Jennifer, RN

Jennifer, RN

ER, telemetry

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All Content by Jennifer, RN

  1. What supplies do you carry on you?

    Jennifer, RN replied to Nire83's topic in Emergency

    As a floor nurse, I carried a lot of crap with me. As an ER nurse, I have downsized, now carry stethoscope, roll of tape, trauma scissors (if I haven't lost them), carpuject (the zofran sticks,...

  2. NRB & COPD your input please

    Jennifer, RN replied to crb613's topic in Emergency

    I would place the patient on a NRB at 15L/min, page doctor, respiratory for bipap, call critical alert (which gets lab, xray and extra hands to the room), and get someone to bring crash cart with...

  3. Trauma roon in your ED... who gets it?

    Jennifer, RN replied to A&OxNone's topic in Emergency

    We have 2 trauma rooms. At the beginning of each shift, a trauma nurse is assigned to one of the 2 rooms. She also has 4-5 other rooms assigned. We work on teams though. A team consists of 2...

  4. What is your WORST ER story?

    Jennifer, RN replied to NurseMaybeBaby's topic in Emergency

    The worst thing I have seen is a woman came in by medics, 38 weeks pregnant, hypertensive 140s/90s, headache, n/v, proceeded to rapidly become more hypertensive and coded within 5 minutes of being in...

  5. Questions about ENPC?

    Jennifer, RN replied to hiddencatRN's topic in Emergency

    I personally found ENPC quite valuable as an ER nurse in triaging and recognizing sick versus not sick peds patients. PALS teaches basics in resusitation of pediatric patients, but the key (unless...

  6. Critical care drips

    Jennifer, RN replied to kc87t's topic in Emergency

    This is my favorite IV drug book by far. It is located on every PICIS in our ED and I have a copy of my own in my locker, just in case the others disappear. It is not pocket sized, but such a good...

  7. Trauma Room Staffing (not ratios...)

    Jennifer, RN replied to beepeadoo's topic in Emergency

    I work in a Level 2 trauma center with 2 trauma rooms, 1 designated as a pediatric room (but still able to take adult trauma as well). We have 1 nurse assigned to 1 room and another nurse assigned to...

  8. Administering Narcs and nurse liability

    Jennifer, RN posted a topic in Emergency

    So, after a co-worker expressed concerns about one of our ER doctors prescribing high doses of Dilaudid to a patient with chronic abd pain with frequent visits as well as a couple of past visits for...

  9. Pediatric death kits

    Jennifer, RN posted a topic in Emergency

    Does your ER have some kind of kit for pediatric deaths, with stuff in it like hand print kits, hand molds, lockets for hair, etc...? What exactly does it have in it? How does your hospital handle...

  10. Why I'm sick of the ED

    Jennifer, RN replied to RoyalNurse's topic in Emergency

    I have a love/hate relationship with the ER. I have learned to do things as fast and safely as I can, whether that means the discharge or calling report waits, so be it. If the charge nurse, or...

  11. Administering Narcs and nurse liability

    Jennifer, RN replied to Jennifer, RN's topic in Emergency

    this is kind of what concerns me. Monitoring patients receiving narcs is a no-brainer for nursing practice in the ER, or at least should

  12. Administering Narcs and nurse liability

    Jennifer, RN replied to Jennifer, RN's topic in Emergency

    The patient in question was getting 2mg Dilaudid IM at a time, but got 5 doses, totaling 10mg over about a 2.5 hr period. The patient was narcotic dependent, so her tolerance was high, I'm sure. She...

  13. Hyperkalemia and order of meds

    Jennifer, RN replied to RoyalNurse's topic in Emergency

    I agree. Highest K+ I have seen is 8.6. Pt was weak and bradycardic 30 and 40's. As soon as I gave the Calcium Gluc, she immediately went up to heart rate 70's. I always give D50 before insulin as...

  14. Are ER nurses burnt out or just uncaring??

    Jennifer, RN replied to futurenurseheather's topic in Emergency

    Where I work, if you come in on a backboard with a c-collar on, it is standard practice to take the patient off the backboard immediately even before a physician is present and leave the c-collar on....

  15. How do you triage? How do you assign levels?

    Jennifer, RN replied to RhiaRN75's topic in Emergency

    Agree with this except I would probably bump the SO2 up to 95% for kids, since they really should be in the upper 90's. As a triage nurse, you have to look at your patient and make quick...

  16. does any nurse do EJ's in the ER

    Jennifer, RN replied to sweatpea55's topic in Emergency

    Techs are allowed to start EJs in my ER, but not nurses. New protocol within the last year of so. Before that, nurses did it too. Only techs are allowed to do IOs too. Oh

  17. Good Personalities for ER Nursing?

    Jennifer, RN replied to JMomBaby's topic in Emergency

    Hahahahaahaha!!!!

  18. Nurse Assignments in your ER

    Jennifer, RN replied to jsoed9582's topic in Emergency

    We used to do "pod" nursing, where we had a block of 5 rooms and up to 2 hallway beds. We switched to team nursing, with 2 RNs, 1 tech and 1 doc, but usually one nurse would end up doing all the...

  19. BEST trauma shears?

    Jennifer, RN replied to JoshuaAdamsRN's topic in Emergency

    I agree with some of the previous posters that the best shears are free. I have lost too many in the heat of a trauma or critical alert to ever want to pay for another

  20. Things you would like the ICU to understand

    Jennifer, RN replied to I_LOVE_TRAUMA's topic in Emergency

    Oh my goodness, of course not. I work with a great

  21. Thank you to the Techs....

    Jennifer, RN replied to Virgo_RN's topic in Emergency

    I have to agree. I am so thankful for all the techs that I work with. They are amazing resources and work incredibly hard. I will never use and abuse the techs I work with because I :redbeathe them...

  22. Things you would like the ICU to understand

    Jennifer, RN replied to I_LOVE_TRAUMA's topic in Emergency

    2 at a time? WOW!!! The other day, my ER had 3 GSW, 1 STEMI, 1 Critical CPAP pt and 1 stab wound to the chest, pretty much all at one time. And, they were all stabilized by the time they left the...

  23. Qualities of an ER nurse!

    Jennifer, RN replied to kingramon15's topic in Emergency

    A good sense of humor. Ability to leave work at work. Flexibility. Ability to work under extreme stress and chaos (at times). Good critical thinking. Good, well.....really GREAT assessment...

  24. Code Blue Nervousness

    Jennifer, RN replied to mommy123RN's topic in Emergency

    Yes, take some deep breaths. Try to focus on the present, cleanse your mind. It is easy to get overwhelmed and highly anxious before a trauma or coding pt comes in, but it does get easier with

  25. Several unresponsive patients at once?!

    Jennifer, RN replied to cgrn24's topic in Emergency

    In the ER I work at, it is required to be ACLS certified, and in a situation of multiple critical patients arriving at the same time, we are able to give medications per ACLS protocols. I can't...