bill4745

bill4745 RN

ICU, ER

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All Content by bill4745

  1. "Funny Codes"?

    bill4745 replied to burn out's topic in General Nursing

    You are not sick. It is a stress

  2. Humorous Introspection

    bill4745 replied to stillpressingon's topic in General Nursing

    Several months after moving from ICU to ER, my wife says I went from someone who took forever to make a decision, into someone who figured out a solution to a problem (even non-medical) and made...

  3. Name hospital and salary--everywhere

    bill4745 replied to mistydave's topic in General Nursing

    Philadelphia border, in Delaware County, PA. Maxed out at 12 years experience, $36/hour base. Diffs: 3-ll $3.00/hr, 11-7 $4.50/hr. With overtime, averaged $105k last 2

  4. questions about doing CPR

    bill4745 replied to ajaxgirl's topic in Geriatric, LTC

    No, everyone is coded, even if cold and stiff. (I work in a hospital.) It seems to me that if you fail to do CPR on a pt without a pulse then you are declaring death, which your nurse practice act...

  5. Cross-training to the ER

    bill4745 replied to cardiacRN2006's topic in Emergency

    After 10 years of ICU, I made the switch and love it. I still get some critical care here. But I love the variety and the need to think for yourself, instead of having an order for everything. It...

  6. looking for ideas on coordinating care

    bill4745 replied to happyhelpert's topic in Emergency

    I agree with MOMNRN - there is a purpose in having them repeat. The stories change: what starts as chest pain in triage ends up being drug-seeking in the ER, or what starts as nausea out front ends...

  7. How do you staff for surges?

    bill4745 replied to wyowyome's topic in Emergency

    We just added and extra 11a-11P on Monday and Tuesday - our busy days. We also have on - call staff. They are paid a few dollars an hour if they guarantee to be called in for a specific 4 hour...

  8. Need some career advice

    bill4745 replied to nurse&mom's topic in Geriatric, LTC

    If you are giving sick people 100% of yourself, it's all real

  9. Getting called to work an extra day because of short staffing...

    bill4745 replied to Wheaties's topic in General Nursing

    This is what caller ID is

  10. ED admitting orders

    bill4745 posted a topic in Emergency

    How do other ED's obtain admission orders for patients? In our ED, the ED doc discusses the patient with the admitting doc and then transfers the call to an RN to take admitting orders. This is a...

  11. buying a pulse ox of my own?

    bill4745 replied to LanaBanana's topic in Scrubs, Uniforms, Gear

    You really face liability if your pulse-ox becomes innacurate and you harm a pt - these things need to be calibrated once in a while. As many people have said, it will eventually

  12. IS it ok to wear scrubs to an interview?

    bill4745 replied to WinksRN's topic in General Nursing

    No way. Very

  13. Acls

    bill4745 replied to StillBelieveRN's topic in Emergency

    ACLS and PALS are

  14. trouble triaging

    bill4745 replied to nursemoons14's topic in Emergency

    When in doubt, triage up, not down. Better to have an annoyed doc than a dead

  15. Internet in ER: Good or Bad??

    bill4745 replied to nursebrandie28's topic in Emergency

    Yes, good information can be found. But at my ED, there are too many net addicts, who spend too much time on the computer and don't do their

  16. Christiana Wilmington vs. St. Francis

    bill4745 replied to KristinWW's topic in General Nursing

    Again, it's been many years since I worked at either. You need to get up-to-date info from the hospitals. They may have gone to 12 hour shifts since then. Where in DE county do you

  17. Philly area safety

    bill4745 replied to pabsnstudent's topic in Pennsylvania Nursing

    Don't even think of working there, especially nights or

  18. Christiana Wilmington vs. St. Francis

    bill4745 replied to KristinWW's topic in General Nursing

    It's been many years since I worked there, but D/E was 7am-3pm/3pm-11pm rotation. You would work 50%or more on 7-3. D/M was 7am-3pm/11pm-7am rotation. "M" stands for "Mornings" - a nice way to say...

  19. ICU to ED?

    bill4745 replied to CaliRN29's topic in Emergency

    All

  20. ICU to ED?

    bill4745 replied to CaliRN29's topic in Emergency

    After 10 years of ICU, I made the switch and love it. In many ways, it is the total opposite of the controlled, detailed ICU. Yes, you must multi-task, sometimes to an extreme. You can go from...

  21. Question about drug allergies?

    bill4745 replied to mommy2boys's topic in Emergency

    Not sure about giving the drug to see what happens, but you might be allergic to some of the fillers in the pill, chemicals that might not be in IV Toradol. Or you may have just developed an allergy...

  22. Pain shots are us, not this nurse!

    bill4745 replied to CaLLaCoDe's topic in General Nursing

    I get as frustrated as anyone with drug seekers, however, I learned a lesson when I had a kidney stone - one of the worst pains I've ever had, but vital signs 110/68, HR 76. Obviously, vital signs...

  23. how do i max my income as new grad

    bill4745 replied to focker-male nurse's topic in General Nursing

    Pay is rarely negotiable in hospital staffing, even with experience. You need to find the best combination of pay vs. living expenses in a particular area. Be careful - I've seen more than one new...

  24. Have you ever been a patient?

    bill4745 replied to Bluehair's topic in General Nursing

    I am much more gentle when starting IVs, having had about a dozen. I use Cetacaine and lidocaine jelly when inserting NG tubes (not the most pleasant experience I've had). I always get my pts a...

  25. You experienced ED nurses will get a kick out of this.....

    bill4745 replied to ParrotHeadRN's topic in Emergency

    As I frequently remind my frustrated co-workers: If it wasn't for stupid people half us us would be