bill4745

bill4745 RN

ICU, ER

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All Content by bill4745

  1. Any Of You 58 Or Older When You Finished?

    bill4745 replied to mammaoftwo's topic in General Nursing

    Left nursing (ICU) for 8 years, returned at 51. Had 4 job offers for ICU from 4 hospitals in a few days, all willing to give me several weeks of 1:1 precepting. Our maturity and work ethic is...

  2. ER or ICU

    bill4745 replied to nici1978's topic in General Nursing

    My first 10 years was ICU. I finally realized I was bored to death-turn q2h, write all vital signs and I/O every hour, hang a dozen IVs each shift, draw bloods from any patient with a central line at...

  3. Mandatory On Call???

    bill4745 replied to truern's topic in General Nursing

    We have no mandatory

  4. most controversial medications

    bill4745 replied to defeatedcreek's topic in Patient Medications

    Acetaminophen -- has become the leading cause of liver

  5. The next shift nurse

    bill4745 replied to txRN07's topic in General Nursing

    . Have said this dozens of times. If a patient arrives five minutes before shift change, you do what you can do in the five

  6. Personality Traits common in the ED

    bill4745 replied to trinitygrad07's topic in Emergency

    Attached-sick ER humor.

  7. Help!

    bill4745 replied to jbjorn2b's topic in General Nursing

    I graduated from nursing school at 33, and am now working in a busy ER at 55 and loving it. I agree with lucky1RN - life is too short to do something you don't love. I have a job I love, a job that...

  8. hall patients

    bill4745 replied to rnlightening01's topic in Emergency

    We sometimes admit, treat, and discharge from hallway beds. We use portable monitors. You are not likely to convince management to stop using the hallway

  9. From Med/Surg to ED

    bill4745 replied to raindrop's topic in Emergency

    I've worked in M/S, ICU, tele, home health, and now ER. ER is the most stressful thing I've ever done, and the most rewarding. In my hospital, the floors and ICU have the luxury of having no...

  10. how does sign on bonus work?

    bill4745 replied to Ms.RN's topic in General Nursing

    Ditto - a sign-on bonus is a bad sign. ALso, read the contact very

  11. Do you remove occluded or infiltrated IV right away or wait until new start done?

    bill4745 replied to Suninmyheart's topic in General Nursing

    Take the bad one out

  12. Do you hate your job as a Registered Nurse? Why?

    bill4745 replied to AspiringNurse7's topic in General Nursing

    I love my job and look forward to going to work. You see so many complaints because unhappy people tend to verbalize

  13. Personality Traits common in the ED

    bill4745 replied to trinitygrad07's topic in Emergency

    It helps to have ADD and mild psychosis. Also, staying calm under stress, being able to 'think on your feet', able to reset you priorities on a moment's notice, an ability to occaisionally engage in...

  14. When do you think it will end?

    bill4745 replied to xxgreenfirexx's topic in General Nursing

    This shortage will be many, many

  15. In over my head (long)

    bill4745 replied to sunshineonleith's topic in Emergency

    I've been doing this for 14 years, and I still ask other nurses to look at rythym strips, and I certainly would have called for help in your situation. You did the right thing, you will be a great...

  16. Sick to death about poor staffing level.

    bill4745 replied to Djuna's topic in Emergency

    20 ER beds, 5 fast track. 100 patients/day, just outside Philadelphia. From 7am-11pm 6 RNs-1 in Fast Track with 5, 5 in the ER with 20 for a 4:1 ratio. A charge RN with no patients, and almost...

  17. Has ACLS been 'dumbed down'?

    bill4745 replied to FireStarterRN's topic in General Nursing

    People will learn and retain more in a relaxed, positive atmosphere. The goal is to save patient's lives, not scare the people taking the course. I am glad it has

  18. Considering Switching careers to Nursing

    bill4745 replied to jbjorn2b's topic in General Nursing

    Started RN school at 33. Best decision I ever

  19. Bad to be concerned with money?

    bill4745 replied to patwil73's topic in General Nursing

    I love my job. I work hard to give the best possible care. I also have a wife and three children. I choose my employer based on all the above. I have turned down higher pay at hospitals that were...

  20. Start in ER in 1 month

    bill4745 replied to Happeetxn's topic in Emergency

    Trauma shears, hemostats, calculator until you get a PDA. Eat-on-the-run food - fruit bars, peanuts,etc. I like aviator.com scrubs - many pockets, well-made and worth the price. Good luck with making...

  21. Sobering first day on the job.....

    bill4745 replied to KckStrt's topic in Emergency

    Three weeks into my ER job, a 9 month suffocation came in, blue, tubed, and flat line. We worked on her for 45 minutes. For the rest of the day, they were a lot of otherwise strong docs, techs,...

  22. Inappropriate sexuality...where to draw the line?

    bill4745 replied to Kunzieo's topic in General Nursing

    Talk to his neurologist and see what she/he thinks. Personally, I've never heard of this type of behavior in a CVA, but it's worth asking

  23. Who here works overtime for the extra cash?

    bill4745 replied to Future-nurse's topic in General Nursing

    My basic position is three 11am-11pm per week (ER). My yearly total for this is about $72,000. If I do one extra 11a-11p each week, my gross jumps to $112,000. I can work all the OT I can handle, OT...

  24. returning to work

    bill4745 replied to molly one's topic in General Nursing

    Ditto. Don't give any info that is not asked for by licensing or the employer. If an issue is raised by the employer, point out that there are a lot of staff members on psych meds that they don't...

  25. U.S. Nursing Salary CHANGES?!

    bill4745 replied to Future-nurse's topic in General Nursing

    By providing insurance to more people, the amount of care provided might increase, increasing the demand for nurses, therby posssibly increasing pay