ednurse63

talk about accountability..our hospital hired 3 new grads and we did not have a manager.these girls were thrown to the wolves as charge nurse for the 7p-7a shift i work every fri,sat,sun. i tried to pair up the grad with a senior staff nurse..work the seniors schedule..it worked for 2 out of the 3..the biggest problem is these girls have no CRITICAL THINKING SKILLS at all..MULTITASKING SKILLS...in one case no common sense..with the shortage these folks are warm bodies..what I do is when there is something interesting ie tablesaw injuries..their first overdose..i walk them thru it to show them the right way..they do not work my sched,so i ahve to grab them when i see them..we also so not have a Nurse Educator..so it makes it more difficult.some tof the "lifer's (employed more than 25yrs) do eat them up yum...and there is no changing these folks they actually need to get out of the ED but the union also makes it difficult..i try to be the best mentor i can when i'm their..and I know I'm giving them their best shot at being a good ED nurse

in the ed i work they hired RNP's last year..compared to the PA's the RNP's are poorly educated. I have to tell them thnigs..have they forgotten their roots of being an RN. basic things are forgotten..why you need IV hydration for a kidney stone that is vomiting..when drawing blood on a PED you always grab a blood culture because you know they will order later..but some how they forget the basics of nursing..it's now beneath them the empty or put someone on a bedpan,need another B/P check, or even get the pt up and walk it yourself..the RNP's that work in our ED..have not had any formal ED clinical teaching from a specialized ED RNP program..so it's gets frustrating form the nurses who have to work with these folks..you seem to always going 2 steps backwards...oh yeah..why don't they discharge these pt's..or take orders from the attending on the phone..we are a non-teaching hospital..well they are nice people but it tough on very busy nights..i work 7p-7a

in my ed it would depend on the dr. working..one uses haldol 2.5mg iv with dilaudid 1mg iv and all i have given this to..h/a gone in 15 min. Some others use the toradol 30mg iv and that works well, but the narc. seekers want the dilaudid.