amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. Addicts in the ED

    We have a social worker who does that kind of thing. It's kind to try to offer them help. I have told an addict that was caught malingering that all this charade was wasting his life and that he...
  2. I've now worked in 2 EDs and have found that both had unfair ways of assigning nurses to different pods or tasks in the ED. I'll give an example at my current place. New nurses that are in with the...
  3. Is your ED organized?

    Both the EDs I've worked at have been a little disorganized, the first one way more and unsafe which is one of the reasons I left. The second one gets backed up with when providers or short or slow to...
  4. ESI question

    I think your rationale is correct, a ruptured aneurysm is a 1, a physician at the bedside immediately and live saving intervention needed. An about to rupture aneurysm would also be a 1, a physician...
  5. ESI question

    I think it might be a little subjective. I think you are probably technically correct. You felt immediate life-saving intervention was necessary and a physician at the bedside immediately, that is an...
  6. Can Nurse Practitioners Become Doctors?

    That would be a very long roundabout way of becoming a physician. If I were you, or who every is considering medical school, just get your undergrad and try to get into med school. Becoming a...
  7. I don't think anxiety should prevent you from advancing your career. If you are happy doing what you do, that's great. If you want to advance but are afraid to the point that it prevents you, that...
  8. Pain management approach

    "MD aware, no new orders". Hospitals are pushing this pain management thing because survey scores are low due to uncontrolled pain. Yet, it's not always possible to control pain completely in every...
  9. 100k in loans worth it?

    Find a cheaper program. I wouldn't spend 100K on a bachelor's degree or a masters degree for that matter. That being said, if you work in CA as an RN, you'll be making 100K+You can make good money in...
  10. how much lifting/transferring in ed?

    As others have said, a lot of transfers and lifts. I've found the ER to be very labor intensive. In fact, I hurt my lower back by pushing our crappy stretchers. Most of them are old with crappy wheels...
  11. My coworker was high and got away with it

    Wow, your behavior makes you sound like a real jerk. I'd never want to work with someone like you ever. Your behavior makes you sound totally paranoid and nosey. If I was your coworker I would write...
  12. NYC Emergency Rooms

    I have heard NYC doesn't have staffing ratios and that you might get 10 patients. I work in CA and one of my co-workers is from NYC who told me this. She said unless you were in the trauma bay you...
  13. What goes on in an ED?

    EDs are extremely diverse places, from ED to ED the patient acuities will be different and things they see will be different. Some EDs might have a poor sick population while others have a more...
  14. Brave or just stupid?

    I'm an ER nurse and the NPs in my ER don't do a lot of interesting things in my opinion. I've never seen NP or PA do a central line or chest tube. They mainly treat the clinic patients who come in,...
  15. Brave or just stupid?

    I would only invest in it if you think you can get a job at the end. I suppose you can relocate, then transfer. NP jobs in CA are pretty competitive. Most good MSN programs require RN experience to...
  16. At least 90K to start in CA. In the bay area probably more like 100K to
  17. Can I be a RN with my conditions?

    I don't think the major depression and anxiety should stop you. I don't know about the panic attacks, have they in the past prevented you from working? I work in a busy ER with depression and anxiety...
  18. New grad in icu not ready

    It's good you are trying to tackle this problem ASAP prior to starting and possibly failing. I'm wondering why they allowed you to go further, knowing you weren't able to handle a full assignment. A...
  19. Questioning a doctors order

    Say in a polite voice "I have a question about this? I am concerned because..." If you really feel like you can't safely carry the order out, respectfully say "I'm uncomfortable with doing this, I...
  20. Dealing with a dirty old man

    I have had a male patient try to grope my crotch (he was in restraints, so wasn't able to reach, thankfully). Another male patient started telling me about his "priapism" and if I knew what that was...
  21. Do women find male nurses attractive?

    The fact that a person can be compassionate and caring is an attractive quality, for men and women. I think it is a myth that men don't have compassion and cannot be caregivers is wrong. Why would a...
  22. friction with a provider

    Agree with everyone, speak with this doc privately, "when you did/said this, I felt ...., we are on the same team, I am trying to help the patient, etc" "in the future, could you please ...." See how...
  23. I work in a busy ER and am constantly giving pain medications. We have an error-prone system where it's easy to pull a narcotic on the wrong patient and administer it to a different patient. This has...
  24. Any nurses with mental illness?

    I agree, there shouldn't be stigma with any illness. I think the revised term should be brain disorder. Mental illness has too many bad connotations.
  25. New BSN looking for ER/ICU Job

    If I had to do things again, I would have done ICU prior to ED. You will get ICU in the ED but if you already have ICU experience you will be better at management of ICU patients faster. Then you...