911fltrn

I got 85 also, been an RN 15 years now. I hope you passed. Welcome to the trenchs, pay attention to the older nurses, without them I would have quit the first year.

The short answer to your question is ICU Experience. 5 years flight experience here. Cheers

I would not work. Not a single co worker in the er i work in said they would come in. I have been asking all of them the last couple of days. By the way single or family no difference. Im single and surely not going to risk my life for my job. I had enough of that when i was a Marine. If you could see my hospitals ER schedule, you wont find my name on it in the near future. To the brave or foolish who will work May god bless you! Besides I believe once if ones say that they would continue to work see a co-worker die, they will not show up no matter what they say in a online poll.

hello, im an american rn with 15 years critical care experience. i wish to correspond with an irish nurse about nursing and liscensure in ireland. my s/o will soon be working in ireland and would like to know how hard it would be for me to get liscensure and find agency work for the emergency room. i have reviewed previous posts under the international forum, i have also looked at the irish nursing board website. if you can help please let me know. thanks

Hi I would reccommend Emergency Medicine Manual (MA, Cline, Tintinalli, Kelen, Stapczynski) Every ER i have worked in has them. (Its a big red book) I personnally have the paperback addition. Its just under 1000 pages including the index. It has been helpful in presuading some MD's that perhaps my suggestions were "worthy" of their consideration.

I was a United States Marine before becoming a nurse.

Well Im not a die hard, but i do like my job most days. I have taken a pay cut from 50/hr down to 48/hr. It was supposed to be a temporary thing however after 1.5yrs its permanent now. I will probably never take a pay cut again. If you chose to live like a poor man, you dont need to work as much :-)

I do alot of advocacy work for a beautiful little autistic girl. Just thinking of her makes my heart happy. To provide info for your discussion: RESEARCH Autistics Clinically Proven Mercury Poisoned From an organization press release. http://www.Mercury-freeDrugs.org Recent peer-reviewed scientific/medical studies by Nataf et al. (2006) and by Geier and Geier (2006) leave little doubt that many children with autism spectrum disorders (ASDs) are indeed mercury poisoned. These studies utilized urinary porphyrin profile analysis (UPPA) to assess body-burden and physiological effects of mercury in autistics. Today, any parent, physician, or healthcare provider can easily confirm whether a non-chelated autistic is mercury poisoned by having UPPA testing run at Laboratory Corporation of America (LabCorp) (CLIA-certified, Test#120980) or Laboratoire Philippe Auguste (ISO-certified, Urine Porphyrin Profile). UPPA is a highly accurate, inexpensive, non-invasive, and routinely available method for estimating body-burden and toxicity of mercury. Numerous peer-reviewed scientific/medical papers published over the past 40 years, many of them supported by the US NIH, have proven the validity of using UPPA to identify mercury poisoning. UPPA profiling, unlike attempts to directly measure mercury in the blood, urine or feces, or in tissues (e.g., hair and nail), is a proven method for assessing mercury toxicity. Using UPPA, Nataf et al. (2006) studied the urinary porphyrin patterns in French children using the results reported by Laboratoire Philippe Auguste. Similarly, Geier and Geier (2006) studied the urinary porphyrin patterns in US children using the results reported by LabCorp. Both published studies: . Clearly demonstrated that non-chelated autistics had porphyrin patterns indicative of clinical mercury toxicity, while normal children and their normal sibling controls did not. . Found that the more severely affected the ASD children were the higher their evidence of mercury toxicity. . Established that treating autistics with chelating agents resulted in lower mercury-specific urinary porphyrins, which corresponded to apparent reductions in the mercury body-burden of these children. Many other physicians who take care of ASD patients have ordered UPPA testing and confirmed the observations made by Nataf et al. (2006) and Geier and Geier (2006). Thus, urinary porphyrin profile testing is being successfully used to: . Demonstrate the role of mercury in populations of autistics, . Identify those children and adults who are mercury poisoned, and . Track mercury excretion from affected children undergoing treatment. For the past several years there has been a raging controversy as to whether or not mercury in medicines, especially in vaccines, has caused the dramatic rise in the rate of children diagnosed with an ASD. Many experts have insisted ASDs are caused by some yet-to-be-identified genetic cause. A paper recently published in Nature Genetics described the results of multi-million-dollar genetics study (which studied a thousand-plus families with at least two autistics using in-depth genetic screening). Tellingly, the authors reported, "None of our linkage results can be interpreted as 'statistically significant'." (The Autism Genome Project Consortium, 2007). This makes it unlikely that purely genetic aberrations ! are t he root cause of most ASD cases. With the current porphyrin study results, public health officials should now publicly admit what they have been saying in their private transcripts and memos all along: Mercury from Thimerosal-containing vaccines and other medicines has been a major cause of ASD cases, which, according to recent CDC (2007) estimates, may occur one in every 150 children. CoMeD's web site, http://www.Mercury-freeDrugs.org contains: . Further information on how to order these tests, . Full copies of the Nataf et al. (2006) and Geier and Geier (2006) papers, and . Some of the many published papers validating the UPPA test.

Wow, you usually have 9 RN's and did a shift with three. Get the heck out of there. Unsafe! No job is worth losing your liscense over!

The reason people go to work is for money! I like to help people and I am constantly helping my friends and family. I have saved and have helped save many lives. This is a wonderful thing. I have also helped comfort many dieing individuals and their families. This is also something I am honored to be able to do. But I go to work for money, its that simple.

I have been a patient. It changed me in the way I handle pain relief. I suffered for 24hrs after surgury do to inadequate pain control. I now longer doubt peoples pain, if they say they have it they do. I will advovate for you with your doc to get you whatever you need. Even worse the post op pain is chronic pain, it destroys your life.

Thanks psych rn. I have workd 11 out of 14 christmas holidays. Currently last night of 6 12hr shifts in a row. Christmas eve was terrible at the inner city er i was in. I didnt see santa but I saw alot of red. (blood) Called home this morning and heard about my friends kids opening the presents i bought for them. Made me cry. I have resolved that i will work no more holidays. Merry Christmas All.

Now dont quote me on this but i recently did a ceu on a nursing website. It stated that less than one percent of people who use prescribed narcotics will become addicted. Also im with tweety, i would rather be addicted to a pain killer than to live with chronic pain. If you have ever had chronic pain im sure you would agree. Merry Christmas from the E.R.

I have always done nights, except for the years i was a flight nurse. 24 hr shifts in flights. I always sleep during the day time. I am never tired at work. THis is the best way to do it in my opinion. It is hard on your social life. Also would be impractical if you had a family and kids. I usually sleep from about 10 am to 530 pm. Night time activities when not working are the internet while watching news programs, discovery and the history channel, online gaming, reading, advocacy work. As most day shift workers cant seem to work nights, i cant seem to work days. Not to mention i dont want to see all the management on days who havent touched a patient in years attempt to direct my nursing care. Nursing the perfect job if we could just get rid of the paperwork!!!!!!!!!!

The best charge nurse ive ever known was named sheila, she was 4ft something but had a huge heart. She ran an E.R. and did it very well. She lead by example. i.e. she never sat down, was always helping nurses with patients, and when needed she would put the ER on divert even if administration said no. She cared about patients and she cared about her fellow nurses. Moose has since moved on to a different job but she will hold a place in my heart forever. JUst thought i would add that if you dont take care of patients or help with them then I dont need you in the er.

I dream of retiring! but im 37 and poor so i will continue to be a nurse! No flames please, Nursing is a good profession i just wish i was retired. I would much rather spend my time helping my family and friends.

For 5 years i did the on call thing. Heres the deal, I work for money! If your not paying me I dont do it. I have plenty to do helping my family and friends. Im not going to be at your beck and call for free

I had a great one about a month ago. Guy walks in shot thru both radial arteries. Hes holding his arms straight out, both pumping like gysers. Dont know why he didnt push against his chest with them. Its a sight i wont ever forget.

Having done 5 years of flight nursing Im very framiliar with this situation. I had many different paramedics as partners. I enjoyed the work and the teamwork. Had many new paramedics who thought they new more then me. It didnt take them long to find out just how wrong they were. There is nothing a paramedic can do that i cannot. There is however alot a paramedic cannot do that I can. I didnt make the rules. Alot of paramedics have no idea what nurses do or the knowledge they must have. The reverse is also true. We both have important jobs! One time, after a very high risk flight the doctor who met me at the door of the trauma center said to me (after I gave him report) Just do the best you can and we will take over when you get here. I now work E.R. I never give the medics a hard time about the patient care they have provided. Working in the field is a hard uncontrolled environment. When was the last time you were shot at while in the hospital? I find that most people you treat nicely and with respect will treat you the same. I understand this doesnt answer your question about how to "rib the guys" but i chose not to participate in such things. WIth that said there is one medic I give a hard time every time i see him. Just a little disapproving nod. He's a good guy but I swear the guy is a magnet for very difficult patients to deal with.

I received some very nice thank you letters. I received one from a family that made me cry. I received it about 3 months after the family sent it to the ceo of the hospital. My boss gave it to me as i was resigning. These days Im just happy when my patient says thank you. It seems so rare anymore. Ive been working at an inner city hospital and the patients just seem to expect the world, and i dont hear the words thank you very much.

I have done 10+years of nights. Its simple if you can deal with not being "a normal person" (my friends think im weird) I sleep 9am to 4 pm every day, even days off. If im really tired i may go to bed around 5 am. Im never tired at work, i have seen all of my co-workers fall asleep at one time or another. No matter what shift you work routine sleep is important. Switching your sleep around every few days sure does seem to mess with those who do it. Congrats on your new job:lol2:

Just a suggestion, Ask your firefighters or medics to hang out for a few minutes. We are preatty quick about getting a narcan order and IV if medics have been unsuccessful. The fire guys have helpen me taken down combative patients on many occasions. If you ask for their help (you might tell um your scared) their male egos almost demand that they do. WHere i work we start with 2mg of narcan. Chicago folks are dropping like flies do to fentanyl laced heroin. I love nursing, lets git rid of the paperwork.

Mental note to clean the nightstand! Hehe, no nightstands in E.R. I think i fit in good wherever I work. Kindness, hard work, being able and willing to help out, will make them want you to come back P.S. Im a professional, the hospital pays me because of my liscense, not because Im a man or a woman.

I pesonnally ask for a female to do my female patients caths. Im very comfortable doing them however i dont want to give anyone the opportunity to make a bogus claim against me. If im going to do a female cath there will be a female witness. Heck where I work 98% or the patients have a different skin color than i do. Ems can be rolling a GSW in the door and I have the patient yelling at me when Im trying to help them. Its absoultley amazing, Let me see your shot and you dont want me to help you because of my skin color. I would assist and have with pelvics when no female RN is present. This has been very rare but there are more and more nights where all the E.R. RN's are men. My personnal opinion if your a man have a witness so that noone can make false accusations against you. And for those of you that think i might be dumping on the female R.N.s, i will take all the jail patients for them, I will be standing in front of them for the daily abusive and assaultive patients. (get hit all the time) And I will take the critical patients so that they dont have to.

Learn what it means, and then tell them you are a fully informed juror. They will show you the door. from http://www.fija.org Don't worry! Be happy! Look at jury service as an opportunity to "do good" for yourself and others. It's your chance to help the justice system deliver justice, which is absolutely essential to a free society. Also, you can do more "political good" as a juror than in practically any other way as a citizen: your vote on the verdict is also a measure of public opinion on the law itself--an opinion which our lawmakers are likely to take seriously. Short of being elected to office yourself, you may never otherwise have a more powerful impact on the rules we live by than you will as a trial juror. However, unless you are fully informed of your powers as a juror, you may be manipulated by the less powerful players in the courtroom into delivering the verdict they want, instead of what justice would require. That is why this was written--to give you information that you're not likely to receive from the attorneys, or even from the judge. Justice may depend upon your being chosen to serve, so here are some "words to the wise" about how to make it through voir dire, the jury selection process: You may feel that answering some of the questions asked of you would compromise your right to privacy. If you refuse to answer them, it will probably cost you your chance to serve. Likewise, if you "talk too much"--especially if you admit to knowing your rights and powers as a juror, as explained below, or that you have qualms about the law itself in the case at hand, or reveal that you're bright, educated, or are interested in serving! So, from voir dire to verdict, let your conscience be your guide. Nothing in the U.S. Constitution or in any Supreme Court decision requires jurors to take an oath to follow the law as the judge explains it or, for that matter, authorizes the judge to "instruct" the jury at all. Judges provide their interpretation of the law, but you may also do your own thinking. Keep in mind that no juror's oath is enforceable, and that you may regard all "instructions" as advice. Understanding the full context in which an illegal act was committed is essential to deciding whether the defendant acted rightly or wrongly. Strict application of the law may produce a guilty verdict, but what about justice? If the jurors agree that, beyond a reasonable doubt, the accused did act as charged, then "context becomes everything" in reaching a verdict you can live with. Credit or blame for the verdict will go to you, so be sure to ask the judge how you can pose questions to witnesses, so that you can learn the complete context, should the lawyers fail to bring it out. When they believe justice requires it, jurors can refuse to apply the law. Jurors have the power to consider whether the law itself is wrong (including whether it is "unconstitutional"), or is being applied for political reasons. Is the defendant being singled out as "an example" in order to demonstrate government muscle? Were the defendant's constitutional rights violated during the arrest? Much of today's "crime wave" consists of victimless crimes--crimes against the state, or "political crimes", so if you feel that a verdict of guilty would give the government too much power, or help keep a bad law alive, just remember that you can refuse to apply any law that violates your conscience:lol2: