Ditto the above responses. Everyone has bad days; the trick to both nursing school and nursing is to have those pat responses that are nonconfrontational. You also asked about how to deal with...
RunnerRN replied to level1_traumaRN's topic in Emergency
I thought it was a lot like TNCC. Remember your peds assessment triangle and the CIAMPEDS list. If doing demonstrative tests makes you nervous, see if you can meet up with someone in the class to...
RunnerRN replied to NurseLene's topic in Emergency
Honestly, I think it is a good thing you're terrified. Th epeople who walk into the ED feeling like they're king/queen of the ED nursing world are the people who terrify ME! A few things to...
RunnerRN replied to NurseLene's topic in Emergency
I started as new grad in a lvl 1 as well, and had a lot of tunnel vision problems at first. Does your ED have any protocols/standing orders? If not, use your critical thinking skills. Anyone with...
RunnerRN replied to Jennifer, RN's topic in Emergency
We have one doctor who is very liberal with pain meds as well. When she was new to our dept, she asked me what the "walking dose" of pain meds was. I was thinking 2-4 of MS, then watch 15 min, then...
Actually, I don't quite understand why someone would choose one of those programs based on money. In my area, you can go ADN to BSN at a state university (best program in the state) for much less...
FINALLY! A story where the dumb nurse got what she deserved! No wonder people are afraid to come to the hospital now. Between poorly trained (and poorly thinking) nurses, and infection risk, and...
RunnerRN replied to MeryMellen's topic in Emergency
A lot of our patients live in the 300s...and if they're asymptomatic, we also will send them home. And if people are being admitted, we don't always worry about getting their insulin on board. How...
Any ER nurses on here go back and forth to the ICU? One of my supervisors is pushing me to "broaden my horizons" and apply to do some shifts in the ICU (Med/Surg/Trauma). I know it would be good...
RunnerRN replied to Firemedic7's topic in Emergency
I was an awful IV stick at first. A few things that helped me.... -close your eyes when palpating for a vein. For some reason, decreasing my stimuli like that really helps. -don't use glove while...
RunnerRN replied to diamondmeadows's topic in General Nursing
Awesome above post - very good wake up call. I know in my ED, it is the 45 y/o women w nonspecific NV and tiredness that kills us w hitting our EKG standards. I agree with the MI 6th sense - there...
WOOT WOOT! Glad to see it took at least 3 days for someone to come in here and blast us for this. I for one have learned a lot for other people's mistakes, and my own. Yes, we have all made our own...
Ditto to the above poster about cost of living. Again, you can buy a very nice, LARGE, home on a little land in Columbia for around $300,000. Try doing that in California! No, nurses here don't...
Coming into this late, but I wanted to second the recommendations for Columbia. I went to nursing school there, and would move back in a heartbeat (my husband tells me he MUST be in St. Louis for his...
RunnerRN replied to cardiac.cure03's topic in General Nursing
One option is to offer a live in position for a student. This would take an extreme amount of trust and background checking on your part, but if you had an extra bedroom, it could work out great for...
I've tried that - then you just TASTE c diff. :barf01: :barf01: And trust me, once you've tasted c diff, you associate that every time you smell it. Think I need to vomit again
RunnerRN replied to S.T.A.C.E.Y's topic in Emergency
Here's my opinion from someone who started in the ED as a new grad... There are many hospitals that offer a fellowship in ER nursing. At my hospital, we had several months of classroom review...
If you're cleaning up a cdiff pt, or someone with otherwise "super stinky" excrement, you should be wearing a mask just due to the flying object risk. Chew gum, suck on a mint, use vicks (in a pinch,...
Oooh, the above foley story reminded me of another one. Another department idiot works peds (one of my pet peeves - if you aren't remotely competent w kids, don't say you'll do peds). Kid comes in w...
Instead of putting it in the nurse's lotion, I'd rather pop it in the WR soap dispenser. Oh, never mind that won't work. I dont' think most of my patients wash their hands
I tell the same thing to everyone who asks....yes it can be difficult, but it is all about prioritizing. The biggest thing to remember is that this info you're only half studying could be the piece of...
Sounds like a sticky situation. Maybe some of the more legally minded posters can get in on this, but here is I how interpret things... Our duty to report only extends to people we have a working...