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...
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
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...
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...
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...
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...
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...
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
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
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...
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...
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...
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...
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...
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...