LakeEmerald

LakeEmerald has 4 years experience and specializes in Emergency/ICU.

Latest Activity

1. Screaming match with my preceptor

   LakeEmerald replied to jherd's topic in Relations

   I disagree with the posters who say you should leave because you are going to get fired. Continue to command respect. You stood up to this ill-mannered person and showed her (and everyone else) that you will not take any crap. Acknowledge to manage...

2. Lessons Learned From A Decade Of Nursing

   LakeEmerald replied to Surg-OncRN's topic in General Nursing

   Nice article. It reinforces many of the ways of getting through the day that I have learned to practice over the last almost 5 years as a nurse. Especially the ones about slowing down and prioritizing when things get hectic, and treating others the w...

3. Need advice, please

   LakeEmerald replied to NurseK_44's topic in Career Support

   If you already accepted the ICU job, then it might look bad to go to the ED interview. On the other hand, if you turn down the ICU position, you may not end up getting the ED position. The SAFEST thing to do is accept the ICU position (since you al...

4. Requesting words of encouragement… I’m a new grad having a breakdown at work right now.

   LakeEmerald replied to BeatsPerMinute's topic in New Nurse

   Sometimes we can't always prevent a death. If new orders were requested from more than 1 MD last night and you were instructed to monitor, maybe that's all that could be done. How was it your hands killed people? Instead of: They were tremendously s...

5. Ideas I had for helping to educate the public

   LakeEmerald replied to SandyB's topic in General Nursing

   Your ideas are good and solid. Thanks for sharing them. I wish you all the best in your journey.

6. Want to quit after 3 months!

   LakeEmerald replied to abnRN's topic in General Nursing

   There's nothing wrong with approaching your employer with a professionally done resignation letter and stating that, "It's just not working out," without assigning fault to either side. It's called a graceful exit and will serve you well, especially ...

7. Developing a thick skin

   LakeEmerald replied to canche's topic in Emergency

   Show them as much love as you can. Most people are scared and feel out of control and want to know someone cares. I'm not talking about being fake and gooey sweet. Just simple kindness and respect. I mean truly listen to their CC, show concern (e...

8. RN that doesn't want to be an NP

   LakeEmerald replied to Matt8700's topic in Emergency

   I don't want to be an NP. And I'm sure I could if I wanted to, I've always done very well in school. But, I love being at the bedside, where the action is! It's worth it to wipe a few butts occasionally to have the privilege to be intimately invol...

9. Brian Short News

   LakeEmerald replied to tnbutterfly - Mary's topic in General Nursing

   Brian, Allnurses has been a life-saver to me and countless others who felt they were alone until they found your community. Your work here was strong. Thank you.

10. Narcissistic ED

    LakeEmerald replied to nikkimodl's topic in General Nursing

    Lol! I thought you were going to talk about how Emergency Department staff love their jobs/themselves too much! Just hang on, these types of off-balance people eventually make their nature apparent to everyone, including those who write their payche...

11. Adenosine administration

    LakeEmerald replied to sreynolds's topic in Emergency

    Aren't you supposed to push 6mg, then 12mg? Wonder why the MD told you to push another 6mg instead of 12mg? Not how it's usually done. In my ED, yes, the MD would be at bedside and heck yes, the pt would be on the defibrillator/cardioverter/monito...

12. Spice?

    LakeEmerald replied to AZQuik's topic in Emergency

    We see them weekly in our ED. Mostly male, mostly found babbling incoherently, confused, paranoid, fearful, combative. Some have tremors, a few seize. Had one go to the ICU for rhabdo recently: he was so combative and revved up that his muscles had b...

13. Price of Patient Satisfaction

    LakeEmerald replied to knoxnurse236's topic in General Nursing

    Being yelled out because you are trying to politely and professionally enforce a policy is not OK and your charge should have reinforced your back on this, as well as your director. Sorry you didn't have appropriate back up. It is never OK to be ye...

14. HELP.Giving magnesium sulfate T.I.M

    LakeEmerald replied to ArwenRivendell's topic in Medications

    Just curious, are new nurses are being taught to give IM injections in the buttock area? I thought this practice had been rejected because of potentially hitting the sciatic nerve? We were taught to use the ventralgluteal and it's what I mostly use ...

15. Is it possible to move from surgery to ER

    LakeEmerald replied to RNShenanigator's topic in Emergency

    Find a friend in the ED that will allow you to shadow her without pay for a few hours just to see what it's like. In the process, make sure she/he introduces you to your director or clinical coordinator. If you express a healthy curiosity for the E...