Jennifer, RN

Jennifer, RN

ER, telemetry

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All Content by Jennifer, RN

  1. It looks like a RR of 20

    Jennifer, RN replied to TraumaNurseRN's topic in Emergency

    :yeahthat:

  2. Drawing Labs without an order

    Jennifer, RN replied to umnurs's topic in Emergency

    My ER also has protocols, and lots of them. They come in handy, but of course, many patients don't fit neatly into the protocols. So, we still end up ordering labs and xrays that aren't part of the...

  3. Where are all of the Senior or Seasoned ED Nurses??

    Jennifer, RN replied to ED_EMR_NURSE's topic in Emergency

    I know I am not considered seasoned, but I have worked in the ER for 3.5 years (tele for 5), and have no intent on leaving any time soon. As much as I hate the no breaks to eat, pee, etc.... I LOVE...

  4. Questioning Our Compassion

    Jennifer, RN replied to TraumaNurseRN's topic in Emergency

  5. Ratios? Do you have them in ER, or are they just for the floors?

    Jennifer, RN replied to Lurksalot's topic in Emergency

    Depends on the day and how much staff is scheduled. Tonight, I had a consistent 5 patients and 1 trauma room. Luckily, no traumas tonight. I have had up to 7 acute patients at once. The goal is 4:1...

  6. Worst doctors orders ever received

    Jennifer, RN replied to jenfromjersey's topic in Emergency

  7. Strangest thing taken from ER

    Jennifer, RN replied to cookienay's topic in Emergency

    We use radios in our ER to communicate with each other, and one was stolen about 8 months ago. The thief proceeded to call threats over the radio, and still pops up on the radio now and

  8. IV size

    Jennifer, RN replied to danger's topic in Emergency

    I generally use 20g, preferably in the forearm, unless the patient is complaining of abd pain or chest pain. Then, I may try for an 18g in the AC, if their veins will tolerate it. IOs are great for...

  9. Scared to talk to Doctors

    Jennifer, RN replied to jam0516's topic in General Nursing

    This is a normal fear that will pass with time and experience. My only advice is to completely assess the patient before you call, including a complete set of vitals, have the chart with you in case...

  10. No orders?

    Jennifer, RN replied to Tracy38000's topic in General Nursing

    When I worked on tele, we got lots of direct admits and it was typical to have to call the admitting physician for admission orders. Always check when a new patient arrives and get orders as soon as...

  11. What alcohol level do you admit for?

    Jennifer, RN replied to TooterIA's topic in Emergency

    The ER I work at also does not admit for ETOH intoxication unless they have other medical or psych issues warranting an admission. We generally check ISTAT lytes, give a banana bag, and hold them...

  12. No one else to talk to and just need to vent....

    Jennifer, RN replied to klcrn1987's topic in Emergency

    I also recommend reading the TNCC book and taking the class. If you are not ACLS certified, you really should work on that as well. And, if you find that you just are not comfortable in the...

  13. Lost my calm in an emergency...

    Jennifer, RN replied to tbanurse's topic in General Nursing

    It's different when it's your child. I can handle any code situation with any age person at work, but when it comes to my kids, I'm sure I would lose my

  14. Med Reconciliation in the ER

    Jennifer, RN replied to Rickbos's topic in Emergency

    We are required to enter all patients current meds into the computer when triaged, including dose, route, frequency, or document that they are not taking any meds or that their meds are unknown. Upon...

  15. I don't think I'm ready yet.

    Jennifer, RN replied to Thoc123's topic in Emergency

    If you feel like you could use more time, ask for it now. Seven weeks is not very long for a new grad in the ER. You will never feel like it's time to come off orientation, you will eventually have...

  16. Wrong dose?

    Jennifer, RN replied to michael79's topic in Emergency

    I said he sounded incompetent due to his flippant response of "either/or", and apparently, since the OP was hoping the pharmacy would catch the error, it sounds like he did not fix the error. That,...

  17. Is this Common?

    Jennifer, RN replied to tinybabynurse's topic in Emergency

    We see many possible DVTs. We doppler them also, on the weekends, we call in the doppler

  18. Wrong dose?

    Jennifer, RN replied to michael79's topic in Emergency

    Good example of how incompetent some doctors can be and how we, as ER nurses, are responsible for so much more than just

  19. ER Nursing, Is it considered critical care?

    Jennifer, RN replied to NicNac's topic in Emergency

    I have found that emergency nursing is it's own entity. We stabilize critical care patients, but most of the time do not monitor them over any length of time, unless there are no beds in the unit...

  20. turning non-emergent pts away

    Jennifer, RN posted a topic in Emergency

    Do any of your ERs turn non-emergent pts away, like toothaches, lice, STDs, etc? Rumor has it that this week, we in triage are going to start handing out cards to the local free clinics to pts with...

  21. Your One Best Piece Of Advice Please.

    Jennifer, RN replied to whitman's topic in Emergency

    Don't take work home Bring your lunch (or dinner). You may actually get to eat something. Take time out to pee Always monitor BP and O2 sat if giving narcs. Kids decompensate quickly, with...

  22. Strange things found on (or in) a pt.

    Jennifer, RN replied to squeakykitty's topic in Emergency

    I took care of a patient that claimed he was kidnapped, blindfolded and hands tied, taken somewhere and forced to eat "little metal balls" and had something shoved up his rectum. He claimed the...

  23. Joke..You know you are truly an ER nurse if...

    Jennifer, RN replied to HanaRN's topic in Emergency

    Love it, HanaRN! Thanks for the

  24. 8:1 ratio in the ED?

    Jennifer, RN replied to TamrRN07's topic in Emergency

    I read the original post, skipped the rest to comment that I would never accept an 8:1 ration in an ER. Every ER patient can turn into a critical patient very suddenly. In fact, I don't even want...

  25. Tele Nurse starting in ED

    Jennifer, RN replied to BriBriRN's topic in Emergency

    Hope you love it like I do!! I transferred to the ER after 5 years of Tele, and have never regretted it. I keep trying to get the girls I used to work with on tele to transfer!! I love the fast...