OP, most of your complaints are issues with the MD. It is not the RN's fault that there is no diagnosis, this patient got a full work-up and was stable for several hours. The MD admitted this patient, this means that they spoke with a hospitalist w...
I had a patient not long ago sign out AMA after he was diagnosed with a new esophageal mass causing tracheal deviation. You could see it protruding out of his neck and could hear the stridor. Pt refused to believe it was possibly cancer because he w...
phlebitis replied to xxMichelleJxx's topic in Emergency
I was hired into the ED out of nursing school with an ADN. I had three months orientation, no classroom time, the last month was on night shift which was what I was hired for. I was terrified my first shift alone, although I just had to realized th...
phlebitis replied to JaxJax5423's topic in Emergency
Not everyone with abdominal pain gets a CT scan. It depends on labs, physical exam (tenderness), other symptoms, etc. I'm not giving medical advice, just speaking generally. The ED rules out and treats life-threatening illness and injury, we often...
I agree with other posters, get certifications. Yes, they are expensive but your application will stand out and they are great skills to have. Driving an hour to work is not unreasonable. Try following up with a phone call to each facility. I had ...
I haven't posted for a couple years, but have been a lingerer on this site.....I work in the ED and have had some training on Ebola/MERS. Our triage note has a required field asking about recent travel in the past 21 days, if they answer yes, more qu...
phlebitis replied to whichone'spink's topic in Emergency
I think I wrote the post where I stated that my preceptor told me I would make it because she can usually tell as she has had students before. I just wanted to clarify that her statement wasn't made on day one. It was made after a couple of shifts ...
phlebitis replied to phlebitis's topic in Emergency
Thank you all for the replies! I was so surprised to log on here today and see that so many nurses had taken the time to offer support. I will try and be more patient with myself and remember that I am a "student" with an RN after my name. I still...
phlebitis replied to phlebitis's topic in Emergency
Thanks for the replies. I am a perfectionist and am my own worst critic. I am sensitive and want so much to feel like a good nurse as much as actually being one. I'm scared to make a mistake, but I know that nobody is perfect. I am giving myself ...
I am a new grad RN working my first nursing job ever in the ED of a community hospital. I have worked 5 12 hour shifts so far. My preceptor is amazing and extremely supportive. She says I will be great, she says she can tell on the first day if s...
phlebitis replied to Danielle_Nelson's topic in General Students
I have the same problem. I get really nervous around fine motor skills and unfortunately it manifests in my hands and they shake pretty obviously. After a few times of this happening, it was really starting to effect my confidence and self-esteem a...