Jennifer, RN replied to cgrn24's topic in Emergency
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...
Jennifer, RN replied to the big nurse's topic in Emergency
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...
Jennifer, RN replied to NanaRn86's topic in Emergency
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,...
Jennifer, RN replied to LLLLiiiFFEsaveer's topic in Emergency
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...
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...
Jennifer, RN replied to pandaboi's topic in Emergency
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...
Jennifer, RN replied to Lunah's topic in Emergency
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...
Jennifer, RN replied to GleeGum's topic in Emergency
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...
Jennifer, RN replied to 3dogs1cat's topic in Emergency
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...
Jennifer, RN replied to FriarTuck's topic in Emergency
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...
Jennifer, RN replied to mbrason's topic in Emergency
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...
Jennifer, RN replied to echoSN's topic in Emergency
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...
Jennifer, RN replied to Creamsoda's topic in Emergency
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...
Jennifer, RN replied to dan_dfc's topic in Emergency
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...
Jennifer, RN replied to ezkabar0037's topic in Emergency
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...
Jennifer, RN replied to Roy Fokker's topic in Emergency
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
Jennifer, RN replied to flashpoint's topic in Emergency
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...