EmergencyRN22

I'm interested as well, just started grad school.

When I worked SDS - we always had our Drs write some basic PRN meds before they left the unit. That would include antiemetic, opiates, and normally some type of benzo PRN seizures. IME, coming out of anesthesia - patients seizure threshold is usually lower. That's not even taking to patients calcium level into matter.

Observe for signs of hypocalcemia ...numbness and tingling, tetany, seizures, and QT prolongation.

Oh, and I've seen and assisted with the removal of renal stents within the ER. I believe all of them were confused geriatric patients who would keep pulling on the strings left just outside the urethra. They would come in the ER with several inches of catheter already out. I believe I've seen red and blue catheters. Not sure if anyone else can chime in about the different colors and meaning of them.

One can live perfectly fine with one working kidney. The body generally compensates by making the working or remaining kidney larger. Renal stents are not meant to be permanent. There are many complications if left in too long or not closely monitored. Im too tired and can't type well on my iPad. An honest search for "renal stents" or "hydronephrosis" should reveal vast sums number of studies and research.

Correct me if I'm wrong. I always thought LPNs could be above RNs in a manager position but not as a staff nurse. Hope that makes sense. Lol

I've never worked the floor. Why wasn't he able to sleep? Was he coughing nonstop? You said he was in no acute distress and no pain. Vitals were are stable. If he couldn't sleep d/t coughing. I'd probably get a breathing tx and cough surpressant ordered before I'd try the Xanax. I wouldn't be hard on you for giving the Xanax.

We have voceras. We are required to provide our extensions on our room walls for patients or family to call us directly. They can even call from home and use the ext to get us personally after being discharged. It's nutty. I've had coworkers get harassing calls from former patients. I even had a lady that was discharged give her son my number. He actually called and told me about the situation and then wanted to "chit chat" while I'm working. We carry enough crap around. Voceras, squad radio and pager along with all my other stuff. I need a flipping "work belt" for everything.

Dr Travis Stork ...wish he worked my ER. He's easy to look at however I feel he would even bring in MORE patients. Haha

I had a dream last night that I was literally being chased down the hall by the portable X-ray machine. It was trying to kill me!! Anyone else have "odd" nursing dreams besides relentless call lights, monitors alarming or coding patients ?

I competed the ABSN program many years ago. I just know we graduated with about 60% of the original starting class.

I'd send her a private message first before blasting it all over both walls. Give her the benefit of the doubt -perhaps she didn't know the possible repercussions.

You'll have a period of orientation where you will learn a lot. You'll receive report from off-going CNAs on things like who had baths and other things. Also, many CNAs will also listen in during nursing report.

I can't see a reason why you couldn't be as long as your ADHD is well managed under the care of your doctor.

Looking into the Op's past posts, I wonder if perhaps English isn't his/hers primary language. We may have some comprehension road blocks. Id hate to jump to conclusion the OP may not be completely truthful about his/her education and license.

Thats a strange response to a well spoken answer addressing your question. Check your employee manual as well - good practice to be very familiar with your employers policies and protocols.

Some people are witches who get off on treating others like crap. She pretty much approached you to ask if you heard the call lights with a rude and sarcastic manner? She needed nothing but to be a grump-ass to you. Yeah, too bad we can file complaints on family members.

Yup, done every 4 hours! days like today DO exist ...kinda like those M&M people and the tooth fairy.

I know !! Even took my full 30 min lunch ...probably could have stayed longer. Kept checking on my patients because it's never this nice. Kept asking "you SURE you don't need anything ...food, drink, pillow, blanket ...ANYTHING?!" Definately sending ya some good vibes!!

I love most of our ER docs. We've worked together for so long we trust each other. They know I won't pull them out of a patients room unless *we* need them *now*. example of a typical convo... Me: hey doc, I have a 75yo lady who tripped over her walker and fell and now has shortening and rotation of her left leg with intact msps - she has no med allergies. I'd like to get her some pain meds to get her a little more comfortable until you have a chance to assess her. doc: sure, give her 4mg zofran iv and you can decide if you want to give her 4mg morphine or 0.5mg dilaudid iv. I'll see her soon.

Just wanted to say, that TODay I worked 8 hours with... NO bedpans No urinals No foleys No bedside commodes No vomit No foul smells No obnoxious patients/family Everyone walked well without assistance. Everyone was alert and oriented AND super nice and pleasant. Pretty much fixed everyone with Iv fluids, morphine, zofran or nitro (or a combo). so, yeah...and best part... it was all double time! Days like today ... Like never happen. edit to add some unknown person in the line in front of me at chipotle paid for my order... hubby cleaned the house before he left for work but not before he bought me my fav chocolate ... i have the house to myself until tomorrow evening. I'm already in my pjs. i think I need to play the lotto today.

Piggybacked with NS maintaince drip.

Learn your protocols. Learn to anticipate needs - suture cart, ENT, Eye cart/lamps, OBGYN cart All chest pains are cardiac until ruled otherwise Unless hysterectomy - all females 12-60 need to be eval for pregnancy Always check your rooms for AT least suction, wall 02, ped/adult ambu bags, portable O2 tanks, cardiac leads/pulse ox/bp cuffs, nc's and NRB - everything else can be fetched if needed. More applies to trauma rooms. ESI levels are determined by resources required and can change thru out the visit. hmmm, can't think of any more at this time

I have no prob with diluting some meds in 50ml bags and run them over 5-10 min. I actually prefer diluting 50mg Benadryl iv in 50ml over 10 min ... Saves the pt from the effects from the push (dizzy, lightheaded, nausea, hot flash). When giving Iv reglan and Benadryl, I'll usually mix the reglan in 50ml over 10 min while pushing the Benadryl slow. Normally always dilute phenergan in 50ml over 10 min. I'm surely not going to give 2mg dilaudid IVP to a lil 90yo, 100lb demented hip fx....nope....always dilute and give slow. Never had doc have issues with it.

As long as the pt passed a swallow eval - po meds are okay. You may need to reasses frequently if any changes in pt condition.