amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. improving speed?

    amzyRN posted a topic in Emergency

    I'm wondering if anyone has any tricks for speeding up? I try to cluster care and anticipate which does save me time. My IV starts and lab draws have gotten faster too. Still not as quick as more...

  2. New Nurse

    amzyRN replied to Ratherlucky's topic in Emergency

    Get your own malpractice insurance. Treat everyone with respect. Don't take anything personally while at the same time not being a doormat. Keep an open mind and be willing to jump in and learn new...

  3. how bad is 11a-11p?

    amzyRN replied to ivyleaf's topic in Emergency

    It can be a crappy shift too, like I mentioned above. Make sure you know what the duties of the mid shifters entail, ask if they switch up assignments rather than always putting the mid shifters in...

  4. What Do You Love About Nursing?

    amzyRN replied to Allison007's topic in General Nursing

    From time to time, I make a huge help make a huge improvement in someones life and that is more rewarding than anything. Non traditional work hours, the 12 hour shift. I make over 100K per year and...

  5. Why are you listening to the heart?

    amzyRN replied to grizun's topic in Emergency

    We should be doing assessments. I find myself getting a little lazy but later have kicked myself when I missed a pneumothorax that I might have picked up on first had I actually listened to lung...

  6. ICU vs ED

    amzyRN replied to medicalninja's topic in Critical Care

    I agree with this. Very astute observations. I want to add that in the ED, we start the workup, we place the tubes and lines and initiate most of the care. The other units be it ICU or med/surg/tele...

  7. I want to quit

    amzyRN replied to R8T3D_RN's topic in Emergency

    Your ER sounds like it is unsafe and stressful. 7:1 ratio is high and can be unsafe. I'd start applying and getting interviews. I don't think it's the ER you don't like, I think it's the ER that you...

  8. Still feeling slow and incompetent

    amzyRN posted a topic in Emergency

    I have always had an interest in the ED as a specialty. It was always what I dreamed of doing as a nurse. The variety, the fast pace, the impact I could have on many patients. There are many other...

  9. New ER RN- Normal to feel this way?

    amzyRN replied to nursebabyxoxo's topic in Emergency

    Your ED sounds unsafe. Our ratio is 4:1. The stress factor might be contributing to your preceptor's attitude a bit. High stress environments bring out the worst traits in people, unfortunately. When...

  10. how bad is 11a-11p?

    amzyRN replied to ivyleaf's topic in Emergency

    I used to like mid shift because of the hours, being able to sleep in, but the workload was draining. Also, sometimes you'll get a less than ideal assignment (the hallways) or something that lots of...

  11. To tell or not to tell?

    amzyRN replied to nursingRN123's topic in General Students

    The NCLEX is a very different type of test. I wouldn't say anything, just focus on doing your best and forget about what others are doing. If you feel bad about it, don't do it. The Q bank by Kaplan...

  12. HELP! New Grad Travel Nursing

    amzyRN replied to PeepoSoosh's topic in Travel

    There are lots of places you can go in other states that will give you a longer orientation. Have you considered the mid

  13. How to learn this stuff

    amzyRN replied to grizun's topic in Emergency

    Have you taken an ICU class? Why do they need to take over? Have you considered telling your charge nurse that you want to be proficient in the trauma rooms and you'd like some more

  14. What keeps you going as a nurse?

    amzyRN replied to NurseEnvision's topic in General Nursing

    To care for the sick and in need primarily. And the paycheck in nice of course. But to actually make a difference and possibly direct someone to take better care of themselves is a huge bonus! I think...

  15. BAD Preceptor, HELP!

    amzyRN replied to Lizzy84, RN's topic in Emergency

    How many shifts have you "shadowed" her? If you're going to be successful, you're going to have to be providing patient care under her guidance, that's how it works. Her job is to make sure your...

  16. Still feeling slow and incompetent

    amzyRN replied to amzyRN's topic in Emergency

    I'm done with orientation now, so I will see how I do on my own. I like the idea of delegating as much as possible. I will try to make use of my resources. It's mainly getting used to the charting...

  17. Overweight Healthcare Workers

    amzyRN replied to EmpoweRN's topic in General Nursing

    There are genetic variances in sizes and I think the BMI needs to be overhauled. There are people who are large and eat healthy (and exercise vigorously) and there are people who are very unhealthy...

  18. Best specialty for a new nurse interested in ED?

    amzyRN replied to Axmann, RN, BSN, NREMT-B's topic in Emergency

    If you think you are ready, try to go straight into the ED. If you feel like you need to get your feet wet first, I'd recommend tele. I had about 3 years of tele before going to the ED. I wish I would...

  19. Psych RN to ED or get MSN?

    amzyRN replied to Renae14's topic in Emergency

    I would pursue the route I was most passionate about. If you are looking for a change and wanted to do more "regular" medical nursing, go to the ED. If you want to stay in psych, get the MSN. It might...

  20. Training for ER; Didn't do so hot

    amzyRN replied to RNEulogy's topic in Emergency

    I got 10 weeks orientation with the option of 12 and I had acute experience. Three weeks isn't enough time. If you love ER, find a job at a place with a better

  21. ER Narcotic Waste Procedures

    amzyRN replied to errn431's topic in Emergency

    We draw the meds up in a syringe and waste in the med room or by the pyxis in front of the other nurse so it can be documented in the pyxis. Then the ordered dose is administered. We don't return...

  22. Which Trauma ER??

    amzyRN replied to pdiddle's topic in Emergency

    Not getting the experience you need and have explicitly asked for would be problematic for me, so I'd probably take the other job. You can still get into a trauma center

  23. Potential safety issue

    amzyRN posted a topic in Emergency

    Just wondering if many hospitals do this, initiating care in the lobby? We triage patients then there is an internal lobby area where they wait for a bed if it becomes available, but care is initiated...

  24. Potential safety issue

    amzyRN replied to amzyRN's topic in Emergency

    Thanks for the information. I greatly appreciate the input. Sounds like my ED is not that different than other high volume EDs. It makes me very nervous to initiate care in the lobby because I can't...

  25. ER Cliques and better assignments

    amzyRN posted a topic in Emergency

    I've noticed that the night shift crew seems to be kind of cliquish and that if you're not in, you more often than not get a crappy assignment. How do you address this without ruffling feathers....