Latest Comments by gonzo1

gonzo1 20,385 Views

Joined Jun 8, '05. Posts: 1,728 (46% Liked) Likes: 2,466

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  • 2
    Davey Do and Orion81 like this.

    I've encountered several "challenged" nurses over the years, deformed hands, arms, deaf (with hearing aids). They were all awesome.

    Go for it.

  • 0

    OMG, what a treasure trove of great things to do. Thanks

  • 0

    Reading all these makes me once again appreciate what a wonderful group of people nurses are. I am so thankful I'm with you all in this profession.

  • 0

    There's still a lot of "little" ERs that don't have SANEs.

  • 3
    Corlionie, ICUman, and ivyleaf like this.

    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

  • 1
    Paws2people likes this.

    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.

  • 1
    aknurse68 likes this.

    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.

  • 0

    Our new foley insertion policy requires 2 RN for foley placement. It has something to do with reducing CAUTI rates. No body likes it, but we do it.

  • 0

    True, you should never do anything without an attorney if it's related in any way to your RN license and/or job.

  • 6

    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.

  • 6
    DeenieRN, canoehead, brownbook, and 3 others like this.

    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.

  • 1
    canoehead likes this.

    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.

  • 1
    SoundofMusic likes this.

    I've used my malpractice insurance services twice. They were great and I highly recommend it to all.

  • 1
    Pfiesty likes this.

    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.

  • 0

    Is it mandatory for every vented pt to have an OG or NGT?
    Can anyone steer me towards EBP articles?