Latest Comments by nurse2033

nurse2033 25,426 Views

Joined Jun 6, '07. Posts: 2,113 (46% Liked) Likes: 3,052

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  • 1
    KeeperMom likes this.

    1. Probably yes. You will be expected to use the protocols when things are busy, and that's always- in the numbers you describe.
    2. That's too high. 4:1 is about right, with some patients being 1:1.
    3. Not to plug my own post but try this http://allnurses.com/emergency-nursi...f-1104760.html
    4. You will be pressured and rushed, get used to it. It will probably take 6 months to a year to get a really good handle on everything.

    We use this book in our orientation, I highly recommend you read it. Sheehy's Manual of Emergency Care - E-Book (Newberry, Sheehy's Manual of Emergency Care) - Kindle edition by ENA, Belinda B Hammond, Polly Gerber Zimmermann. Professional & Technical Kindle eBooks @ Amazon.com.

    Good luck!

  • 5

    This is a med error, but your MAR system contributed to the error. This is an excellent example of how a root cause analysis would reveal that the order should not have been red. It was entered incorrectly, or the system didn't allow for delayed administration. If you report it, then the organization has an opportunity to correct the MAR.

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    You did violate HIPAA but if no one looks you will probably not get caught. Why would you put yourself at risk?

  • 1
    pdav likes this.

    Hey don't lose all hope. Waiver is possible, 20 year retirement is not. If you are super fit for your age and have no health problems you might be able to swing it. I've heard about physicians over 50 getting waived in... If they really need FNPs you might be able to convince. One problem is it can take more than a year to get you in. You would need federal recognition (9 months), then to COT or RCOT, which might take another 9 months. The school is short but the wait is long. Then, I don't know if there is a FNP school to teach you the military side of things. If you are an ideal candidate, ie. no arrests, no drugs, otherwise exemplary, you could make a case. Contact a HEALTHCARE recruiter, or find a unit that could use your skills. If you apply at the unit level, they will refer you the their recruiter. Good luck.

  • 1
    Ryjin01 likes this.

    I know the Air Force will take you up to 48 for medical jobs, although I think this is less for active duty, but I'm sure this is for Guard and Reserve. I thought all other services were less but can't confirm. In the AF they will give you credit for years of nursing only. You might come in as an O3 (Capt.) with more than 5 years. Your former enlisted status would give you more money. This is easily seen on the pay charts.

  • 0

    Yes, read that. We use it as part of our orientation.

  • 0

    Quote from Nishstar1
    Thank you all for responding and supporting my stance. I've been a nurse for one year and the nurses I work with have been working in ICU and ER For over ten years, but I've been taught to go with my gut instinct.

    I have quit working there (unlike me to do this) but there had been no changes and nobody can plan when an emergency should happen.
    http://www.rn.ca.gov/pdfs/regulations/npr-b-06.pdf Here you go, JKL33

    Also, to elaborate on interruptible tasks, this includes labeling the GI specimen, filling out the entire pathology requisition form, clicking on the cecum tracker, entering in, start times for procedure on one laptop, drawing up meds, selecting and making notes on the docs computer (to show that the doctor did physically assess the patient) which he does not auscultation he heart and lungs as TJC wanted,(this was a safety feature, which the nurses override by having the doctor log in in the morning and he does not do his own charting or reassessment).
    Please notify the state. It is illegal to chart under anyone else's login, fines and firings await... I'm glad you quit but please consider the patients who are still going there.

  • 0

    Make sure the school is accredited. Get your ASN so you can start to work in the field. You can then pursue further degrees at your leisure. Good luck.

  • 0

    Woohoo! This is good news.

  • 0

    It takes all types. It sounds like you know what the ER is like so go for it.

  • 1
    Bowtiegirl likes this.

    In the past, critical functions have been exempted, including nursing.

  • 2
    Corlionie and nuangel1 like this.

    Yes, the ER is stressful. That's why we like it. You will be thrown from task to task, it's great. Good luck.

  • 0

    start on Monday- work 3 on, 3 off, 4 on, 4 off. You will work every other weekend but always have Thursday and Friday off. I doubt that will fit with a school schedule, but it is less crazy. Good luck.

  • 1
    AesthesiaSeeker likes this.

    Informatics also does a lot with electronic medical record. As an educator I'm talking to them all the time about how to arrange our documentation. For example, they can add clocks that will prompt the nurse to document every 2 hours that might align with a policy. Or what elements to include in an assessment related to a complaint.


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