bill4745

bill4745 RN

ICU, ER

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All Content by bill4745

  1. The perfect candidate for ER Nurse.......

    bill4745 replied to BrnEyedGirl's topic in Emergency

    Someone who is willing to work hard (12 hours constantly on your feet, maybe one break for a few minutes to grab a few bites and pee), who can remain calm when: a healthy-looking patient decides to...

  2. vomiting from food- when to ER?

    bill4745 replied to bisson's topic in Emergency

    There is not one specific thing (eg: temp, hours of vomiting, etcc.). It's a judgement call based on a lot of things - temp, hydration, discomfort

  3. TNCC or ACLS?

    bill4745 replied to Djuna's topic in Emergency

    At my hospital we get ACLS after we are hired, so it wouldn't help much. On the other hand, most of us are scared of really sick kids, so your peds experience may be very enticing to an ED. By the...

  4. New Grads in Critical Care?

    bill4745 replied to Doog's topic in Pennsylvania Nursing

    I'ts hard enough for a new grad in an adult ICU. I can't imagine going directly into Peds

  5. looking for guidelines for self scheduling

    bill4745 replied to nurse8585's topic in General Nursing

    We all enter our requests on a website called Intragale from VasTech. It allows you to indicate the days you want to work and you can specify specific days you need off. One of our part-time nurses...

  6. Crying?

    bill4745 replied to RN BSN 2009's topic in General Nursing

    Many times-with the family when someone dies, after my first baby code in the ER (even one of the docs broke down on that one), when a two year old reached out to hug me when she was leaving after I...

  7. Blood gases

    bill4745 replied to julie_hills's topic in Emergency

    What country are you from? Are these metric ABG

  8. repiratory compensation

    bill4745 replied to julie_hills's topic in Emergency

    A patient in metabolic acidosis breathes faster, to get rid of CO2, which, if I remember correctly, (it's been a while!) forms acidic substances in the

  9. mean arterial pressure

    bill4745 replied to julie_hills's topic in Emergency

    The mean arterial pressure is the average pressure in the arteries. It is calculated by adding the systolic to 2X the diastolic, and dividing the total by three. (ex: 120/80 120 + 80 + 80 =280....

  10. Salary Variance By State

    bill4745 replied to gmlovesbh's topic in Pennsylvania Nursing

    Iwork just outside the city in Delaware county in a small community

  11. Huge Sign On Bonuses - Is there a catch?

    bill4745 replied to student456's topic in General Nursing

    It's a sign of a lousy place to work-I learned that the hard way. The best places to work often don't even need to

  12. Salary Variance By State

    bill4745 replied to gmlovesbh's topic in Pennsylvania Nursing

    I work just outside of Philadelphia in an ED. I have 13 years experience and work 3 12 hour shifts a week. My yearly gross without OT is in the upper $60's; with OT about

  13. Have you performed CPR?

    bill4745 replied to TemperStripe's topic in General Nursing

    13 years of ICU and ER; at least once a

  14. Pt demanded a stronger pain med

    bill4745 replied to AstrosFan's topic in Emergency

    I recently handed a script for naporoxen to a pt for back pain (with no signs of distresss). "What? I'll pay hundreds of dollars for this visit and I don't get a

  15. Does your work call you at 0530?

    bill4745 replied to MarySunshine's topic in General Nursing

    My hospital only has my cell phone number - it's turned off when I'm sleeping - an easy

  16. What's a safe nurse to patient ratio?

    bill4745 replied to loricatus's topic in Emergency

    Our ER is 4:1, with a charge RN with no patients, a float RN, and 2 techs for 20 pts. Even this is often not

  17. What do CNA's/EMTs/RN's do in the ER?

    bill4745 replied to netgeek's topic in Emergency

    In Pennsylvania, our CNAs do ekgs, draw blood, & transport patients. They cannot start IVs as they cannot inject saline to

  18. Contemplating transfering to ER in "transistion"..

    bill4745 replied to BrnEyedGirl's topic in Emergency

    Go for it - you can always do something else if things don't work out. You have 7 years in your current position, so it's not as if you job-hop a lot, it would not leave a bad mark on your

  19. NCLEX RN exam when you stop at 75, pass or fail?

    bill4745 replied to jojo_dags2000's topic in NCLEX Exam, Programs

    You either passed with flying colors or you failed big

  20. Once and for all, is it ok to...

    bill4745 replied to GLORIAmunchkin72's topic in General Nursing

    From what I understand, that is "dispensing" and can only be done (legally)by a

  21. Nursing Assistant VS. Telemetry Tech position

    bill4745 replied to mom2three's topic in General Nursing

    Take the assistant position. You will learn the telemetry stuff in your critical care or ER

  22. Will I feel like a nurse again?

    bill4745 replied to ParrotHeadRN's topic in Emergency

    If there is one place that nurses must think on their own, it is the ER! Give it time and give yourself credit. It is the hardest place on a hospital to work but also potentially the most

  23. Nursing Assistant VS. Telemetry Tech position

    bill4745 replied to mom2three's topic in Emergency

    I think you would be better on the med/surg floor. You would learn a lot more. What you would learn as a tele tech would be taught to you in a critical care or ER

  24. What was the MOST BIZARRE thing a pt has been brought to ER for (and lived to tell)?

    bill4745 replied to cari rn's topic in Emergency

    A guy came in with an electric toothbrush up his rear, which we verified by x-ray. What was crazy was that he expected us to believe that he was changing a ightbulb in his bathroom and slipped and...

  25. What was the WORST thing a patient has been brought to ER for?

    bill4745 replied to SteveNNP's topic in Emergency

    Not my experience, but at a hospital where I worked: ER RN on way to work, hit broadside at intersection right at hospital entrance (level 1 trauma center) by red-light-runner. Brought in to own ER...