amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. I'm having doubts about nursing... :(

    Just wait till you work for a while as a real nurse, then you'll see how bad it really is! Just kidding sort of. At the end of the day, it's a pay check. Try to find something that you can tolerate...
  2. nurses not using stethoscopes

    Every nurse should have a stethoscope. However, I don't listen to breath sounds on every patient someone mentioned above, it is not necessary to list to breath sounds on a healthy patient admitted for...
  3. Leaving nursing job after 2 months

    Try to stick it out at least a year, or else your resume will look like crap. You'll more easily get a job if you have a job. At least stay the minimum amount of time needed to transfer to the dept...
  4. Socially needy coworkers

    It would be so great if someone could talk to her face to face. It's awkward for sure, but gossip sucks and depletes morale of the department (in my opinion). It's one of the primary reasons I'm...
  5. I literally hate my job

    Have you considered ICU? I've been told it's much more mental, less running around like a chicken with your head cut
  6. My IV skills have improved a lot. My timing has improved too about 3 minutes to establish IV access and obtain labs. For me, that's a big improvement. I still have a hard time if someone is difficult....
  7. Should ICU get more pay than floor nursing?!?

    No, they shouldn't get paid more. ER nurses should get paid more (just kidding. I think in general nurses in all specialties deserve equal pay because all specialties are all hard in different ways. I...
  8. telemetry vs med surge

    They do all those things, except usually with higher acuity patients who require cardiac monitoring, like CVA, MI, CHF, COPD/respiratory failure, ARF with electrolyte imbalances may require tele, post...
  9. If not nursing what other career would you have done?

    Veterinarian if I had it to do all over again. Lawyer or scientist would be okay too. I really wish I would have been a veterinarian
  10. tele to ER, tips??

    I've been asked clinical scenario questions. Example, 35-year-old male comes in with chest pain radiating down the left arm, he also c/o SOB what would you do first? What tests do you anticipate...
  11. Should I leave ER?

    I like the variety of things that go on. I like to be challenged and when I'm working with people I like, the teamwork is nice. I feel like certain ERs are better than others, have better team work,...
  12. How to respond to "am I dying?"

    we are all dying. Everyone dies at some point, but at this time your vitals are stable and I don't forsee you dying
  13. CEN study tips

    There are review courses that you can sign up for and I think get CEUs. Some may even be offered by your hospital. Try an internet search and you'll probably find some. Good
  14. NYC ED nursing

    I've been told by 2 different nurses that working in NY sucks due to unsafe staffing ratios and lack of pay. One nurse worked in a prestigious hospital, she said she would have up to 8 patients, some...
  15. Congratulations!! I'd hold off on anything but ACLS and PALS for now. Once you get some experience under your belt then consider TNCC especially if your hospital will pay for that. I'd also hold off...
  16. Floor nurse moving to ER? Lots of questions?

    Be prepared to increase your workload a lot and also don't expect to get the interesting sick patients right away. Depending on where you work you might start with lower acuity patients, the kind...
  17. That is not a valid reason for not relocating. If you had a job lined up I'm sure you could figure out how to pay your rent for a month, no? I had to relocate to the Mid West when I first started...
  18. question about new job?

    I recently accepted a transfer to a job closer to my home. It is for the same parent company in the ED but shorter commute and 8-hour shifts. I was finding that my current 12-hour position coupled...
  19. New grad ER nurse

    You should start taking patients ASAP, like start taking at least 1 now. I think it's good to have about 3-4 weeks left of your orientation with all 4 patients and minimal help from your preceptor. He...
  20. Should I resign or wait for being terminated?

    You know the answer to that question, of course, it's better to resign. It's never better to be fired. Next time use common sense and not disclose your desire to leave while you're still on...
  21. I'm not a veteran ED nurse but I'd thought I'd try to answer your questions regardless of my short time in the specialty. I think it's important to consider that in the ED you won't always be taking...
  22. Assess her LOC and VS paying close attention to respiratory rate and SpO2, then treat her pain with those in mind. She probably has a very high tolerance and just because she is a drug addict doesn't...
  23. Triaging and patient load

    They shouldn't be giving you an ESI 1 and 3 other patients at the same time unless your resource nurse and other team members have your back and are settling your ESI 1. If you are stabilizing your...
  24. New Grad from New York wanting to move to California

    Apply and see if you get an interview. That's the only way to know forsure. I wouldn't move out without a job in hand
  25. Addicts in the ED

    I'm surprised no one assessed her leg a triage. Every time a patient comes through triage if they have a complaint like leg pain the appropriate thing is to look at the leg, compare it to the other...