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nursingisworkRN specializes in Emergency.

nursingisworkRN's Latest Activity

  1. The ones that can pay but WON'T are the bigger problem in my eyes. Plenty of people with no resources that rely on emergency services would pay if they could, but the many that can and don't are likely why collections are in force. VERY hard to collect from our homeless population. And yes, middle class being squeezed is unfortunate but unless you really truly are without shelter, medical insurance is a necessity worth paying for. My mother always paid for health insurance for myself and my brother, even while working day and night shifts to pay rent. I am not saying someone should lose their house, but rather if they can afford a home they might consider insurance or paying their bills, even on payment plans arranged out of financial hardship.
  2. nursingisworkRN

    Ever have a blood bag explode?

    NEVER! And we use the pressure cuffs too! EEKIES! One of my nursing instructors back in the day had a bloodbag that had some type of rubber band for pressure shoot the spike tubing out and splatter her. She said the pt looked up and told her she looked like she had the measles. They BOTH had a good long laugh about it. I like the bag defect theory...too strange to get air in a blood line and then have it go bonkers when you squeezed it. SOMETHING wasn't quite right.
  3. nursingisworkRN

    UAB ER nurses

    :lghmky:I am a dork, but thought it was pretty cute. Gonna look at the rest!
  4. I am sure that you realize the age old saying, but it bears repeating to yourself over and over..... "It's not about me." Clearly she has issues and will likely lose some sleep over the lashing she will likely get about professional conduct. Plus, you should probably also believe that she is insanely jealous of you and has to put you down to your friends to make herself feel at least a little bit adequate. So when she is being so terrible, try to think about how terrible it must be to be in her shoes. Or not, what the heck, but you could TRY. Or of course, as a coworker told me once, it is like water off a duck's backside. Shake it off baby!! Sorry to hear about it though. Some people...YIKES :angryfire
  5. nursingisworkRN

    Lavage and the GI bleed

    Our ED is the same as Stardogdaisy. Oh yeah, and don't forget the dual 16g :wink2:. Last guy I had was young with a hemocue of 5, and he got 14's. He had to wait in the ED for 12 hours, and I think he liked the lavage. At least, he asked me to do it again after nightshift went home. He did have coffee ground blood. Not sure about active bleeding.
  6. nursingisworkRN

    Does your ED/ER hire new grads? (and related ?s)

    To answer your question: 1. Yes 2. Year round, depending on dates of new grad orientations which are every 8-12 weeks. All new grads will start in new grad orientation, the ED has I believe 4-6 months of training for new grads, 10 weeks for experienced nurses. 3. I have not heard of more than two new grads hired at the same time, but it is totally dependent on department needs, available preceptors, and length of orientation. 4. New grads are required to have ACLS, PALS, and dysrhythmias. Experienced nurses get TNCC, ENPC, and any other recerts. I have 11 weeks of orientation, with TNCC and ENPC, and still need PALS. I already had ACLS and dysrhythmias/12 lead interpretation, so that helped. 5. We are a level 2 trauma center (no affiliation to university) Personally, I was not prepared as a new grad to work in the ED. My year and a half of telemetry was invaluable experience, but I do tend to think that experience is experience and you have to get it some where. Best of luck!
  7. nursingisworkRN

    dirty scruabs

    In my house, we really only worry about shoes and hands. Shoes off (and on) at the doorstep, and hands washed immediately. I will go grocery shopping or on a quick errand in my scrubs, mainly because by the time I go home and change I am not going back across town. I would not be likely to visit a friend in my scrubs unless we worked together and then went for breakfast or coffee (I don't like my scrubs as much as jeans and I kind of stick out). One of my roommates who is a nurse will not go anywhere without showering, which is her preference. On a particularly bad day I might know that my clothing is dirty or have that smell that I just can't shake, even with three showers, and then I will not go anywhere until I am sure I am clean. Funny though, nobody else seems to smell it. Must be in my head!
  8. nursingisworkRN

    Staring the AM

    CONGRATS! And Happy Thanksgiving! Enjoy your new career and, of course, spending holiday time with the family!
  9. nursingisworkRN

    'average' patient/staff ratio?

    In our hospital, we are not paired with the techs. RNs can have 4 pts at at time, but the techs are assigned by rooms and have more than 4 pts. On a busy day when we are full++, I don't want to know how many pts the tech's are assigned to. Of course, we all work together and work hard but our techs are just AMAZING and I am always grateful for the help!
  10. nursingisworkRN

    Lost Nurse

    Good for you for recognizing your discontent and having the courage to move on. My suggestion: write a list of qualities you want in your job and find a place that will work with those. Be extremely PICKY...work is hard enough without the dread. I am undergoing the transition to ER and absolutely love it. My tele experience is very useful, and I can only imagine how many areas a peds background would be useful in. Good luck...you will find your home in nursing! One of the greatest beauties of the profession is the flexibility.
  11. nursingisworkRN

    Moving on

    Welcome to CA! It is my understanding that to re-license you pay a fee to the BON. And the pay for nurses is northern CA is great! If I didn't love the southern california sun (born and raised here) I would go up north and double my paycheck.
  12. nursingisworkRN

    My Feet Hurt

    You may also look for a foot store that makes custom orthotics. They are not too expensive, and many swear by them! To point out the obvious, that is too many hours on your feet! YIKES!
  13. nursingisworkRN

    Have you ever been threatened?

    Also on the write ups I would probably attach an addendum with my side of the incident and that signature implies receipt of report only and not agreement of events. Refer to addendum. And yes, ALWAYS have a witness.
  14. nursingisworkRN

    It's long, dangerous, but worth typing, to me!

    Frustrations understood. I think that as nurses, we are encouraged to be supportive and understanding, and that we are frowned upon if we speak up about certain pts. If you find that this situation has become a daily thing and it is starting to affect you adversely, I would probably suggest a change. Have you considered another area of nursing? I have had similar experiences with "difficult" pts. I have found that the combination of being understaffed, overworked, scheduling problems, rotating back and forth between days and nights, no resources/preceptors available, lack of team work, and high level of acuity has started to affect me poorly. I stay late at work, don't sleep well or enough, have not been running/exercising, and cancel plans with my friends b/c I am so tired, and as you stated, my back HURTS! I have a change of venue next month, and am so excited for just something DIFFERENT. Plus, I lack the patience and tolerance for the folks who feel it is okay to throw a tray at me because of???? never ok to throw things at me, unless the pt is demented/ can't help it and then anything goes. And yes, having a pt back who was discharged the day before who fluid overloaded themselves AGAIN b/c they ate a bag of potato chips?? And has the nerve to tell you who completed their chf core measures with them that "I didn't know I couldn't eat that. You never told me." Zero accountability. ALWAYS FRUSTRATING. LOL-I also think a gentle swift kick to the rear that is well meant and well placed is effective. Many pts push the limits b/c they can. Sometimes it is necessary to remind someone that they are in the hospital, not a hotel, and some of their freedoms are limited here because they have direct adverse effects on their health. CHF/DM/PE is not getting a donut and a smoke break. And no, I am not sorry it hurts when you breathe if you take your heparin gtt into the bathroom to smoke. GIMME A BREAK!
  15. nursingisworkRN

    Problems with Dansko shoes?

    I was having lower back and calf pain after 13 hours in my dansko professionals. Chucked them and started wearing my asics running shoes. They are mostly mesh so no hot feet, and I put some powder in my socks just in case. At the end of the day, I am pain free and my feet don't stink like they did with the danskos.
  16. nursingisworkRN

    Clinials & Nurses

    Two (maybe 3) things to learn from your experience. 1. Do not work in that department. The conditions must be terrible if the staff is behaving in that manner. No nurse wakes up and wants to do a bad job, treat people poorly, and make work any harder than it already is. Think of how overworked/ under-resourced they must be and try to be empathetic. You saw how bad their work environment is. 2. Treat students kindly. It is guaranteed that the day will come when you are the nurse who is working with the students and some students will make quite a bit of extra work for you (not doing tasks stated they would do, failure to perform interventions, not notify until after 8 hours and leaving that pt had no urine output, breaking hospital infection control, dishonesty,telling your cna how to do their job, correcting staff nurses on their interventions....so many things are possible). Remember how you felt and be kind and patient with them. You are a role model to them for how they want to be someday. Some days it will be a challenge to be a role model. Be one anyway. 3. If you ever find yourself in that position as a nurse, it is time for a change. Maybe a new department, a new facility, or another area of nursing entirely. Burn out can happen to anyone. PS-I love working with the students. Some nurses really do love to teach. The best advice:keep your smile on your face, do the best that you can, and leave work each day with one thing you did well. So often we focus on what needs improvement rather than what was done well.

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