five_apples

five_apples

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About five_apples

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  1. Let's check everything!

    Where I work there actually a few "fresh" docs who do a very focused, "custom build" workup for pts. I like it b/c it saves time, but I keep saying - they practice like s/o who's never been sued...
  2. How long do you stay at a job you hate?

    On the question of how long, I would give it at least 6 months, if not a year. Where I work: 2 triage nurses if fully staffed, with EMT if fully staffed. If not enough staff might have 1 nurse 1 EMT or just 2 nurses. At worst, just 1 nurse & no o...
  3. Struggling with ED Orientation, advice appreciated

    I was a new grad when started ED. Had a 6 month orientation and still didn't feel ready when I got off it. Only way to learn ER is do ER. Books will only take you so far, but this is on the job training. The biggest challenge was prioritizing, and th...
  4. Icu patients

    Where I work, it really varies, depending on the charge. Some are better in helping you when you have a critical, 1:1 pt, some are not so great. With some you don't even need to ask, others if you don't ask for help they'll just assume you got it (wh...
  5. How does your department handle crisis patients?

    We have a holding/obs area and use it for both medical pts waiting for results & dispo and for psych/ETOH waiting for placement/sober. Each have their own room & sitter. If no beds in this area pt has to stay in big ER. Stopped having hallway...
  6. OB ultrasound...foley or no?

    This used to be the practice where I work before I started there. They stopped doing it and switched to IV since foley comes with risk for UTI, and you're just creating a whole new problem for your pt. Some pts still ask for it, it's their right. BTW...
  7. You could kindly hint to the person that they're probably not getting a Dilaudid & a script for Norco for their CC, and that their CC isn't really an emergency, and that there's a 3 hr wait time. Be like "choice is yours"...
  8. biggest challenge in ED transition

    Oh, I saw what you added at the end of your reply to everyone - what to call on: your floor experience is valuable! Trust your gut. If a person "just doesn't look right" to you, go get the doc. If it's been 30 minutes with this pt and you still can't...
  9. biggest challenge in ED transition

    One foot in front of the other. There's only one you and you can only be one place at a time. Speed comes with experience, as does the ability to quickly assess someone and decide if they need you right now or can wait. Work a patient up start to end...
  10. Essential function of an ER nurse?

    Well, we already know that some bosses are jerks. Your story just stresses that point even more :) I hope you found a better unit w/ better attitudes in the management level & that you're happy!
  11. Essential function of an ER nurse?

    It depends... After working in the ER for a few months I can tell you, the answer for you Q has to do a lot w/ the specific place you work at & the organization's culture. You're right, there are other people that can help you get IV access, but ...
  12. I screwed up

    I've been in the ED for a little over 3 months now. I had the same thing happen to me, when I hanged the ABx before culturing the pt. It was when I was in orientation for less than a month, and like you, I felt my heart plumet. I felt so bad!!! I hav...
  13. Rewriting my resume - what and how?

    Hi, I'm a newly licensed RN. I graduated 9 months ago abroad and came to the U.S. b/c of my husband's studies. I was licensed 3 weeks ago, and started looking for a job in our area a month ago, but have failed to get ANY call-backs. I'm really trying...
  14. Took my NCLEX-RN today!

    thank you all for you kind words! as I'm time passes and the stress defuses, I'm starting to remember more and more questions and I think I did pretty well (knock on wood). I now remember I had lots of Qs on infection control, too. I would say around...
  15. Took my NCLEX-RN today!

    Yes - SATA means select all that apply. Didn't take a course, just used the saunders review book and the CD that comes with it, plus nclex 4000 & Kaplan Q-trainer.