gonzo1 19,285 Views
Joined Jun 8, '05.
Posts: 1,720 (46% Liked)
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.
When you're agency and/or travel nurse the charge nurses and managers will go over your charts with a fine tooth comb looking for mistakes. It's just part of the job. I (giggle) always say to myself "they're getting to see how great charting is done"
It is against the law to go and change someone else's charting so the nurse that does that is putting herself up for a big problem.
Sounds like you work in kind of a hard place.
I've used my malpractice insurance services twice. They were great and I highly recommend it to all.
I agree, but I picked up a patient last night that was intubated and didn't have one. I thought that was unusual but the reporting nurse said it didn't matter.
Is it mandatory for every vented pt to have an OG or NGT?
Can anyone steer me towards EBP articles?
All of the above.
I did a travel nurse contract in their ER in 2009. I loved it. For the test study up medical math, and then if you have taken CEN or TNCC etc you will do fine. I did pass it, but there is a pretty high fail rate. It's worth it, because if you have Parkland (esp ER) on your resume you can write your own ticket anywhere. At the time each nurse had between 6 and 15 or so pts. That sounds like a lot but they make it work. Parkland really respects their nurses and makes sure their doctors listen to your opinion.
I have heard that the ratios are smaller now. Also it's a teaching hospital so the residents do a lot of our work so they get the practice. But you will see a lot. My attitude was "I gotta try this" and it worked out great for me. Only place I ever cryed when it was time for me to leave. They asked me to stay, but my husband wanted to get home.
I gave up a staff job I loved and still miss so I could take a travel job in the city my mom lived in so I would be there to take care of her. I have never regretted doing this and have a very clear conscious. Sometimes life throws us curve balls that are doozies. Ten years from now you won't care about the job you weren't able to go to, and you will be glad you were there for your family. Jobs come and go, but family is forever. Good luck to you and your family. Sounds like you have a wonderful one.
I've done quite a bit of agency and travel nursing ER. As a travel nurse you will be expected to get TNCC, ACLS, PALS etc on your own. Your travel agency is not going to help you. You are expected to hit the ground running and may only get a 4 hour orientation at each new location. Some places I got no orientation.
You will also have to have a physical before each contract, provide immunization records and get a pee test. You will become very adept at taking care of things yourself.
I suggest you get a copy/printer/fax machine because you are going to be sending records back and forth to agencies like crazy.
It was very educational and I gained enormous experience. It can be fun and it can be miserable. Enjoy the ride.
If my patients make it to 705, warm, pink and dry.
All the other things listed make it a great shift.
You did everything right. Look for a new job.
Can someone tell me how to block out a person that you don't want to see their postings anymore?
I'm so sorry you and your family had to go through this horrible experience. I hope you are able to find comfort and healing. Sharing your experience has opened up an educational discussion that will have positive impact on many. We still have so much to do to make healthcare better for all.
I think the patients whose lives have been saved by me, and most of my nursing friends, would say that nursing is a knowledge based job. I often forget how important our job is until something great happens with a really sick patient. The thing is, in our job we can be titrating several life saving drips, watching for lethal rhythms and checking for air leaks in chest tubes and other assorted things, while cleaning up poopy bottoms and emptying the garbage.
I think I make pretty darn good money too.
Our weekends are Fri, Sat, Sun. We have to work 4 weekend days per month. We mostly do self scheduling. I'm lucky enough to fulfil my obligation by working every Fri. So my schedule is Wed, Thur, Fri. It's the best schedule I've ever had.
Some nurses work Sun, Mon, Tues. Of course there are nurses who try to sneak out of working any weekends, but eventually they are caught and made to do it.
Holidays are every other year off. So if I work Thanksgiving this year, I will most likely get it off next year.
Advertise With Us