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speedynurse RN, EMT-P

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speedynurse is a RN, EMT-P and specializes in ER.

speedynurse's Latest Activity

  1. speedynurse

    New Grad in CA with an ADN

    Honestly, it is OK to have goals. I would definitely try to stay on the floor for a year because it costs a bundle to train a new grad and it is important to be fair to the unit. However, there are plenty of floor nurses that start there to gain experience, then move on.
  2. speedynurse

    Afraid of dying

    Honestly, I feel like this country has dealt with so many difficult things that I feel like this is just one more hurdle to get through. Maybe that’s part of being an ER nurse and constantly exposed to stressful situations or maybe I am just accepting things for how they are, but I guess I am not as terrified as others. I am just grateful I still have a job when so many others are at risk for losing theirs.
  3. speedynurse

    Abandoning Ship

    Sometimes - you need to do what’s best for you and your health. A job comes second. Nursing can be a rewarding profession, but not if you destroy your own health in the process of it. Also, the best thing about it is there are so many options! Sounds like you found one that will work better for you.
  4. speedynurse

    Resting Up For Night Shifts

    Hi Mya, So I don’t know if you have worked night shift before but it is different for everyone. Some adjust and some don’t. I am one that doesn’t but still have to hold down a job. I drink coffee before going into work but only drink water during it. Coffee may keep me awake during the shift but generally just makes me feel jittery and awful and my IV skills seem to decline, so hence the reason for only the water during the shift itself. As for sleep.....honestly, I am often awake the entire day before my first shift, sleep a few hours before the next shift, and then usually sleep a decent amount before the third shift because I am so tired. I generally adjust back to days on my days off which generally makes me constantly exhausted, but I have other priorities and can’t stay on a night schedule constantly. Eating healthy is so important though! I generally eat soup, fruit, and tons of water during a shift. Hope this helps....
  5. speedynurse

    Is asking too many questions to other nurses a problem? (new nurse)

    There are definitely resources you can utilize. For medication, you have a few options. Pharmacists are usually great resources and most are wonderful at sharing information to nurses. Another resource is to utilize your documentation system. For example, EPIC has micromedex which has all kinds of information from side effects to common uses. Do you have a respiratory question? Start watching respiratory therapists and the way they do things from treatments to setting up BiPAP to changing vent settings. I know when I started in the ED as a new grad, I read anything I could find in terms of textbooks and also took as many new classes in that first year as I could (e.g. TNCC/ENPC/etc). I think I am one that doesn't mind questions. I am a few years into nursing (was a paramedic before going to nursing school) and I still have a million questions. I work with nurses that have been nurses for probably over a decade or more and they still have plenty of questions. I don't think questions are a bad thing. It prevents mistakes, increases your knowledge, and my theory is a couple brains put together are better than one when in doubt! I also think a big part of this is how your team functions. I have been on teams that do not like questions and become frustrated. Other teams are very open to questions and work together very well. Just my two cents.....
  6. speedynurse


    Do you think it's just your unit? Have you been in the same department for all three years as a nurse. There are some units that are just difficult to work in - it may be a cliquey department or poor leadership or a high acuity environment with unsafe patient care. It doesn't always mean that you hate being a nurse - just that you may be in a negative situation right now for your work environment.
  7. speedynurse

    Figs scrubs

    There are certain styles of FIGS that I like and some styles that I do not. The two pairs that I found that actually fit (and it took a few tries to figure out sizing which is apparently different than Grey's Anatomy) are honestly the most comfortable scrubs I have ever worn. I am pretty sure I would be quite happy wearing them all the time My second favorite is Grey's Anatomy. All other types are definitely way in the back of my closet because either they are uncomfortable or too hot for a busy ER shift.
  8. In all honesty, going into a new nursing specialty is almost like starting as a new grad sometimes. As much as I would like to branch out of the ED, I am comfortable in my role and am almost afraid to try other specialties that I am interested in such as the PICU. Not only are you on a new floor with a different nursing specialty, but you have a new team. Sometimes, just that difference with having a new team can be overwhelming in itself. Do you have a manager or nurse educator you can talk to that can suggest some educational resources? Most of the time, many directors are fairly happy that they have new staff that want to learn and grow as nurses. Just a thought...
  9. speedynurse

    Night shift to day shift

    I have been on night shift three times. The longest I have lasted was a little over three years. (I have switched jobs just so I could move to days.) I am now back on nights and yes, they are just generally bad for some. I think every time I take a night shift, I tell myself that it won't be bad. And then, when I realize I can't seem to adjust, I wonder why I did this to myself! I don't know how some nurses adjust while others don't. I will be the first to admit that my concentration and skills are just not nearly as good on nights as days. I have tried to adjust sleep habits and just cannot seem to adjust the way I need to. It really depends on what department you are in on how fast you can move up. The larger departments with higher turnovers may be a matter of months before you move up, while the smaller departments with less turnover may be years.
  10. speedynurse

    Frustrating Nurse Family Members

    Yes. I feel like it’s either one way or the other. I have had family members that won’t even tell me that they are a nurse. On the other hand, I have had family members that are incredibly frustrating. I will never forget the one day that I was starting an IV line on a patient and a family member of another patient literally came into the room to want to know why they weren’t updated recently! (Big confidentiality issue....)She said she was a nurse but you never know.... I really try to be empathetic because I am sure if some of these family members are really in the healthcare field that they feel frustrated that they can’t do more for their family. I have found a lot of these situations can be taken care of by spending just a little extra time and making sure the patients and families know their concerns are being heard and taken seriously. On the other hand, it is difficult when many times the nurses are in a completely different speciality (e.g. not ER nursing) or actually are not nurses at all and don’t understand the concept of a fast paced, high acuity, short staffed ER.
  11. speedynurse

    Current Struggles as a New Grad

    Do you think some of the forgetfulness or absentmindedness is coming from working night shift? This may be part of the issue as well as simply being a new nurse. I do not really have any advice to your questions, but just want to tell you that a lot of your concerns or questions are likely just a combination of being a new nurse and on night shift. It will get easier to connect the dots and put things together in critical thinking over time. 6 months later you will be amazed at the difference and then again, a year or two later.
  12. speedynurse

    New nurse, how incompetent am I really?

    I remember my new grad time very well and for the most part, my team was very supportive. However, I have been in situations where a team is not supportive and it can make the job so much harder to trudge through. Been there - done that! I know you have to be very frustrated and uncertain about how the rest of your residency is going to go. It is not right for more experienced nurses to ever treat new grads with disrespect or to belittle them - they are supposed to be looking out for you. However, one thing to possibly curb the behavior is to mention, "I am a brand new nurse, but I would love to learn anything you are willing to teach me." For the most part, this stops the behavior and makes nurses realize their part in needing to look out for each other. I would also speak to your manager about the learning expectations so you know where you stand. Remember - we have all started out as a new grad and needed a team to support our growth
  13. speedynurse

    I’m in a toxic relationship with the ER

    Sometimes moving to a different ED helps - to either a faster or slower paced ED, depending on what you need. Pediatric EDs, Trauma EDs, community EDs, free-standing EDs....etc. I have always been in the ED as well. I have been on every shift and can say that night shift can be very destructive on family/social lives/emotional health/etc. Or maybe this is coming from a person that is truly an early riser so I may be biased
  14. speedynurse

    Float Pool/ED

    A little background.....I was a paramedic before I became a nurse. I started in the ED as a new grad and have been there a few years. I have become restless and want to try something different, but not necessarily a change in specialties. I know this sounds somewhat silly, but I also want out of the ED politics and just want to do my job and then go home. I know of some coworkers that transfer to float pool and only float to the different EDs if that is their background. Has anyone tried this and what was your experience? I have heard different stories, so am unsure if this is a good option to consider or not.
  15. speedynurse

    Constantly being put in triage or fast track

    This might be a compliment to be placed in triage or the fast track area. Many times, the newer nurses are placed in the regular block assignments, while the more experienced nurses are placed in triage (or fast track because they can handle that area and float to help their coworkers). This has happened to me a few times. You could always turn it into a joke and say something along the lines of "I am going to forget how to take care of the super sick patients!"

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