Latest Comments by NurseOnAMotorcycle

Latest Comments by NurseOnAMotorcycle

NurseOnAMotorcycle 15,438 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: 1,058 (62% Liked) Likes: 2,758

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  • 1
    Emergent likes this.

    Offlabel,

    My level of respect for you has just gone up a few notches.

  • 0

    I've had many people tell me that in order to find a nurse they would look at shoes because everyone wears different scrubs or T-shirts now. They don't know who is a pharmacist, CNA, doctor, nurse, etc even with many badges that have large label tags.

    It doesn't help them much because not very many people still wear white shoes, but I find it interesting that it was a common theme among patients.

    I do tend to wear white sneakers but that is more of a coincidence from purchasing new shoes. I tend to try to get shoes that are easily wiped and will match everything I wear. They end up being either white or black.

  • 2
    LunaLovegood567 and NightNerd like this.

    Go ICU if you want a challenge. You've got experience and will likely transition better than, say, a new grad because you've already got assessment, prioritization and time management skills.

  • 2
    lindseylpn and HeySis like this.

    I'm actually an RN who just moved to a new ED where they use LPNs. I have never worked with LPNs before and I'm still learning what is allowed or not allowed. I have learned a bit from the LPNs on allnurses so I have always introduced myself and my partner LPN like this:

    "Hi, I'm NoaM and this is XYZ. We are ER nurses and we'll get you started, ok? I saw that you're here for...."

    Since I am unfamiliar with LPNs, I still don't ever ask for anything, but I love it when I am asked "do you want me to get that blood work?" or "hey do you want me to medicate that patient?"

  • 3

    So your friend is a traveler and they hired a permanent nurse? That's the point, isn't it?

  • 2
    Simonesays and NutmeggeRN like this.

    Agreed! Any time compressions happen, call the code. It could be any number of things that have nothing to do with vasovagal responses. Also, if you have to ask yourself "should we be doing CPR right now" the answer is always yes!

  • 12

    Quote from SmilingBluEyes
    Ok are we being punked here??????
    THIS. I call shenanigans. This can't be a real person.

  • 6
    kbird03, psu_213, TriciaJ, and 3 others like this.

    What? The blood in the line just means the IV is in the vein where it's supposed to be. There is absolutely nothing wrong with the line or the patient.

  • 3
    amzyRN, brownbook, and emtb2rn like this.

    If you are new to the ER, more is better. However,don't sweat what you don't know. They will teach you! They don't want an inexperienced nurse caring for critical patients any more that you want to be that nurse. Your preceptor certainly won't leave you alone with a sick pt, and will definitely pick up any dangerous slack.

    Here is what you need to know right away:
    1. When to get help. Anyone sweaty, a heart rhythm you don't know, anyone who says "I can't breathe", any time you ask yourself "Should I be doing CPR right now?", anyone who falls, is shaking weird, any medication you are unfamiliar with, or any time the provider feels the need to stay in the room with a pt.
    2. Prioritize your pts. Sure, it will only take a second to grab crackers for someone, but then they will need 10 other things and you will not be able to get back to the pt who needs to get to the OR stat. This leads to...
    3. Know who can help with "everything else". Other nurses, techs, CNAs, transporters can be your best friends or your worst enemies. Treat everyone like an attending MD. That means disagree with them, even yell at each other, but always show respect (not condescension) while you are doing it. Coworkers who feel respected are more likely to grab that ginger ale for you so you can hang critical care meds for another pt. For example, asking a provider for zofran "your pt in 8 is vomiting, can you put in an order for zofran or do you want something else?" versus asking for someone to grab crackers "the pt in 8 is asking for some crackers, can you grab them or are you in the middle of something else?"

    When I was getting ready for moving to the ER, my favorite book was:
    Quick Reference to Critical Care: 97816�8314645: Medicine & Health Science Books @ Amazon.com

    But you can never go wrong with Sheehy's. I know that AN members have loads of good resources and studying made me feel a lot better before I went, even though it was experience that ultimately taught me.
    Sheehy's Manual of Emergency Care, 7e (Newberry, Sheehy's Manual of Emergency Care): 978�323�78276: Medicine & Health Science Books @ Amazon.com

    Good luck! Post a lot and let us know how you are doing!

  • 2
    LadyFree28 and Pixie.RN like this.

    We have a "box" painted on the floor with circles for essential personnel to stand at (provider, RT, person doing CPR, med nurse, recording nurse, etc). If you are not one of those people you stay OUT of the box even if you are lining up to do CPR.

  • 0

    Just get everyone together and ask them what worked or if they have ideas how to make it better. If you turn it into a weird administration thing, you won't get honest answers because people think admin is headhunting.

  • 0

    Quote from BeckyESRN
    ... I called her at least 3 times daily for 2 weeks until she apologized and said I could stop...
    That is so full of win!

    OP, I apologize since I am not a school nurse, but I have occasionally had letters from the school nurse at the end of the day just to let me know that some small thing had happened. If you aren't sure if you should call the parents or not, is that something you could do?

    Ps: if my kids were in your office three times a day....

  • 0

    So. Ka-*******. JEALOUS!

  • 2
    poppycat and psu_213 like this.

    It won't be a setback at all for getting a job as long as it's clean. Naked ladies or swear words will be a problem. HOWEVER: nursing school has very strict rules about tattoos so I'd wait until after you graduate.

  • 11
    purplegal, Conqueror+, PANYNP, and 8 others like this.

    A few things to say about this.

    First, I don't wear those t-shirts, but for those who do, I'm glad they take pride in what they do.

    Second, why does it bother you so much that they do? Aren't you assuming an awful lot about that person? As a previous poster noted, it could have been a gift or they could have thought it was funny.

    Last, does that mean you also feel that way about vets, EMS, firefighter, police, etc wearing shirts that say basically the same thing? What about t-shirts of people who like to knit? Are proud grandparents? Like sports?

    I'm sorry. A lot of posters who I truly love on AN have agreed with you but I just can't agree with the majority on this one. If that person is so happy with their life choice that they want to wear it, let them. It doesn't affect your life at all.


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