MassED BSN, RN

ER

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All Content by MassED

  1. MassED

    Do you give mag off pump?

    No. Usually on a mini-infuser if given as a
  2. MassED

    Can you hate someone after 3 days?

    Sorry but I can't believe this, standing at Speck's bedside when he died? Knowing she was intimately involved in that situation with her friends? I cry
  3. MassED

    Can you hate someone after 3 days?

    it took you 3 days to get to the point of being fed up? It usually takes me about 30 seconds of all that you just described.... but one thank you and please and I'm all
  4. MassED

    "You've got 4 days to improve or else..." ... advice?

    There are times when tough love is needed and being direct and courteous is the way to go. There are NICE people who are not great, or even good nurses and SOMEONE needs to let them know or direct...
  5. MassED

    Fast Food Medicine.

    i would add, to the op, that with the headache x12 months, offer a "left without being seen" form if they choose to leave, otherwise they need to go sit down so you can triage the next
  6. MassED

    "You've got 4 days to improve or else..." ... advice?

    Good luck to you. ER is not for everyone, and personalities can be in the mix, especially with majority being women. Wherever you go, you have to learn to hold back and listen, even if you may not...
  7. MassED

    The dumbest thing I ever said to a patient.

    sorry, but that is
  8. MassED

    The dumbest thing I ever said to a patient.

    hey, you can't help but pass along fact, and anyone who has any experience knows this to be true. oh well that they couldn't handle this and were afraid she'd then try it, but it's not anything to be...
  9. MassED

    The dumbest thing I ever said to a patient.

    well, this was hilarious and totally inappropriate... but.... as it sometimes gets in the ER, here goes.. a bunch of us were logrolling a patient and I had to get in next to my coworker and had no...
  10. After you get the job, I wouldn't worry so much about the appearance of tattoos, unless it's extreme and might offend. I work with many professionals who have tattoos on the arms, that I can see, and...
  11. MassED

    Let's compare ERs

    no50franny, your description of your ED sounds like ours in the US. Many calling ambulances for non-emergencies, just like you there (in Australia?) and are triaged to the waiting room, where they...
  12. MassED

    Let's compare ERs

    no50franny, how can your crews not drop a patient and move it along to pick up their next patient?? How can they get away with waiting for 2
  13. MassED

    Let's compare ERs

    how can your ambulances spend time and not drop their patient? Don't they have other calls to go out on? Can they not just put them in a stretcher somewhere in a hall (corridor?) It's unheard of...
  14. I agree, browneyedgirl, some machines run well, some don't. It's difficult to pinpoint, but I just find that there are those that just work well together and can anticipate what the other is doing so...
  15. MassED

    Let's compare ERs

    sounds like where I work. Most nights seem to be like this now, the lesser acuity days seem behind us, unfortunately. It's such an arduous job with few breaks, fewer help and more work. At what...
  16. MassED

    Failed the CEN by one question. Literally.

    oh no! So
  17. MassED

    Is this fallout from JCAHO? Recent ER visit...

    and all that I could think about in reading your post, OP, was that Toradol can cause Asthma exacerbation...... but other than that, doctors sometimes prescribe meds that they feel are appropriate,...
  18. ok, if you're talking about handing a PRINTED copy of a patient's CT/lab results to them, that has to be ok'd by the doctor and documented. THe person sent home about telling the RESULTED CT to a...
  19. ok, to be CLEAR, you are NOT diagnosing them, just providing information that has already been resulted. What is the problem??? Since when is providing appropriate information an issue? You have to...
  20. nor should you EVER get "in trouble" - I don't understand why that would even cross your mind.... you NEED to know why you are giving a med - and if that is for infection, then you state that. I'd...
  21. This is an interesting post. Some things I share, some things not so much. I DO believe in being forthcoming with diagnostics (explanation of tests as well as what they are looking for or ruling out)...
  22. MassED

    PNA, elevated temp and potential for D/C

    Leslie, I agree.... would need more info on the patient's
  23. MassED

    PNA, elevated temp and potential for D/C

    we send stable patients home with Pneumonia diagnosis all the time. Low grade fevers are not the issue. I would think for floor d/c: were walking oxygen sats ok, not desatting with walking would be...
  24. and what do you do about it when they walk right by??? You can't be their mother/father - you can't be the "help each other" police and try to rule by intimidation. That doesn't work. Either people...
  25. it's a general culture now of poor teamwork and a lack of maturity and pride in your work. When one pride's themselves on their work ethic, they help all who need it.