassED BSN, RN

ER

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All Content by MassED

  1. MassED

    ACLS Heartcode via AHA?

    MassED replied to MassED's topic in Emergency

    great to know! Does it seem that the cases change each time you go over them? It really is so cool. I wish there was bicarb, calcium, etc., that you really would give in a code. This type of...
  2. MassED

    Use of Restraints on Intubated patients - ER and ICU

    MassED replied to MassED's topic in Emergency

    http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/downloads/PatientsRights.pdf JCAHO explained that during the treatment of certain specific conditions (for...
  3. MassED

    Use of Restraints on Intubated patients - ER and ICU

    MassED replied to MassED's topic in Emergency

    Thanks. I do think that we usually throw on those wrist restraints as we're taking our patient to ICU/SCU/CTICU, and likely don't think about an order because we're in transit and try to get the...
  4. MassED

    Use of Restraints on Intubated patients - ER and ICU

    MassED replied to MassED's topic in Emergency

    Thanks, that's great info. I will research Federal CMS guidelines. Our hospital has a very tricky intranet and they are always updating and making changes. Very difficult to access. So this...
  5. MassED

    Use of Restraints on Intubated patients - ER and ICU

    MassED replied to MassED's topic in Emergency

    No, I don't work ICU. I work ER. I don't know how long you've been a nurse, but laws/rules, as well as individual hospital regulations differ. Certainly over the years. This isn't about being...
  6. MassED

    Shoes. Yes. Shoes.

    MassED replied to Ciale's topic in Emergency

    Saucony's here. Light shoes, high arch, great
  7. MassED

    Ruptured Appendix

    MassED replied to MassED's topic in Emergency

    I read the operative report. That's pretty much all I need to know. There are some on the fence who will operate, others will not. I guess it's a matter of risk vs.
  8. MassED

    Ruptured Appendix

    MassED replied to MassED's topic in Emergency

    so an update: The patient was taken to the OR after a sudden "change in exam." Must have been less than 12 hours after being diagnosed with ruptured appy.
  9. MassED

    Ruptured Appendix

    MassED replied to MassED's topic in Emergency

    that would be for uncomplicated
  10. MassED

    Ruptured Appendix

    MassED replied to MassED's topic in Emergency

    not sure how long she had been ruptured, but she had been in pain for less than a day when she came in. I can see about waiting to see if abx improves her s/s. I will check the status shortly and...
  11. MassED

    Ruptured Appendix

    MassED replied to MassED's topic in Emergency

    I, too, work in a level 1 and haven't dealt with this type of scenario before. Not so sure that just antibiotics is considered the aggressive non-surgical approach, but will find out soon enough and...
  12. MassED

    ER meds

    MassED replied to ketonesRN's topic in Emergency

    ketonesRN (love the name, by the way) Don't follow what nurses do that you do not know is the right way. No antibiotic should ever be run wide open. I don't run many antibiotics all at once, unless...
  13. MassED

    Do you struggle with differences in Trauma teams?

    MassED posted a topic in Critical Care

    I work at a level 1 trauma center in the ER. It's a teaching facility and we rotate trauma teams. Just like we can't choose the nurses that we work with in our trauma rooms, we obviously have no say...
  14. MassED

    Online ACLS Renewal

    MassED replied to cvicugirl's topic in CCU, Coronary, Cardiac

    i know your post is old, but that link you said you used is not an aha endorsed website, so it does not give you an aha acls card. "will i receive an american heart association card by completing...
  15. MassED

    thoughts on only Paralytic while intubated....

    MassED posted a topic in General Nursing

    I am just wondering how common and cruel the practice is of using only paralytics while a person is intubated in the ER. I took care of a guy last night that we gave Norcuron 10 mg which wore off in...
  16. MassED

    Can you hate someone after 3 days?

    MassED replied to RH-CC2011's topic in Medical-Surgical

    oooooh, JAB JAB! Well someone's gotta point it out. You can't believe everything you hear and read. Really, people need to stop being so sensitive. This is a website, on the internet, where people...
  17. MassED

    Do you give mag off pump?

    MassED replied to BellaInBlueScrubsRN's topic in Emergency

    here's one source. We still start out with the first dose at 30 minutes, as usual. 6 hours later they get a 4 hour infusion. Sometimes they are still in the ED, but hopefully not....
  18. MassED

    Can you hate someone after 3 days?

    MassED replied to RH-CC2011's topic in Medical-Surgical

    sarcasm, dear friend, sarcasm. How would you know the original story teller's intent? PS. Anyone can add or detract from Wikipedia, so your "editors" comment doesn't hold true. If anyone can, then...
  19. MassED

    Can you hate someone after 3 days?

    MassED replied to RH-CC2011's topic in Medical-Surgical

    I have to say I respect your effort with the facts and adding a few other sources other than Wikipedia. I'm not saying that I don't believe that you believe it, but the fact that someone was throwing...
  20. MassED

    Can you hate someone after 3 days?

    MassED replied to RH-CC2011's topic in Medical-Surgical

    I don't believe quoting Wikipedia is a reliable source, but I'm sure you believe your friend. My point was that this story (from the horse's mouth, not yours) doesn't strike me as truthful, but hey,...
  21. MassED

    Lost my job again!!!

    MassED replied to lecavalier4's topic in Nurse Disabilities

    Posts should go to inactive, perhaps, if no one has posted from the original thread in 6 months or so. It's difficult to tell if it's active at all in a productive
  22. MassED

    Lost my job again!!!

    MassED replied to lecavalier4's topic in Nurse Disabilities

    Lecavalier4, I know it may be hard to view the post as some advice and criticism, but try to be introspective. As nurses, we all deal with those that milk otherwise not life-threatening injuries that...
  23. MassED

    IV forms of Zofran and Decadron given PO???

    MassED replied to GleeGum's topic in Emergency

    Yes for IV Decadron given PO, you just add a sweetener to
  24. MassED

    Do you give mag off pump?

    MassED replied to BellaInBlueScrubsRN's topic in Emergency

    That's a new infusion for Zosyn. We just started this too. That is for AFTER the first dose of Zosyn given over 30
  25. MassED

    Do you give mag off pump?

    MassED replied to BellaInBlueScrubsRN's topic in Emergency

    WhAT? They don't see the doctor's ORDER? How can they verify that the drug is appropriately ordered? No way! Their butt would be on the line if something happened... well i guess it already did...