oldandintheway

oldandintheway has 10 years experience and specializes in ED.

Latest Activity

1. Vent

   oldandintheway replied to TheMoonisMyLantern's topic in General Nursing

   Yesterday for the third consecutive year I fell asleep during one of our “mandatory” annual refresher courses. Fortunately/unfortunately a dear friend of mine kept punching me in the arm to wake me up, apparently I was snoring. The instructor was a...

2. Triage times (under 3 minutes)

   oldandintheway replied to MassED's topic in Emergency

   Median times may be more helpful than average times, I also see many unqualified nurses in triage roles. I think the worst thing is when a provider interferes by trying to start an assessment to preserve their door to doc times. I also think fast t...

3. What do you think will happen if we actually achieve truly safe staffing ratios?

   oldandintheway replied to Purple_roses's topic in General Nursing

   California is a very large state, cost of living varies considerably

4. What makes a good manager?

   oldandintheway replied to Lev's topic in General Nursing

   I experienced leadership and management training in a very unforgiving environment a long time ago and dealt with the harshest peer review imaginable, would they come back for you when your a** was hanging in the wind. I learned the single most impo...

5. how bad is 11a-11p?

   oldandintheway replied to ivyleaf's topic in Emergency

   1100-2300 can be good or bad depending on what you want, I like it. You don't deal with the lull at the end of night shift/beginning of day shift, usually busy when you arrive till when you leave. Trade offs are searching for and often not getting ad...

6. Be honest: do you feel valued by your employer?

   oldandintheway replied to sunnyskies9's topic in General Nursing

   Took a while but I've come to the conclusion I work for my patients not the hospital; although the hospital is legally obligated to thank me every other week for having clocked in. I try to get my affirmation from the conversations with my patients,...

7. You know the shift is gonna be a hot mess when ...

   oldandintheway replied to CardiacDork's topic in General Nursing

   Or they use their spouse's cell phone.......

8. 50 years old : I want to be a nurse

   oldandintheway replied to Nurse Beth's topic in Nurse Beth

   I was over 50 when I started nursing school and I wasn't the oldest one. It can be done and it opened up a great and rewarding second career. You will face some different challenges than your younger classmates but they will have unique challenges ...

9. Are state surveys conducted on weekends?

   oldandintheway replied to 2737's topic in Geriatric

   Depends, is this a routine recertification survey or in response to an incident. Although in theory surveyors may arrive at any time unannounced, I don't recall routine surveys occurring outside of regular state business hours. Surveyors are state em...

10. Different Titles (initials)

    oldandintheway replied to emtpbill's topic in Professionalism

    Andy and Barney went to Mt Pilot, Barney made reservations as B. Fife MD. Andy asked why everyone was calling Barney Dr Fife. Barney said he registered as Barney Fife, Mayberry deputy. In the end its capability and competence that matters.

11. New Nurse IV Struggles

    oldandintheway replied to mer015's topic in New Nurse

    The only real advice I can offer is: use the best vein you find, not the first vein you find; most situations allow the time to search out your best option.

12. $600 an hr to fill a shift?

    oldandintheway replied to Emergent's topic in General Nursing

    True dat

13. $600 an hr to fill a shift?

    oldandintheway replied to Emergent's topic in General Nursing

    Different industry, different lifetime but if we were forced to work short handed the ones that did show up split the missing persons wages. That eliminated the incentive for the employer to purposely short staff. I wish we could institute that pra...

14. CCRN

    oldandintheway replied to cardiacxo's topic in Critical

    I understand what you are saying, however I did not come to the ED from a vacuum. I would not be artificially pounding questions, I do have a broader experience base. My question is would there be any value in the context of continuum of care. By t...

15. CCRN

    oldandintheway replied to cardiacxo's topic in Critical

    Sorry to poach on your thread, but is there any benefit to an Emergency Department Nurse pursuing this certification? I currently hold CEN and CPEN but have a great interest in the whole continuum of care. My Director has told me that ED time does q...