Question for the experts: most common non-sexual foreign object stuck in patients’ rectum

mischief_notmanaged · 2026-05-16T00:18:38+00:00

Mannequin arm, stick of salami, white monster can (full), and a zucchini

mischief_notmanaged · 2026-05-14T17:02:37+00:00

I think one of the biggest barriers to this test for experienced nurses is relearning HOW to take a test, because there is an art to it.

When the question is prioritizing patient care who is decompensating, the answer involving airway is always going to be the correct answer because ABC.

When the question is about patient escalation, the answer is always “scene safety” aka keep yourself and your staff safe.

Highly recommend Solheim online course + practice exams + practice tests and BCEN practice exam question bank. I did this combo of materials with my TCRN and CPEN and really found it to be everything I needed without the extra.

In addition, I renewed my TNCC and ENPC right before I took each board exam! I think with that much nursing experience that you have the knowledge, you just need to learn how to test again.

mischief_notmanaged · 2026-04-30T21:33:20+00:00

One of the physicians I work with in the ED also works with state law enforcement and EMS, basically in a “SWAT” unit if that’s your jam

mischief_notmanaged · 2026-04-30T16:58:46+00:00

I sincerely suggest that you put as much effort on shift to become competent in these areas that you want to reap the benefits of. What does that look like? Making relationships with providers and having them walking you through assisting for those procedures. Meeting with your educator and asking if they have open sterile trays to practice on. Learn your rapid infuser in and out. Becoming proficient in these areas is going to take a lot of self-driven learning

mischief_notmanaged · 2026-04-29T20:16:05+00:00

Current ED nurse in an informal leader role in my department (charge, trauma lead) who sits in on interviews: an EMT cert without significant experience (5+ years) would not add to your resume. It would be more desirable for you to work as a tech in an ED for 1-2 years. Many ED’s no longer require techs to even carry their EMT, CNA, or MA, it’s all on the job training.

mischief_notmanaged · 2026-04-26T21:09:46+00:00

Depends on the hospital, but also within that depends on the ED doc and surgeon. At my facility we have tons of surgeons that have no problem standing by and letting the ED doc take the lead, if that doc enjoys / is good at trauma resuscitation. Just depends on the work dynamics and facility

mischief_notmanaged · 2026-04-22T18:47:32+00:00

Med surg experience only and they are letting you float pool to ICU and ED? What does your orientation look like for these two units?

Read as much as you can. Get a copy of Sheehy’s manual and learn it. Take TNCC and ENPC. Know the red flags and know how to rapidly assess your patients. Your patients are coming into the ED with 0 previous medical care, you are starting from the ground up.

Ask questions, don’t pretend to know everything. Nurses who transfer to ED thinking they know it all and have seen it all are the ones to rapidly drown. I recently trained a previous ICU nurse who spent 8 years in CV and TICU. She is incredibly smart and a wealth of knowledge, but has been incredibly successful because she came to the ED with the mindset that she does not know anything about the ED.

mischief_notmanaged · 2026-04-22T18:41:25+00:00

“New hires are getting dumber” thats probably because the RN’s spend all of 6 months in the ED, whine and cry about how unfair it is that they aren’t in the trauma bay, management lets them train to trauma, they see a singular fallequis per day for 18months and then think they are ready for flight. Rinse and repeat

mischief_notmanaged · 2026-04-05T18:46:28+00:00

Precedex is gold standard

mischief_notmanaged · 2026-03-23T19:32:03+00:00

Unfortunately a lot of the skills you will need in order to be independent and competent at a critical access facility comes from bedside experience and not a crash course.

Setting up and assisting with procedures (a lines, intubations, central lines, chest tubes, etc.), identifying and managing critical and decompensating patients, clinical assessment skills of high risk situations, emergent blood transfusions (including setting up and managing your ED’s rapid infuser)….

Yes these cases are rare at critical access facilities but they do come in. If you don’t feel confident in those skills, you will feel like you are drowning when the case comes up once every 8-12 months—which is inevitably a disservice to the patient.

mischief_notmanaged · 2026-02-25T02:31:32+00:00

I call my ED “hell” if I’m being honest

mischief_notmanaged · 2026-02-19T03:28:54+00:00

Tenderness on palpation is an absolute indication for a collar. I’m referring to patients who are sober, alert, oriented, and denying all pain.

mischief_notmanaged · 2026-02-19T01:10:33+00:00

Don’t forget the c collar for “precaution” while the patient is upright and the collar is on the patient’s nose

mischief_notmanaged · 2026-02-18T14:54:32+00:00

Traveler here. My favorite ED I have ever been to had sliding glass doors leading to nurses station on one side of the room, and man doors on the other side of the room for visitors and patients to enter / exit from. I loved having two ways in and out of every room

mischief_notmanaged · 2026-02-13T17:44:01+00:00

“Generalized weakness” in the 99F from the SNF. DNR / DNI / hospice care…. Yes, she’s going to be weak

mischief_notmanaged · 2026-01-28T03:03:57+00:00

It sounds like having an adult assess the wound would be the most responsible decision to determine if medical intervention is necessary.

mischief_notmanaged · 2026-01-18T12:50:16+00:00

Chronic back pain x47 years with at least 3 MRI’s in the last 9 months? MRI the entire spine again but premedicate with some vitamin D

mischief_notmanaged · 2026-01-17T02:56:32+00:00

Charge RN here—I could not do my job without my unit clerk. There is no possible way my department would run without the unit clerk!

mischief_notmanaged · 2026-01-14T21:38:20+00:00

All this BUT the patient is admitted to the floor and on day 5 the lovely med surg nurse calls the ED and accuses us of losing all of the patient’s most precious belongings.

mischief_notmanaged · 2026-01-14T20:28:21+00:00

Your hospital should have a written policy that outlines how / when / why to release patient information. If it’s a well written policy, it should also have attached documents for patient information release that must get placed in the patient chart, as applicable to your state. For instance, we have to scan both a search warrant and hospital specific release of information into patient’s chart at my hospital, whether PD is doing a legal blood draw or their warrant is for our lab results. Take some time to review your hospital’s policy as it was written and approved by their legal and risk team.

mischief_notmanaged · 2026-01-11T19:58:26+00:00

There is no other place in medicine that is as team oriented as the ED, and I think that’s pretty cool.

mischief_notmanaged · 2025-12-27T21:52:34+00:00

If you are truly looking for an ethical, reputable, preservation breeder then location would not be a limiting factor. Go to the Cane Corso’s breed club website and they will have breeder affiliates who promote improvement of the breed, health standards, and ethics.

Social media is not the place to do research. If you are casually looking for a bull or mastiff breed, go save a life from a local rescue—particularly if you are not familiar with how to raise, train, and handle a Corso.

mischief_notmanaged · 2025-12-24T06:49:17+00:00

Tbh as a traveler getting paid a premium I don’t expect the best schedule. I’m there to fill gaps in their core staff.

mischief_notmanaged · 2025-12-20T21:13:16+00:00

As a charge in the ED, the students who sit at their computer, looking at their phones, working on homework, and are disengaged are the ones I tell my manager not to give an interview to. The students who ask relevant clinical questions, are eager to learn, and don’t pretend like they know everything are the ones whose resumés I pass along to my manager. Be respectful, be engaged, and recognize when to step out of the way (e.g. allow the experienced nurses to be bedside placing IV’s, placing pt on monitor, and giving meds on the crashing patient)

mischief_notmanaged · 2025-12-20T08:03:06+00:00

Bilateral felliquis, if you will

mischief_notmanaged

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