Traumamama02

I guess I did this to myself, but I don’t see how or why when we are over ratio and worked to exhaustion that this was a priority for discipline... how about teaching, guiding , giving tools for success? Isn’t that what managers are suppose to do a...

suppose I do rub people the wrong way, would that excuse the manager behavior to deny my request for help and risk putting a patient’s safety at risk ? Patient care is the bottom line with every assignment I get. Compassion is my number one complim...

I’ll clarify a few things now that I’m not as emotional. Clearly I did elaborate as to how my ICU’s are delineated. There are 4 trauma, neuro, cardiac and med surg. There are core staff in each specially and the surgeons have a say in who they wou...

Wednesday morning I came into work and took report on a patient in airborne isolation r/o TB, a laundry list of co-morbidities, mild respiratory distress, vitals not to bad in the moment but I'm sure you can see where this is going.... yup straight t...

you nailed it...I'm one of those who are just in awe over crappy behavior....it blows my mind; i can't fathom the audacity, thus I am having a difficult time maintaining my composure when the subject is brought up (which isn't often). btw, the attend...

you need to be cloned! you're the only one that gets it...

i should have used quotes that the attending said to RT, "stop sx so we can get an accurate bp before we hang the propofol..." its hard to get everything out in regards to facial expressions noding of heads, etc. i had orders people and pharmacy,...

I agree... worked hard, with positive attitude and motivated with an open mind for 10 years... numerous kudos and peer nominations plus admin chosen awards ... not floating but for Christ's sake.. I'm not an idiot, and I am definitely not a know it a...

I love you Ruby Vee!!!

I kid you not , most all that happened .ive never restrained a pt before intubation unless they were flailing but this was the case until I was delayed on starting the prop bc of half ass order changed and riffles physician feathers. the physicians ...

The bottom line is the integrity of the resident ... he has none and he's dishonest. And I hope that in sharing my experience that anyone can take home a learned experience from mine .. "use your power to empower others" don't eat your colleagues ...

I did take was was easy and in front of me bc I had orders to do so.. you should know not to leave the or bedside with an at risk airway as the only Rn in the iso room...to get a detailed titration order, figure out how to place it (joint commission ...

The attending trumps the resident and we discuss used starting the prop to get him over to the crit care are of the Er safely then transitioning to the combo. The receiving Rn didn't follow through.. then levophed was started and they flipped out on...

Exactly... bridging ...get the pt under control. give them a bolus, a little bit of vasoactive medication is not uncommon in critical care patient who are sick AF

He practiced nursing before medical school. And with that said why would he give me starting dose of 30 mcg if he and the attending were so focused on the blood pressure and potentially having some hypotensive rebound on this patient who has mor...

No they don't have access, he asked a floating RN to access the pt profile and get the gtt. She has already written and submitted this information to our director and for quality ...

I got a clarification order (for start dose and max.. the titration is pharm protocol) right before induction so I'd know how to proceed once the tube was conformed and they leave .. turns out attending didn't like my idea so she made this a huge dea...

Got the print out from the Pyxis btw :)

I did enter it as a late entry and charted the time it was initiated ... the attending quote was " stop sx he pt so we can get an accurate bp before the propofol.. I didn't mind getting pulled away I'm just so shocked hat if this is how the residen...

The final sedation was suppose to be bridged over to versed and fentanyl..I didn't want to bag an agitated pt across the hall who, in my opinion, should have never left isolation for r/o TB. But I only did what I thought was in the best interest of...

Side note : I mention noting about ICU.. this is all in the ER with my colleagues... And I do appreciate the comments and opinions...thank you ..

I transferred the patient to the trauma nurse.. I was assigned to basic er pts... the critical pts go to a designated area.. and he attending knew we were starting the propofol.. we talked about bridging and yes the Fent was necessary I agree... the ...

This all transpired in 20 min, I was charting the RSI events and expected resident to enter detailed gtt titration orders. I was interrupted to talk to my director about the accusations that clearly are him covering his ass from the attending disapp...

How would you handle being accused and written up for allegedly hanging a propofol drip on a patient s/p intubation without an order when the resident hands you a primed bottle and says 'here ya go it's all ready for ya', in front of RT and with a ve...

Same! Been in the ED for a year now and I've been giving myself and the unit as a whole chance after chance and picked myself up time after time, but I finally filed a transfer request yesterday to get out. It's not for everyone but I wouldn't say ...