speedynurse

speedynurse ADN, BSN, RN, EMT-P

ER, Pre-Op, PACU

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All Content by speedynurse

  1. ED or NICU

    Is there a reason that you wanted the job in the NICU? I assume you wanted and needed the change for a reason. Also, it may look negative to back out of the NICU job after already accepting it. I do...
  2. New Grad PCICU Nurse Starting a DNP Program

    I couldn’t imagine doing both. The pediatric cardiac ICU seems like such a high intensity field and doing a NP program would be really challenging without the background nursing experience. Try to...
  3. Blood Administration

    It sounds like you had multiple priorities and that happens sometimes to all of us. You received permission from the patient. Look at what you did do: sounds like you gave the right blood without...
  4. Do I take my dream job while pregnant during the pandemic?

    It sounds like either situation is tough on you with being pregnant with a little one and the risks COVID brings. However, if this is truly your dream job and it being on days.....and you hate your...
  5. I think it’s just important to be honest with your employer. I went through a similar experience a few months ago and it was also very traumatizing. After that, it has made me dread going back to...
  6. CEN Study

    I didn’t take the BCEN exam. I used the purple CEN prep book through ENA and Sheehy’s Emergency Manual. However, the most helpful to me was through the online CEN modules through
  7. Recently off preceptorship, tips appreciated!

    One other thing......advocate for yourself and your patients. A 3:1 ICU ratio really is not safe for a new grad, especially if they are true, critical ICU patients. A 4:1 ratio is very doable until...
  8. I really want to quit..any advice?

    I wouldn’t attribute this to med-surg nursing. I think this is everywhere in nursing. I know it can be overwhelming in the ED but the reason I stay in the ED is because the nurse to patient...
  9. Leaving bedside for health concerns

    100% agree with what Nursy said. I have seen where nurses go into the field with the best intentions (myself included)....and then realizing that it is no longer about providing patient care and being...
  10. 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...
  11. 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...
  12. 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...
  13. 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...
  14. Shoulds I Consider Transferring?

    First, I am not sure how long you have been in your current unit. Some health systems will actually block transfers if it is under 6 months or a year. However, I completely identify with what you...
  15. Changing departments after a rough start.

    Have you ever thought of shadowing in an ICU? Or taking a PRN job instead of giving up your fulltime? The only reason I am saying to be cautious is that you said you love your job and love your team....
  16. Older grad nurse/can't fit in

    I think it really depends on your work environment. I was in one place where there was a wide range of ages and it worked out great. I have also worked in a place where I was the youngest nurse and...
  17. Myers cocktail, IV vitamin infusion

    I think that is considered compounding but some nurses are allowed to do that if they are signed off on the competencies. Some places like stand alone ERs have nurses that get checked off by a...
  18. 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...
  19. Burned out new grad. What non bedside job can I do?

    Sophie, I of course don’t know your unit or your specific situation. However, I will say that there are many units that are VERY supportive of their young nurses and then some that are not at all. I...
  20. New overwhelmed nurse on the block

    Hi NewNurse, I absolutely adore students and new graduate nurses, but I am the first to say that precepting can be exhausting and taxing. Everyone needs a break from it from time to time and that’s...
  21. Cutting Clothes: ED SI/HI pt

    I have never done that, no. I always try to have the patient change into one of the SI gowns (no ties for ligature risks) but honestly, if they refuse to, then I never ever force it. I feel like that...
  22. Depressed/Lost

    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...
  23. 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...
  24. 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...
  25. 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...