edmst

edmst

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All Content by edmst

  1. ED Nursing

    You don't do your own blood draws? And lab is allowed to touch the IV access???
  2. Dealing with rude family members

    This is the type of attitude that is what is hurting nursing. Nurses have to be firm but in a professional manner. Enough with the whole empathy and understanding nonsense (that is for the random family member whom the patient hasn't seen in 10 years...
  3. All About Abuse?

    So let them lay and sleep in their urine and feces? Great nurse!....
  4. What to do when pt comes into ER with stroke?

    If the patient is having aphasia, how can the patient verbalize their name, date of birth, allergies, symptom onset, medical history, etc.? Real world, stroke team would meet the potentially stroke patient at the ambulance bay. Weight HAS to be obtai...
  5. How to prioritize 4+ patients?

    You are already encouraging bad habits to a nursing student that he/she may carry into their nursing profession? No matter how thorough a report may have been, one must ALWAYS check the orders, labs, etc. to confirm and not take the previous nurse's ...
  6. How to prioritize 4+ patients?

    .....
  7. IV catheters

    Is this post for real or a joke??????? I hope this not the future of nursing. These nursing schools are pumping out "nurses" that have no critical thinking skills or common sense. Really, why can a stainless STEEL needle puncture a vein but not a ...
  8. Are Nurses Considered "First Responders?"

    Really? An ER nurse is not a first responder? At some facilities if there is a rapid response or code blue the ER team are the ones to respond. In the ER where I work, rapid responses aren't paged overhead if there is a decompensating pt in the ER be...
  9. ER dropping the ball?

    The problem between ER and floor nurses/ICU is they do not understand what we have to go through in the ER. Personally speaking, I work in a very busy ER (to put into perspective we saw 239 pt's in a 12 hr shift the other day). EVERYTHING in the ER i...
  10. To me, this is one of the MANY issues with healthcare. Healthcare is so focused on "patient/family satisfaction" as if it is a hotel or restaurant. In an emergency, I don't want family members hovering around me with no clue to whats going on or bein...
  11. How often does a nurse get interutted during a shift

    LOL. Was that sarcasm?
  12. Change of shift admissions

    I've worked the floors for quite a bit, along with CCU and neuro ICU. If you think the floors are not "structured and routine" then you'd be in for a surprise in the ED.
  13. I Made an Absolute 'No-No" Mistake :(

    I know the many uses of Benadryl IV. I was just curious as to the reason why the OP gave the medication?
  14. Change of shift admissions

    Really? Have you worked in an ED where in a 12 hour shift the ED will see almost 200 pt's? I doubt you have by your response. Floor nurses can get stat orders but for the most part, everything is structured and routine. Big deal if a floor nurse has ...
  15. I Made an Absolute 'No-No" Mistake :(

    I have a few questions: What was the Benadryl given for? Did the pt experience an adverse/allergic response from the medication? Did you override the medication or had "leftover" in a vial from another pt? Don't get me wrong, you definitely were beyo...
  16. Change of shift admissions

    I work in a VERY busy ED in S. Florida (3rd busiest) so I can chime in from experience. I used to work the floors many years ago but I think what the floor nurses don't understand is everything is beyond our control. We only have so many beds and if ...
  17. When a patient complains

    Don't sweat it. A patient will never be satisfied, they will always have a complaint (trust me I been a nurse for 15+ years from tele to icu to er). What gets me is nurses tend to be the WORST family members and are to the point of harassing the nurs...
  18. ER dropping the ball?

    Don't dare compare ICU to ED because you will NEVER get a cardiac arrest admission whereas rescue will bring us a cardiac arrest in the middle of giving report and the nurses upstairs are so concerned if the MRSA screening was done. Then when we tran...
  19. ER dropping the ball?

    I'm definitely not buying this, you lost credibility. Either 1) You are either stretching the truth to what actually did happen or 2) You work in a rinky-dink hospital. Theres absolutely no way a pt with a potassium of 2.1 wouldn't receive IV replac...
  20. ER dropping the ball?

    Pleeeeease come and visit the ER. What you just described, guess what, ALSO happens in the ER. Except, we see about 25 pt's a day (per nurse) while you only deal with max of 8 I guess. The ER doesn't call rapid responses because we handle it, as well...
  21. ER dropping the ball?

    You would call a rapid response for the pt being altered even though he came in altered to begin with yet vitals are stable? Just an elevated white count does not = sepsis. The problem with the regular floors and the unit is they don't realize the di...
  22. How much trouble am I in?

    Nope, you're not looking at the big picture. Although not that common, if the site the wife started became infected and caused her husband to be septic, then who's to blame? You better believe hospitals have lawyers light years better than any nurse ...
  23. How much trouble am I in?

    Why do nurses all of a sudden forget what it's like to be a nurse when they are not on the clock - dealing with needy pt's yet the pt's are chatting up a storm on their cellphone, pt's only complaining of pain once you walk in the room, complaining o...
  24. Burnt out

    What I don't get is the "5 hour rapid response"? Why did it take so long to stabilize the pt/why did it take 5 hrs for the pt to code once rapid response was called? Was the rapid response not managed properly? That should be brought to management's ...
  25. The Controversy: Mandatory Flu Vaccines

    Yes I understand the difference between correlation and causation and truthfully I do not appreciate your reply. Either you are a new grad who has not has much exposure/experience or you haven't had a patient who's had the Guillain-Barré syndrome as...