AM-RN

Latest Activity

1. Clinical discussion... as requested!

   AM-RN replied to EmeraldNYL's topic in Certified Registered Nurse Anesthetist, CRNA

   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...

2. Triage sucks!!! Any tips??

   AM-RN replied to BrnEyedGirl's topic in Emergency

   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...

3. Pt beds in the hallway

   AM-RN replied to Nurse1966's topic in General Nursing

   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...

4. Gen X learners preferences

   AM-RN replied to pwaszgis's topic in General Nursing

   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,...

5. Dopamine...quick question

   AM-RN replied to APNgonnabe's topic in Emergency

   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...

6. explaining med's to pt's/families...

   AM-RN replied to scrmblr's topic in Emergency

   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,"...

7. Advice for new ER nurse

   AM-RN replied to kdmcook's topic in Emergency

   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...

8. Hypothermia after cardiac arrest

   AM-RN replied to AM-RN's topic in Emergency

   for those of you doing this protocol - are your er docs placing the art

9. Hypothermia after cardiac arrest

   AM-RN replied to AM-RN's topic in Emergency

   great. looking forward to it.

10. Hypothermia after cardiac arrest

    AM-RN posted a topic in Emergency

    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......

11. Dopamine Guidelines

    AM-RN replied to Treen's topic in General Nursing

    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...

12. Ever Get Insomnia B-4 Work?

    AM-RN replied to Furoffire's topic in General Nursing

    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...

13. Discharging a patient AMA

    AM-RN replied to Tweety's topic in General Nursing

    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...

14. Ketamine for conscious sedation in peds in the ED

    AM-RN replied to nanb's topic in Emergency

    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. ---...

15. Does staffing call YOU every night???

    AM-RN replied to Fairlythere's topic in General Nursing

    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...