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scrubsnhugsRN

scrubsnhugsRN

ER/AMS/OPD/UC
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scrubsnhugsRN specializes in ER/AMS/OPD/UC.

scrubsnhugsRN's Latest Activity

  1. scrubsnhugsRN

    Education Advice for new ED nurse

    Oh I forgot to mention that if you wish to get your CCRN certificate, I believe that you must have 2 years Critical care experience under your belt before you take it. However if you wish to take your CEN, there arent any requirements for previous experience.
  2. scrubsnhugsRN

    Education Advice for new ED nurse

    Hi Ruralgirl! Well I cant tell you how much your story is simular to mine! I too work in a very rural ER the big difference though is that my little ER serves some of the surrounding villiages so we get alot of medivacs in. I work in a Med/Surg unit for 7 months (after passing my NCLEX) before transfering to the ED which had been my life long dream. I was very lucky to have recieved a 6 weeks preceptorship through a larger hospital with an experienced ED nurse of 25 years, she was a fabulous resource to me and taught me alot of the tricks of the trade, how to properly triage based on the 5 level triage system etc. Rural nursing is a tricky thing and I believe a little underappreciated I am the one and only nurse in the ED. I havent any CNA or Ward clerk. I draw my own labs and mix my own drugs etc....and my ED is always feast or famine. My advice is to get your CEN, and definitely take your TNCC. TNCC for me was so awesome! I think you will love it too because it gives you a great foundation of how to top to bottom assess your critical patients. If your ED has an experienced nurse lean on them! Critical care is a fabulous place to learn many things especially drugs, critical drips etc, however I have found that a CCU enviroment is very structured (as it should be) while the ER is more flexible. After you work in your ER you will get better at knowing what you are seeing! It takes some time for that to happen but it will all fall into place. Good luck to you and hope you have a fab time in the ED!
  3. scrubsnhugsRN

    New ED nurses who "know it all"

    The ER I work in does not have protocols...and of course common sense should prevail always. It is a one nurse show with the doc in the hospital and you have to call him to come down...I try to get as much done before he/she comes...but I tell you what! One patient came in with complete liver failure...jandiced as all get out, the doc came in while I was starting an IV and drawing blood..he said "so I see YOU decided to start an IV...." and I said yes, and he repeated the same statement again with the emphasis on decided. He told me to take it out. I was flabbergasted! Then he wrote admit orders...to the ICU (of course) and wanted an IV (of course). I was so furious smoke came out of my ears!!! I am still waiting for those damn protocols!!! I am safe but the situation sucks.
  4. scrubsnhugsRN

    Working with Alaska Natives

    Haha, Meg welcome to Sitka! Well I haven't been on this site in a while. I was surfing and found you lol. I met you tonight coming home from work. My name is Tahirih....the other ER nurse on days. A couple of pointers with the Native culture here Respect is a big thing here...especially with our elders. Some of the ways we convey respect is not to speak too quickly, not to stare while speaking...as it is considered disrespectful, and most importantly, the role of the family. Family is a big thing. When people come to the ER it is not uncommon that extended family will show up in droves..cousins, great aunts, grandparents......and here in Sitka everyone is family! So the lines can be somewhat blurred....and difficult at times when it gets really busy in our small ER. I have only had a few occasions when I have had to ask the family to take turns seeing the patient, or having them to leave to the waiting area because their family member was in a emergent state. So there you go! You are all set for the wonderful world of IHS...(at least in Sitka). It will be great!
  5. scrubsnhugsRN

    Travel Nursing In Alaska

    Come to Sitka! I see you have ICU and ER experience! There is an IHS hospital here SEARHC...Southeast Alaska Regional Health Consortium-Mt Edgecombe...we are a small community with snow capped mountains on an island in Southeast Alaska. It is beautiful here!!!
  6. scrubsnhugsRN

    THE WORST Experience/night of my life!

    Good job!!! You knew there was something crazy about that lab value and you asked another nurse about it...I'll tell you that I would rather have a new nurse ask question than not to......for fear of looking stupid. Take it from me...it will take some time for you to go with your gut on things..if your gut tells you something is wrong, trust it and talk with another nurse about it. At least you are practicing safely..give it some time. Hang in there!
  7. scrubsnhugsRN

    Is it just my unit?

    I am feeling you....same issue where I work.
  8. scrubsnhugsRN

    I don't want to be a CNA anymore.

    Well here is my two cents having worked as a CNA for eight years and a majority of that in LTC..I can truly understand your frustration. I have not forgotten the back breaking work that I had to endure. For everybody else..yes having to get the residents up by 6 am is ridiculous..and I had to start getting them up earlier than that. The ones who were scheduled morning baths unfortunately had to get up first at an ungodly hour! And I mean ungodly..but everyone had to be dressed and ready for breakfast at 7 am. And now, as far as giving up on being a CNA well, have to tell you not everyone is cut out to be a CNA. Yes the facility should have guided you better if things were not working out instead of hitting you all at once with everything. But having been a CNA, you must realize on of your most important assets as a CNA is observation. If that patient had been uncomfortable then you should have noticed. Not saying this was the case, but if it was, I am sure this would have been a major consideration of the other aides and nurses. Also, if you are considering being a nurse well, time management is a major issue! I learned time management from being a CNA..I also learned observation, and imagnitive problem solving techniques as well! I suggest you hang in there...being a great CNA is an art...and it takes time to perfect....it took me a year to get it together, time saving techniques...etc. It is so much more than dressing people.
  9. scrubsnhugsRN

    Ever had a older nurse treat you as a lowly new grad?

    You need to have thick skin and be direct. Ask her the next time she does this why she is asking you to do it. Also if she is not the charge she cannot be delegating work to you. There is a difference.
  10. scrubsnhugsRN

    I don't want to come to work on my days off.

    Be thankful you are not scheduled call days on what should be your days off. This is what has been happening on our unit and it is not in our contract to be scheduled mandatory call days..48 hours a pay period...we are taking in to HR and going to refuse to do it anymore....it makes having a home life impossible, having another job impossible.
  11. scrubsnhugsRN

    Loving my scrubs from Dickies

    The ones I have are flat front and elastic waist in the back with a little flair at the bottom. There is plenty of room for my hiney....and they fit pretty good in the waist which is always a problem for me..big hiney smaller waist.....oh and I usually have to buy talls..but these pants I don't have too.... I love this new selection..most of the tops are tunic style..so they drop a little lower on the hip but have good darting so it matches a womans figure....good scrubs!
  12. scrubsnhugsRN

    How do you handle Physicians Bad Attitudes?

    He will be leaving in a couple of months had already put in his notice prior to our "event". This is one of the reasons I didnt persue the issue...since he is the only doc on weekends...I trust him as far as I can throw him.
  13. scrubsnhugsRN

    Loving my scrubs from Dickies

    I am loving the scrub from Dickies W collection...! Lots of pockets and good fit too.
  14. scrubsnhugsRN

    How do you handle Physicians Bad Attitudes?

    Well, this is a very old thread but thought I would give an update. After doing my training in a level 2 er for six weeks I came back to work in the ER in my little rural ER and I had a run in with this same doc. I was recieving a patient from EMS who supossedly had a seizure possible OD and ETOH. In the process of recieving this patient who was very aggressive and beligerant on the way to my ER, we were transfering her from the litter onto my stretcher when her non rebreather came of, in the process of transfering trying to keep it on while getting hit by the patient...(the doc at the end of the stretcher with his back to me and getting report from EMS only one EMS personell helping me...I ask for help in restraining the pt, and the doc turns around and says in front of EMS, god and everybody that I was assaulting the pt. In disbelief I immediately ask the doc.."are you saying I am assaulting the pt?" Dumb question I know.....but he says yes, You are assaulting that patient so stop it. Of course the patient is still slamming me, literally freaking out on the stretcher..and I literally back up from the patient and start attending to my other patients who were there. I was absolutely furious, but kept my composure. I called another nurse to care for that pt...the doc was going off shift so I did not have to deal with him later that night...however he went to my supervisor before I left and told him if I wrote him up he would take it to the Attorney General.... I told my manager I was in the right, and not assaultive. I could have persued the issue, but I decided that it would be in my best intrest to take him aside and talk to him. The talk went well and he told me it was the wrong thing to say...and our working relationship since then has been a good one...of course that can always change, but right now it is good.
  15. scrubsnhugsRN

    Hello - What state are you from?

    Hi all, I love on a small island in southeast alaska...Sitka...I work for IHS...woot, now that is rural!
  16. scrubsnhugsRN

    Phone Triage

    I work in a rural hospital, and administration requires me to do phone triage and document all my calls pt names etc....most people call in to tell me they are coming in...but you know I don't feel comfortable giving advice to a person I cannot assess...so I usually say if they think they are sick then they should come in. It is very frustrating because I know there isn't a doctor out there that would assess or treat a person over the phone and yet they make me do it...how ridiculous is this?? What is your take on phone triage from the ER??