Emergency Nursing or Bust

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Emergency Nursing or Bust ENOB is provides educational services and onboarding of new grad nurses to emergency departments as

Swift water rescue class
27/07/2020

Swift water rescue class

14/07/2020

2️⃣ Happy TWOS-day Everyone! 2️⃣
🤓🤓🤓 STUDENTS ONLY FOR FIRST 24 HOURS 🤓🤓🤓

You have a patient 👴 that your team has recently resuscitated. He has a history of dementia and is currently suffering from pneumonia and is COVID-19 positive. 😷 You and one of the techs 😎 on your team are in the room to do the usual: OG, Foley, soft restraints, etc. You just started your propofol drip 💉per protocol and your patient's BP is 120/78, ☑️ all other VS WNL. Five minutes later your patient is obvious somewhat alert (gagging, bucking the vent, slightly moving extremities). You recycle the BP before upping the Prop. Reading is 76/43 😬 and all other VS WNL.

What 2️⃣ things are you going to do, in order, next? Come see what the others are going to do. Will you agree? ... Click the "Visit Group" Box above!

https://www.emergencynursingorbust.com/shop/pathophysiology-for-nursing
25/05/2020

https://www.emergencynursingorbust.com/shop/pathophysiology-for-nursing

Nursing students all too often struggle with pathophysiology - not necessarily because it is a difficult topic, but because many nursing instructors struggle with teaching it! I am a nursing instructor, dual degreed in biochemistry. Not only do I love patho, I love to teach it. Let me help you! Firs

👋 Join me **LIVE THIS THURSDAY** for an interactive course 🧠 WITH CASE STUDIES 🧠 - Sign up here: https://www.emergencyn...
20/04/2020

👋 Join me **LIVE THIS THURSDAY** for an interactive course 🧠 WITH CASE STUDIES 🧠 - Sign up here: https://www.emergencynursingorbust.com/shop/live-webinar-en100-triage

Interactive live education for the student and novice nurse on the process of triage in the emergency department. This course will be approximately 1.5-2 hours long, depending on level of audience interaction.

08/04/2020

Happy TWOs-day future ER badasses! Here's your case!😰 A very anxious looking 31 yr old male patient presents to you with...
31/03/2020

Happy TWOs-day future ER badasses! Here's your case!

😰 A very anxious looking 31 yr old male patient presents to you with complaints of chest pain that has persisted for the last 3 days. Nothing seems to really help it. He states he has been fighting “something like a cold or the flu maybe.” As you are triaging your patient, a team member ran the 12-lead ekg shown and got the following VS: BP 90/68, HR 146, SpO2 97%RA, Temp 99.8F. 👀
1. What is at the top of you differential diagnosis? 🧠
2. What is the first thing you want to assess when you start your physical assessment AND WHY? 🧐

🥳 I FINALLY put up my answer to the respiratory case! (Stupid pandemic slowing me down!) *insert COVID-19 emoji here* - It's in the Case Studies section on Emergency Nursing or Bust

10/03/2020

** Here's Your TWOsday Case Students and Newbies **

😰 Your 78 y.o. M patient arrives via EMS with nursing home report of severe respiratory distress and currently being treated for pneumonia. Pt went into repiratory arrest enroute and was subsquently intubated by the paramedic. VS: BP 82/44, HR 78, Respirations via BVM at 10 bpm, SpO2 94%, Capnography 65, Temp 102.7F. 😷

💉 After placing your patient on a vent, the following ABG was obtained:
pH: 7.2
PaO2: 142
PaCO2: 76
BiCarb: 19

🧠🧠🧠🧠🧠🧠🧠🧠🧠🧠🧠🧠🧠🧠🧠🧠🧠🧠🧠🧠

1. What does the ABG show?
A. Compensated respiratoy acidosis
B. Uncompensated respiratory acidosis
C. Mixed Respiratory/Metabolic Acidosis
D. Partially compensated Metabolic acidosis

2. We know this patient has pneumonia. What syndrome do you believe this patient is suffering from that is causing him to present this way with these ABG results?

Join the conversation in our Facebook group!
03/03/2020

Join the conversation in our Facebook group!

03/03/2020

😎 Happy TWOsday!! 😎 Here's your CASE!!
You have just received an order to infuse TPA 💉to your 64 y.o. male 🤤 patient presenting with an ischemic stroke. Here are a few things you know about your patient:
1. Onset of L-sided weakness and slurred speech 1 hour ago, witnessed by coworker
2. NIHSS = 23
3. CT of brain is normal
4. H/o: HTN, DM, afib, open carpal tunnel release surgery 1 week ago.
5. Current vitals: BP 187/112, HR 84, RR 20, SpO2 98%RA, Temp 98.7F
6. Blood Glucose 154
What are your ❌TWO BIG red flags❌ that need to be addressed before you would be comfortable giving the TPA. -----AND WHY---- (answers without the rationale don’t count!)
👍P.S. Last week's case student answer is up!👍

25/02/2020

25/02/2020

🧠 Here is your TWOs-day case 🧠:

😑 A 73 y.o. woman was found unresponsive in her vehicle outside of a casino. Paramedics are in route after giving one round of narcan IN (no response). They are baggin the patient with a 100% SpO2. Other vitals are BP 198/101 and HR 68. They are 1 minute out. Give me the ER teams top two priority INTERVENTIONS (not assessments or data gathering activities) and WHY. 😑

** The answer to last weeks case on COPD has been posted as a comment on that thread in our facebook group **

23/02/2020

23/02/2020
Visit our group to see ER nurse and student answers. Will you agree?
12/02/2020

Visit our group to see ER nurse and student answers. Will you agree?

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Educating Tomorrow’s ED Nurses

When I think of nursing school, I can’t help but think of my students who are always telling me about the power differential they feel between instructors and students. They tell me they’re taught archaic things by nursing instructors who have been away from the bedside way too long. I don’t hear stories of empowerment and teamwork.

Then I think of the sparkle in the eye of the student who just got accepted into nursing school, SO EXCITED about their dream, and wanting to do such great things. Over time, I see the wind in their sails die down, that sparkle long gone, the defeat in their eyes, the wonder of, “Can I do this? Is this really me? Why is this so hard? This isn’t what I thought it would be.” It bugs me. It really, really bugs me. I love the energy of those that want to “save the world,” “make a difference,” and I don’t want you to loose that! The world really does need you. EMERGENCY NURSING NEEDS YOU. I promise; I’ve seen it. It’s true. You will do great things. You will feel empowered. You will belong to a great interprofessional team that values you.

As I was thinking about how I could empower my students; how I could help them to keep that passion they came into nursing school with, all I could hear was the Beatles song, “ You say you want a revolution… Well, you know… We all want to change the world…” Let’s do this. Let’s rise up. Let’s energize nursing education. Let’s change the world! Your journey begins here…