Candogirl 649 Views
Joined: Oct 13, '12;
Posts: 3 (100% Liked)
; Likes: 11
I'm sure you've all expeienced this one . . . "My pain is a 10/10 (while texting) and I need 8 mg Dilaudid and some phenergan and benadryl . . . IV push only, not pills." I love it when they think they can place a medication order. Nothing yells more loudly "Narc seeker" than this.
Nursing school does not really prepare any nurse for the real world. The ED can be fast-paced, and let's face it, we were all scared or perhaps, terrified, when were done with orientation and were expected to be real nurses. Take a deep breath and know that, like many before you, you will survive. One piece of advice that is paramount to learning and surviving in the ED, or on any floor, is to ask questions. If you don't understand the reasoning behind an action, ask your preceptor. Some preceptors may assume that you know more than you do (like operating some of the equipment). If you don't know how to use something, don't be afraid to say so. Now is not the time to fake it. If you have a patient that presents with something you are unfamiliar with, go home and learn more about that particular disease process. You'll be glad you did, because I guarantee that you will see it again. Don't be afraid of the psych patients, many are just grateful for a kind word and a little attention. The most difficult part of being a nurse in the ED is working in an environment in which patients are very sick, but the cause of their illness is unknown. I like to think of the ED as the Sherlock Holmes of nursing. When you walk through the door, on Monday, remember that all of the nurses you will be working with were once in your shoes. Be friendly, open, and hard-working. As the preceptorship unfolds, remember that you will have great days and off days. You will experience things you have never experienced before. Absorb everything like a sponge and enjoy your new career! Welcome to the ED!
I realize, upon reading these postings, that they were initially placed in 2008, but, after reading several negative comments, I feel that I must speak up regarding VIP patients. We all realize, I'm sure, that VIP patients are those that typically donate, what can be inordinate amounts of money, to the hospitals of their choice. Many hospitals depend upon the donations of these patrons in order to conduct research and build new or updated facilities. Being both an administrator and RN, I have to say that I see both sides. As nurses, we want to treat each patient fairly and afford them the best possible care, regardless of whether they are homeless or wealthy. However, taking care of a VIP patient involves much more. Some VIP patients, who experience subordinate care from an uncaring or overworked nurse, may be less than motivated to donate in the future. And, pledged donations can easily be withdrawn, if poor treatment is experienced. Many patients, who experience excellent service, may be more apt to donate in the future. Hospitals are businesses. And, let's face it, even though most nurses enjoy caring for patients and extend excellent care, sometimes we have our off days and I, myself, would prefer knowing a patient's VIP status just as I appreciate having a heads-up on a patient who is displaying behavior that may mean he's preparing for a complaint/lawsuit (we all know that if the patient or famiily member is writing down everything that's being done from admission to discharge, and taking names, it's a red flag.) So, if it's a VIP, I want to know. And, who knows, perhaps his/her donation is the very thing that helped build the unit at which I work. Treat every patient fairly and with the same excellent service you would always offer, but appreciate their contributions, as monetary donations help improve care for every patient, overall.
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