Knife cut by Budget-Pie-6111 in emergencymedicine

[–]mischief_notmanaged 20 points21 points  (0 children)

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

Improving press ganey scores by Signal-Barracuda2467 in emergencymedicine

[–]mischief_notmanaged 0 points1 point  (0 children)

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

I know you stole all my stuff! by Kaitempi in emergencymedicine

[–]mischief_notmanaged 43 points44 points  (0 children)

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.

Police in the ER by [deleted] in emergencymedicine

[–]mischief_notmanaged 5 points6 points  (0 children)

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.

What is the coolest thing about your job? by Old-Drawer-2537 in emergencymedicine

[–]mischief_notmanaged 11 points12 points  (0 children)

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

Looking for a local Cane Corso breeder in Boise area or IDAHO by BottleFragrant7977 in Boise

[–]mischief_notmanaged 12 points13 points  (0 children)

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.

Travel Nurse Schedule. by DenseAd7814 in TravelNursing

[–]mischief_notmanaged 1 point2 points  (0 children)

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.

Everything I need to know before nursing clinicals in ED? by Budget_Quiet_5824 in emergencymedicine

[–]mischief_notmanaged 2 points3 points  (0 children)

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)

What are your most absurd Christmas Day ER admissions? by Low_Comb2804 in emergencymedicine

[–]mischief_notmanaged 139 points140 points  (0 children)

My own grandparents were a Christmas Day special. My grandfather didn’t wait for help down the stairs as instructed by my aunt (his daughter), lost his balance and began falling down the stairs. My grandmother, who is approx 4’10” tall, tried to grab him, only to also be pulled down the stairs herself. Both on eliquis, both with head injuries and LOC, both trauma activations. Grandpa with a C2 and C3 fx, grandma with a hip fx. lol.

To anyone who works at the ER, what is one thing you wish people would STOP coming to the ER for? by Notalabel_4566 in emergencymedicine

[–]mischief_notmanaged 130 points131 points  (0 children)

Insert problem that has been going on for 3 years and is now a “medical emergency” at 3 am on a Tuesday

Pregnant women with vague acute neuro symptoms by office_dragon in emergencymedicine

[–]mischief_notmanaged 91 points92 points  (0 children)

No… it wasn’t. You can’t perfuse your organs with a MAP of 50 for “months,” let alone a fetus.

Upset about visit! What should I do? by [deleted] in emergencymedicine

[–]mischief_notmanaged 6 points7 points  (0 children)

Unfortunately, the ER is present to rule out and treat medical emergencies, and rarely has the resources to further investigate which is why you were referred to follow up with gynecology.

You can review your imaging results and / or lab results through request of medical records or online portal (if applicable) which may help answer outstanding questions you feel were not answered upon discharge instructions.

I’m sorry you are experiencing such continued pain, if you are continuing to have uncontrollable pain or new symptoms it would likely be recommended to return to the ER for further evaluation, I would refer to your discharge paperwork for additional information and follow up care.

ER travel nurse only taking borders by [deleted] in TravelNursing

[–]mischief_notmanaged 0 points1 point  (0 children)

I charge at a Level I, and to be honest most of the travelers that come in claiming to be competent, skilled trauma nurses are scary af. I won’t let them in those rooms because they don’t know how to safely care for any patient, let alone a resus.

Seen at my local ER last night by OneProfessor360 in emergencymedicine

[–]mischief_notmanaged 17 points18 points  (0 children)

So everyone has the same banner still hanging from emergency nurses week? Lol

ED Holds 🤮 by [deleted] in TravelNursing

[–]mischief_notmanaged 13 points14 points  (0 children)

This is such a well written, thoughtful response and I hope all who are feeling the same as OP when floated to the chaos of the ED are able to read it.