scrmblr

scrmblr

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  1. Nurse's Aid acting as a Nurse

    Maybe the fact that she does not correct them has to do with EGO or self esteem. (please no offense to the wonderful cna's ma's and tech's that are "older") But the fact that she has been a CNA for...
  2. What exactly do you do as an ER nurse?

    We also deal with psych pt's. I see drug addicts, alcoholics in dt's and suicidal pt's almost every day. ER nursing seems to require alot of "family nursing" too. You have to be able to explain...
  3. pt report to ICU?

    great advice. I think it really helped me see both sides of
  4. New Nurse....Please Respond

    I started in ICU 6 months after I graduated with my RN. I had worked in rehab/med-surg and long term care. I wish I had done a little stint in ICU. ICU and ER are kind of "hand in hand" ER gets...
  5. Best Advice You've Ever Heard

    respect the tech's and
  6. Marriage and Nursing school ?

    I got divorced when I started my pre-rec courses. Best thing I ever did. He did not want me to succeed in school. He would make sure he was NOT home when I needed to get to class etc etc... I got...
  7. moderate sedation in the ER?

    I am taking the "moderate sedation" test tomorrow. Please tell me about the meds used in your facility for mod-sedation. The ones in my study packet include ketamine, etomidate, benzo's and opoids....
  8. violent alzheimer's....

    a med change is in order. Also, when I worked ltc, we had a special unit for violent pt. They were staffed better and the pt's medications were adjusted here. They usually returned to us "all tuned...
  9. IV push rates

    pharmacy is a great resource too! I call them when I have any med questions...they are usually great about answering anything...(depending on the pharmacist of the
  10. High K...when to check bg's?

    I had a "train wreck" pt last night. 74yo guy with ileostomy/colostomy/feeding tube/no void/abd pain/vomiting/came from nursing home with his wife who was in the process of a lawsuit with the surgeon...
  11. High K...when to check bg's?

    Thank you. really really thank you. I have been feeling really inadequate and this pt was a tough one for me. I had an order for k-exalate, but the guy was unable to drink it and he had no bowel for...
  12. I'm an ER nurse and I love my job because...

    You learn something new every day! and like EDValerie said...It is like playing detective! And, it is fun playing "guess what shows up on the utox" or "how high is his BA?" If you get a pt you really...
  13. Leaving work at work

    I feel exactly this way! I woke up at 0300 last night unable to sleep because a pt I transfered to another hospital was "sweaty" when he left... I had a panic attack at 3 am that I sent a guy out...
  14. Hi and a question about smoking.

    I think it sounds like a great idea... I advise pt's all the time to quit smoking. Usually in a friendly "hey man, you gotta quit that bad habit" kind of way. They all say that they know they have...
  15. lumbar punctures on infants?

    I am a new ER nurse. I have always managed to avoid holding an infant for a spinal tap...Yesterday I ended up with a 23 day old who presented with a 100.8 fever. Doc orders the full workup:uhoh21: I...
  16. lumbar punctures on infants?

    we do the works. u/a, blood, iv,lp,nasal swabs...The ones that make me nuts are the paren'ts that say "he's had a fever at home of over 100" but the kiddo is perfect 98 at triage. Sometimes our...
  17. lumbar punctures on infants?

  18. lumbar punctures on infants?

    :redpinkhe Thank you all for your comforting words:) I was just thinking back to when I've seen other nurses go into a room with the dreaded "tray" and come back minutes later with the clear vials...
  19. College Network vs. Rue vs. Excelsior

    I graduated without using a publishing company. When I recieved the study guide from excelsior I would look at the recomended text. I could usually find it on amazon.com for peanuts. Or, I could...
  20. Beating myself up - anyone else?

    I still do this! I drive myself crazy. Try not to let this throw you. Just be a little more methodical next
  21. I'm confused. The hospital is saying that another pt on the floor had strep and she was infected? Are they saying that a hospital employee "gave" her strep and if they told her that it would be...
  22. Help re:dosage calculation

    15 would be my answer too. what is your husbands
  23. We "banter" in our ER. If you are new it takes a while to pick up on the different personalities. We have one doc who is totally crusty on the outside, but has a heart of gold. If you are able to...
  24. Excelsior question

    if you send ec your transcripts they can send you a class list of exactly what you need. I believe that only LPN/LVN RT's and paramedics are accepted into the program. (I graduated from EC, but had...
  25. New ER Nurse

    find a mentor. Never let a pt see you "sweat" they are already nervous...save the sweating for the breakroom. know where everything is. take inventory. nothing worse then running around like a crazy...