Kaitef0716

Was just wondering how long you push emergency drugs for during codes. Etomidate, sux, ketamine, amiodarone, bicarbonate, calcium, Epi,vasopressin? Any other main ones I'm missing. Thanks

So I have my BSN and have been wanting to go back to school. I work in the ER right now and love it. I was planning to go for my NP but then decided I didn't want to do that anymore. I also have no desire to be a manager, CNL, or do research. Was just wondering what other options there are??

Speaking as an ER nurse the rush comes from our throughput times. Like someone else had mentioned we get audited like no other on how fast or slow so many different things happen in the ER. Especially this time of the year with having to board patients it really slows down our workflow and fills up our waiting rooms. We should only be having 3 patients but when boarding and high census is going on we might have as many as 6 or 7 patients a few of which might be ICU patients which makes it very unsafe for us and easy to miss if someone is starting to become unstable. Once we have a patient stabilized they go to the floor. A severe sepsis pt might be on 3 or 4 different abx and 4 liters of fluid but our job in the ER per sepsis core measure protocol is to get the fluids started and start at least 1 abx and the rest the floor can finish. As for receiving an unstable pt just tonight I had a pt for Chf who had been fine the whole couple hours I had her and I was just about ready to tx her to a cardiac floor then all of a sudden she went into vtach and a fib rvr and we had to put her on all kinds of drips n send her to ICU. She was literally fine the whole time for me but in a second just changed so sometimes it happens.

I feel like I am on a serious rut with IV starts. Each time I start an IV I'm getting in no problem but then after advancing it like halfway I am ALWAYS getting stuck on a valve or something. Have tried pulling back and pushing it again or trying the whole needle itself at a different angle and am either getting no where or blowing it. Really starting to get frustrated. Can anyone shed some light on what I'm doing wrong or what else to try? I will have people try in the same spot as me and get in no problem.

Been a medsurg nurse for a few years but moving down to the ED in a month. Any advice from ED nurses? Anything I should brush up on or review? Thanks.

just wondering if someone can clarify something in regards to mrsa testing. so in the unit we mrsa swab everyone right when they're admitted. a lot of the times in the ED they have already been on antibiotics before they are sent to us or have been on the floor a few days on abx before they decompensate and are sent to the unit and then swabbed. I was always taught there is no point to mrsa swab someone if they have already been on antibiotics. just looking for clarification. thanks.