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Your help is much appreciated on this poll.
No differential or extra pay for working the ED here in MA.....None in ME either.
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ER Nurse is Being a JERK to EMS...
Is it just EMS...or is she like this with everyone??? She can't be there 24/7.....Let here make herself look like a jerk with these guys.......it will come back to haunt her sooner or later. If your EMS guys are like our EMS guys...I am sure they can handle themselves......and her to. I'd like to sic an few of our EMS people on her...she'd change her tune real quick!!
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itching?
Had this happen to me once about 5 years ago......seems I had a reaction to something in an OTC cold medicine I was taking..........SORRY!!....... I forgot the name of the ingredient that can cause body itching.....have you had any OTC cold or flu meds??
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Med/Surg to ER
Went to the ED 8 years ago from med/surg.......agree with cen 35 totally...I have seen ICU nurses with tons of experience not make it as an emergency nurse. You definately need the desire......but some tele experience wouldn't hurt.....might make the transition a bit smoother.
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Straight pay for 12 hour shifts?
I work in a union hospital. Work 12 hour shifts 7p-7a , get paid time and a half after 12.....or after 40. Get $2.75/hr shift diff and another $1.00 weekend diff. When picking up time...I like to tack an extra 4 hours on to my 12 and get the OT that way......coming in one extra day is not for me.
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Benefit of CEN?
WOW CEN35...$325 is better than nothing. Thats what we get for those 3 letters after your name. We also don't get any extra if you have a BSN. Come to think of it...the only thing that matters is the RN after your name. It is mandatory that we have ACLS and PALS and they pay us every two years to renew them. For me getting my CEN and TNCC was just a personal accomplishment.
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Do you hold patients in the ED?
Same here guys! The most we have held at one time is 18..and that is recently..so I'm sure we will be breaking our record if things keep going the way they are. We have to hold due to the hospital being full or there is not enough staffing on the floors to take the admissions. What I do not understand is why I have to take care of at 4-5 "boarding" med-surg/tele/ICU patients.... plus all my ED patients that keep come strolling through....plus any trauma that happens to pop in...and this is safe for an ED nurse but it is considered UNSAFE for the floor nurse to take one more over her ratio during the times when it is like this????
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Legalities, Pros, Cons of becoming a charge RN in ER
I have been taking charge for a while on the night shift in our ED. It is mostly the SENIOR nurses that are asked.....although there are alot of senior nurses that can not handle the stress of it and refuse to do it. It can get very CRAZY at times but I am lucky to work with excellent nurses that all help each other. Ones that chose not to work like a team do not last very long. My role is mostly making sure the flow of patients keeps moving.... Organize traffic flow of ambulances.....make sure admissions are not held up (HA HA HA)and when the hospital beds are full and we are "boarding " patients I try to help out where needed. Newer nurses often look to you for support. It can get scary when you are full ,and have no more room, and you are on the verge of a diversion. I do not think I could do it without a good group of nurses to work with...I hear the "Day Queens" are are hard group to take charge of. That's ok...I'll stick to my nights.