bill4745

bill4745 RN

ICU, ER

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All Content by bill4745

  1. How to choose an ER?

    bill4745 replied to HRM672's topic in Emergency

    Start

  2. Philly area new grad pay

    bill4745 replied to ER1010's topic in Pennsylvania Nursing

    ER, but these rates apply to any RN in our hospital with the same # years

  3. Philly area new grad pay

    bill4745 replied to ER1010's topic in Pennsylvania Nursing

    For reference, as an RN with 12 years experience, my base in eastern Delaware County is $35 and hour, with $3.00 and $4.50 for 3-11 and 11-7. With some overtime, I make about $85k per

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

    bill4745 replied to SteveNNP's topic in Emergency

    A very obese lady who sat in her recliner and could not get out. Several days later, her family found her and called 911. In our ER, we quickly discovered that thousands of maggots had decided to...

  5. How Do You Know If Er Nursing Is For You?

    bill4745 replied to janetrette's topic in Emergency

    You need to be able feel that you can handle any situation, not just medical, but also psych/social, equipment failures, etc. You need to be able to constantly set and change priorities on a moment'a...

  6. US Nurses Wishing to Work Overseas

    bill4745 replied to suzanne4's topic in Nurse Registration

    This may be a dumb question (hey, they are easy to answer.). Is there an english-speaking country that an associate-level nurse from the US can easily live and work in? Warm weather would be

  7. Assessment Skills

    bill4745 replied to cari rn's topic in Emergency

    Addendum: You tend to only focus on the main complaint unless you notice something else significant. Example - a pt c/o possible broken toe, attending orders xray, nothing more (pt has no...

  8. Assessment Skills

    bill4745 replied to cari rn's topic in Emergency

    After 12 years of ICU it was an adjustment to only focus on the main complaint (except critical patients) but it's the only way to function in the ER. You also must have the pt focus on their main...

  9. Male staff-Female Pt. - ECG

    bill4745 posted a topic in Emergency

    How do you handle this situation? I'm a male RN and I find that some women are not happy when I enter the room with the ECG machine. Another issue-how do you deal with breasts that cover the area...

  10. Need advice: should I start out in ER or tele/med-surg?

    bill4745 replied to secondfiddle's topic in Emergency

    A year of tele would make you a much better ER nurse, and would also make you more marketable in the future should you decide to leave the ER. Going straight into ER is a poor idea for a new grad -...

  11. Stupid question?

    bill4745 posted a topic in International Nursing

    Is there some country an associate-level American RN with 13 years ICU/ED experience could work for a long term and/or immigrate who speaks only english? Preferably a warm

  12. How do you describe your job?

    bill4745 replied to HealthyRN's topic in Emergency

    After they make the face, I tell them I'm psychotic-which, I believe, any of us who choose to work here

  13. Stupid question?

    bill4745 replied to bill4745's topic in International Nursing

    Tanvi Tusti- Yes, any info would be appreciated. How difficult is it to get permission to live/work

  14. USA to UK?

    bill4745 posted a topic in International Nursing

    I have 13 years of ED and ICU experience. Please tell me about moving to the UK - obtaining licensure, permission to work/reside, pay rates, cost of housing, etc. I work in the Phladelphia PA area...

  15. Fun Place To Work

    bill4745 replied to nursern20's topic in Pennsylvania Nursing

    Delaware County Memorial is a great place to work-good pay and benefits, a nice group of people to work with. I've worked there for six years, and have no desire to

  16. Too much pain medication

    bill4745 replied to Jennifer, RN's topic in Emergency

    In my opinion, both the nurse and doctor should be reported to the director of their departments. Their behavior is incompetent. If I exceeded 2mg of dilaudid on any patient in less than an hour I...

  17. ER must haves

    bill4745 replied to kathy_bear's topic in Emergency

    Breath mints-12 hours without a

  18. Hyperglycemia

    bill4745 replied to MeryMellen's topic in Emergency

    Our docs send people home in the 300's if they have no

  19. ER experience

    bill4745 replied to GUIDEDBYFAITH's topic in Emergency

    I strongly suggest a year of med-surg for any new grad, no matter what you eventually specialize

  20. Tips For New Grad ER Jobs

    bill4745 replied to S.T.A.C.E.Y's topic in Emergency

    I would dtrongly suggest that you get a year of med/surg under your belt before taking any specialty position. You will be much more "marketable" for future jobs in ED or any other special

  21. Boosting Morale in the ER

    bill4745 replied to 1sttimetraveler's topic in Emergency

    Don't put an urgent pt in my room 10 minutes before the end of my

  22. patient assignments and continuity of care

    bill4745 replied to gamegirlkimmy's topic in Emergency

    We do both. We each have 4 rooms, and the charge nurse looks at the acuity of each assignment and how recently we might have received a patient before assigning the next one. If everyone is...

  23. im loving the ed, but am I in over my head?

    bill4745 replied to amyding's topic in Emergency

    I had 10 years of critical care before the ER but still spent 90 days on orientation before I worked alone. This is way too soon for you to be off

  24. Will LTC as a new grad kill other options???

    bill4745 replied to 777RNThatsMe's topic in General Nursing

    I don't think it will help any. You really need a year of med-surg to strengthen and sharpen your skills first. I knew someone who went immediately into psych nursing from school. She stayed there...

  25. Future Nurse seeking to move to Philly...

    bill4745 replied to BelleRN2B's topic in Pennsylvania Nursing

    You will have most of the hospitals in and around Philadelphia begging you to work for