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gonzo1 19,901 Views

Joined Jun 8, '05. Posts: 1,729 (46% Liked) Likes: 2,470

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  • Sep 18

    In 15 years of nursing I've had many managers. The three that were loved by everyone wore scrubs to work and often helped us with the worst patients. Taking the time to do this with your nurses now that you are their manager will be an invaluable investment in the unit culture and cohesiveness. I've only been "free" charge, never management, but it makes a huge difference if you go back to the trenches once in a while with your nurses.

  • Sep 10

    Commuter-I so respect you. I do ER and ICU and before that I did physical therapy. I did go for the hospital job. But, you are right, it is not the only avenue. You touched on every hot spot of why most nurses hate the hospital. And most of us that work there are simply hostages to the higher pay.

    It is refreshing to have someone, after careful review, decide to take the non-traditional route. You are absolutely right, nurses are needed all over. Not just in hospitals. The patients/clients you are going to be working with are very lucky to be getting you. Best of wishes to you in your new adventure.

  • Sep 1

    I worked ER for about 9 years, then went to ICU and am going on 5 years there. Both are considered "specialties" for good reason. The difference comes into play that in the ER everything is explore and stabilize, while in ICU you are tweaking and doing long term management. Both specialties require nurses to have great critical thinking skills and be able to multitask on a very high level.

    In a way ICU is easier because you usually already know what the patients major malfunction is when you get them. In the ER you have to be a detective and try to figure out what the problem is.

    Both ER and ICU nurses have to know how to code a patient, give lots of blood, titrate dopamine, fentanyl, and a bunch of other drugs. I do think it's easier to go from ER to ICU because as an ER nurse you learn to just deal with whatever comes through the door. I see a lot of ICU nurses who don't like the uncertainty, and will say, "I'm not ready to take another patient." In the ER we don't have that option. They just keep coming in no matter how busy we are.

    Let's stop looking to see who is "better" or what ever, and start to appreciate the importance of each area of nursing. We are all highly trained individuals.

  • Aug 29

    Squeezed endless bags of blood into a trauma pt who still died on the way to OR.
    Started bunches of IVs. Swabbed throats for strep cultures.
    Lots of EKGs
    Told a pt with a concussion they were in the ER after a car accident 400 times. Fortunately, no serious injuries.
    Placed a couple foleys
    Did a "rape" exam
    Held pressure on a bleeding femoral artery until the doc could sew it up
    Good question, and I look forward to reading all the replies

  • Aug 20

    I worked ER for about 9 years, then went to ICU and am going on 5 years there. Both are considered "specialties" for good reason. The difference comes into play that in the ER everything is explore and stabilize, while in ICU you are tweaking and doing long term management. Both specialties require nurses to have great critical thinking skills and be able to multitask on a very high level.

    In a way ICU is easier because you usually already know what the patients major malfunction is when you get them. In the ER you have to be a detective and try to figure out what the problem is.

    Both ER and ICU nurses have to know how to code a patient, give lots of blood, titrate dopamine, fentanyl, and a bunch of other drugs. I do think it's easier to go from ER to ICU because as an ER nurse you learn to just deal with whatever comes through the door. I see a lot of ICU nurses who don't like the uncertainty, and will say, "I'm not ready to take another patient." In the ER we don't have that option. They just keep coming in no matter how busy we are.

    Let's stop looking to see who is "better" or what ever, and start to appreciate the importance of each area of nursing. We are all highly trained individuals.

  • Aug 16

    Squeezed endless bags of blood into a trauma pt who still died on the way to OR.
    Started bunches of IVs. Swabbed throats for strep cultures.
    Lots of EKGs
    Told a pt with a concussion they were in the ER after a car accident 400 times. Fortunately, no serious injuries.
    Placed a couple foleys
    Did a "rape" exam
    Held pressure on a bleeding femoral artery until the doc could sew it up
    Good question, and I look forward to reading all the replies

  • Aug 16

    Squeezed endless bags of blood into a trauma pt who still died on the way to OR.
    Started bunches of IVs. Swabbed throats for strep cultures.
    Lots of EKGs
    Told a pt with a concussion they were in the ER after a car accident 400 times. Fortunately, no serious injuries.
    Placed a couple foleys
    Did a "rape" exam
    Held pressure on a bleeding femoral artery until the doc could sew it up
    Good question, and I look forward to reading all the replies

  • Aug 15

    I didn't even become a nurse until I was 45. Still loving it 15 years later. Do it!!!!!!!

    Oh....and I plan on working for a long time.

  • Aug 5

    I would be very leery of any job that says' "only on nights". If it's legal why don't they do it on days too?

    answer: Too many prying eyes to get away with it.

    Run away fast.

  • Aug 5

    I would be very leery of any job that says' "only on nights". If it's legal why don't they do it on days too?

    answer: Too many prying eyes to get away with it.

    Run away fast.

  • Aug 1

    I would be very leery of any job that says' "only on nights". If it's legal why don't they do it on days too?

    answer: Too many prying eyes to get away with it.

    Run away fast.

  • Aug 1

    I would be very leery of any job that says' "only on nights". If it's legal why don't they do it on days too?

    answer: Too many prying eyes to get away with it.

    Run away fast.

  • Aug 1

    I would be very leery of any job that says' "only on nights". If it's legal why don't they do it on days too?

    answer: Too many prying eyes to get away with it.

    Run away fast.

  • Jul 31

    I would be very leery of any job that says' "only on nights". If it's legal why don't they do it on days too?

    answer: Too many prying eyes to get away with it.

    Run away fast.

  • Jul 21

    Not sure about your instance. But in my case it was easy. I had been recruited to be a new grad in the ER. It did not work out. So when I interviewed for med/surg I was able to say that I realized that ER was not a good place for a new grad to start, and that many people said new nurses should start in med/surg so that was why I was applying for med surg job.
    They bought it.
    You can always use the "too far from my house", hours didn't work out, unit going through many changes and looking for more stable work environment. There are always lots of nice, vague things one can say.
    Always keep it simple though.


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