Latest Comments by greenjanell

greenjanell 1,160 Views

Joined: Feb 20, '06; Posts: 41 (20% Liked) ; Likes: 20

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  • 0

    i agree with getting your CNA. but when it comes down to it, go straight to RN school. being an LPN gives you a ton of experience, but if you want to be an RN, LPN school is expensive, and when you are done you will not want to go back to get your RN. (the thought of being a nursing student all over again is terrifying after you are finally done).
    i was an LPN for 5 years before getting my RN. I graduated LPN school when i was 20. and then RN school when i was 25. those 5 years of experience made me a better nurse, but i would have had 5 years of experience anyway as an RN had i gone to school to be an RN first.
    call your local hospital and ask to shadow an RN at the hospital and in what unit you are interested in (ER, ICU, Med surg, NICU, PICU, SICU, OR). most are willing to let you do that.

  • 3

    Absolutely!! the oldest person in my graduating class was 52.
    look at it this way.
    you might be 41 when you graduate, but you are going to be 41 anyway so you might as well be graduated from nursing school. wouldn't that make turning 41 better in some way??
    good luck.

  • 0

    I work in a small ER comparitivly, however, i guess we have the best of both worlds. our ER is 19 beds, not a trauma center, but still the biggest in our area (within 50 miles or so) but its still small enough that everyone knows everyone, we are very much like family. Rural area, so we see a lot of good stuff (farm accidents, 4 wheeler accidents, high speed MVA) most of which gets flown out, but when the weather is know the drill. Everyone from the pre hospital staff to the doctors knows everyone and thier life story. We are all very close. I know a lot of ERs are like that, just because of the pressure we work under. We lean on each other for everything from the pedi code to the nurses cat that dies. I love my job and the people that make it possible for me to save co workers.:redpinkhe

  • 0

    yeah i just read that, and i think i could pull it off. i could drive monday and come home tuesday. now we jsut need 4 other people ha ha.

  • 0

    i would be interested in this. but how long is the course. 138 hours is not that specific, how many days is it? i would have to come from western pa.

  • 3
    neneRN, sfsn, and zamboni like this.

    no matter what the patient is in the ER for, unless it is a child or otherwise completely unnecessary, i ALWAYS start with an 18G because then you get used to putting them in, and when the time comes that you actually need one (GI Bleed, Trauma, disecting AAA (which usually gets a 16G or bigger)), you have the ability and confidence to do it. I always tell the new ER nurses this because its practice for the real need. so keep practicing, eventually it will become second nature.

  • 9

    Do not be to proud to ask for help. Dont try to prove yourself by doing everything. You will only kill yourself and possibly a patient. If you get overwhelmed, ask for help. The best nurses know when to ask for help, and dont wait till its too late. Dont let pride get in the way. It does not mean you are weak, or lazy. It means that you are humble enough to be a good ER nurse. Anyone who thinks differenty is a danger in the ER.
    A nurse who does not know what she does not know is also a danger. Dont let your ego do that to you.
    Good luck, soon you will be as nuts as the rest of us......:bowingpur

  • 0

    our facility uses mostly succinylcholine, etomadate and neurcuron. our RSI kit also has versed, lidocaine and other drugs. i have found its vital to know both the trade amd generic names for these meds. if you are in an emergent situation, and a doctor wants you to give vecuronium (we call it 'vec') and your vile is labled 'neurcuron' then you know what drug to give. and each and every doctor is different, some of them like the drugs given rapid push, and others like to give it over 30-40 seconds. i always ask how fast to push it. we have one doctor that changes his way all the time. sometimes he wasnts vec and other times he wants neurc (same drug!!) and sometimes he wants to give it rapid push and other times slow. one of out doctors likes to give the succs after intubation (for safty reasons in case he cannot get the pt tubed, they are not paralized....) and other doctors give the succs in order to intubate. it gets much easier when you work with the same doctors for years and know how they like things done.

  • 0

    Hi!! I work at a great pennsylvania hospital. We are always looking for good employees. The hospital has a ton of accreditation, and is named one of Pa's top 100 places to work. Located in Western Pa, 2 hours North of pittsbugh. Where are you moving to in Pa? You could google "pennsylvania hospitals" and you would get a list of hospitals in Pa and their websites. Our hospital has the biggest ER in the area, and also has a psyche ward.
    I am not sure if i know how to send private messages on here. But if you do, send me one. I would be more than willing to help you.

  • 1
    joprasklpn likes this.

    you know you want to wear your ring!! and so you should get platinum. i have it for both my engagement and wedding ring. its never let me down. and it still shines. ( i have to clean it weekly, but its still as beautiful as when i got it. it actually looks better as it ages (platinum i mean)) but the only downfall is the price. platinum is not cheap.

  • 0

    I love love love the ER. I love the critical patinet, and when its all said and done and the golden hour is over, I love sending my patinet to ICU. I really really would not want to take care of the same pt for 12 hours. when we have campers in the ER, we all draw straws to see who is stuck with them....Thank god for ICU.

  • 0

    I think we could have saved him simply by having psyche drugs available to treat the nut job that killed him, preventing the whole disaster.

  • 0

    littman cardiology III. love it for ER, mainly because i can use it for peds and adults and we definalety have a mix of each. have had it for over 5 years and its in great shape.... paid 120.00 for it. I feel lost without it hanging on my neck.

  • 1
    Penelope_Pitstop likes this.

    260/140, sub arachnoid bleed.
    30/doppler septic shock. only pulse he had was a carotid doppler. respirations of 20!! not on a vent either. went to ICU from ER

  • 0

    if all else fails, we call the department manager or the department charge nurse, they usually come in. i know that a lot of managers dont do that. and we have on call which in my opinion is just a loop hole for mandatory overtime.