Jennifer, RN

Jennifer, RN

ER, telemetry

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All Content by Jennifer, RN

  1. Several unresponsive patients at once?!

    I agree with the other posters. All you can do is run protocols, follow the ABCs, until a doctor is available. Help usually floods the ER (usually), i.e. ICU nurses, resp therapists (who can...
  2. Nurses taking patient's off backboards without doctor clearnce?

    I agree with this also. I never take a patient off a backboard without verbal consent. That way, I can document that a physician was aware of the patient's complaint and gave me a verbal order to...
  3. New ER Nurse

    Seek out people the people that know a lot more than you do, not the ones who pretend to know more. Use your resources for guidance. Don't abuse your techs. If you don't know how to do something,...
  4. Baby Deaths

    This makes me feel sick to my
  5. Baby Deaths

    Those babies and kids linger in my thoughts for a long time. We don't have any formal debriefing on child deaths or serious illnesses, but, thankfully, don't deal with this issue a lot (like...
  6. Emergency Nursing: Acute substernal chest pain

    1. Attach cardiac monitor and obtain EKG 2. Pulse ox 3. Bp 4. IV 5 Glucose (off Istat BMP) 6. Cathether A patient with these symptoms, seemingly non-critical, would be attached to the monitor pretty...
  7. Plan to transfer from tele to er

    I agree. But, ER nursing is HARD work, very emotionally and physically draining. I suggest shadowing for a couple days to really get a feel for what ER nurses do. I worked on tele for 5 years and...
  8. What do your ER volunteers do?

    make beds, run errands (pick up meal trays, supplies), take pt's out in wheelchairs, stock linen and blanket
  9. How is your ED preparing for H1N1?

    The only thing I have heard is that my ER is planning on setting up a separate flu clinic where pt's with flu symptoms/complaints will be directed to go. Still will be on site of our hospital. I...
  10. 24 Things ER Nurses Know All Too Well

    LOL!!! So
  11. Guess what the ER doc did?

    So sorry you and your husband went through this. Some ER docs should not really be doctors at all,
  12. Peritoneal Lavage

    This is a procedure that we ER nurses yearn to see performed, kind of like seeing a chest cracked (which is much more likely, of course, than a peritoneal lavage). I have worked ER, level 2 trauma...
  13. First patient complaint ever. Frustrated.

    Sounds like you did nothing wrong. I have worked with some great nurses and doctors that have gotten totally bogus complaints from disgruntled patients and/or family members. We see so many people...
  14. So... How real is the show ER?

    We actually have a couple of docs that are true team players:wink2: Will come in an attempt iv access (before central line), attempt foleys, take vital signs. Those doctors are truly loved by the...
  15. Time Management in the ED HELP!!!!!!

    Focused assessments. Of course, there will be patients that need a head to toe assessment, but all others, focus on the complaint. If you have time to chit chat, great. If you are busy, get out of...
  16. Intravenous regular insulin

    Regular insulin can be given IVP. I usually give a single dose over 1 minute. Where I work, we often give Regular Insulin IV to bring high blood sugars down quickly. If, as other posters have...
  17. How fast do you push metopropolol

    Me
  18. I cant start IV's!

    I agree, lots of practice, and working in an ER, you will get many chances to practice. I was really bad at starting IVs when I first started working in the ER 4 years ago, but have since become much...
  19. pediatric vital signs

    We usually get bp's on kids over 4 years old, unless their condition or status warrants a BP. If I have to transfer a kid to a pediatric hospital for any reason, then, their condition probably...
  20. malpractice insurance

    Exactly.
  21. New Grad Advice on ED

    I started on telemetry and found that to be a great floor to learn on and then to transition to ER. It gave me a solid base of cardiac knowledge, as well as just basic experience in learning how to...
  22. Will life saving Emergency Care be around when you need it?

    I agree. I think that the hospitals in my area think they are prepared, but, really? I don't think so. I mean, we can't even get our ICU patients out of the ER on a normal day, most of the
  23. Comments about our choice of profession

    Sounds like a good answer to me. I usually just say, "it takes special people to do this every day" and
  24. ER Nurse is Being a JERK to EMS...

    I can't believe she acts like that! Is she mentally stable? I love all the EMTs that come through my ER. And to pull out IVs or take off C-spine precautions? Seems just crazy to me. Hope she never...
  25. Shoes for the ER??

    Birkenstock clogs. Love