JoshuaAdamsRN

JoshuaAdamsRN

Emergency, neonatal, pediatrics

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All Content by JoshuaAdamsRN

  1. BEST trauma shears?

    Ok, here's the deal. I was mocked by my new colleagues for having sissy trauma shears the other day. Truthfully, they were good once but have gone so dull that they could barely cut a bubba lady's...
  2. Anyone working at penn state hershey medical ctr?

    Hi Ethel, I am clinical head nurse in the emergency department, so although I wouldn't be able to answer most of your SICU-specific questions, I am able to speak to overall hospital attributes. Our...
  3. Anyone working at penn state hershey medical ctr?

    I did work in the NICU for a while...now I am back in the ER. Send me a private
  4. I don't know if anyone has ever been in this situation, but I'm looking for advice. Before I found out my wife was pregnant, I pursued a transfer opportunity in my hospital and went from being an RN...
  5. ER Burnout

    So after working two years in the same ER, I feel as though I'm finally reaching burn-out. I've worked every variation of shifts - all day light, all night turn, weekend only - and nothing seems to...
  6. JeffSTAT PHRN Training?

    I was just wondering if anyone has ever taken the Pre-Hospital Registered Nurse Training Program that JeffSTAT offers in Philadelphia. And does anyone know of other programs such as this elsewhere in...
  7. Western Pennsylvania School of Nursing?

    Hi Sid, I graduated from West Penn in 2005. It was a difficult program, but extremely worthwile. I really feel like it prepared me well clinically. The instructors take the time to get to know you,...
  8. West Penn Nursing students anyone ever live on campus?

    I didn't live there but a number of classmates did. In general, I think it provided less distraction for them than living elsewhere. I was lucky to find a house two blocks from the hospital. The...
  9. Relocating to Hershey/Central PA

    Hey there, Just wanted to say hi and good luck with your interview. Hershey is an interesting place to live. While we're not urban here, we're certainly not completely rural either. You'll find...
  10. New in ER

    It sounds like you just need to get a clearer idea of what the advanced nursing protocols are for your department and what's expected of you as a nurse. If the doctor signed the order, I think you...
  11. I know it's not on your list of places to live, but I thought I'd do a little recruiting for our department anyway. Hershey Medical Center in Hershey, PA is the teaching hospital of the Penn State...
  12. Ez-io

    So I had a pretty tense situation last night I was wondering if anyone else has ever encountered. Four week old infant, vomiting the past twelve hours, comes in pretty hypovolemic. Three attempts at...
  13. Emergency Nurses Week

    Our department is getting embroidered scrub tops for the nurses, ED techs, and
  14. PALS Course

    This is just my opinion, but it doesn't hurt to take the course now and then maybe instead of waiting the two years before you take the refresher, take it again next year. A whole lot more will make...
  15. Changes this year

    This is similar to the first camp I worked at, which was huge (~1200 campers per 12 day session). We had 1 RN, who had "office hours" during the day (like 8 am-5:30 pm), but then she was available by...
  16. At my first ER, the med room was definitely the place to vent. Now I work in a facility where the med station is at the nurses' station, right around the corner from where many of our hall patients...
  17. Questions Concerning EpiPens

    The Epi-Pen is included in the BLS protocols of many states so that even EMTs can give it without a doctor's order upon recognizing signs/symptoms of anaphylaxis. The 2 camps I have worked at have...
  18. new nursing grads

    Just out of curiosity, what part of PA are you
  19. Who will buy tuition forgiveness in PA?

    I don't know of any loan "buybacks", but certainly West Penn Allegheny offers sign on bonuses to new grads. Mine was $10,000 over three years at West Penn, but that was awhile ago and they may have...
  20. when should I take TNCC/PALS??

    Get PALS before TNCC. In many places, PALS is a prerequisite to getting hired in an emergency department, but TNCC is optional (or if required, can be taken within the first year of employment). And...
  21. I get soo frustrated..............

    I had to laugh at the end of your post. That's the remark I make every time there's a difficulty patient. "Well, there goes our Press Gainey score for the
  22. Good emergency resource book?

    Emergency Nursing Core Curriculum put out by the ENA. It's very comprehensive, lists conditions, assessment findings, nursing interventions, and helps you anticipate what tests/treatments will be...
  23. Best & Worst Excuses for Not Taking Report?

    I find it extremely insulting when I'm told the nurse is at lunch and no one else is capable of taking report. I've been in an ER for 3+ years now and I can count the number of uninterrupted lunches...
  24. JeffSTAT PHRN Training?

    Thanks, this is a little closer to me than Philadelphia (I'm in the Hershey-Harrisburg area). Any comments on the quality of the training, if you underwent it or know anyone who
  25. Last Name on ID Badges

    Are you working at a PA hospital? I'm just curious because I hadn't heard that. I've worked at two ERs (in Pittsburgh and now Hershey) and the norm is *not* to have your last name on the badge. I...