RobbiRN RN

ER

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All Content by RobbiRN

  1. RobbiRN

    The Nurse at the Bedside

    RobbiRN posted a topic in General Nursing

    Let me introduce myself. I'm the nurse, the one at the bedside. It's a place I've occupied for twenty-four years. There are millions like me. You might see me as an underachiever, someone who didn't...
  2. RobbiRN

    Nursing Intuition, Part 1: The Visitor is . . . Dying!

    RobbiRN posted a topic in General Nursing

    Nursing Intuition, Part 1: "The Visitor is . . . Dying!" "How much damage to the car?" We're in the ER. EMS has just dropped off a young female driver following a motor vehicle crash. "I'd say...
  3. RobbiRN

    WHO is dissing hot baths?

    RobbiRN posted a topic in Disaster Preparation

    Don't throw the baby out with the bath water! Multiple lists and quizzes claiming to debunk the myths about Coronavirus are running this quote: "According to the WHO, taking a hot bath will not...
  4. RobbiRN

    WHO is dissing hot baths?

    RobbiRN replied to RobbiRN's topic in Disaster Preparation

    Agreed. The Japanese wash before getting in the bath, then sit fully immersed with just their heads out. The water is so hot you feel like it will burn you if you move, so you just hold really still....
  5. RobbiRN

    WHO is dissing hot baths?

    RobbiRN replied to RobbiRN's topic in Disaster Preparation

    Would anyone really think that one hot bath a day takes the place of washing your hands repeatedly at appropriate times throughout the day? I doubt the authors were trying to clear up that...
  6. RobbiRN

    Epinephrine Error, Part 2

    RobbiRN posted a topic in General Nursing

    To read Part 1 of the story, go to Epinephrine Error - Broken Heart Syndrome, Part 1 How did you feel when you got the accidental IV push epinephrine?“The effects were instant. I thought I was going...
  7. RobbiRN

    Epinephrine Error - Broken Heart Syndrome, Part 1

    RobbiRN posted a topic in General Nursing

    The ProblemDear Mr. Thornton, I’m writing in response to the specific questions from your email this morning. A full investigation of the tragic event in our Faster Care area is in progress. You...
  8. RobbiRN

    Epinephrine Error - Broken Heart Syndrome, Part 1

    RobbiRN replied to RobbiRN's topic in General Nursing

    A good outcome is a good outcome, but I wonder how long ago this happened? The dose is 3x the current recommendations I've seen. Do you know if that protocol is still in place and what it's based on?...
  9. RobbiRN

    Epinephrine Error - Broken Heart Syndrome, Part 1

    RobbiRN replied to RobbiRN's topic in General Nursing

    I think it's best to start with the idea that we only give Epinephrine IV push during a resuscitation, and seriously question pushing it in any other setting. The recommended IV dose for refractory...
  10. RobbiRN

    Epinephrine Error - Broken Heart Syndrome, Part 1

    RobbiRN replied to RobbiRN's topic in General Nursing

    So far, the system remains firmly
  11. RobbiRN

    Epinephrine Error - Broken Heart Syndrome, Part 1

    RobbiRN replied to RobbiRN's topic in General Nursing

    It is very real and close to home. The writer did write all those things. Everyone is not okay. But, there is still hope for healing. Stay tuned for part
  12. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN posted a topic in General Nursing

    While on vacation outside of the US a few days ago, I had two chances to intervene in medical situations. I'm curious what you would have done if you had been in my situation. Case 1: In a southern...
  13. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    I think the discussion has moved on to various other situations, but my concern in the original post was that those attempting to help were preventing the woman from moving herself from an extremely...
  14. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    I think I'd take the ICU RN over the radiologist to help with mom, but, hey, if we're ever on the same plane together, let's do this. One of my most vivid childhood memories is of my mother doing an...
  15. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    Yes. Thank you. This has been a source of grief on our end for decades. Patients who from minor fender-benders who were ambulatory at the scene were back-boarded after complaining of neck pain. Their...
  16. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    A couple of others have noted the danger of trying to help when several people with various levels of ability are jockeying for position. That was the other reason I bowed out of the first situation....
  17. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    I ran the scenario of the lady who fell in the street by three different paramedics who are currently working on local EMS crews as they passed through our ER today. Each of them quickly responded...
  18. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    This is the part that really bothered me intuitively. I felt they were restraining her against her will and she was lucid and communicating. I'm not discounting guarding c-spine, but there were...
  19. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    You go Pixie.RN. That's the courageous spirit I'm hoping to find. You have EMT-P and TCRN, so can you clarify what "hold c-spine" means? Align and maintain, or maintain the position the patient was...
  20. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    You are right. You don't know what you are responding to and by responding at all you are putting yourself in a position of responsibility. I have no reservations about responding on the plane because...
  21. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    There's a strong current of reluctance to get involved running through many of the responses here. Has our litigious society trumped all moral imperative to help when we are confident of our skill...
  22. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    The quotation marks around medic were not intended to be diminutive or pejorative. I emphasized his stated title because I'm not sure what "medic" means in the UK. I've heard "medic" used in the armed...
  23. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    I like your answer because it pretty well backs what I did. 1. I watched for a couple of minutes to get a feel for what they were doing, then identified myself as an ER RN on holiday. I suggested that...
  24. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    I thought that was the case, but I asked the attendant if they used a service or had any doctor they could contact for direction if they failed to get help on board. He said
  25. RobbiRN

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    Thank you for your thoughts. Stay tuned. I wanted to start with an open-ended presentation to get other's ideas based on the situations before adding what I did and how it went. I will throw out the...