GleeGum BSN, RN

ED, Clinical Documentation

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  1. GleeGum

    Conscious Sedation in the ER

    GleeGum replied to Silktea3's topic in Emergency

    i just did a peds cons. sed. and used ketamine. not sure i like it. lights are out but no one is
  2. GleeGum

    Sure signs your pt. is sick

    GleeGum replied to danger's topic in Emergency

    Had a patient once that came in with AMS by EMS. He's yelling "HELP ME, HELP ME!" and violently moving around, then had a period of calm, then go back to yelling and getting violent. We get him on the...
  3. GleeGum

    Fever vs. Warm Blanket

    GleeGum replied to nursebrandie28's topic in Emergency

    No blanket and no warm blanket if a fever. I will give them a sheet though - makes you feel
  4. GleeGum

    Spinal protocols

    GleeGum replied to mwboswell's topic in Emergency

    we are a level 1 trauma center and we do not take patients off the back board with out MD present to do the exam. This is a problem, in my opinion, for level 3's. i'm impressed with what kindaquazie...
  5. GleeGum

    Triage blues

    GleeGum replied to canoehead's topic in Emergency

    with her age and history i would have made her a 2. how did things turn
  6. GleeGum

    CEN

    GleeGum posted a topic in Emergency

    I am studying for the CEN and went to an excellent review for the exam. The instructor said that there are no longer any questions about signs (ex. Kernigs sign) nor nursing diagnoses. Has anyone else...
  7. GleeGum

    CEN

    GleeGum replied to GleeGum's topic in Emergency

    They recommend 2 years experience in the ED and I think that makes sense. It was good to do. I learned from it and it reinforced what I
  8. GleeGum

    CEN

    GleeGum replied to GleeGum's topic in Emergency

    I
  9. GleeGum

    best CEN review

    GleeGum replied to laurainri's topic in Emergency

    I can't advise you on best, but I'll tell you what I am doing. I took a one day CEN review course that was offered at the NJ ENA conference this spring, and now I am using the book that the ENA...
  10. GleeGum

    ER Cheatsheets

    GleeGum replied to **Kalko**'s topic in Emergency

    I have made my own "cheat sheet" that I carry around with me with important info. Our pharmacy put out a short list of ICU drips with dosages. I photocopied that to size (shrank it) and put my cheat...
  11. GleeGum

    CEN

    GleeGum replied to GleeGum's topic in Emergency

    Thank you MB! I really appreciate it. Great website you
  12. GleeGum

    NGT placement

    GleeGum replied to SHALIMAR's topic in Emergency

    I just read an email from AACN about NGT placement confirmation that the gold standard is to confirm with a chest xray and pH test. I can't find the email now, but that is also what I recently heard...
  13. GleeGum

    So I have a clinical in the ER

    GleeGum replied to IlliniGuy's topic in Emergency

    Pee before you start your shift and put a granola bar in your pocket. and yes, eat breakfast! So much to learn, just absorb. I hope you get to be with a nurse who wants to precept! It is a wild ride....
  14. GleeGum

    your hospitals triage system

    GleeGum replied to TeresaEDRN06's topic in Emergency

    Also, we have 1 or 2 nurses doing triage depending the time of day, plus an ambulance triage nurse who holds the radio. And the most we do in triage is an icepack or a bucket - no IV's
  15. GleeGum

    your hospitals triage system

    GleeGum replied to TeresaEDRN06's topic in Emergency

    I am just getting trained to do triage in our ED and we also use the ESI system. We have about 56 beds and our goal is to see each patient for about 2-3 minutes, assign their level and location, and...