gemmi999

gemmi999

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All Content by gemmi999

  1. Garbage Report

    gemmi999 replied to chacha82's topic in General Nursing

    Worst change of shift report I got was a patient in the ER, on a bipap, with only IV access an EJ that has the bipap straps rubbing against it every time the patient moved. The IV looked horribly...

  2. Patients Say the Darnedest Things - WIN $250! Nurses Week Contest 2018

    gemmi999 replied to Brian S.'s topic in General Nursing

    I work ED. I was float RN, doing a foley catheter on a septic patient. I have never seen this patient before, she was in her 80s and a bit demented. She was in bed two in a two bed room. I go in,...

  3. Patient going to send nurse to Concentration Camps??

    gemmi999 replied to Kayauhs's topic in General Nursing

    To be frank, I deal with patient's only for a short amount of time (ER nurse). If someone is verbally abusive/screaming/yelling/acting inappropriate we will place them in a room, on the monitor, and...

  4. Per diem work in CA, living in out of state

    gemmi999 replied to Rt_sd86's topic in General Nursing

    I've heard of people doing this for jobs in Nor Cal, where the salary is typically in the 70s+ per hour. San Diego, in my experience, doesn't get that high. Totally up to you, though! I think a lot...

  5. Trouble Finding Work

    gemmi999 replied to FatElvis's topic in Men in Nursing

    What are of nursing did you work in? Why do you need a new job? Do you have solid references from your past jobs? In my experience people who are having trouble getting jobs after having a solid few...

  6. Getting urines quicker

    gemmi999 replied to er4lisarn's topic in Emergency

    Depending on the complaint and stability of the pt, I make sure to get the urine before they're even settled in the bed. A lot of times for females I just say that i can't give pain medications...

  7. Workplace Sayings

    gemmi999 replied to Davey Do's topic in General Nursing

    One of our ER docs is fond of saying, re: complaining/loud/moaning/screaming pts: "Nothing that propofol won't

  8. My DON accused me of patient abandonment during a snowstorm

    gemmi999 replied to NurseScorpio88's topic in General Nursing

    Make sure you document exactly what happened. Then save it/put it somewhere that you won't lose it. Any further communications--document away and save them. Show all documentation to a

  9. Personal mental health

    gemmi999 replied to OhioBPH's topic in School

    When my brain can't turn off, I listen to podcasts. Specifically, I find podcasts that are interesting to me but perhaps a bit too boring to really hold my attention. Right now I've been listening to...

  10. Recording of Class Lectures by Students

    gemmi999 replied to D.Larry's topic in Nursing Educators, Faculty

    My favorite instructor actually recorded her lectures herself and uploaded them to the blackboard website. No one else was allowed to record but that way there was a recording if the student needed...

  11. Doppler during Code

    gemmi999 replied to eastcoastrn586's topic in General Nursing

    I second what a lot of nurses on here have said--nothing tops a manual pulse check when initiating CPR. After that we'll get a doppler to do femoral checks during CPR within the ten second window. A...

  12. Whats your favorite part of nursing?

    gemmi999 replied to Grobyc82's topic in General Nursing

    I think what I like so far about nursing is my abilities. I remember being a new grad only a few years ago and being terrified of having an *actually sick* pt. in my ER bed. I was competent in that I...

  13. Pain management

    gemmi999 replied to Matt8700's topic in Emergency

    One thing that I have to constantly remind pt's of is the length of time it takes a medication to work. I will give Motrin 600 - 800 for muscle pain/ortho injuries and the pt will say 20 minutes...

  14. Stocking OTC meds at elementary school level

    gemmi999 replied to nursetlm's topic in School

    I don't think you should dispense the OTC medication, but do you have education sheets that talk about how much to give their child based on weight? That way when the parent picks up the child, you...

  15. New grad overwhelmed in ICU

    gemmi999 replied to novicenrs's topic in MICU, SICU

    I've been there! I'm not an ICU nurse, I do ER. But recently with this weather/flu season we've had a *lot* of ICU holds. I had a patient I got from night shift who was in DKA, but night shift...

  16. EMS talking down to Nurse

    gemmi999 replied to heynurse1996's topic in School

    Because so many diabetics can have "normal" high BGs in the 300s and 400s, a lot of various medical personal don't think of it as high or a medical emergency. I had a patient (ED nurse here) who had...

  17. IV Bolus

    gemmi999 replied to mariok's topic in General Nursing

    Hypotension could be a lot of things. If the pressure is 89/65, that's very different from a pressure of 40/20, etc. Are they on a medication that can cause the hypotension--for example, Levaquin? In...

  18. New Grad hired in the ER, question.

    gemmi999 replied to Alexx_xox's topic in General Nursing

    I'm a ED nurse that started in the ED as a new grad. I couldn't imagine doing anything else. It's tough but possible, especially if you have a good

  19. MedSurg Trauma RN transition to Emergency Nursing, what do I need to expect and know?

    gemmi999 replied to zhapper2002's topic in Emergency

    Biggest thing for ER is TEAMWORK. If you're caught up, help others. If other's ask for help, take the time to do it unless you have a critical situation. If a Code Blue in the ER is called, go even...

  20. Anybody have rituals they do when a patient passes?

    gemmi999 replied to crnfaIwillbe's topic in General Nursing

    I work in the ER, and unfortunately death is something I see more often then I'd like. While there are times when it is unexpected, somebody young, or a disease process that moved much quicker then...

  21. Phlebotomy in the ER

    gemmi999 posted a topic in General Nursing

    Maybe I've been spoiled, but I've worked in 3 separate ERs at this point and until now have always had Phlebotomy *generally* available (except for emergencies, etc). I'm in a new ER and tonight, on...

  22. Phlebotomy in the ER

    gemmi999 replied to gemmi999's topic in General Nursing

    Maybe I have been spoiled! I put in all ordered IVs/do blood drawns/repeat levels on my pt's when they're assigned, but on the 50+ people the waiting room who the MD saw but there is no nurse, I've...

  23. What's the shortest time you stayed at a job and why did you leave?

    gemmi999 replied to sweet sunshine's topic in General Nursing

    This is so timely! I just started a new job about 3 weeks ago, while staying per diem at my old job. I was debating if I should leave the new job and go back to the old job because I'm not liking the...

  24. How long did it take you to find your first job as a new grad

    gemmi999 replied to EDNURSE20's topic in Job Search, Interview, Resume

    I went to nursing school in San Diego, which is *completely* saturated with new grads. I did apply to a couple new grad positions in SD but I also didn't want to wait until their hiring...

  25. Triage times (under 3 minutes)

    gemmi999 replied to MassED's topic in Emergency

    I'm reviving this thread because I've been an ER nurse for 3 years, done triage numerous times. Normally quick and on it with regards to triage but today was a *horrible* day and I need to vent. We...