amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. 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...
  2. southern california hospital/brotman

    I had a friend who worked at Brotman and she said it was horrible, but it's a job and you will learn things. If it's your only option, I'd take it, but it will probably be grossly
  3. SNFs are some of the most greedy institutions I've ever seen. I was offered a SNF job when I first started my career and it was so depressing I decided to go out of state for an acute job where I'd...
  4. MedSurg RN new nurse 1 year, ICU or ER?

    You'll need to eventually know some ICU nursing for the ED though. I almost wish I would have done ICU before ED, just to have more experience with ICU patients. When you have an intubated patients on...
  5. Pay grades for different units??

    Where I work they are paid the same, no greater pay for working in ED versus ICU versus
  6. Double Checking subQ Insulin Requirement

    Yes I work at a place that doesn't require a double check on SubQ insulin. We do require checks for IV insulin, heparin and Sub Q
  7. The test doesn't lie

    I had a UDS come back for PCP once (this was for pre employment). One of the prescription medicines I was taking at the time can cause false positives for PCP. They sent the same urine for more...
  8. I just witnessed my first clinical death

    I'm so sorry to hear that. I've never seen a little one die (thank God). I've seen adults die and assisted in several codes where the patient didn't make it. They youngest was a 21 year old. We coded...
  9. Getting a puppy and working 12 hour shifts?

    Have you considered doggie daycare? That's what I'd do if I were going to get a dog, especially a puppy that would benefit with socialization and training. It's expensive but worth
  10. Weird meeting with manager

    These errors were not intentional, nor did they cause harm. When I have Martinez, Lydia and Martinez Linda in the same room back to back and you give as many meds as I give during the course of a...
  11. Weird meeting with manager

    I also want to thank everyone for the responses, especially Esme (the articles are very useful). I do really appreciate the feedback and value the time you all took to read my
  12. Weird meeting with manager

    There were 3 times I pulled a narc out under a similar sounding name and administered it to the patient it was intended for. Pharmacy was able to go and correct these once the error was located (ie...
  13. Preceptor burnout

    If you hate it you should tell your manager you'd like to switch with other people. You shouldn't have to be the only one to have to do it. That would get tiring. Precepting can be really cool because...
  14. Newgrad+Nights = Study Time?

    I think you should wait until you adjust to your new job and the night shift. I think night shift is brutal. My body never adjusted to it and I was exhausted all the time and finally got off of it....
  15. Nicardipine via direct IV

    I've never given it unless it was as drip, mainly for bleed
  16. Weird meeting with manager

    We do and I think many ED's "attract" drug seekers. Narcs are prescribed far too often. I'm starting to think that people should hardly ever get them unless they are in the hospital having surgery or...
  17. I think it's too early. Wait till you are off probation and working for a few months. It might be offputting to ask for this so
  18. Weird meeting with manager

    I'm not nervous about it, just kind of hurt. For some reason, it hurt my feelings that my manager could actually think for a minute that I would steal from them. I would hope that the truth would...
  19. Weird meeting with manager

    They tell us that the HCAPPS are low because of pain management. They tell us that we need to advocate better pain control for patients and that we are falling behind and that the nurse being the...
  20. Weird meeting with manager

    That's a great idea to reach out to other staff to reduce errors. I will definitely CYA more. I'm going to start printing a sticker for each patient I have or pull narcs on from now on. If it slows me...
  21. Weird meeting with manager

    The manager said that she is looking into making the pharmacy require an active med order by a physician a requirement to pull the narc. I think that is a good start. In the ER, narcs are probably the...
  22. Verbal Orders -- Yes or No?

    I put orders into be helpful when they are busy. I like helping my team members out and if the doc is intubating or something I'm not going to wait until they are done. Docs are encouraged to put...
  23. There isn't a communication breakdown on your end from what you've written. Let them call you back, you have done enough. If you don't get this job, you will get something
  24. I wouldn't put all my eggs in one basket. I'd be annoyed that they took so long and gave me the run around, so I'd want to have another job lined up. Don't call them again, instead apply for another...
  25. Am I cut out to be an ER nurse?

    The feelings you have is normal. The priority setting takes time. I think it's easy when you have a sick, sicker, sickest patient to prioritize. Its obvious that the respiratory distress takes...