amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. Keep a notepad and write down things she tells you. Learn about the patho of what conditions you are treating in your ICU. Ask what the priorities are for X, Y, Z patient. Learn the meds you use, the...
  2. New Grad with Crummy Ankle

    I very rarely sit during my shift. Some of the more seasoned nurses who do triage get to sit, but the newer folks like me rarely sit, only a few minutes out of every hour to chart. I walk between 7.5...
  3. Any nurses with mental illness?

    I was diagnosed with major depression and anxiety. For some reason, I don't really think of those as "mental illnesses" because they have a biological basis. But I suppose technically it is mental...
  4. verified perception of near death experience

    I've asked patients who have experienced cardiac arrest. Some have experienced "nothing" and others have described a white light and seeing relatives that tell them it's not their time. I've actually...
  5. New RN, leaving after 6 months unprofessional?

    I don't think it's unprofessional to leave if you feel that you cannot provide safe care. You protect your patients and your license that way. No way I would work in a place, acute care, with a 10:1...
  6. Workplace gossip

    Ugh, I though cliques and stuff were something I left behind at my last job, but I guess I'm wrong. There are a group of nurses at work who will sit around the nurses station and gossip about people...
  7. Workplace gossip

    What's weird is that my first ER job was in a very crazy busy place, high acuity, unsafe staffing and I never heard any gossip. People were so glad someone showed up to work, they didn't dare offend...
  8. Unreasonable requests

    I would tell the family that I will leave a message for the physician to speak with them and would try to connect them. For beds, I've never needed an order for that. You can also talk to your charge...
  9. How do you feel about being a nurse?

    The bright moments balance out the dark moments currently. I've made a huge difference in people's lives and that has been very rewarding to me, something that I can feel good about when I die. It's...
  10. Next time when you take it out use a piece of gauze and pull it out and downward. I've had an actual needle stick injury before, thankfully from someone that was HIV, HEP C negative. Even with an HIV...
  11. Confused

    You'll get a better orientation at your next job, just make sure you ask that in the interview. A new grad should get at least 12 weeks of orientation in any specialty. In ICU or ED, probably a little...
  12. I'm curious as to why you didn't report this 3 years ago. Making racist, homophobic, and derogatory statements is unprofessional. For me personally, I would have paused them in the first instance and...
  13. Confused

    This won't work in ED orientation. A nurse needs to learn priority setting and that requires a mentor to be present for the thinking process and also to make sure the nurse is doing things correctly....
  14. Confused

    Leave it off your application and no one will know. Or you can claim the experience and tell them it's not okay to contact the employer. I'd just forget this employer for future work and move on....
  15. Feel stupid

    I have no problem telling the next nurse I don't have the answer. Thankfully my hospital uses electronic charting. If I don't know the answer, I tell them to look it up. Was the patient there for...
  16. California marijuana legalization

    I think it's stupid in my opinion, the restrictions against MJ, both medicinally and recreationally. Most employers forbid it however. I think it's wrong that a person with chronic pain would be...
  17. Workplace gossip

    I think this group of people like feeling better about themselves by saying negative things about others. What ever the reason, it's a crappy thing to do because it can decrease team morale. I'm not...
  18. Don't do the physicians work!

    I hear you. It sucks to have to double check physicians duties. However, physicians work their tails off too. Most physicians work way longer hours than RNs do (at least during their residency). They...
  19. ED workload

    Just wondering if others have found that the physical demands (and stress level) are higher in the ED compared to other specialties? I have found this the case, but I've only worked med/surg, tele,...
  20. Making the switch from medsurg to ED...

    You'll be able to find an ED that needs a warm body with a license. Just keep putting applications out. I went from floor to the ED. The first ER worked in was crazy. I learned a ton of stuff, but man...
  21. Maintaining patho knowledge base in the ER

    you should still be able to learn a lot of detail. I agree with NickiLaughs, you can learn more than in ICU because you will see way more. There are things you might not learn in depth but you can...
  22. Work at a facility with safe staffing ratios. That's always a question I ask during an interview "what are your staffing ratios?" "do you have CNAs?" with that said it might be that that was your only...
  23. ED Pay vs Med/Surg Pay

    there's no difference in pay where I"ve worked. This has been in the Midwest and CA. I've worked on a med/surg/tele floor and compared to the ED it was way lighter work. I sometimes feel like I'm...
  24. Hourly rounding notes

    I honestly don't always do this on very stable patients that I know will be dc'd from the ED without issue. I try to dock a set of vitals every hour unless I'm swamped. I will chart more on an...
  25. Why wasn't I placed in the ED?

    Be glad you got the ICU placement. You will learn a ton of stuff and have time to digest it. Like someone else mentioned the ED is not all Trauma and codes. Also having some ICU experience and...