cota2k

cota2k

Tele m/s, new to ED

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All Content by cota2k

  1. Tattle Tales

    Our Senior Leaders have been trying to reduce infection rates, as everyone in Nursing is. Recently, a memo was sent to all employees that if anyone witnesses an unsafe practice it is their reponsibility to immediately take measures to stop the unsafe...
  2. patient acuity system

    This is always a sticky subject. What is safe? Our VIP of clinical practice has a goal of about 5:1. That's 1.5 hours per patient on a med-surg, post-Op floor. Nurse Assistants do all the baths, pass trays, and answer call bells. We have few LPN's l...
  3. So we have a Code coming in....

    I was on med/surg and a Pt went unresponsive. The quick action/adrenaline rush changed my life.
  4. So we have a Code coming in....

    I remember my first code as a student. Big guy, witnessed arrest while working with an outdoor contracting co. He was beyond blue and his eyes were someplace else. So much work compressing his huge upper body and in the end he was pronounced dead...
  5. Anyone Made the Transition from Med/Surg to ER?

    I made the transition a few years back after one year of tele/med-surg. We are also small town America; far more drama vs trauma. It was difficult at first mainly because I was still raw. You describe far more experience than I had, and with a goo...
  6. Would you marry a female MD?

    Thats right Roy F. I married a person not a profession.
  7. Question about nursing and 12 hours shifts.

    12 hrs is a long time to be locked in a bunker overnight. I work in an increasingly busier rural ER, overnights are 630p to 7 a, and by 4 or 5 you R spent! I came in to NSG as a second career, so I'm no spring chicken. The nap getting ready for a n...
  8. Shoes

    in nsg school i broke down and invested in custom orthotics. pricey, but my 40+ year old hips, knees and back are happy! I wear 'em in newbalance or nike walking zips, extra wide. good to go!
  9. Male Nurse Mentor

    nsg school can be a full-time job w/tests and care plans. running track will be a great way to decompress. Also after graduation the crazy nsg shifts (3 * 12 hr shifts) could allow time for training. good luck and enjoy the learning
  10. Hair style

    can you compromise with a 'high and tite" cut? otherwise...yeah a mohawk will be stereotyped.
  11. After two years of ER practice I still consider myself new. I always find myself amazed at the lack of humility the patients present with. Granted they have no idea what we are doing in the next room or even on the other side of the curtain but, ev...
  12. currently in ER but , i'm a little frustrated with being between the "old" clicks and the uninspired newbees. also, outdoor concert and carnival (beer tent) season is coming; if I wanted to wrestle intox i would have been a cop. looking for a chang...
  13. this is excellent reflection and advice at the same time. not only does this apply to new grads but, to those who have been at it for any length of time. i feel there is always more to learn and greener pastures. if your environment is not fosteri...
  14. Press Gainey AARRGGHH

    Our press ganey scores avg about 85%. So, as there is always room for improvement I came up with a couple of suggestions. Expresso or cappacino in the waiting room, and hot moist towels in the bathrooms. My gold star: Between retavase injections w...
  15. days vs. evenings vs. nights

    Cliques! Opposite weekends have alternate personalities: one weekned has the lifers on days, and the A-Team at night. The opposite weekend has the misfits on days, and the Freak Show at night. When ever a swap takes place, sparks fly! being the ...
  16. I just saw your post, and I notice that you are half way through your wait. It is painful, I remember the anxiety. I got home, had brew and got outside with my kids;lot's of distraction and fresh air. I too had 75 questions, it seemed like half my...
  17. What crazy ER hours do you work?

    I always enjoyed 3p to 3a on med surg, now in ED they don't have that option. I get switched between 11a -11p and either 7p or 11p to 7a. I don't care much for overnight, the lull in activity takes a lot out of me, but not nearly as much as switchi...
  18. Tips for New Grad Male Nurse Transitioning

    Take the best care of your patients you can. Everyone is going to think the patients are uncomfortable with you. You can deny this all you want but the only way to change their mind is to have patients tell them how much they love you. DayRay You na...
  19. Er

    What's even more irritating are the staff that don't particularly care much for their patients, and "sit on" or "Milk" their patients for hours, then all of the sudden a "somebody" comes in, and they spring to life. Forget about the little ol' lady ...
  20. Males in Nursing-Advice and Opinions

    I enjoy being in the Nursing field, two years of it now, and I am still learning. The ratio where I work is pretty low for us guys; in the ED there are maybe 25 RN's, and two males. 3 LPN's and one of them is male. Actually that ratio is better th...
  21. Why are RN's so fat!

    Being over 200 #'s is good for grapplin' with detoxers in the ED, also for cpr. So there slim Nanny! Not to be rude, but as has been repeated so often: Look at the care.
  22. Sleeping during nightshift!!

    Even after a year, I'm still the new nurse with the crudy schedule. I get one overnight a week, goofs up my sleep schedule for days, not to mention the headache from slep deprivation. I've seen the "cat naps", I've heard of nurses going to an unocc...
  23. Meds you hate to give....

    charcoal, the pt is usually fiesty enough. kayexalate PR:(
  24. A New Twist on a Familiar Complaint: Toxic EMPLOYEES

    Always a joy to watch, and or listen to, someone lean against the water cooler for half an hour, and describe how lazy, or unattentive a particular nurse is. Granted, the other nurse may well be "toxic", but what about the instigator? In all my job...
  25. Showing up to work SICK

    I always struggle with calling in, esp now as an ED nurse (there is that invincible attitude). The problem I have is after struggling with the decision to call, I get a call back to see if I can switch to cover a shift later that day or early the ne...