RunnerRN2015, ASN 15,314 Views
Joined Jul 6, '11 - from 'NC, US'.
RunnerRN2015 is a ER nurse.
Posts: 817 (36% Liked)
I don't answer the phone on my day off. I let it go to voicemail and I'll call back if warranted. It is not my responsibility to staff my unit and it's not yours either. I pick up shifts only when it works for me and I decide I want to. Do not feel bad for knowing your limits and setting them.
Thanks for all your help, I contacted someone and that person said that there was a request faxed in to change my grade. And she did! So I got my A!
My question is who are these admitting docs who are sending unstable pts to the floor vs ICU?
That's some steep m/s ratios, as pointed out.
For the ED's part, they get near constant barrages about their disposition times. Door to triage time, triage to provider time, door to cath lab time, admit order to transfer time, etc.
This pressure is likely the primary driver behind these rapidly assigned beds.
Off my lawn you kids!
And HIPPA! Can't forget that one.
I had this! It worked great ... when I was a teacher in a *classroom full of little ones.*
I'd be insulted a bit as well.
Why was he getting more agitated? I'd be agitated too, if I had a kidney stone and appendicitis and wasn't getting appropriate analgesia. It sounds like this patient needed some pain medication, not a benzo. Treat the source of the agitation (pain), and you'll treat the agitation.
Also, giving a benzodiazepine in the ER when the patient is still being evaluated and diagnosed can be tricky, as you may end up masking symptoms. For example, a mental status change may brushed off as a side effect of the ativan when in fact it's a result of a stroke.
Have you looked on their website? I very quickly found answers to your questions there.
Medgar Evers College | Certificate in Practical Nursing (CPN)
The website completely explains the 3 nursing programs and the progression from one to the next. One of your most valuable skills as a nursing student will be learning to effectively research questions and issues. Now is not too early to start.
I had a 15 y/o maternity patient on her second child; she thought that her foley was draining "that fluid the baby swam in"
As a midwife, I can tell you---a frighteningly high percentage.
Hear that bus? That's the one they will throw you under.
Run away as fast as you can and look for a REAL new grad position. You're about to get used.
Where I work this would be an " oops I forgot to give it". The supervisor and doc would be left out of it.
Mistakes happen. Don't beat yourself up.
Sometimes I don't question nurses when they call a code blue when it actually isn't because it gets people there a lot faster than a rapid and you get a doc there stat.
However, if they had a radial pulse it means they were stable-ish and had a systolic BP above 80. You are right though you should have checked a carotid or femoral. Was the pt still seizing when you checked it? IMO very inappropriate to start CPR.
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