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NurseOnAMotorcycle 17,152 Views

Joined Jan 16, '11 - from 'NY'. She has '6' year(s) of experience and specializes in 'Med-Surg 1, Emergency 5, CEN 2/2016'. Posts: 1,100 (63% Liked) Likes: 2,936

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  • Oct 21

    I personally would be delighted with my picture fading away. It's the magnetic strip I'd miss . . . Does your badge have a magnetic strip for accessing private areas? If that's not working, your badge should be replaced. If you're just unhappy with the way it looks, cough up the 20 bucks and get a new one.

  • Oct 16

    So true..

    "I am going to make one slight edit to your title. "A 10 year old boy died, and your CPR didn't reverse that."

  • Oct 16

    You knew I was late at bringing you the ice water you had asked for. I know you knew this because the nurse who relieved me that day told me about how you complained for quite some time about it. How you couldn’t believe I couldn’t keep up with the two patients I had in the CDU. You knew you didn't want to be in the hospital on Christmas Eve. You knew you had more important things to be doing. You knew you had family waiting for you to get home. But here are a few things you didn't know.

    You didn't know that my other patient, just across the hall from you, a 23 year old daughter of a loving family, mother of a 3 year old boy, had just gone from bad to very much worse. You didn't know how I kept my voice calm in the room as I told my aide to call for the doctor even though my internal voice was screeching. You didn’t know how many times I kept telling myself this wasn’t happening. I had taken a job away from my usual ICU so this wouldn’t happen. You didn't know, as I did, that her heart was going to fail her three seconds before she did. You didn't know the fear in her mother's eyes as I caught her gaze as I was compressing her daughter's chest. You didn't know about the controlled chaos that the code team always brings with it, the intubation, the bagging, the endless rounds of code drugs. You didn't know the word I uttered when the doctor finally gave up, nor the hatred with which it was uttered.

    You didn’t know how I begged him for one more minute even though I knew it would make no difference. You didn't know I was left alone in the room to clean up the aftermath, to make a very unnatural scene look somewhat natural for the family when they came back in. You didn't know that while I was getting that ice water that you received late I was thinking about what I could have possibly missed that would have made a difference. You didn't know that by the time I gave you that ice water I was blaming myself. You didn't know that after the family left I sat by her and told her how sorry I was that I failed. You didn’t know how incredibly heavy her body was as I assisted the funeral home worker transfer it from my bed to his stretcher.

    You didn't know that on that Christmas morning I wouldn't be thinking of my son and his third Christmas, but of another 3 year old boy instead, a boy who would forever remember Christmas not as a time of joy, but instead as the day he lost his mother. You didn't know that a part of me will always remember it that way as well.

    You didn't know any of these things because I didn't let you see them as I gave you that ice water, late as it was. I simply apologized and asked if there was anything else I could do for you. The fact that you didn't know any of those things is a source of pride to me. It proves that I can go about my duties with a calm demeanor, regardless of what calamity may have happened. That fact says something about me, but as I get older I'm not sure it says anything positive. In fact, it seems to point to something very tiring indeed.

  • Oct 15

    It’s late at night, the sirens wind down as they approach the ambulance bay….emergency nurses and staff await the patient in the trauma bay. As the patient is wheeled in, a hastily shouted report is given by the paramedic and it begins…

    Circulation - level of consciousness, pulses….

    Airway - is it clear? If not, what needs to be done to make it so…

    Breathing - yes or no?

    And on it goes….emergency nurses taking care of a very ill or traumatically injured patient. Organized chaos as everyone knows their role and what the ultimate goal is - a patient that survives to walk out of the hospital…

    In another room, a nurse is soothing an infant and giving the parents information as they face their child’s admission for an asthma exacerbation...

    In another room, a nervous 14 year old finds out that whew! She’s NOT pregnant. The nurse provides resources for this young girl...

    In another room, a 51 year old male is finding out that the chest pain he has had intermittently for “a few days” is actually a NSTEMI. The nurse discusses upcoming tests, and the ramifications of this diagnosis...

    In another room, a family is being brought in to say goodbye to an 84 year old female who was brought in after being found “down” by a neighbor. After a short code, the next of kin asks that resuscitation efforts be stopped. The nurse cleans her up as best as possible and invites the family in…

    What do all these situations have in common? An ER nurse is there to provide care, caring, education and skills to help those that can be helped and care and caring also to those that can’t be helped.

    Not only does the ER nurse care for the patient, but the family as well. Entering the ER is never planned and many times it comes on the heels of a life-threatening or serious illness or traumatic injury. We all know that when we are under stress, how we might need instructions or education provided to us more than once. The ER nurse acts as teacher, educator, social worker, and nurse to everyone. Juggling all these roles is the forte of the emergency nurse.

    Often a thankless job, the life of an ER nurse revolves around chaos. People are not always nice in the ER: stress, illness, injury, ETOH, drugs all can combine to make for a not-so-nice patient or family member. However, these people must also be cared for. With clear boundaries, some assistance of security and sometimes restraints, the ER nurse trudges on.

    As an ER nurse for 10 years and a pre-hospital RN for 17+ these are some characteristics of ER nurses:

    1. They are usually type A personalities - they love the chaos!
    2. Having secure knowledge that they are at the top of their game - whether the next is a neonate born outside the hospital or a senior at end of life.
    3. The “full moon” phenomenon is “real”
    4. The “Q” word is also “real”
    5. Did I mention that ER nurses love chaos?

    To all the ER nurses:

    1. Who have stayed over to chart the full arrest…
    2. Who have gotten a rocking chair in the room so a Mom could rock her infant one last time…
    3. Who have taken the time to explain what the provider said over and over again…
    4. Who stays abreast of all the latest trauma research...
    5. Who possess all the ER-specific certs possible…

    Thank you for all you do. We all hope we never encounter you at work, but if we do, we know we can count on you.


  • Oct 15

    Me too. I'm a babe in the woods compared to many of you (11 years). But I love what I do and my career is a huge part of what defines me as a person. It is way more than just a JOB to me.

  • Oct 15

    Quote from Aloe_sky
    I did attend classes but I attended classes before I even hit the unit. It was information overload, we had between 1 to 3 days to complete each system of the critical care modules. Many of my peers complained that that was too much information in a short amount of time. Also because we weren't even on the unit we were not able to apply that knowledge onto the was basically just studying to pass the test. They listened to our feedback and the new hires should be pleased!

    I actually now talk more with the residents and fellows at work and they are so lovely! They do help me understand things a lot.

    I also plan on applying for online critical care courses.

    And thank you
    hang in there!! You are on the right path for success! !!!!!

  • Oct 5

    Quote from Elizabeth Blanchard Hills
    Greetings, All:

    As part of Domestic Violence Awareness Month, I am currently working on a series of stories for the community.

    Specifically, I am interested in your personal narrative:
    • Have you ever been in an abusive relationship?
    • Are you currently in one, but thinking of leaving?
    • Have you yourself ever been an abuser?

    I you'd like to be interviewed, please PM me. Your personal point of view will be invaluable.

    Also, if you have specific questions you would like for the series to address, I'd love to hear them. Please post your ideas below. Here are a few ideas of my own:
    • Is there anything about our profession that makes us more (or less) vulnerable to becoming involved with an abuser?
    • We often hear how nurses "eat their young". Are nurses also abusers? In there a connection between bullying at work and bullying at home?
    • What patterns, if any, typify a victim and abuser?

    What do you ​think should be included in a series of posts about domestic abuse?
    I am uncomfortable with the idea of someone new to the forum asking such personal questions. We don't know you, and you've shared nothing about your own history or qualifications to write about domestic abuse. Nor do we know why you wish to interview members on an anonymous forum. It seems that if you're interested in the stories of domestic abusers and domestic abuse victims, you might contact a women's shelter, the YMCA (who, in the past at least, have had programs for abusers) or your local ER at 2 AM. Then, at least, you would have some assurance that the person you were talking to was legitimate.

    I wonder how many posters will admit to BEING abusers. The general line among abusers is "she MADE me do it." Or "I didn't hit her that hard". Or "She fell down the stairs -- she's really clumsy."

    Domestic abuse is a serious topic, and many members have shared their stories. I'd rather see a renewed thread or two about the subject that a series of articles from someone who is just "writing an article."

    But maybe that's just me.

  • Sep 26

    Quote from MunoRN
    Why would his bill "bump" up?
    In PACU, pts are assigned a level of care which affects billing, based in part on the amt of time spent there (Level 1: <30min with no meds, Level 2: >30min with no meds, Level 3: >30 min with meds, etc). If we have a pt roll out from a minor procedure already pretty awake & doesn't need any intervention, there's no reason to hold them a certain length of time, especially when they will go on to another monitored unit. I usually go ahead & discharge them at 25 min to keep them at level 1.

  • Sep 26

    I don't know if every time I call I end up catching a nurse whose been a having a bad day or is not feeling well, but of the times I've called every time I have called I've gotten the worst kind of attitude. I almost feel as if, perhaps, it is because the nurses that gave me attitude feel as if I'm ruining their day by adding one more patient.

    I get it, it sucks. No one enjoys the current state of staffing ratios. I worked the floor and understand. However just as much as I'm going to be an adult and try my best to not take your displaced frustrations personally, also please try to take me sending you a patient not personal.

    If it is is any consolation, by the time I return to my unit - my empty room will be clean already and that means time to prepare it for the next train wreck coming my way. I most likely will not go back and have time to relax. Maybe a quick lunch, as my next train wreck is life flighted to me or your next rapid response ends up here.

    Just know we are all in the same business. Never anything personal. If my charge nurse ever calls your unit to expedite a transfer, know she's not doing it to be mean. It's because someone out there really needs that ICU bed. What if it was your mom or dad or friend?

    When I worked the floor and was busy as can be, of course I would be a little uneasy when I was getting 5 calls because receiving report was delayed 10 minutes because I was doing wound care etc. So yes I get it. This post was intended as a neither side of the grass is greener kinda post. If I have a floor status patient in the ICU with transfer orders and I know there's no one in need of a room or we have other empty rooms, I will call you report and and ask you "Hey floor nurse, have you had lunch? Go eat and then I'll take you the transfer, ok?" Let's be kind and look out for each other!

  • Sep 26

    I was thinking it was ok until he got to kerosene.

  • Sep 19

    There are nurses on AN that say they are actively working different jobs as both medics and RNs.

  • Sep 18

    A crappy assignment is only a crappy assignment if you let it be one.

    Who makes the assignment? Charge? Manager?
    Just ask before everyone else gets there if you can try a different area that you are not normally assigned to. Just something like "hey, I have had rooms xxx for a few shifts in a row, can I have another assignment next shift to try something different".
    Not accusing anyone of anything, not saying you want a "better" area, just a different one than where you have been.

  • Sep 18

    Boston FNP, I still see the OP as venting to an anonymous entity here rather than speaking to her husband to let him know where she stands. Then came the responses that this is somehow a competition to see who is the better nurse. There is dysfunction all over this thread, both OP and responses. No wonder marriages are crying out in death groans with attitudes like these. Is it really that difficult?

  • Sep 18

    Find it hilarious that this has come down to a competition that she must win. Poor position for a safe marriage. Feel sad for those married that feel this way. No wonder divorce is so easy.

  • Sep 18

    My heart goes out to you. Your feelings are valid and you have gotten some really good advice from fellow posters.
    Can I just add my two cents? Get a housekeeper. Not directly related, but it will really help.