Re: 2 weeks before ED
The most important thing that you can learn is to PRIORITIZE. Sick people come to the ER, but not everybody that comes to the ER is sick. Each task does not not have equal weight. Sometimes equal tasks do not have equal weight. For example, getting a sandwich or a meal tray to a drunk that has been sleeping it off all night has a low priority. Getting that same sandwich / meal tray to a hypoglycemic diabetic that just had an amp of D50 by paramedics has a much higher priority.
Also, pay attention to your patient first, the monitors second. Be "hands on" with your patients - are they cool to touch, diaphoretic, trembling?
Work on your IV skills. Your patients and peers both will be appreciative. And I'm not talking about starting a 22g in the hand. Always be thinking - will I have to resuscitate this patient? Will I have to push code drugs? Will I have to give something potentially painful - KCL, Dilantin? Will Radiology have to use this IV for high flow contrast? So don't be afraid to start those 18g AC lines!
And finally, find yourself a good resource person. This may be your charge RN, but then again, it may not be. Don't be afraid to ask questions. I probably answer 99 "dumb" questions for evey really good one that I get. I only start to get annoyed when it's the same nurse repeatedly asking me the same "dumb" questions over and over again (and I don't mean twice).
Be Brave! Be Bold! Being an ER RN is not for the faint-hearted.
And remember, a big part of our job is to set limits for those who cannot set their own. (Usually patients, but sometimes staff also)
Good Luck!!
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