Latest Comments by AnnieOaklyRN

AnnieOaklyRN, BSN, RN, EMT-P 25,117 Views

Joined Oct 24, '06. AnnieOaklyRN is a RN, Paramedic. She has 'Previously ER RN, 17 years in EMS (yes, I still love it) , IV RN 8 months!' year(s) of experience and specializes in 'IV RN, (911) Paramedic'. Posts: 2,063 (33% Liked) Likes: 2,414

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  • 1
    OrganizedChaos likes this.

    Hi,

    My feeling is, is that your preceptor does not want to be a preceptor and maybe was forced to do it. Also it could be that you two are just not a good match, and maybe you should request to change. Don't say negative things about her, just tell your nurse manager it's just not a good match.


    Also, in my opinion as a nurse you are the professional and should never swear at anyone while at work, as it just makes you look very unprofessional and untrustworthy, and you need patients and families to trust you.

    Annie

  • 1
    Here.I.Stand likes this.

    I would check your state laws, some states require that if you are required to wear a uniform then your employee must provide it to you free of charge.

    The company I work for now is involved in a class action lawsuit because they did not follow that law when it changed a few years ago, so now they are stuck paying us 3 times what we payed for our uniform stuff, and that is like 3000 for some people if they had just started in that time period!!


    Annie

  • 8
    TheMLBrown, Crush, Agatha12, and 5 others like this.

    Accept accountability for one thing, and you are NOT a safe nurse, you made MULTIPLE medication errors!!!! Take these seriously because med errors kill people, you just got lucky yours didn't!

    Annie

  • 0
  • 4
    brownbook, Kitiger, Susie2310, and 1 other like this.

    It is all relative and what really matters is if your patient's think it is a blood thinner, not a bunch of nurses who know it is on the internet.

    In other words you could ask one patient if they are on "blood thinners" and they may say no even if they are on aspirin and vise versa. It is best to ask if they take any medication including over the counter medications rather than picking one category.

    Annie

  • 0

    Hi all,

    I am just writing to ask what the pay is like at Rainbows Babies and Childrens? I am a nurse with 10 years of mixed experience and am once again thinking about moving to Ohio.

    Also any info on the pay at other Children's hospitals in Ohio would be helpful too!

    Thanks for any input.


    Annie

  • 0

    It depends on your hospital policy, but depending on how often the patient has labs drawn that could end up adding up!

    At my hospital our policy is to flush with 20 mL of NS after lab draws.

    We also never Heparinize our PICC lines, unless the patient is having frequent clotting issues and needing CathFlo.


    Annie

  • 7

    "With all the budget cuts, I thought you might need to borrow my knife."

  • 0

    Quote from PeakRN
    As someone who has taught paramedic students, both in the hospital and in the classroom, I will back up the statement that the classes are not hard. There is very little that is taught in P school that a competent ED nurse doesn't already know, intubation and 12 lead interpretation are the biggest things that pop into my mind but a good ED nurse should already have a good grasp on that.

    P school ultimately teaches someone how to be a technician and follow protocol orders, the rest is developed through experience and self motivated study.


    The biggest hurdle is to learn to think in an ems mentality, which is more difficult than most people think. Most nurses that I know that went to P school for whatever reason still think like nurses anyway, and as a result their scene management is poor to say the least.

    A large amount of all of this boils down to goals. Many states either allow RNs to challenge their state exam, can practice in the field without additional licensure (but still with additional training), or have some form of prehospital nurse qualification. A volunteer group is normally happy with this, most career groups actually want to see that emt-p credential.
    This is where you are wrong, it isn't simply see A do B, even when you get out of school, that is why you do ride time and work with a more senior medic! Having been an ER RN as well as a paramedic I can tell you they are not even remotely close, as there is MUCH more autonomy as a paramedic!!

    A paramedic is NOT a technician who simply follows protocols, and maybe if you actually spent some time as a pre-hospital provider you would know that.
    ** IT'S NOT ABOUT THE SKILLS OR THE MEDICATIONS, IT'S ABOUT KNOWING WHEN TO USE THEM!!! ********* It requires critical thinking. Do you think physicians just see A and do B? Probably not since they would kill a few people, neither do we!!! Here's an example: I brought a patent in who was in a fib with a rapid ventricular rate to the ER. The patient's HR was about 130ish, but he was also tachypneic and hypoxic prior to oxygen therapy. He was working hard to breath and was also febrile. The ER nurse immediately asked if I gave him Diltiazem, (this was after I told her he was most likely septic and had a pneumonia) for his "rapid a fib". Imagine if I had just saw A and did B, the patient who had a history of Afib and who was tachycardic because he was compensating for the hypoxia and sepsis, and not because of his rhythm would have become hypotensive and in worse condition! So please, don't ever say paramedics are "just technicians" because we are far from that. We think more critically than most nurses and we do not do cook book medicine. I work in a state where my only medical control option medication is Heparin for STEMI, oh and thats the 12 lead ekg I INTERPRET, not a physician, not a computer, me.

    Yet another person, who to my knowledge, has not done both jobs and should not be giving their opinion on paramedic education or how paramedics function in the field. You are also not a student you are teaching, that is a different ball game. Did I think paramedic school was difficult, no, but that was probably because I did the associates degree so it was spread over two years. Paramedics have to be an expert in everything, ER nurses have to also be an expert at the nursing level at everything, but nurses have a doctor to make the actual judgement on how to treat the patient if needed, so please don't ever say an ER nurse is equivalent to a paramedic, not even close!!!

    I am done arguing with people on here about this topic, especially nurses who have never even set foot in an ambulance!!!

    To those considering transferring into the EMS field I advise you not to bridge, that is bad medicine in my opinion and I wouldn't want you coming to my family members house!! I can guarantee if I took 10 ER nurses out of the ER and stuck them on an ambulance 8 of them would run way or wouldn't have any idea what to do (I worked in an ER for 8 years)!!!!

    Annie

  • 6
    NurseCard, Mavrick, elizzyRN, and 3 others like this.

    I just allow the blood to flow until the vacuum stops, which is what I would assume to be the preferred amount of blood in that tube. It also probably depends on how many tests they are performing on a particular tube.

    Sometimes you just can't get enough blood so that nurse may have just put a little in each tube.


    Annie

  • 0

    Quote from amzyRN
    That would be a step back though, less pay, less scope of practice. Do what you love though if you'd like it more than being an RN, by all means, go for it. Someone mentioned flight or CCT as an RN and I think those are great ideas. Good luck!

    Actually as a paramedic I can do more than most RNs when you compare hospital RNs to pre-hospital paramedics!

    Annie

  • 0

    Hello,

    I was in EMS long before I did the nursing thing, and I think EMS is a far better career (yes them money is less), but not really since you can easily work overtime since you aren't stressed out of your mind like you would be as a nurse (I am only speaking from my own experience).

    Please do not even consider bridging, as EMS and nursing are two TOTALLY different ball games with different ways of thinking, and no short cuts should be taken ever in these fields. It is important that you become an EMT first to learn the basics and extrication etc before you become a paramedic. Remember you will be responsible for assessing an treating patients appropriately without a doctor there to make those decisions. You may also work in a system, as I do, where you are the ONLY medic on a call and are working with basic or advanced EMTs, which means there isn't someone else to ask if you aren't sure about something. You of course have medical control; however it isn't the same as being in person. You are telling them your findings and your working diagnosis, they are going by what you see, and not what they see.

    To those that say you will be poor and broke working in EMS, you won't be. You will be less stressed and not short staffed and those families and patients who are needing and hitting your last nerve will only be yours for minutes instead of hours or days. I make 92K a year working full time as a medic (60 hours a week, which isn't as bad as it sounds. 24 hour shifts or 12 if you like, and I spend most of it chilling on the couch or walking laps) and per diem as a nurse (5 hours a week). I also live in the northeast where the cost of living is very high, so depending on where you live you may work less. Honestly you could even split the EMS and nursing half and half.

    I worked full time as a nurse for about a year in the ER before getting totally burnt out, then I split medic time and nursing time in half, and I realized the nursing just isn't worth the stress. It sucked actually in my opinion. I went back to EMS full time and haven't looked back. I am happy to have the nursing as a back up plan for when I can't physically do EMS, or I get burnt out (19 years and still going).

    One thing to remember with EMS is it can be physically demanding and it causes a lot of wear and tear on your back and joints. I am not sure how old you are, but that is defiantly something to consider. I feel it and I am only 39.


    Did I take a pay cut yes, but ultimately to me what matters is my health and stress level. If my health and happiness are suffering, then the money isn't worth it, as long as the bills can still get paid!

    If you have any more questions feel free to ask. I did the Paramedic thing before doing nursing if that helps.

    Annie

  • 1
    JQuam likes this.

    Quote from SummitRN
    Are you excited about a massive paycut? EMT is not much more than minimum wage with Paramedic typically being only slightly better unless you work for a Fire Department.

    You will feel exceedingly limited as an EMT in your scope.

    However, EMS is fun. The courses aren't hard.

    The "courses" aren't hard? Are you a paramedic and have you been to paramedic school? I am just wondering how you formed an opinion about paramedic school not being hard if you are an EMT-B.

    Annie

  • 1
    llg likes this.

    Hi,

    You may want to look into whether it is actually the gloves you are wearing. My sister had this issue and realized it was the nitrile gloves and not the hand washing.

    Go to your employee health and speak to them about supplying you with non nitrile gloves.

    Annie

  • 2
    DTWriter and sallyrnrrt like this.

    Hi,

    As the others have said nursing is no easy feat, and doing both and keeping a good GPA would be extremely difficult! Also as far as student loans go I doubt that you would be able to get loans or government backed money for both at the same time.

    As the others have said wait until you finish your bio degree and then either do an accelerated BSN or MSN, as you would have to go back for your BSN if you get an ASN.

    Annie


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