New2ER

I've been working in psych for almost 2 years. I've been putting haldol, benadryl and ativan in the same syringe for the entire time I've been working this specialty. I remember asking about this when I first started and told you can. I've never seen...

I gave a patient haldol and cogentin IM. I mixed it in two syringes since it was too much liquid for just one shot (4 cc total). Each had some 1 cc of haldol and 1 cc of cogentin. The first shot went in just fine. When I gave the second shot I no...

I've been working for 6 months now. So far I've done 3 months in an ICU and 3 months in an ER. I HATED the ICU. I've come to accept the ER but not really love it. I think part of it might be that I work nights and hence miss out on a lot of time ...

I'm writing in here 'cause I really don't know where else to turn at the moment. I was diagnosed with definitive MS yesterday, I'm 25 but the neurologist thinks I've been experiencing symptoms since I was 18 or 19. I was started on high dose IV sol...

I'm so annoyed at myself. I did a tummy prep today and paid extra attention to the belly button, used 4 swabs to clean it out. The last one appeared to come out clean. When the surgeon got to the field he used another swap to pull out MORE gunk. I...

I posted earlier this year about my diagnosis. Since then I have move from the warm and sunny south to the northeast in search of cooler weather that will make my MS symptoms more bearable. I started working in the OR of a large hospital several mon...

So today is my last day at my current job. In a few weeks I'll be starting a periOp course that involves studying and passing tests and didactics. I'm terrified. Now, I understand that I have taken tests to get my RN license and that obviously with...

So I have this boss who apparently thinks that showing up to work is pretty much all she has to do. She delegates EVERYTHING, even paperwork that she's supposed to complete, to the staff. When she does do things, like the schedule, she completely s...

I'm rather appalled at this. I have had offered contingent on passing background screens and visa or work permits but never on passing a physical. I have MS, obviously I will tell my job this at my physical. Right now I have no symptoms and can do...

I wonder if we changed this to: "Anyone who goes into medicine for the money probably isn't doctor material." Does that change anything?

I grit my teeth when I hear my current boss say, "I'll take care of it". Here I sit tonight with no tech for a 5 bed locked psych ER because even though the hole in the schedule was there 3 weeks ago when the schedule was printed, he was going to "ta...

Example: Alert and oriented adult woman comes to the ER for treatment of a fever. During the course of treatment, it is noted that she has multiple bruises in various stages of healing. She does eventually tell the ER RN that she is frequently bea...

we actually had one psychiatrist attempt to baker act (involuntarily commitment) another at our facility. apparently they got into a fairily heated arguement. i didn't see it, but most of the other staff still recounts the story several years later...

At my current job we generally use Haldol 5, Ativan 2, and Benadryl 50. The benadryl is given both as a sedative and to counteract possible EPS side effects from the Haldol. It does total 3ml. On occassion the doc will order Haldol 10 which would mad...

I was just thinking last night that the staff I work with needs medication more than some of our patients. I have had my flirtations (figuratively speaking of course) with therapists in the past and I like to think that I've worked through most of my...

You haven't taken your antipsychotic/antidepressant for 3 days because you couldn't afford the copay but AMAZINGLY you coughed up the copay for your valium/oxycodon TODAY? Even though the bottles are dated 3 days ago? And you've already taken more ...

"Ma'am, I understand that you're worried about your son and I assure that the he is receiving the best care we can provide. That includes getting his pain medication when necessary and as prescribed. Please calm down and refrain from insulting eith...

I work in psychiatric ER the entire staff consists of myself (an RN) and a tech. My psychiatric experience includes working on the acute inpatient unit for 6 months before working down here fulltime. (I've been here for A year and a half). We have ...

the NCLEX is actually the same test in every state. You could graduate in Hawaii and take the test in Florida for a license in California. What matters is that the score gets sent to the BON for the state you're applying to. As a matter of fact, I ...

I've never worked CSU but when I started my first job 2 years ago it was in ICU. I had originally interviewed for the ER but the director conviced me that I should start in ICU instead. The hospital promised 8 weeks of orientation. The orientation...

I'll be shadowing in the OR next week. I've already accepted a position with the facility as a staff RN and they are offering me an 8 month orientation. I'm going up there to get a feel for the department and know what to expect when I start there ...

I have heard a radio ad in my area recently that made me livid. A local hospital has been advertising to increase the traffic flow to their ER. The commercial tells people to skip the local urgent care centers because they don't have emergency trea...

I do keep my cell phone on me at work, on vibrate. Mostly because I've given my husband my work number at least a dozen times and programmed it into his phone but he can never remember that he has the number. Second, I work in a psych ER where there ...

You can take PALS and ACLS but you can't have an active certification unless you are a paramedic, RN or MD/DO due to the fact that these certifications involve pushing medication. If the facility allows you to sit in on a class, I could jump at the o...

For some reason, I'm wondering if the psychiatrist wasn't telling the patient this to try and discourage them from taking a lower dose of the med. Not necessarily ethical, but just a thought.