vampireslayer

vampireslayer

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All Content by vampireslayer

  1. bedside charting?

    vampireslayer replied to TZRNER's topic in Emergency

    We don't do paper charting, and in fact I've NEVER done paper charting! I have only worked at one hospital, and we've always had computer charting there. Having said that, I really like the option...

  2. Does insurance pay for AMA?

    vampireslayer posted a topic in Emergency

    I was wondering if anyone knew if, in general (I assume difference insurance companies will have different policies), an insurance company will pay for services if the patient ends up leaving AMA? I'm...

  3. What are your educational resources?

    vampireslayer posted a topic in Emergency

    I learn so much every time I log on here and browse the threads. I like the ER specialty forum, but learn a lot from the General Nursing discussions too. There is so much to learn in nursing, and so...

  4. still overwhelmed

    vampireslayer replied to sunneeRN's topic in General Nursing

    Wow, I'm surprised you haven't gotten more replies by now. Makes me feel like maybe it's just you & me! Because, yeah, I'm right there with you! Well, not all the time, but it's been a year and...

  5. Overdose, using charcoal on a combative pt?

    vampireslayer posted a topic in Emergency

    What do you do with an overdose psych patient that refuses to drink the charcoal? Do you skip it? Sedate then NG? Intubate then NG? He was awake, agitated and becoming combative (and very very big...

  6. Overdose, using charcoal on a combative pt?

    vampireslayer replied to vampireslayer's topic in Emergency

    If you restrain, sedate then NGT...what do you sedate with? Versed? Ativan? At what point does it become "conscious sedation" along with the required documentation? And isn't there an airway...

  7. Overdose, using charcoal on a combative pt?

    vampireslayer replied to vampireslayer's topic in Emergency

    It had been 1-2 hours (according to the staff at his group home). He had several bottles (maybe 15-20), & several of them were duplicates, and some of them had recently been filled, but were...

  8. Giving NPH and Regular Insulin?

    vampireslayer replied to KayceeLeeRN's topic in General Nursing

    I always remember the saying "clear before cloudy". The trick of course is to remember (as poster said above) to inject the air into the NPH first (but don't draw it out yet). Also, don't forget...

  9. The War with the Floors

    vampireslayer replied to zima60's topic in Emergency

    I have a question for the floor nurses. Is there something that we ER nurses can do to help out once we get the patients to the floor? My preceptor would basically just use the pt's call system to...

  10. SO Exhausted

    vampireslayer replied to SnowymtnRN's topic in Emergency

    Just wanted to ditto the above post...really really really look into different shoes! No kidding, you may be exhausted after a 12 hour shift, that's certainly understandable, but your feet/legs...

  11. Medications

    vampireslayer replied to mysticalwaters1's topic in Emergency

    Gotta agree with the other posters, you WILL have the time to look things up. Really. You take the time. I used to think I wouldn't have the time, or didn't want to look stupid, but I always look...

  12. New to ed

    vampireslayer replied to GoBlue's topic in Emergency

    GoBlue, Yeah, I've had the same thing happen to me, where I posted something and days went by without a response. But when there are people viewing it, I just assume it means that a lot of people are...

  13. Ambulance Personnel and wait times

    vampireslayer replied to Kince's topic in Emergency

    EMS would NEVER wait hours to give report! That's ridiculous. If we don't have a nurse available to take the pt. immediately, the medics may wait 10 or 15 minutes, and then, if there's still no one...

  14. Is a backboard for transport only, or immobilization while in the ER?

    vampireslayer replied to vampireslayer's topic in Emergency

    We never take the pt off the backboard until the ER doc orders it, but the thing is that some ER docs order it immediately, some wait until xrays are shot but not read, and others won't let us take...

  15. ER RN Angry & Frustrated!!!

    vampireslayer replied to Ginger35's topic in Emergency

    Ok, I've looked through my TNCC book and my Emergency Nursing book, because I just hate to ask this question and risk looking like a total MORON! I've been in ER for a year now and SHOULD KNOW the...

  16. Special questions about putting in IVs?

    vampireslayer replied to Luvbuble's topic in Emergency

    I can SO RELATE! I remember saying, over & over, when I first started: "why can't I do this? It's not brain surgery!". I just couldn't get my IVs...I still have bad days, but then again there...

  17. Press Gainey AARRGGHH

    vampireslayer replied to susi_q's topic in Emergency

    Yes! We are supposed to say the same stupid line: Is there anything I can get for you? I HAVE TIME. I think we're all using the same consultant! What I hate more than anything else (and so I just...

  18. nursing shoes/clogs

    vampireslayer replied to cmskjg's topic in First Year After Licensure

    I think the crocs only come in full sizes, and they are meant to be worn rather big. Their theory is that the shoe should not touch your foot on any of the sides except the bottom, your foot...

  19. The War with the Floors

    vampireslayer replied to zima60's topic in Emergency

    We also used faxed reports and call to make sure they got the fax. Our problem, like mentioned previously, is that we are supposed to get the patient out of the ER within 30 minutes of having...

  20. ER Call-back system

    vampireslayer replied to Barbara3000's topic in Emergency

    We do call-backs at our hospital, and the nurses are expected to do it in their "free time", yeah right! Half the time the calls don't happen because there simply is no free time. I personally have...

  21. ED Interview Advice?

    vampireslayer replied to pancake's topic in Emergency

    Why did I decide on ER? Well, here's where I raise my hands above my head and say "I MEAN NO OFFENCE TO ANYONE!", but the truth is doing med-surg in nursing school was what made me realize I DIDN'T...

  22. nursing shoes/clogs

    vampireslayer replied to cmskjg's topic in First Year After Licensure

    Well, get ready to spend some money! Not that all the shoes you might try are expensive, the problem is that you may end up trying 3 or 4 different brands before you find one you really like! I tried...

  23. New Grad thinking to start career in the ER

    vampireslayer replied to georgehb's topic in Emergency

    I went right into the ER after graduating, but my hospital had a pretty good, long internship. I wouldn't do it without a really good internship, with a hospital that is used to accepting new grads...

  24. ED Interview Advice?

    vampireslayer replied to pancake's topic in Emergency

    I was 40, soon to be 41, when I graduated, and went directly into the ER. I stressed that I may not have ER experience, or even tech or nursing experience, but I have LIFE experience...yeah, kind of...

  25. "Welcome to the Jungle"

    vampireslayer replied to Aneroo's topic in Emergency

    Get an IV started before giving anything that might compromise their pressure (I'm thinking specifically of giving nitro). No matter how old or young, ill or apparently robust, if you give narcotics,...