loricatus

loricatus

ED, ICU, PACU

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All Content by loricatus

  1. ER nurse in the PACU

    Went to PACU from ER. Some tips fentanyl 25 mcg g 5 min, max 100, works best for fresh out of surgery pain and does not affect BP (can give it to the lower BP patients). Of course, you have to watch...
  2. Stressing myself in the ER...do I suck or what??

    It sounds to me like you are in the Southern part of the US because of the dynamics of your ER. I have worked in both the South and the Northeast and there are major differences. For a primary...
  3. Swine flu sneeze game

    Great game and very
  4. This is the end of this nightmare for me!!

    This seems like a very wise decision right now. The only thing i would like to add is in refernce to your resignation letter. For your own sake, keep it short and simple. Something to the effect on...
  5. Emergency Room Woes

    I have left some ERs that are like you describe. Don't give up on the ER until you try someplace else. I think it is just where you are working. There are some decent ERs out there, you just have...
  6. COPD patient on 4 liters?

    If she's a mouth breather and the O2 is via nasal cannula, this would be a recommended
  7. "I just came from the shelter [adopted a dog] and they had a potbelly pig there that was just lying down and probably sick...I need some tammy
  8. Where do TWU Dallas Nurses Live?

    Addison
  9. Does night work increase blood pressure?

    It did for me, along with decreasing my innumity where I caught just about everything from patients that I took care of in the ER. Found a new job and switched to 11A-11P- within 3 weeks my BP went...
  10. Strange job interview...thoughts on this?

    I have had a few interviews like you described. There could be many reasons for it: discomfort with the HR way of interviewing, poor social skills, self centered person who is only interested in...
  11. About a year and a half ago I came down with the flu (positive nasal swab) and was only given one day off of working the ER. I had to come into work with a 103 fever and could barely function &...
  12. :sofahider Me, too
  13. Certifications in the ED

    Maybe because they have to pass a test that has a high failure rate, is specific for emergency nursing and is expensive to take???
  14. Nursing concentration: ER

    An interesting thing about Emergency Nursing is how it differs from floor nursing. A compare and contrast paper would be a very interesting read. The Emergency Nursing Association has a website (...
  15. What would you have answered?

    Kinda scary that they are teaching pain before the ABCs. I really feel sorry for the students because they seem to be in a Catch 22. Best advise I can give is to follow the school's way to learn...
  16. What would you have answered?

    Patients do not go to the floor until they can respond to voice, which would be a 1 on the Aldrete score. They may be a bit 'stoned' from the narcotics but it would be unsafe to send a patient to the...
  17. What would you have answered?

    In reality, which is not the same as what you learn in school, the nurses assess LOC as we are in the hall transporting the pt from PACU to their room. Even before vitals, there is a dressing check...
  18. ER nursing education

    Check out the ENA's (Emergency Nurse's Association) website http://www.ena.org You'll find a wealth of information there, more information and discounts if you
  19. Texas Nurses Unions

    Only one unionized hospital in Texas-Cypress Fairbanks (Tenet Healthcare) http://www.bio-medicine.org/medicine-news-1/First-Unionized-Hospital-in-Texas-15462-2/ Texas doesn't allow closed shops. The...
  20. Certifications in the ED

    I went for my CEN because that is considered to be board certification in emergency nursing. TNCC, ENPC, ACLS, etc are competency type of credentials; but, not equivalent to board certification. If...
  21. Hawaii to Baylor Medical Center , Dallas need advice

    There is a saying around here "It's the Baylor way or the highway" It would probably be best for a nurse coming in as a GN because they can mold you into 'their way'. As for the cost of living, it...
  22. Nurse Manager holding on too tight? Defamation?

    Some information to help you determine if it is defamation of character: http://www.wisegeek.com/what-is-defamation-of-character.htm http://www.personal-injury-info.net/libel-definition.htm...
  23. Terminated because of my Attention Deficit Disorder

    If your employer had more than 15 employees; then, once you notified your employer of your disability, they were obligated to make 'reasonable' accomodations for your ADD. If they did not, you have a...
  24. Sorry Leslie, never heard an excited pig. But, what you described sounds more like a laryngospasms (also an