Latest Comments by Lev <3

Latest Comments by Lev <3

Lev <3, BSN, RN 38,604 Views

Joined Jun 3, '11 - from 'Another planet'. Lev <3 is a Registered Nurse. She has '3' year(s) of experience and specializes in 'Emergency Department, MedSurg'. Posts: 2,410 (52% Liked) Likes: 4,416

Sorted By Last Comment (Past 5 Years)
  • 1
    LadyFree28 likes this.

    Quote from russianbear
    I'm optimistic that his will be a good fit. When the interviewer asked me what about my old place, I began to answer and he finished my sentence for me. He said he's encountered others with similar experiences, i.e. they don't support new nurses and let them fail like they did with me.
    Wow...That goes to show....

  • 0

    Quote from russianbear
    Got hired at a much smaller ED. I had the choice between that and the observation unit. I chose the ED.
    That's great news!!!

  • 2
    bathrobemom and StevietheRN like this.

    Wait til you have a year of experience and then reassess. The first year of nursing is tough.

  • 6

    We would treat both. Head CT to rule out bleed. Urine tox screen, tylenol and salicylate levels, etoh level, contact with poison center, IV fluids, oxygen, possibly treat the bradycardia, check electrolytes, CBC, maybe a LP if looks infectious

  • 1
    amzyRN likes this.

    I try very hard to get it done before moving on to the next patient. I will only not chart and see a new patient if their heart rate is 150 or they are hypotensive or coding or something. Charting doesn't really take that long. I am a bit of a "bare bones" charter as well and I am working on being more detailed but still being as efficient. If I know I have a busy patient I will stay in the room and chart everything so I am not pulled in 5 directions the second I leave the room and get sidetracked. The only time I don't chart right away is when I have a critical patient. I chart the assessment and vital signs as soon as the patient is stabilized somewhat and then get them settled and then get started on that long note for ICU.

  • 0

    I've been nursing 3.5 years, 1.5 years in the ER. I like where I am right now. Although I don't plan on being a career ER nurse, I like the daily challenges I am faced with. There is always more to learn. I work on the adult side and have no kiddie experience so I would like to try crosstraining to the peds ED.

  • 0

    I have found that taking notes on paper instead of on the laptop helps a ton. Also, don't try to read everything.

  • 0

    Quote from russianbear
    Thank you. I clearly was in over my head.

    The feeling is terrible but you will pick yourself up and gain your confidence back. It will take time but you will get past this.

  • 2
    Pixie.RN and LadyFree28 like this.

    And did they offer to let you transfer to a different department?

  • 1
    poppycat likes this.

    I don't know, but if you took more than the recommended amount you should let your probation officer know and probably stop taking the norco. High dose ibuprofen tabs two weeks after a fall are probably just as effective if not more effective as norco and don't need to be cleared by your probation officer.

  • 0

    NYC is so huge that what you are seeing is an exaggerated version of what has been happening in every metropolitan area in the country which has been only been accelerated since Obamacare decided to force hospitals out of business. And yes, NYC has probably one of the worst ratios in the countries even in the "better" hospitals. Ratios are partly tied to financial stability of the organization.

  • 0

    Well...then start applying...

  • 2
    emtb2rn and LadyFree28 like this.

    I would not admit failure to my manager or to myself until I actually fail - meaning once you are told you have to leave. Until then, focus on improvement. You need to get an idea of specific areas that need improvement. You have a right to this information from your preceptor, manager, and educator. Please ask them for the top 5 areas that you need improvement in with specific example of what you are doing wrong and suggestions for doing them better.

    Please remember to always keep on your game face with management so you can ask for an internal transfer to med-surg or telemetry if you are asked to leave the ER.

  • 0

    I too have experienced this a couple times. I have always attributed it to some rogue nerve impulses that fired off causing the sensation. I usually feel it a little higher up at hip level. I don't think it is anything to be concerned about.

  • 0

    Why don't you ask patient as part of daily assessment if she is having any vaginal burning or abnormal discharge or any urinary complaints? Explain that you are concerned because you noticed that she has a foul odor and you want to make sure it isn't anything serious...


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