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Need help with IV technique
The key to IV starts is feeling. Take a hot shower, when you get out feel your arms. Feel where the veins are. Remember them. Many times when I set down to start an IV line. I close my eyes and feel the pts arm. 9 times out 10 I get a line. Also listen to the pt. They know there body. Hopefully that helps
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Unsafe assignments in the ED
How right you are? We live in a society that luv's to sue. Since CA is a union state, can't you go to your union representive and discuss this matter? I'm mean your paying your dues; literally.
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Would this make you angry? Any words of wisdom?
As a previous DON, I never treated my employees that way. It sounds like she is trying to fill the open slots anyway she can and not taking anyone into consideration. You need to sit down and speak with her and let her know how this makes you feel. Make sure everything you do is documented. Keep a journal. Note the days that you had previously spoken with her regarding your schedule and your wishes. Always be professional and respectfull. Trust me! You will come out smelling like a rose. Always remember your chain of command. Nurses are in high demand. There's another job out there. My motto: Treat people the way you want to be treated!!!
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Pt Threats and Name Badges (again)
I'm sorry but there is no reason that your last name needs to be on your badge. I have my first name and the initial of my last name. I work in the ER. The manager keeps a schedule of when I work. So if there's an issue, then it's not that hard to figure it out. I work in a fairly big hospital.
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Rules for the ER (long)
You can always tell who the ER nurses are! Some of my fondest memories are: 1) Can't you do something with that "Person" (one of my weekened boyfriends=homeless drunk). He smells. Yes mama, I'll shove him up your %&*(((). Then maybe the smell would go away. We love that smell, it means were home. 2.)Don't attempt to attack me when I'm doing chest compressions on a patient. I'm not a nice person when that happens. 3.)As mentioned before. Don't fake your illness. If you say you can't walk, then it's probably not a wise idea to walk into the ER prior to the next shift coming on. 4.) If you feel like your going to vomit, please vomit in the trash can or the emesis basin that was given to you. Not on the floor. 5.)As mentioned before. Don't call 911 from our waiting room. We have great communication with the local EMS. They tend to ask questions. Not smart! 6.)Remember your not in Wal-mart. We charge you for those kerlix's, tongue depressors and Alcohol swabs that you let your kids play with. 7.)Please be honest about extra curicular activities. I'm an ER nurse I've seen almost everything. Therefore maybe I could diagnoses why you look like Dr. Suess's hat. (Meth user gone bad) 8.) Don't scream @ me or my staff when you don't get the diagnosis your seeking for. I'm sorry Anxiety disorder isn't koser for your Workman's Comp case. I work at a specility hospital in their ER. There's not a day goes by that I don't mess my weekened boyfriends and the crazy people I met.