amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. New Grad from New York wanting to move to California

    Even though the economy has improved for new grad nurses, it is still tough to get a job in a hospital straight out of nursing school unless you live in certain geographic areas. California is...
  2. If you are mostly motivated by money, I'd go into pharm/medical techology sales. With your medical background, you might be very valuable to a company and you wouldn't have to spend any money on extra...
  3. New Grad ER Nurse

    Talk to your preceptor. Tell them you need to know that your priorities are correct. There are correct orders of operations in the ED. Sometimes certain things can go in different order, but there are...
  4. I've worked on the floor before ER and can see both sides also, however, I also know that the medical record is easily accessed (unless your still doing paper charting) so it's much easier for the...
  5. Would You do This Commute?

    I have an hour commute each way to work now and it sucks. I do 12-hour shifts and am so exhausted and having to commute is too draining. I'm now looking for something closer. It seemed good on paper...
  6. ESI practice thread

    Good one. I would have made this an esi 5, but didn't know removal of part of ths spleen could pose such a potential problem. I'll now be on the look out for
  7. ESI practice thread

    ESI 2 if the heart rate is accurate, just in case it was something high risk. HR in the 150s at rest is
  8. how to deal with favoritism

    I'm wondering how any of you have dealt with favoritism, ie., giving some people more work intensive assignments and others either more interesting assignments and/or less work intensive. I have been...
  9. how to deal with favoritism

    Maybe management doesn't know, but the people sticking certain nurses in crappy assignments know what they are doing. I'm going to speak with management and also have a job lined up
  10. What is a typical day?

    I had about 3.5 years nursing experience in acute care when I applied for my first ED job. It was still tough to get my first ED job and I applied to a hospital that was desperate for staff and they...
  11. are you guys exhausted after your shift?

    I have never not been exhausted after a 12-hour shift. 12s are exhausting and especially if you do 3 in a row, which I hate. Even if you get your breaks you'll still be exhausted, unless you are...
  12. Told to fake vital signs

    A patient chart is a legal document. Technically to lie is to perjure oneself, no? I wouldn't do that, plus you'll know you didn't take vital signs. It is unethical. I would tell them you need...
  13. did I make a mistake?

    If it's within 24 hours, you can hopefully still report it. Do so
  14. Hospice patient and vitals

    You're not wrong. I might have asked the family if they wanted vitals taken and done as you had done and said you hadn't gotten to it yet. I think it's hard for families to let go. I try to take...
  15. Coping w/th working outside a desired specialty

    Try to be grateful for what you have (that you have a job at all). Try to remember that as a nurse it is your duty to do your best for your patients regardless of the setting. See your current job as...
  16. Drowning New Grad RN Resident

    Time management sheets are good for floor nursing. I would definitely use one to organize your activities. If it's taking you 30-40 minutes to chart on 1 patient you might be doing something wrong. It...
  17. How much RN experience?

    Are you an FNP outpatient or private practice? I was considering doing acute care. I definitely don't want to be working all the time or on call. That is
  18. Future Market Saturation

    I think this is an overgeneralization, though I'm sure there are some degree mills out there. NYU, Colombia, UCSF, etc have excellent NP programs. I'm a little skeptical of the online
  19. Pt assignment in the ED

    In my ED we use the 4 room assignment system for most of the ED except for the resus/trauma rooms. Those are the only rooms that require some experience to get to rotate through, usually the length of...
  20. Chewed out from family

    I'm sorry that happened but I'm sure it won't be the last time. I very seldom let that stuff rattle me anymore unless it seems like the situation is escalating and then I call security and have the...
  21. Assertiveness Training Needed

    That is an excellent idea! Next time I see one of the nursing instructors on my unit, I'm going to mention
  22. Try to stick it out and don't rush too much so you make a mistake. Keep the mindset of only being able to do the best you can do and that is all you can control. Try to change your own internal...
  23. Is it fianally time to retire NETY?

    Those are good definitions but might you provide an example you have seen applied by older nurses against younger nurses in particular? Do you think biological age has anything to do with this? I...
  24. Futile ressusitation

    I just feel disheartened sometimes that despite our best efforts, the patient dies or won't recover to a meaningful extent. I will always continue to do my best, it still bugs me sometimes when...
  25. Is it fianally time to retire NETY?

    But is it true (with verifiable evidence) that in general older nurses bully younger nurses? Would you mind pointing out the actual research on this. What I've read did not seem very solid, that a...