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Yes, it sounds to me like you are getting as much of a full patient load as you can, without access to the chart (which I don't understand). DC :-)

After thinking about it, I am not sure any of these numbers have a lot of meaning. While, as I posted above, our 'standard' is three, often with a fourth 'hallway appropriate' patient, we are...

Teams of two RNs, each has a 'standard' of three rooms, but often get one additional 'hallway bed'. While we keep our own pts, if one of us is swamped and the other isn't, we 'inherit' anywhere from...

I knew someone else who had it prescribed for sleep, so I asked my doc. Doc said ok. DC :-)

Because, anecdotally, that has not been the norm, though such things do happen. I was referring, however (while failing to mention it), to more emergent things like cancer screenings when other...

There is something to be said for working up good relationships with family and friends and community. People in the US are some of the most generous people on the planet. Asking for help is great!...

I don't find waiting 16 hours in an ED (socialized) a better system. And we do have one of the most advanced / more equipment per capita systems in the world. Waiting several months for a CT...

How old are the kids? If the school has an athletics program, encourage the kids to join = free showers? DC :-)

I'm afraid I can only answer half your question, and likely not the part you wanted most :( When you have chest congestion, there are cilia up your pipe that move the phlegm upwards. This tickles...

1) In other words, they feel it is okay to keep stealing from others because it is easier to do so than not. Anyone else doing this would go to jail. 2) But good point! Let's make the costs...

The key word highlighted above is "shouldn't". Is it smart to help your neighbor? Is it smart to encourage someone who is trying to make it? Yes to both. But "shouldn't" implies authority to *force*...

The problem is, if I understand it correctly, that *you* saw the MAR. If you have a co-signer, the co-signer *must* always see the MAR (or orders, or whatever you are working from) as well. They are...

2 DC :)

As said above, your time-management skills will be useful. But if you get a chance, watch an ED nurse do a quick *focused* assessment. And watch one d/c a pt. Even better is if you can shadow (ask...

I was a fresh hire into the ED 2 years ago. Did I struggle a little? Sure. But we have had m/s nurses transfer in, some who have both done better than I did and some who struggled a lot more. ED is...

Hear, hear! DC :-)

maverickemt is correct. EDs do hire fresh graduates (like I was), and with ACLS and TNCC you are already ahead of the game. Add in 5 years as an nurse. As long as there are openings, you should have...

CEN is hard even for experienced ED nurses for one main reason. Each ED has its own policies, procedures, and most important, favorite drug list. I am studying for CEN now at 2 years experience...

I agree with starting with TNCC. Its a little easier but good prep for CEN. DC :-)

*If* you have the time and money, go for it. Would it be Easier with some experience? Sure. But it should help the employment prospects if you have them out of the way. DC :-)

Love it! DC :-)

I have often been tempted to give Dilaudid quickly, and hold the anti-nausea medicine until they complain about nausea. Nothing like aversion therapy to make potential seekers think twice about...

Can't deny any of that. But, pts don't always tell you everything, and, until you know those things above are Not happening... DC :-)

A lot depends on the size and type of hospital. In our case, our group has 5 hospitals in our particular region. While they all do elective surgeries, the central, larger hospital does most of the...

I don't deny your points have merit. But the reality is that the ED is 'the best of our resources'. Just knowing someone is having a-fib with rvr doesn't mean there is a resource available the minute...