Jennifer, RN

Jennifer, RN

ER, telemetry

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All Content by Jennifer, RN

  1. Tips on how NOT to appear like a Drug seeker

    Don't come in with BP of 110/60, heart rate 60, chewing gum, talking on your cell phone, c/o'ing of pain 10/10. Pt's who are in severe pain usually present with elevated bp and pulse (unless they are...
  2. The War with the Floors

    Last night, I had 5 pts, all being admitted for different reasons. I was taking care of unstable GI bleed, stable GI bleed, pneumonia, chest pain and sob. Tried to call report on stable GI bleed pt...
  3. Tips on how NOT to appear like a Drug seeker

    How can you take class II meds daily, worry about going into withdrawl if you don't get your daily meds and still work as a
  4. The War with the Floors

    I have found that as an Ed nurse, some floor nurses are never happy with report or receiving pts. Being on the other end of the phone while trying to call report has been a real eye opener on how...
  5. First week on my own in ED.... and frustrated

    I am still fairly new in my ed. I have worked there full time for 1 year. I never complain about my pts unless I am totally overwhelmed. I know that the new deck that I am dealt could be worse than...
  6. Why are emergency nurses not considered critical care nurses?

    As an ER nurse, I am the first person to lay eyes on many pts coming in to the ER, so I am the one who assigns acuity to this pt. I decide who is the sickest and needs a doctor right now. So, having...
  7. Why are emergency nurses not considered critical care nurses?

    I worked on a tele floor that also had a stepdown vent room, so I am familiar with vent settings. However, in the ER, if we have a critical pt, resp therapy is usually right there to manage the vent....
  8. Rules for the ER (long)

    1. If you are hyperglycemic and symptomatic, no, you can not have something to eat or drink. You will throw up and possibly seize. 2. If you do not take your meds, you will feel bad. 3. We are not a...
  9. on smoking...

    People who have never smoked wonder why smokers continue to smoke. I quit 6 years ago and still want a cigarette every day of my life. Every time I take care of a pt with COPD or CAD, I thank God...
  10. Why SHOULDN'T one smoke in Amsterdam?

    If you are in no danger of taking a drug test in the near future, go and have fun. Make sure you have someone with you that can "babysit" you just in case the high is intense. Enjoy it while you...
  11. kids and being Nurse

    My husband is a high school teacher, off holidays, weekends and summer from mid-June through mid-August. He can be home at 2:30pm about 2-3 days a week, so those days I work 3p-3a or 3p-11p. And I...
  12. Do you ever have patients that you know?

    Medical problems are sometimes very, very personal problems as well and I would feel very uncomfortable taking care of someone I know unless the complaint was very minor. Like needing stitches for...
  13. Ambulance Personnel and wait times

    Where I work, we try to take report from our medics as soon as possible. the only time they ever hang out is if a pt is crashing. Then they will stay to assist or observe. I work in a busy ER...
  14. The War with the Floors

    I have experienced this from both sides. I HATED getting admissions at shift change when I worked on the floor. Actually I hated getting admissions period. They were usually a lot of work and took...
  15. Looking for a change

    I wanted to work in the ER for a long time before I actually transferred. Peds scared me the most. Now that I have worked there a year, cathing and sticking an infant are routine. I still don't...
  16. Is ER nursing Floor nursing???

    I totally did not mean to offend anyone by stating that floor nursing was brain shrinking and monotonous. As JMBM pointed out, it was to ME. When I first started as a nurse working on a tele floor,...
  17. New Grad thinking to start career in the ER

    I worked 5 years on a tele floor, and when I transferred to the ER, I felt like I was a new grad. I felt like even the simple things like inserting a foley, which I had done many, many times was...
  18. propofol

    Prior to working in the ER, I participated in CS for cardioversions on tele. We used versed and some form of pain med like fentanyl or demerol. The pt's NEVER remembered the "jolting" procedure and...
  19. Is ER nursing Floor nursing???

    I worked on a busy tele floor for 5 years, and transferred to the er 1 year ago because I wanted a change. Floor nursing and er nursing are two completely different kinds of nursing. Floor nursing...
  20. what is your nurse to patient ratio?

    Our ratio is 4-6:1. Fast track is 11:1-2. On day shift, we have 1 tech/lpn per nurse if possible, as least 1 tech/lpn for every 2 nurses. On nights they are lucky to have 2 tech period. We have a...
  21. I'm an ADRENALINE junkie...and I'M SCARED!

    Assume every pt has a life threatening illness. Watch your ped pts closely, they can go bad QUICK. Treat the techs/emts in your dept with the utmost respect, they bring a wealth of knowledge and...
  22. Family Witnessing Code Activities

    However, I would definitely be a my child's side if they were to ever code. I would also encourage my husband. I could not sit in another room while my child was being coded.
  23. Family Witnessing Code Activities

    If I were to go into cardiac arrest in an emergency dept., I would not want my family to witness. I would want my family to remember me in the most positive light, and I agree that our society has...
  24. IV's- nursing or medical decision?

    the ed I work in has very specific protocols, such as "abdominal pain non-fertile female or fertile female, abdominal pain male, focal neuro deficit/cva, asthma, lady partsl bleeding, chest pain, sob,...
  25. I'm an ER nurse and I love my job because...

    I worked on tele for 4.5 years before transferring to the ED and I will never go back. I love the independence in the ED, the respect from the docs working side by side, the ACKNOWLEDGEMENT of a good...