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We never get lunch or breaks - you grab a bite whenever you can. BUT, no lunch break is taken out of our 12 hour shift - we get paid for the entire 12 hours - even if we would happen to be able to...

Most ER's don't hire new grads - they expect about 2 years of medical/surgical/ICU background before allowing a transfer into the ER. Get your foot in the hospital where you want to work on any...

We NEVER hold a patient during shift change - that is what the Resource Nurse is for. Admits go up as soon as they are ready, no matter what time it might be.

We use the same computer system as the admitting floors. When we call to give report to an admitting nurse, if they are not available, they MUST call back within 10 minutes, otherwise, the Resource...

Money. It is the driving force behind most all higher-level certifications. Of course, the recognition should come with it but, if others on their unit know that a raise came with this...

I DO believe change is in the air. I am within 3 years of retirement, working almost full-time in a busy ER and see all the staff stressed to the max with understaffing, sick call-offs, staff just...

We use Etomidate exclusively for bedside procedures (reduction of dislocated joints). For intubation, we combine Succ with Etomidate pre-intubation as a 2 drug combo. For procedures, Etomidate is...

Regarding the post that kids now will snort anything: I recently had a teen ask me if he could get high from snorting Warfarin. I calmly told him "no - but you will bleed to death". Then came the...

People do this crap in our hospital all the time but fortunately, we never see them. At staff meetings, our boss will tell us we have had some write ups about ie: sending a pt for a MRI with a...

We do NOT float, EVER. And, it is the rare occasion that you are allowed to go home ON CALL and must be within at 15 minute response time to get back there when **** hits the fan. I do not have...

Am searching for a computer charting program/system for the Emergency Department which you think is easy to use, is complete in it's content and doesn't require you to flip through dozens of screens...

Not having the TIME to spend TIME with my patients due to all the other "stuff" we have to do in addition to the unsafe staffing loads.

We are now talking about bedside registration to see if it will work for us. I have read the posts from the past year and understand that communication is key. What about actual numbers of staff to...

We are smaller hospital, 19 beds, 28,000 ER visits/year. We have 2 ER techs (most are nursing students or paramedics) who get name/birthdate/presenting complaint and sit at a desk in the waiting...

Kelly clamp and ink pens - everything everyone else has mentioned is at my fingertips in every room. Computers in rooms have micromedix so don't need to leave room. BUT - have my own personal...

We follow the same guidelines as mwboswell has quoted

I have this happen to me once or twice a year - some patients are VERY sensitive to nitro. Example: female 58 years old, chest pain, no meds, after IV in, BP 158/90's, first nitro - within a minute,...

First, our doctors are VERY conservative on dehydrated peds. Their theory is to Zofran them, wait a while and then start oral rehydration. It may mean a much longer ER visit while the rehydration...

My microbiology teacher told this to our entire class - that our "pretty little heads would never remember this stuff". How condescending and all of us passed. I graduated at the top of my class...

TO REENSI; You can be steamed all you want because this forum is for nurses to safely vent their frustrations and you, as a student nurse, cannot possibly understand how the nursing profession has...

You need to remember that this forum is here so that nurses can safely vent their frustrations from their day, their week, about administration, etc. without fear of reprisal so you need to take...

Does texting make you deaf????? Can't you hear the 5 call lights going off???:mad:

We HAVE a pizza oven - it keeps setting off the smoke alarms! Would trade it for a toaster. We could then get that banned immediately also - someone needs to take lessons from us:yeah:

My take on this would be that everything as far as explanations were properly done prior to the start of the procedure. It would be that there was silence while the procedure was taking place and...

Lots of side-notes from everyone on this. My belief is you don't have to DESCRIBE what is being done but ask your patient "are you doing OK" when you see the needle going in. As the radiologist...