Content That Lev <3 Likes

Lev <3, BSN, RN 48,554 Views

Joined Jun 3, '11 - from 'Another planet'. Lev <3 is a ED Registered Nurse. She has '4' year(s) of experience and specializes in 'Emergency - CEN, upstairs, troll bashing'. Posts: 2,861 (53% Liked) Likes: 5,288

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  • Sep 5

    OP you mentioned you were suffering from depression as well as all the family gunk. I'm thinking that working on your depression for a while and getting that under control would be beneficial to you before starting up in school again. Personally I have depression, am in school, and don't like to take a break from school because the break screws me up. But this could be a good thing for you. Keep with the therapist and figure you out first.

  • Sep 5

    CNA is a 6 unit course. Where I am at, you can do the entire thing in a summer semester (12 weeks). forget the dollar store job and go straight into a CNA class and then work that year as a CNA instead. If you can do 1 science class a semester till you are ready to go to school full time it will really benefit you

  • Aug 31

    You're in the South? Then you know all it takes is a " well, bless your heart" and that should take care of it!

  • Aug 31

    "Please don't ask me to shed the impenetrable cloak of mystery which shrouds me"

    How's that?

  • Aug 31

    Welcome to allnurses!

    I just smile and say, pleasantly, "I don't talk about my personal life at work," and keep going with whatever I was doing, or talking about, when they asked the question. If you keep repeating that, pleasantly, each time the questions are repeated, they will usually get the message and quit asking. Another option I use (if the first one doesn't work and I have to spell it out more directly for them) is, "We're both here to talk about what's going on with you, not me." Keep reminding yourself that you are under no obligation to answer such questions just because they ask. It's a professional relationship in a professional setting; the client isn't doing anything terribly wrong by asking and probably just doesn't know better, but the responsibility is on you to set and maintain the appropriate boundaries.

  • Aug 25

    Do any other fellow ER RNs butt heads with other departments when transferring a patient up from the ER? I think sometimes other departments forget I only had this patient for 30 mins and for 27 of them I was trying to keep his heart beating. So no, I don't know when his last BM was or if he got a flu shot this year....

  • Jul 20

    I personally don't think the Ed is an effective way to counter the ever increasing demands to solve a myriad of social problems that we are being asked to address during a triage. I really think this type of outreach belongs in a different setting.

    The ED triage is supposed to be a focused assessment to deal with the problem at hand. Often there are people accompanying the patient, which makes it impossible to ask the very personal questions that we are supposed to ask. The blue dot idea is clever, but word of this will spread like wildfire. It will hardly be a secret.

    I find, the more questions I'm forced to asked during triage that aren't relevant to the case at hand, the less effective the whole thing becomes.

    If a woman (or man) comes in with signs of abuse, the protocol should be that no other person is allowed in the room, and a very frank, real discussion should be had. This is a commonsense approached that, unfortunately, is lacking today. Instead we like to cast a wide net, by asking everyone a bunch of screening questions, but we rarely catch any fish that way...

  • Jul 20

    OMG - that is brilliant. That blue dot idea really should win someone a Noble Peace prize. God bless the ED staff everywhere. You all really make a huge difference (for my part in telephone triage I attempt to keep every patient or parent out of the ED for colds, rashes, constipation, and all other non emergent illness better managed by primary care or urgent care). You all have your hands full.

  • Jul 20

    That's a very personal decision that only you can make. One thing to consider is that you will likely not be able to miss any clinical or only a tiny portion of clinical- the BON requires students to complete a certain number of hours of clinical in various specialties. Have women been able to give birth and be right back in class? Some have. Others elected to take off the semester when they were due and pick things up a semester later.

  • Jul 17

    Quote from KindaBack
    Walk-in pt: 55 YO guy with a history of chronic problems controlled by meds (htn, dm, etc) arrives saying, "I need a new scrip for Norco. I lost mine and I can't get another one for 8 days. I have chronic back pain and it's killing me." The pt lost the meds 3 days ago.

    The patient denies everything else including saddle paresthesia and urinary/fecal retention/incontinence. A&Ox4, abdomen is soft and nontender, no discernible work of breathing, no CVA tenderness, skin PWD.

    VS: 171/105, p153, r18, t36.8

    Prior to ESI, the patient again denies cp, sob, palpitations, dizziness, blurry vision, fevers, chills, n/v/d, dysuria, and abd pain. Explicitly repeats, "I just need a new scrip."
    I hate these! lol. Not because it's probably opiate withdrawal, but because they have a 5-worthy complaint with bad vitals. I agree with JKL33. The HR and BP (though asymptomatic with that BP) are concerning. He's going to be at least a 3.

  • Jun 25

    Depends what kind of changes you want to make.

    There are some changes that you can make without management's help. For example, you and your colleagues could decide to treat each other better -- and succeed in doing that without anybody's help. But other types of changes are virtually impossible to make without management support. So, pick your battles carefully.

  • Jun 25

    Quote from Lev <3
    How do you make changes in your work environment when management has a reputation for being resistant to staff input?
    Quote from llg
    There are some changes that you can make without management's help. For example, you and your colleagues could decide to treat each other better -- and succeed in doing that without anybody's help.
    Amen. Administration at Wrongway Regional Medical Center are a bunch of parochial-sighted pencil necked bureaucratic money grubbing geeks who, in action, don't give a flying care about staff.

    Co-worker cohesiveness is what gets us through.

  • Jun 22

    Hi Lev! Thanks so much for your reply. I apologize for the late response; didn't think anyone would respond haha! I appreciate your positivity. I've learned to settle in this new place, and I've accepted that even if I'm far from home, this opportunity will be worth it in the long run. Thank you again, I will definitely enjoy and learn as much as I can!

  • Jun 22

    How comfortable are you with unpredictability?
    In ICU there is an underlying structure. You will get 1 or 2 patients with a certain diagnosis, depending on the unit you are working in. After report comes assessments, meds, turns, rounds with the doctors, etc. The patients all are in a specific age group- adults or peds and are grouped according to diagnosis- burns go to one unit, trauma to another.
    ED takes all ages, all diagnoses, all levels of care from not ill at all to DOA, the numbers of people fluctuate widely. The diagnosis is often unclear and changes happen quickly.

  • Jun 22

    Quote from hawaiicarl
    If you like focused cases with autonomy, then ICU. If you like task based nursing with rapid turnover, ER.

    Cheers
    Giving you the benefit of the doubt that you've actually worked as a Registered Nurse in an ED: If you operated in task-based mode and had no autonomy, you didn't do it right.


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