happyinillinois

happyinillinois

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About happyinillinois

Latest Activity

  1. ER to ICU-anyone do it?

    After 8 years I. The ER, I am looking for change. Has anyone gone from ER to ICU and how was the transition?
  2. ER dropping the ball?

    All comes down to focused assessment vs. head to toe. ER is focused on chief complaint. Did you go to nursing school? Good, then you can replace your own IV per hospital policy. If an order is missed, then that is on that nurse, not ALL ER nurses...
  3. CEN review

    Watch Mark Bozwell on You tube. He is great.
  4. IVs in the breast

    Rarely possible to get PICC placed in ED. Generally, mess needs to be started, you place whatever IV you can get, and then the PICC placed whenever they can fit it in. Where I work (and it is a large hospital) there is one full-time and one part-ti...
  5. Now THAT'S a lab result

    ETOH-.529 . Alive, walking, talking, hitting on me.
  6. Getting report during change of shift

    There is no way someone had a bed assigned and sat on the patient for three hours. Generally, once a bed is assigned you have 15-30 minutes to give report and get the person to their room. Unless you work it, you can't understand how you have to ke...
  7. "Your ER sucks!" and other pleasantries...how you handle them?

    We are not the only game in town. There is another similar sized ER 15 minutes away and 4 others within 40 minutes, plus all the major teaching hospitals downtown, less than an hour. That's why It drives me crazy when people ***** about how they ha...
  8. Orientation Length and Type

    -What length of orientation did you have? 12 weeks -Were there specific ER classroom time or general nursing classes? How many hours would you estimate? Critical care:40 hours, EKG 16 hours, ACLS, PALS -What is your experience? New grad - How long ag...
  9. "Your ER sucks!" and other pleasantries...how you handle them?

    When a patient says "this ER sucks or this hospital sucks", I remind them that they don't have to be here. This is America and we can choose to go to whatever hospital we chose to! Usually shuts them up. They can't tell if you are with them or not.
  10. Nursing school was WAY harder.
  11. Will prescribed Phentermine keep me from being hired?

    Yes, you will test positive for amphetamines. If you have an RX, you will be okay. They can also send your urine for additional testing to confirm that it is phentermine in your urine and not something else.
  12. Something bothered me today in the Emergency Dept.

    You were not using your time wisely. I am sure there is something else you could've been learning rather then sitting at 1 person's bedside for 2 1/2 hours. We aren't uncaring, it it just not possible to give a stable patient that much time. We d...
  13. ENPC

    The good news is that everything you learn in ENPC will help you in TNCC. ENPC is a great class.
  14. What caused the hypothermia?

    Thyroid and diabetes can cause hypothermia.
  15. Nurse to patient ratio in ED

    Very busy level 2 trauma center. 3:1 main ER, 7:1 behavioral health, 6:1 fast track. Sounds great except that those 3:1's are always very sick, CVA's, MI's. ICU holds. Large elderly and poor population with lots of comorbidities.