amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. What is the grossest thing that's happened to you???

    amzyRN replied to PrincessAlexis's topic in General Nursing

    I needed help to get a patient back to bed. He was very unsteady and I was going to need a second person. My nice nurse coworker comes in to help me and as the patient stood up his ileostomy bag fell...

  2. Is it fianally time to retire NETY?

    amzyRN replied to hppygr8ful's topic in General Nursing

    I think a lot of it is communication skill. To tell someone, a doctor for example "I needed to call you because I'm worried about a patient or I'm trying to advocate for my patient" or something else...

  3. Is it fianally time to retire NETY?

    amzyRN replied to hppygr8ful's topic in General Nursing

    I disagree with some of what you say. PC attitudes (without real genuine concern) and "snowflake" like behavior is a more recent phenomenon (Millennials) than in older generations. When I went to...

  4. How much RN experience?

    amzyRN replied to amzyRN's topic in Student Nurse Practitioner

    How much experience though? Would you recommend 5 years, 7 years, 10 years? I have 5 years but only 1 in the ED so far, wanting to aim for 2 at

  5. How much RN experience?

    amzyRN replied to amzyRN's topic in Student Nurse Practitioner

    I'm not sure what new grad NPs make in CA. Some of the postings I've seen in clinics were kinda low paid. I make more as an RN in a hsopital than what they were offering. I think it depends. They...

  6. Is it fianally time to retire NETY?

    amzyRN replied to hppygr8ful's topic in General Nursing

    How can we as nurses be patient advocates if we don't stand up for ourselves. It's like not calling a rude doctor because something is wrong with the patient. I think it's challenging to stand up and...

  7. Unprofessional to mention you have other patients?

    amzyRN replied to Emergent's topic in General Nursing

    When I worked on a med/surg floor, management would stress never mentioning you have other patients because it's bad "customer service" That's one of the reasons I switched to the ED to escape some of...

  8. What do you think of 12 hour shifts?

    amzyRN replied to Joe V's topic in Nursing Humor

    I used to think 12s were the best but since moving to the ED, I think I might want to go back to 8hr shifts (x4 per week). So I'd work 4 8 hours shifts versus 3 12hour shifts. If I had self scheduling...

  9. Is it fianally time to retire NETY?

    amzyRN replied to hppygr8ful's topic in General Nursing

    I agree that more precise language needs to be used to describe "NETY" or "bullying". Targeting, harrassing and sabotaging colleagues is wrong and shouldn't be tolerated. I've witnessed a lot more...

  10. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

  11. Recent transfer to ED from MS

    amzyRN replied to Beffers81's topic in Emergency

    Wow! We have to do photos only if a patient has decubs and is going to be admitted. Not on

  12. Feeling Lost

    amzyRN replied to kkemble26's topic in Health, Stress Management

    It sounds like you need a different work environment. I'd try to stick it out until I got another job. If you like the specialty, pick a better employer, ask questions in the interview about staffing....

  13. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

  14. Is it a bad idea to go to nursing school right now? (No more shortage)

    amzyRN replied to Skippy97's topic in Pre-Nursing Students

    Not a bad idea. I had to leave my home state for experience, but once I got experience have had a series of high paid jobs. I think if you are going to go for it better now than

  15. Unionized vs Non Unionized hospitals

    amzyRN replied to sungrl01's topic in Collective Bargaining, Union

    Example, at a union hospital if someone gets injured at home (not a workmans comp issue) and has to take time off and does not have enough time to qualify for FMLA which requires 1 year with an...

  16. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    The reason I gave her a 3 instead of 2 is because "she's here all the time" with the same complaints, but that's not a good reason. I do think she should be a 2 in retrospect per ESI for severe pain...

  17. Recent transfer to ED from MS

    amzyRN replied to Beffers81's topic in Emergency

    I don't know how anyone could do a full head to toe on every ED patient regardless of acuity. Unless you are glossing over things. For example, I'm not going to listen to breath sounds or heart sounds...

  18. I'm not sure I'm cut out for this

    amzyRN replied to ItsThatJenGirl's topic in General Nursing

    I don't do nursing because of a "calling" per se. I enjoy helping people, a challenging work environment, and a big pay check. Nursing is a VERY HARD job though and you will earn every penny!...

  19. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    I gave her an ESI 3 but another nurse changed it to ESI 2 for sever pain or

  20. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    How about ESI for the following patient: 28-year-old female presents with severe abdominal pain is screaming at the top of her lungs "help me help me" She is brought in by EMS. She has a history of...

  21. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    Wouldn't there be a sepsis work up done, blood cultures, lactate, CBC, CMP, coags? Then the usual fluids and antibiotics modified for a new born I would suspect. I have not had a patient like this...

  22. Starting a new position nervous

    amzyRN replied to krd2984's topic in Nursing Career

    I think being nervous is normal. I've always been nervous before I start a new job with new responsibilities. I think reminding yourself that you are capable of doing well in the new position will...

  23. Thinking about switching to ED

    amzyRN replied to Koalified's topic in Emergency

    You will still get those patients who come from nursing homes with decubs and incontinent, but you likely won't have to deal with those day in day out. In the ED your primary goal is to stabilize and...

  24. Job offer without telling me pay rates

    amzyRN replied to nekoneko's topic in Job Search, Interview, Resume

    The pay rate is part of the offer. I've never received a job offer without it. I'd ask for clarification. Consideration of pay is part of the

  25. Recent transfer to ED from MS

    amzyRN replied to Beffers81's topic in Emergency

    Like mentioned above, clustering care (do it all at once), anticipating what will be needed (eg., chest pain, EKG, IV lab draw, possible aspirin, and nitro immediately), prioritization of...