Jennifer, RN

Jennifer, RN

ER, telemetry

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All Content by Jennifer, RN

  1. TOP 10 Meds?

    dilaudid, phenergan and zofran are definitely at the top of the list though. rocephin, Tetorifice, ancef also
  2. TOP 10 Meds?

    Etomidate, succ,
  3. patient satisfaction

    No matter what, some pts are not satisfied. The pts that are really sick, treated and admitted usually don't get to fill out one of our pt satisfaction questionnaires. The other ones, that come in...
  4. ER violence

    Just started reading some of the old posts on tazers. If I felt SO unsafe at my job to need a tazer, I would find another job. Nurses have many, many other opportunitites. I do not want to taze...
  5. ER violence

    I have never been hit, but have taken care of pts that have been combative. Usually old demented people. Drunks are no fun, but usually easily talked down or subdued. Head injuries are the worst....
  6. Boosting Morale in the ER

    there is no way I want to be in charge anytime soon in the ER I work at. Good thing I work odd hours. But, there is one charge nurse that I work with that stands out. She takes patients. Usually...
  7. ER: Are you happy there?

    Complaining and venting keeps me sane. I see a lot of terrible and horrible things in the ER, but I LOVE my job. I can not imagine working any where else as a nurse. Did floor nursing for a while,...
  8. ER-101...Route/Meds/Terms

    During a code, if IV access has not been established for whatever reason, emergency medications (narcan, atropine, valium, epi, and lidocaine) can be given directly down the ET tube itself (after...
  9. advice requested= track to PICU

    Excellent, excellent advice. Thank
  10. Mommies and daddys in the trauma room.

    My hospital does not have a policy either, but, we try to never separate parents from children, unless they are truely hysterical and inconsolable. Parents need to know what is going on. We have a...
  11. ER CNAs

    CNAs and Techs in my ED are different. We have 2 types of CNA: a traditional CNA and a PCA. A CNA can take vitals, splint, feed pts, bath pts, walk pts, etc.... A PCA can do blood draws, EKGs,...
  12. Are you afraid to go to the ER?

    ER stands for EMERGENCY ROOM. If you are not about to die, you probably do not need to come the the ER. Sometimes, pain will make you feel like you are about to die, so in those circumstances, yes,...
  13. Does ED have a bad rep for mean nurses?

    ER nurses are no meaner than nurses on other units. There are nasty nurses on every floor. The ER, however, is a very, very stressful place to work and may push some nurses to the breaking point....
  14. Fast Track?

    Also meant to add: My ER has two sections, the Urgent side and the non-urgent (fast track) side. The urgent side usually has a longer wait time and stay time d/t the more complex workup (labs,...
  15. Fast Track?

    Fast track pts are non urgent pts that could be seen in a free standing clinic or "Urgent care". They usually consist of simple lac repairs, ear aches, tooth aches, cold symptoms (no vomiting),...
  16. Holy Cow.....my head's still spinning

    I completely understand. I worked on the floor for 5 years and thought that the reason I did not seem to like nursing was the fear of not knowing what pts I would be taking care of every day. When I...
  17. What Would You Change??

    All I want is to be able to eat and pee once during my 12 hours. Just once, and I swear I will eat
  18. How Do You Feel About New Grads In The E.r.?

    I do not mind new grads in the ER as long as they have some common sense and are not overly confident. There is so much new grads do not know, but they do not know what it is they have to learn. If...
  19. Are you afraid to go to the ER?

    I would come for severe headache (like head bleed h/a), seizure, severe tachycardia, severe SOB, severe chest pain, chest pain associated with sob, nausea and diaphoresis, severe right side abd pain,...
  20. Last night had a pt come in with very strange complaint. Pt stated he was kidnapped ~3 hrs earlier, held hostage, and forced to choose a poison to ingest (was told one poison was resin, the other was...
  21. Tips on how NOT to appear like a Drug seeker

    In my ED, the doctors give pain meds like it's candy. It very frustrating when, as a nurse, you know the pt is a chronic drug seeker and the docs still give them what they want. What do you do as a...
  22. The War with the Floors

    I worked on a tele unit and now work in the ED. I have seen it from both sides and can tell you that I had more lunch breaks, smoke breaks (though I don't smoke now) and sit on my ass breaks when I...
  23. Does ED have a bad rep for mean nurses?

    When I first started working in my ED, some of the nurses on nights were especially rude and nasty, so I switched to days. Since, the nasty nurses have moved on and I am thinking about switching back...
  24. Organizational skills

    Prioritize, prioritize, prioritize. It takes time. Remember, focused assessments, try to chart immediately after procedures if possible. Like bill4745 said, try to think ahead. Abd pain will...
  25. SO Exhausted

    My husband and I work opposite schedules. He is a school teacher and is home ~2:30 in the afternoon and I go to work at 3p-11 or 3p-3a and work full time hours. I keep our 3 children (ages 1, 3,...