i think, at the very least, a further inquiry into child's risk of developing malignant hyperthermia is justified before proceeding with the tube placement. as healthcare PROFESSIONALS we often need...
i try to be pleasant to everyone. but also to convey to them that i am in charge of triage - not them. when people ask about the wait time - i let them know that all of our rooms are full and that as...
my er actually has portable call lights. they hook on the iv pole on the cart. pt pushes button on cord - yellow flashing light appears. i hate hallway pts. however, we frequently have to pull a...
I'm a Gen-X-er and i LOVE the computer-based learning modules. Even if they aren't quality it is usually more efficient for me to complete versus driving to work, parking, walking a mile and a half,...
In my ER we use dopamine a lot for hypotension (not low dose to improve renal fnx) and so usually pt is getting a hefty NS bolus. I generally like to piggyback my dopamine to NS (even if it's just...
I try to be very general with my med explanations. When the chest pain pt asks why he is getting metoprolol, I answer with "it helps your heart be more efficient." Generally I get a nod and an "okay,"...
First - welcome to the ER! I started in ER as a new grad. I had 10 weeks of somewhat orientation (sometimes I was counted as staff, sometimes I was an orientee). To be honest, I felt pretty...
Anybody out there using a hypothermia after cardiac arrest protocol? We've just recently added this to our practice where I work and there is a lot of confusion about what to do, in what order, etc......
From my experience, someone can be DNR and still wish to be treated with pressors. I would never ever ever ever ever initiate a dopamine gtt w/o cardiac monitor. i check bp's q 5 mins. i titrate up to...
I've been nursing for 2.5 years...and it is getting less as time goes on. I've had intermittent insomnia prior to my nursing career. I find that keeping a routine is key to me sleeping before my 12...
Part of nursing is being a patient advocate. Any patient may choose to leave against medical advice. If the situation allows, I try to provide basic discharge instructions, including we are here 24/7...
Check out the ENA's Journal of Emergency Nursing -- (April 2006, Volume 32, Number 32) -- article "Ketamine: The Sedative of Choice in a Busy Pediatric Emergency Department" by Haley-Andrews, S. ---...
sometimes they call when i'm at work....yes, i'm already there. makes me wonder who is in charge! :) get caller id. if it's work...don't answer unless you want to go in for the night. also - there is...