bill4745

bill4745 RN

ICU, ER

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All Content by bill4745

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

    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?

    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?

    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?

    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

    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?

    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

    What country are you from? Are these metric ABG
  8. repiratory compensation

    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

    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

    Iwork just outside the city in Delaware county in a small community
  11. Huge Sign On Bonuses - Is there a catch?

    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

    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?

    13 years of ICU and ER; at least once a
  14. Pt demanded a stronger pain med

    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?

    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?

    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?

    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"..

    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?

    You either passed with flying colors or you failed big
  20. Once and for all, is it ok to...

    From what I understand, that is "dispensing" and can only be done (legally)by a
  21. Nursing Assistant VS. Telemetry Tech position

    Take the assistant position. You will learn the telemetry stuff in your critical care or ER
  22. Will I feel like a nurse again?

    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

    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. 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. 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...