bill4745

bill4745 RN

ICU, ER

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All Content by bill4745

  1. How can a ICU RN switch to ER Nursing?

    bill4745 replied to Banginplates's topic in Emergency

    Ten years in ICU, now 4 in ER. Wish I switched years ago. There is never a boring moment, never a shift that I don't learn or do something new. You are constantly resetting your priorities (the...

  2. Organization when busy?

    bill4745 replied to SDS_RN's topic in Emergency

    Sometimes there is no organization-when you are are drowning in really sick patients, sometimes all you can do is pick the most important thing and do it, then go to the next most important thing....

  3. Community Ed on Urgent Care Centers

    bill4745 replied to RedSox33RN's topic in Emergency

    My hospital is so paranoid about EMTALA (Emergency Medical Treatment and Active Labor Act) that we can't even hint that they might not have needed the ED for their sniffles. However, after a six-hour...

  4. Code Blue: Pt was breathing, but Dr. pronounced dead

    bill4745 replied to Bugaloo's topic in General Nursing

    Incident

  5. Stupidest reason to go to ER

    bill4745 replied to DachRN's topic in Emergency

    1. Healthy 30-ish female came by 911: "I always have a BM every morning. It's after 8:00pm now, that's over 36 hours without a BM!!!" "What? I'm going to triage? But I came by ambulance!!!". 2. Have...

  6. Question for ER nurses?????????????

    bill4745 replied to ValkyrieRN's topic in Emergency

    No increase at my hospital for cert. My former hospital gave an incredible $.10 an hour ($4/week) raise for BSN over

  7. Do you let ambulances drop off in triage?

    bill4745 replied to Anagray's topic in Emergency

    Ditto that. And boy do they get mad sometimes!!-many think that because they arrived by ambulance their tiny, non-bleeding laceration will get them instantly into a room, sutured in minutes, and a...

  8. Am I too old to be new in the ER?

    bill4745 replied to joy09's topic in Emergency

    I went to the ER at 52, after ten years of ICU. Your years of wisdom and patience will be a benefit. I work 11am-11pm and it's always fun the see the twenty-somethings yawning by 9:30pm or so, and...

  9. Help Need Er Advice

    bill4745 replied to SDS_RN's topic in Emergency

    How true this is. I had 10 years of critical care and it took almost two years in the ER before I felt that I really knew what I was doing, and knew enough to start teaching other newbies. Hang in...

  10. Asking Recruiters about Salary

    bill4745 replied to Dempather's topic in General Nursing

    I would wait until HR calls with an

  11. Husband and Wife need advice!

    bill4745 replied to gospel Rn, BSN's topic in General Nursing

    Don't forget to make sure that the person without health insurance still has disability, life insurance,

  12. Documention in the Emergency Dept.

    bill4745 replied to UP Nurse's topic in Emergency

    We have a computerized charting system, and we have to chart in detail every little thing we do. We check off boxes and the chart says " "Placed on cardiac monitor, alarms on , sinus rhythm, pt...

  13. Where are all the happy nurses?

    bill4745 replied to NPs4health's topic in General Nursing

    I work in a small, community hospital near Philadelphia. We have a nice salary (I can make $100,000 with OT), great benefits, a well-staffed ER, great coworkers and good

  14. Newbie into the ER?

    bill4745 replied to GeorgiaBoy61's topic in Emergency

    I strongly suggest 6-12 months in ICU or tele

  15. RN-Attention Deficit Disorder-Nonhyperactive

    bill4745 replied to elliejayRN's topic in Nurse Disabilities

    How about charting small amounts at frequent intervals, so you are not doing one thing for too

  16. Excessive sweating! I need advice please!

    bill4745 replied to swatch83's topic in General Nursing

    Does this only happen at work? I noticed that happening in myself, and the only logical explanation for me was stress, since it isn't hot where I work, and it doesn't happen when things are slow...

  17. New nurse traveling? Mabye?

    bill4745 replied to qt2168's topic in General Nursing

    As a former full-time agency critical care and ER RN, I can say with confidence that you need at least 2-3 years of unit experience before you should try and travel. You will be expected to walk...

  18. ER Jitters!!??

    bill4745 replied to New2ED's topic in Emergency

    I had 10 years ICU, and it took me 6-8 months before I felt confident, and over a year before I really trusted myself. Remember what ERfirst love RN said: do the ABC's, call for help-you are not...

  19. How do I know if nursing is for me? So confused!

    bill4745 replied to cnafromaz's topic in General Nursing

    Working as a CNA would really allow you to see what a nurse does in a

  20. conscious sedation

    bill4745 replied to nursedede's topic in Patient Safety Issues

    Quit.

  21. Please ... any ex-ICU, now ER nurses for advice!

    bill4745 replied to bluesky's topic in Emergency

    I made the change after 10 years of ICU and love the ER. You get to think for yourself for a change, there is never a "routine" day, you will honestly learn something new every day, and be faced with...

  22. Where should I start?

    bill4745 replied to Price 2002's topic in Emergency

    ER tech would be the best thing you could do. You will learn a lot about ER nursing and see firsthand what it is like so that you will know if it is what you really want to

  23. Consent for albumin?

    bill4745 posted a topic in MICU, SICU

    An agency nurse in our ER wanted the doc to get a Blood Products Permission slip signed by a patient. Her reasoning was that albumin is a blood product. Anyone heard of

  24. Do you ever leave the floor satisfied?

    bill4745 replied to txRN07's topic in General Nursing

    When you walk out of the hospital at the end of the shift, clear your mind - your work is done. If it's not, someone will let you

  25. Easier ICU or Med/Surg?

    bill4745 replied to nursecher's topic in General Nursing

    If you are not sure, start in M/S. You will get valuable time-management skills and learn how use the skills you learned in school. Later, see if you can "shadow" in the ICU, or other areas that...