ikimiwi

isn,t nurse Jackie a on the job drug abuser/ She may be tough ,but I hope my patients don't think I am in the getiing percs with a little on the side:confused:

New to OB and everyone tells me babies have a Sleepy time an hour or so after birth. How long is normal and when should I be worried if they won't nurse? Also , under the bili lights how long would it take for retina dammage. We have babies in pp rooms under lights and sometimes when checked the eye shields are off. All I hear is it will takes awhile. Awhile is different to everyone. thanks

no nurses week for us, it is now Health Care Workers Week, that way "everyone " is included, because otherwise, the other depts would be upset.

I miss it!

I just switched to OB after 18 years in ED, I say go for it,. I was getting a little "cranky" in the ED, but I do love it. Change is good, gets your mind working harder again, but I am a nervous wreck in OB, Its hard to help women breath through pain awhen I am used to giving morphine untill it goes away, and not treating them as "sick patients". Only been in OB for 6 weeks. We would have loved someone with Ob experience, could teach us alot. It was amazing how fast we could move a pregnant woman up to OB lol

So sorry for her treatment, too bad they didn't have a fast track/minor care area in ED. So what does everyone think of fasrt track/minor care four of the areas 6-8 hosp have them, run from 1100 to 2300 or 0900 to 2100. Do you think it encourages non emergencies in the ED or a necessity?

just being on oreintatio in labor and delivery,last two days no deliveries, and i stayed away from mother baby.sure i have a virus, sore throat cough headache, no fever and a nasty cough.today and tomorrow off, need to go to work wed and thus, now previously in ed, we all worked like this, patients const cought and sneesing directly in face.. I dont feel right up in the cbc like this with the babies amd mom, and i am sure they dont want to hear me coughing anywyhere on the floor. Shoul I call in sick, a little concerned because i am on orientation, but the that wouldnt make them short. I was rubbing etoh soap , even more than usual.. I suppose I could wear a mask, but would it bother the moms. got this lovely one from my grandson in of coures the germ ridded kindergarden!

we now have a policy if the patients tell us they are going to leave, we go get a doc to see them right away, most of the docs just treat them. only a few will saythis isn,t and emergency and we will see you as soon as we can. So lets reward the selfish rude pts, while the other pts have to wait for them, after all they are most important in the press gainey. And on the press gainey subjecy, are any of you being told the some insurances co, Blue Cross, Mass healthwont pay for things if our press gaineys do not go up to a certain percent? I can see not paying for hosp acquired infec, cut off wrong leg, but the food sucks, the nurses didn.t pay enough attention to me! what kind of crap is this. I think the administrators ar making some of this stff up, if they can nick pic, what will the agree to pay . I just transferred to the birthing center and someone was out of controll that there was no turkry wrap left, she was carring on and speaking to the nurse manager. I thing she orderd a turkey wrap out to be delivered.. so its the same there. I thinkk we should statr some type of nurse ganey. we could survey alll the hospitals around ustelllour fewwlo nurses which ones are good, rate them on many things.pass them out to the patients as they come. so after 18 years I left the ED, my job was removed, forcing everyone to work 3 12"s cant do 1 or 2 which i wanted to do. so i saw a position in birthing center and got it. I am enjoying itand I know longer limp to my car after work, so it is all for the best .. BUT I MISS THIS.......why is it soooo hard to leave it. wish me luck, i will have to live though u guys for my er fix. guess I will pop over to ob and make some new friends:typing:typing

Hi everyone, been around here for a few years, but after working 18 yeasr or so in the emergency dept, I have just started in the ChildBirth Center. My mind is so full and swimming with new stuff, I think it will explode any minute now! I just finished 5 days in the nursery, :crash_com. thats what I think of the computor charting, didn't do much computor charting in ED. I have been reading a lot of posts here, and getting a better idea of some things, but man, i am in a different land, I realy love it. miss my old friends though, hard after all these years, but I got some text books adn I am doing a lot of reading. some things are beginning to come back a bit, at least they are vagely familar. I will say one thing, it is so much cleaner and quieter here. rest of month in nurseryand postpartum the off to labor and deliv for 2 months. I have founf lots of answeres to questions I think up after work. this is great. we also have all the same bacis c/o in the ED. patient satisfaction and those press gaineys. So I will be lurking around, sucking up all your knowledge.cant wait

I was happily working my 3 10 hour shifts, some with their 8 hours snf some 12". then our new nurse manager decided everyone will have to work 3 12, no other way! I sais I would do 2 12 but with my arthrits ands knee inj, 3 would definatly kill me. I work in a very busy ed, start runnung when I get there, and can barely walk to car when I leave. So now I am in the Birrthing center with my 3 8 hours. I probally should have stayed, worked 3 12 and in 3 months been down on disability. I was so tired after 10 hours, esp when most of the time no lunch or breaks because we are so slammed. ther big thing is of course patient satisfaction, truthfully during my last few hours on after a couple days, a get a little testy, grtting you another warm blanket every 15 min is not making me smile. 12 hpur shifts are for the young. they want to keep experienced nurses in the ED, dont force us to work 12.5 of us "older" nurses left. They now only havemabey 4 nurses who have been there long enough to do triage, only a couple able to work in the trauma room. the rest are new grads barely offf orientationand a few with about 1 year experience. Who is going to be their resources, their mentors. I was sad to go,but every thing happens for a reason. This is a whole new land up in birthing..........kind of scary, even for an old ED nurse! wish me luck!!

I treat every one the best I can , like all of you, but I think that if you work in the hospital, from housekeeper to adminstration and you come to the Ed ,if at all possible, I am not going to make you wait. There is little benefits to working in the medical community, and of courseyou wont get in before critically ill pts, but there usually is a way to get them in. That said, my brother sat for 4 hours in the wr last week, because patients we literally dropping like flies! And if you are ER staff, no waiting. Now the little old lady who tells me her family donates lots of money and she is not going to wait, gets a nice smile , out to the waiting room with a promise I will get her in as soon as I possibly can.

I feel your pain. i get horrible migranes from fragrances. We have a no scents policy at work, but it doesn't stop some people. Once I got such a bad migrane and started vomiting and ended up having to be seen, (work in the ED). She never wore perfume again. I have a lot of problems at the movies, change seats alot. I end up smelling a lot of Vicks lol. I will ask the patients visitors to step out if they are wearng a lot of perfume, most have no problem with it, some get outraged. Unless my nose is in your neck, I should not smell you!

I would love to hear about it. We are trying to work it out and do a trial one of these days. Any info would be so helpful. [email protected]

western Mass, union 35 per hour base,15 years experience

I'm trying to get into heaven the hard way!

on er nurses day we got a card, but the clinical coordinator bought us supper. We used to get $100 check at Christmas from the er docs, but other departments complained so the docs were told not allowed to give us cash. So now they throw a holiday party,but half of us are working 3-11 so they alternate weekends. liked the cash, but it is one hell of a party!!!

our male tech will usually ask the female to lift her breast, but the males usually don't do EKGs on females without a female present. Its just not worth the potential problems. In the initial cp protocol, there is always something for the other person to do. and if I need to cath a young male, I will ask a male to do it, just for the patients comfort.

do to our increasing waiting to be seen times, we need to reassess the people in th WR q1 hour after triage. Anyone have a policy on this? Who is responsible for this, and how do you do it? Just go from pt to pt and take vitals and talk to them , or do you have a specific area to call thm to? I work 3-1130, and most of the time triage is backed up. We cant triage pts in a timley manor, never mind trying to recheck pts we have already seeen. Thanks

I am looking for an Ed nurses notes flow sheet to help with documenting. We will be going paperless in about 18 months, so not looking to buy a system like T-Charts. To improve flow and keep the nurse at the bedside more, we want to seperate the nurses notes from the actual chart.Does anyone keep their nurses notes at the bedside? We are a 15 bed unit, level 2, with a 2 bed minor care open in the evening. Thanks

Looking for a change.I am an emergency nurse,for 15 years. I still love the job, but am tired of not having the time/staff or toolsto do my job the way it shoulde be done. In home care, do you feel you have this? Have been reading thru your posts, as is the other boardsd this is where you can vent,I dont see much c/othese problems? True, or are you just lucky and are happier?

Trying to get our hosp to have chair massage therapy. I would gladly pay for one on a break, or after work, just rub my neck and shoulders. I think someone could make a fourtune!!!

There is always "a minute" to think. 60 sec a long time

pulling caps off tubing and needles with my teeth

Let's see, we seem to be having a run on 14 year old females, who after having a figh with their mother, take a handfull of whatever happens to be around,The last one took her mothers ativan, because mom took away the cell phone, she was chatting on her cell phone 2 hours later, I would have shoved that phone where the sun don't shine!!Don't know who is worse, mom or child.

In nursing for 30 years, once set the heparin to run at 100cc/hr instead of 10, ran only 30 min, no harm done, but I got very pale....also some how I got 2" of nitropaste stuck on the back of my arm, didnt notice, but I dropped like a stone after wondering why I got such a sudden headache. What I feel the worst about was a few years ago we had a man come in DOA. Some other people came in with him, I was asking the ? about family and such, They just left the Ed. I waited about 2 hours got the mans old record found a wife listed as next of kin, called the number, a female amswered, I asked if the was,Ann, (I will never forget the name) I did the usual, he has been injured adn you need to come to the er as soon as possible, she starts getting very upset and screaming, is he dead,is he dead over and over. I had to say yes , I'm so sorry. She hangs up.So now i am about to call the police when I get another call, from one of the people who came in with him , screaming at me why did I tell her this over the phone? Well turns out I spoke to his 17 year old daughter,not his wife who unfortunatly died a few months ago. The people who came with him had gone to tell her in person, but didnt bother to tell me that was what they were doing.The home was also only 15 min from hosp,they didnt know how to tell her so they stopped somewher to discuss it. It was just a giant mess of noncommunication, I still feel bad when I think about it. I just dont know why they didnt tell anyone theywere leaving and what they were doing.What pain that child had.