scalper437 721 Views
Joined: Nov 6, '00;
Posts: 4 (0% Liked)
I work in a busy level 2 trauma center and May first the er is going to be with out paper. Our director says that we will be one of the first er's to go to computer charting...is this correct does anyone out there use them at their er? If so how does it work? As a member of younger generation i welcome the change and look forward to decreasing all of the time spent double and triple charting things. the part i fear is the changeover and the famous bugs in the system. if you have paperless er how did the change affect your er?
because of the shortage, i went right in to a level 2 trauma center after graduating. 4 months later with acls, pals, tncc behind me i was off orientation and i have never looked back. i have now been working for 9 months and love it. i still have many things to learn but the staff is great and will always pass on good information. I guess i like the challenge and for me it was great way to jumpstart my carrer.
migraines, and the ed what a headache. I do believe that there are some real cases but there are also some flyers too. in most situations it just depends on the doc but it never fails that we have a bad trauma and some acute mi's and the pt with the migraine is demanding his drugs and during this time the dr will order a shot and the pt d/c. about 50% or more of these pt's are medicare and it just really makes you wonder sometimes. They never follow up and use the ed as there primary trt. in some cases it is almost a legal addiction and the md's just keep feeding them what they want. like i said there are some true cases but when a pt is allergic to everything but demerol and come in requesting it you have to wonder. we pull out "the book" and they have been in 47 times in the last nine months it really makes you wonder you inform the md but the chart is already in the rack for more narcotics to be given. does this happen anywhere else?
Well this is my first post but one in which I must reply. I graduated 6 months ago and found myself a job in a level 2 trauma center and have never looked back. in the short time i have got my acls, pals, tncc, and soon my cen. If you have a area that you want to be go for it and don't look back. If you know where you want to go then go there and during this time you can put the finishing touches on the skills that you have and learn while you go.
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