joyful_wanderer replied to joyful_wanderer's topic in Emergency
Yea I saw that post! I guess what we are experiencing here are group spice usage where there are 8-15 people at a time. Of course as you know they just drop, or start seizing, or just go bat ****...
joyful_wanderer replied to gemmi999's topic in MICU, SICU
I started out in an ER in a very rural hospital. There was no ICU and if we had ICU status pts we kept them in the ER till we could medevac them out which at minimum would be 3 hours up to several...
joyful_wanderer replied to AZQuik's topic in Emergency
We have been seeing a crazy amount of spice pt. You never know how they are going to respond. They present like PCP mixed with Benadryl OD and any other combination of things. We have been holding...
Ok this is really just more of a vent... and maybe to see if any others have had this happen or something similar. I had a patient two nights ago who was status dramaticus and after giving her...
joyful_wanderer replied to CaptCrzy's topic in Emergency
I keep coming back to your post. I really wish I could answer your question. Yes, pain is what the patient says. Their perception is their reality. Not sure of the exact situation you mentioned plus I...
joyful_wanderer replied to montecarlo64's topic in Emergency
Our techs do IVs, labs, splints, and sutures. They are really good at it too! Having worked at another hospital where our techs were not able to do as much it can really make a difference! I've been...
I have always had an interest in working in the OR starting before nursing school. I've been a nurse for about 5.5 years and it still interest me. I have been working in the ER for the past 4 years...
joyful_wanderer replied to medicalmissionary's topic in General Nursing
Is your facility associated with any hospital? I work in the ER and we have had nurses from other units and facilities come spend time with us to gain more
joyful_wanderer replied to elkins6's topic in Emergency
I worked as a SANE in a rural hospital and we had the only SANE program for our region. It is very tough to have round the clock coverage. At least my ER was somewhat flexible. I had scheduled shifts...
joyful_wanderer replied to joyful_wanderer's topic in Operating Room
Thanks for the reply MereSanity! I have to admit what you mentioned is part of my fear.... I know in the ER there are some things we are "suppose" to do sterile but nothing in the ER is sterile. When...
joyful_wanderer replied to foragreatergood's topic in Emergency
I bought the ENA CEN review book and went through the questions taking the time to read the rationals. I went through it over a 2-3 month period and then took the test and passed. CEN Review Manual,...
Let me start out by saying that I love my job and I love what I do but sometimes it creeps into my dreams. Last night in my dream I was running from room to room looking for a 10ml syringe and...
joyful_wanderer replied to joyful_wanderer's topic in Emergency
I forgot about this one but recently we had someone that was triaged and then asked to sit back out in the waiting room. They got upset and called 911 to have them picked up and taken to the...
joyful_wanderer replied to brtnee's topic in Emergency
Well I started in the ER about a year after being a nurse but from what I have seen from others and some personal experience but I would recommend looking for hospitals that offer fellowship or new...
joyful_wanderer replied to psu_213's topic in Emergency
I used to work with a doc that would first order every lab possible for almost any complaint and then order rocephin, reglan, torodol, NS bolus, and sometimes a few additional meds (gi-cocktail,...