CX_EDRN

CX_EDRN

Member

  • Content

    62

  • Visitors

    1,988

  • Followers

    0

  • Likes

    15

All Content by CX_EDRN

  1. University of South Alabama Spring 2019

    CX_EDRN replied to studentrn1013's topic in Student Nurse Practitioner

    I've applied for the Dual Role AGAC/FNP Spring 2019 track. Good luck to everyone! I don't have a FB- well I have one that has been deactivated for a few years that I don't want to reactivate. :) Maybe...

  2. Emergency Nursing

    CX_EDRN replied to Mary3010's topic in Emergency

    1) I work in large (busy!) trauma center and like most EDs, no shift is the same. Which is why I love it so much. I do all the things really, from IVs and EKGs to CPR to managing pressors via ART...

  3. Nursing accessories for ER/ED?

    CX_EDRN replied to HalfBoiled's topic in Emergency

    I always have my stethoscope, trauma shears and a couple of pens on me. That's it. And by a couple of pens, I mean the janky ones I give to patients to sign things and my nice one that I will hunt the...

  4. Mistake

    CX_EDRN replied to Stella eliz's topic in Emergency

    Honestly? If I can bang in a unit of blood in 30 minutes, I'm a happy ED RN. I've never heard of parameters for infusing blood in the ED, I know that is different on the floors though. If you're...

  5. ER: Shared Employee/ Traveler

    CX_EDRN replied to mickeyrose9's topic in Emergency

    I agree that you need more experience before you travel. Also, traveling is not going to get you the trauma experience that you want- you have to already have it going in. Most travelers I know will...

  6. CEN study tips

    CX_EDRN replied to arletka88's topic in Emergency

    The only thing I did was watch the Jeff Solheim modules ($150) and while they were fantastic I think I would passed without them. I would suggest you look through the CEN blueprint and focus on the...

  7. Pain Management in Long Bone Fractures

    CX_EDRN replied to widi96's topic in Emergency

    We have a ton of nurse driven protocols but not one specifically for long bones. Our trauma protocol uses fentanyl initially and we give it pretty freely, although I do agree these patients are...

  8. How many patients do you see per shift.

    CX_EDRN replied to trutuyu's topic in Emergency

    Depends. If I'm in the main (ESI 1/2s) my whole shift I might see 12ish. If i'm in fast track, heaven only knows. 40?

  9. What did you do in the ER today?

    CX_EDRN replied to Kinda Flustered's topic in Emergency

    Fun thread! Primary in a L1 ejected at highway speeds. C2/3 fxs. Secondary in two L2s, neither of which sustained significant injuries. Primary in a stroke alert, which should never have been called...

  10. Getting better in codes?

    CX_EDRN replied to amzyRN's topic in Emergency

    Honestly, I think time and experience is the best remedy. I stay pretty calm but if I feel myself getting anxious I always make myself stop whatever I'm doing and take a deep, conscious breath. That...

  11. friction with a provider

    CX_EDRN replied to eyeshadow&epi's topic in Emergency

    Why not talk to the provider directly? I've had my issues with drs over the years and the best way to tackle these sorts of things is head on. Yes, you are new. Yes, you have a lot to learn. But no,...

  12. Northern Remote to ED?

    CX_EDRN replied to OptimisticRN376's topic in Emergency

    That statistic doesn't hold true for my ED, or others I have worked in. Granted I've only worked in higher level trauma centers but non-trauma centers still get sick patients. And only you would be...

  13. Confused

    CX_EDRN replied to jenal77's topic in Emergency

    Honestly, I think you're screwed. No way HR is going to side with you after the fact, and if you're nonhireable now not much is going to change that. What have you been doing the last 3 months? If you...

  14. Feel stupid

    CX_EDRN replied to Cat365's topic in Emergency

    Honestly, I wouldn't worry about it too much. You're not the only one reviewing labs- the drs are too. The ED dr planned on admitting patient and chose to let the floor handle the patient's diabetic...

  15. ED Pay vs Med/Surg Pay

    CX_EDRN replied to trumley's topic in Emergency

    Base is the same but we get a critical care differential of an additional

  16. Why wasn't I placed in the ED?

    CX_EDRN replied to shan_elle's topic in Emergency

    I know that you're disappointed but I am sure your instructors have their reasons. Why not just ask them? I was in almost the exact same situation that you're in, wanted the ED and was placed in the...

  17. PES Nursing

    CX_EDRN replied to sportyscrubRN's topic in Emergency

    At my current hospital we don't have psych RNs in our ED, but I have worked in a place where psych patients were medically cleared in the ED and then placed into a separate "psych" area to be cared...

  18. Verbal Orders -- Yes or No?

    CX_EDRN replied to baz2010's topic in Emergency

    Our drs are expected to put in their own orders, and we are strongly encouraged to tell them to do it. Sometimes I'll put in verbals, depending on the situation but for the most part our drs are on it...

  19. ER

    CX_EDRN replied to rhedge's topic in Emergency

    I really wasn't going to reply to this anymore but oh man... I cannot for the life of me figure out what issue you have with his posts, his information is accurate. And for the record, we do have it...

  20. Boundary Between What Nurses And Doctors Do In ER

    CX_EDRN replied to opheaphea's topic in Emergency

    That's really going to depend. We don't suture, but we can take them out. We don't cast at all in my ED, but the RNs and techs splint. As a whole, I have personally found that we have a lot of freedom...

  21. ER

    CX_EDRN replied to rhedge's topic in Emergency

    Not really, he's saying the exact same thing I said. And I am also an experienced nurse... And if he wasn't, the way you're reacting certainly wouldn't be the way to "teach" him the right way. I had...

  22. ER vs Trauma Nurse

    CX_EDRN replied to al3x117's topic in Emergency

    I work in a trauma center so we are all trauma certified (TNCC, ENPC). We do have an experienced nurse in triage that guides flow into fast track and the main. We all rotate through the trauma rooms,...

  23. ED staffing ratios

    CX_EDRN replied to EDdad's topic in Emergency

    We are generally 1:3, but often 1:4 overnight. In fast track we can be 1:4-5, but we are very high acuity and rarely see ESI 4s and 5s. We try for soft 3s in fast track but it's not always possible....

  24. ER

    CX_EDRN replied to rhedge's topic in Emergency

    Uh no. Would never take a family member's word for it. If it's a trauma/emergency then the patient gets good ole O neg blood, without a crossmatch of course. If it's not emergent but we still have to...

  25. How much training and work in other areas did it take you to get a job as an ER nurse?

    CX_EDRN replied to laschai's topic in Emergency

    Unfortunately, that's the way of the ED. We have to give report on folks that we sometimes don't ever meet. In my ED, we work in partner teams and if my partner is at lunch- I have both of our...