Physician Assistent. They assess pts and treat them under the care of physicians. The can write prescriptions and do minor medical procedures like pelvic exams, laceration repairs, abcess lances,...
It is funny though that people are allergic to demerol, inapsine, compazine, zofran, stadol, morphine and toradol. They can take phenergan and dilaudid because that is all that works. Oh yeah, they...
Jennifer, RN replied to crazy4trauma's topic in Emergency
Sometimes, you watch and learn. I worked with a nurse in the ED (she had been a nurse for years and recently retired), and I will never forget the way she took care of very ill pts and their...
Jennifer, RN replied to bill4745's topic in Emergency
Where I work, EKGs are done by the nurse or tech assigned to that pt, regardless of sex. We are too short staffed and too busy to search around for someone else to do them. You just learn to try and...
Jennifer, RN replied to perfectbluebuildings's topic in Emergency
I read the article, and if I am remembering correctly, I think the author wrote that if you have an emergent condition, i.e. spurting blood from wound or chest pains, call an ambulance and you will...
Jennifer, RN replied to charebec65's topic in General Nursing
Like another poster before me, the girl probably just wanted to fit in with her peers, feel like any other teen. Unfortunately for her, she is diabetic and the disease in uncompromising. Working in...
The one thing I really, truely hate is when a pt coughs on me. Yuck!!! Then, later, they get diagnosed with strep or the flu. How rude and inconsiderate. If they were home, they would cover their...
I hate GI bleeds and funky foot odor. I mean, living on the street for months, wearing the same socks for months, foot odor. Or decomposed road kill that a pscyh pt brought in one night in his...
Jennifer, RN replied to texas_lvn's topic in General Nursing
I was taking care of an actively dying pt, sbp's had been 60's, 70's palp. While looking at vital signs log, no VS were documented on pt. I then went up to CNA assigned to pt and asked about vitals,...
Jennifer, RN replied to kathy_bear's topic in Emergency
Just bought an IV drug book that now follows me to my station each shift. We used to have them at every pyxis, but they walked. I can not live with this reference
Jennifer, RN replied to vampireslayer's topic in Emergency
In ACLS, you are being taught the drugs and WHY you push them d/t the algorthyms being addressed. If you are not sure of why you are pushing a certain drug for asytole, PEA, V fib or SVT, then you...
Jennifer, RN replied to HealthyRN's topic in Emergency
I tell my kids that I take care of very sick and hurt people and try to make them feel better. And then I tell them that sometimes the people don't feel better no matter what, and then I try and make...
We have a particular md who orders prn pain meds every 15 min. One of our nurses ended up giving 12 mg Dilaudid over 1.5 hr period to 20 yr old girl for flank and abdominal pain. Pt was not hooked...
Jennifer, RN replied to lela186's topic in Emergency
Good luck! Triage is the one area that I have found that most nurses hate. Though, I do work with a few nurses that love triage. I hate getting 3 chest pain pts a once, no beds for any of them,...
Jennifer, RN replied to MeryMellen's topic in Emergency
We give NS w/o x 1-2 liters for hyperglycemia. We also usually give 10 units regular insulin IV. And we try and find source of infection if pt has been taking their meds. We had a FF come in...
Jennifer, RN replied to kathy_bear's topic in Emergency
Pockets: 2 black pens, 2 red pens, calculator, 3-4 blank index cards, carpujet, 3-4 pre-filled flushes, emergency and critical care nurse manual (sometimes) and chapstick and maybe a couple of...
Jennifer, RN replied to RNLex's topic in Emergency
Completely agree!!! When I first started in the ER, my preceptor saw my "ambassador pins", which stands for pt recogniton, and she told me to never expect to get another one in the ER. Totally...
Jennifer, RN replied to alwayslearnin's topic in Emergency
Every now and then I lose my cool, but for the most part, I stay very calm and caring to ALL my pts. I apologize profusely if a pt c/o about the wait, because 4, 5 and 6 hrs (to see MD) is a long...
Jennifer, RN replied to Firemedic7's topic in Emergency
I also have had a hard time getting iv sites on pts. Hands are the worst for me. I'm getting better with practice, though. I like to use ac veins with abd pain and chest pain complaints in case of...
Jennifer, RN replied to ikimiwi's topic in Emergency
We revital q3hrs in the waiting room. Very difficult to do if there is only 1 nurse in triage with no assigned tech and 20 pts waiting to be triaged. We have great greeters though who will let us...
Jennifer, RN replied to shill's topic in Emergency
Train wreck, funny term. When I was in nursing school (a while ago), I was so naive. I heard the term "train wreck" from an experienced LPN getting her RN degree, and I was so thankful that I did...