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ED, Cardiac-step down, tele, med surg
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amzyRN specializes in ED, Cardiac-step down, tele, med surg.

amzyRN's Latest Activity

  1. I have been a nurse for almost 8 years, the last 3 in the ER. I was contemplating going on to get my NP license, but have heard mixed things about it, like struggling to find a job or taking a pay cut. So I am considering education. The primary reason I am considering moving away from bedside nursing is that I have had some significant back issues that I don't want to get worse over time. How is the salary in CA, specifically the bay area? What kind of education do you need to become a clinical instructor and a lecturer? I presume I would need my masters for both. Thank you
  2. amzyRN

    Are We Too PC?

    I think Li Nel might be a troll poster. If they go back and actually read what I wrote, there is not bigotry there. My intention on sharing my personal history was to make a point that not all "white" people come from privaleged backgrounds. I will not share the gruesome experiences my family experienced during the Nazi Holocaust because it is very distrubing.But Li Nel wrote that I am of the majority and that is just not accurate. Many people walk around with a chip on their shoulder without considering that the other people around them might have had some very rough circumstances they grew up with even if they are "white". I guess trolling serves a purpose for them but does not foster any kind of respectful and rational debate. It's really rude though to lecture a Jew on what it means to be Jewish. Unless you had family die in concentration camps (there were non-Jews who died too) please be a little more respectul fo their experience. It will add merrit to your points, if that is what your intention is.
  3. amzyRN

    Are We Too PC?

    I acknowledge there is racism, sexism, and other prejudices. But your reply is presumptious, that I am like "the majority" when in fact I am not. Most of my family came here to escape the Nazi persecution and were sent to concentration camps. I have family who are survivors. My grandmother had to work when she came to this country to support her entire family and died early because she had to work when she had strep throat. She had rhumatic fever and died early from a heart attack. I grew up in a poor neighborhood that was mostly black. I had lots of friends and was for the most part accepted. But I also faced harassment by people because I was white. I had to fight to defend myself, physically from people who thought that they would take their hate out on me from systemic racism that I had no part in. Have you grown up poor or been harassed or called names or got your butt kicked because of your race? If not, then please don't lecture me. Does this mean that I should hate black people or German people (because of what happened to "my people")? I don't think so. I take ownership of my present-day circumstances. I am grateful for my childhood because it built character and I am stronger because of it. Yes, in general people of color, women, especially Native Americans have a harder time getting out of the terrible systemic racism. But, it's possible and that is something to be grateful for. That is something that people with white skin also gave their lives for. In Saudi Arabia, women are overtly oppressed. In Yemen, children are starving to death. Have a little more gratitude for what you have, we have, is what I say. Let's work together to make things better, not get hung up on some "microagression".
  4. amzyRN

    Are We Too PC?

    I don't want to touch your hair, nor do I have a desire to touch a stranger's hair regardless of what race they are. You can make all the assumptions you like about other people's intentions, but that doesn't make you right or some kind of righteous victim that needs to be catered to. If someone touches your hair without your permission tell them not to touch you again, but don't go assuming that just cuz someone is white they want to touch you or are trying to harm you or that they owe you. I don't owe anyone anything. There are rich people of color who have way easier lives than some poor white folks by the way. There were white people who died during the civil rights movement. If you want to see some real suffering, go over to another country and see what kind of conditions they live in. Be a little more grateful for what you do have and drop that victim BS. Not sorry. Also, don't assume because you're black that you know how every other black person thinks, because you don't. That's stereotyping too my friend.
  5. amzyRN

    Are We Too PC?

    It should not be banned. Book banning and the banning of cultural videos is fascism. I did look at the instances differently because statistically, men have been more sexually persistent and in some cases aggressive and forceful. Men and women are different, their experiences have been different. Yes, sexism, misogyny, racism has existed and does exist probably to lesser overt ways in the present. Does that mean we should censor ourselves, ban books and video? No, it does not. The book Lolita is a perfect example. The book Huckleberry Fin and The Diary of Ann Frank depict racism and the latter a very touching story about the Nazi Holocaust. It's good to have these cultural references for exploration. Should we go back to book burning? That's what the PC culture seems to push. In this day and age, consent from both parties engaged in intimate acts is required to be respectful and enjoyable. If a man says no, a woman needs to respect the no and so must a man. If I heard the song without the video, it would not be provocative. I do not believe in censorship. That is not an aspect of democracy. PC is not the same as being democratic. Real equality and justice involves respect and learning from the past and trying to understand each other as human beings. That cannot occur if we censor each other. Regarding touching of har. I've had black people touch my hair and was never offended by it. If I felt uncomfortable I would have said something. I'm a pretty easy going person though. My closest friend in high school was black, in fact, I grew up in a mostly black neighborhood and I have 2 sisters who have black fathers. We have the same mom. I love being around a diverse group of people. I don't feel the urge to touch a strangers hair, but if it were my friend I might ask to touch their hair if I were curious about it. Consentual touching is not offensive. Maybe people are curious about each other. If we were kids again without any of the BS prejudices, would asking "I'm curious about you, tell me about your culture, can I touch your hair" be so offensive? We are all human beings with finite lives at the end of the day. Let's live together and get over the past and celebrate our future. We have so many things on our plate as a race of human beings, let us appreciate our differences and allow space to learn and grow. This requires honesty and open conversations and a little humor too.
  6. amzyRN

    Are We Too PC?

    Yes, it's awful. It's so fake too because using the "correct" language doesn't mean someone is a good person or gives a damn. People should be able to say the "wrong" thing and take feedback to correct it if it is hurtful. Similarly, someone should be able to not take offense to every small thing that people say. "Microaggressions" for example. I don't want to censor myself for every word that comes out of my mouth. Why assume, if I ask someone where they are from that this means I am saying they are not a real American? Why assume I meant that they were from another country at all. In fact, I never ask that question unless I'm interested in where they grew up and that I'd like to know more about that person regardless of what they look like. I even worry that mentioning this will bring about streams of hate, that I am insensitive and this is on a forum for gosh sake. People need to have a little more tolerance for each other. When we stop having conversations with each other out of fear and censor ourselves that is not helpful and in fact harmful. These are my opinions.
  7. amzyRN

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    Wow, what a terrible mistake and breakdown in safety protocols. I can't imagine being responsible for someone's death. That would haunt me for the rest of my life. I would never even want to be a nurse again. This nurse will never be the same, that patients face will be with her for the rest of her life.
  8. amzyRN

    New nurse and I had a breakdown at work

    The learning curve you describe as a new nurse and the stress associated with it is typical. I would just roll with it, recognize the process of learning and do my best. I would try to not be embarrassed by showing emotion. Everyone cries sometimes and it's okay. It can be more healthy than keeping it inside bottled up. With that said, it's not safe to work when continuously sleep deprived, especially when you're on your own. Additionally, the stresses of family life combined with a new high-stress job and adjusting to working nights will cause exhaustion. I would try to ground myself so that I could get clarity around the situation.
  9. amzyRN

    Hospital cancelled my contract due to inexperience...

    I think you got a bad assignment and maybe they weren't helping you out enough. Maybe they wanted a seasoned traveler, but even then they would ask questions. I think a travel nurse needs to be very proficient in the specialty they are in, which can theoretically happen at the 2 year mark. I wouldn't give up the idea of traveling but do more research next time. Some places are more friendly and willing to train than others.
  10. amzyRN

    New grad bedside nursing disappointment

    Do you feel like you are getting too attached? That is one of the downsides to the longer-term care of patients, the closeness to the family and patients. When I worked inpatient nursing, I would sometimes find it hard to care for patients who were dying because I had to take care of them several days in a row. Working in the ER, I don't have time to become attached because my patients are only with me for hours, rarely a whole shift. Maybe you need a new specialty, a long vacation, a leave of absence so that you can clear your head a little so that you can make your next decision with clarity. With regard to the learning curve to learning a new specialty and particularly critical care, I would think that it takes at least 2 years before you would feel completely comfortable. Maybe you can speak with one of the more experienced nurses in your department that you trust that can guide you. I wouldn't make any abrupt decisions if I were you.
  11. amzyRN

    Did I cause this rapid response?

    As other's have pointed out, you missed a change in condition that you should have reported to your preceptor (or the physician) and you gave nutritional insulin when the patient was not eating. If the MAR said do not hold if NPO, you did not technically make a med error, but nevertheless any change in mental status should be accompanied by a finger stick. These are things your preceptor should be going over with you, debriefing with you so that you can perform independently at the end of your orientation. When you receive a patient on the floor you should have a good idea on why they are coming in, the treatments they are getting and why, and what to look for in order to promote stability and improve health. If I had a septic patient, I would be looking for worsening s/s of sepsis, increases in HR, drops in BP, etc. Any new onset chest pain or SOB needs to be investigated. I want to know what's going on with all of my patients. If there's something I don't understand, I try to find out. When you are done with your orientation, you will be the safety net (one of them anyway). You will build a basic knowledge base during your orientation, learn who to ask for help and how you can get answers so that your patients stay safe and improve. Your preceptor is there to help you get these skills. I encourage you to use them as a resource. I have made mistakes like this you describe in the beginning of my career and it is normal. What's important is you learn from them and don't feel like you have failed, but are motivated to improve and ask questions. It will be okay, you didn't cause this to occur, but moving forward will now know a few more things to look out for.
  12. amzyRN

    Should I tell my manager I applied internally?

    I think you should stay on for 2 years. Your department is going to take a loss if you leave. If my boss did all that I would stay on, but when I first started they asked us that in the beginning if we could stay at least 1.5 years. I just peaked up and saw you decided to stay. I think you made the right choice. There is so much more to a job than it being the "right" specialty. Who knows maybe you'd hate L and D or the manager might be terrible or the work environment might suck. I think something better will open up when it's time.
  13. amzyRN

    New Grad to Busy ER

    I think you need a vacation. Also, you've got too many patients. Are you in NY? I work in CA and our ratios are 1:4 for regular ER patients, and 1:2 for ICUs (most of the time). You've got to try to review your labs on your patients because lab might not call you for a critical. I've had that happen. I felt the way you did at 2 of my ERs and found another job, presently working at a better hospital that is not overwhelming all the time. If you can't do that, I would try to add more self-care to your live. Don't take on extra shifts, don't stay if they are short. Go in for your shift, take your breaks, put up a filter between you and the patient. Compassion from a distance. Also, security is your friend. If someone is giving staff a hard time, have them escorted out. It's okay to be stern and also maintain your empathy. If you find you no longer care, that's a red flag you should listen to that you need a break. I've had patients scream and yell at me because they weren't seen fast enough, meanwhile the patient in the next room was in cardiac arrest. I explain to the patient we are going as fast as we can and they will be as soon as possible, go to the doctor if they want to leave AMA maybe the doctor can see them quickly, or just sign the AMA. No problem for me. Also, our hospital has started decreasing the use of dilaudid. We rarely give that, more often morphine and fentanyl. That has decreased drug seekers significantly. Take care of yourself.
  14. amzyRN

    Needle prick!!!

    I got a needle stick injury, fortunately, the patient did not have any contagious diseases. The process was reporting it to my supervisor, drawing the patients blood to check for diseases and drawing my blood. I also had to follow up with them in 6 months. They gave me the option of PEP, I think it is short for Post-exposure Prophylaxis. It involves taking antiviral meds (HIV meds) for about 1 month to help prevent HIV infection. The critical time to start is within 72 hours of exposure, so you may still have time if the doctor recommends it. Always report injuries immediately.
  15. amzyRN

    I'm extremely slow at passing medications

    Never sacrifice safety to go faster. Always use your 5 rights. Your time management will improve with practice and you'll be slow in the beginning. What is paramount is safety.
  16. amzyRN

    How to ask for mentorship?

    I really want to improve my skills and comfort with critically ill patients. I have found at every ED I've worked in that nurses are assigned based on experience and skill with those patients. I have gotten some exposure and experience but really would like more. That's one of the reasons why I went into this specialty to grow and expand my knowledge base. I don't want to be stuck in a boring assignment all the time. How do I ask for this? Do I go to the charge and ask directly? How can I get some honest feedback about areas of growth?