amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

Member

  • Content

    1,142

  • Visitors

    18,910

  • Followers

    0

  • Likes

    24

All Content by amzyRN

  1. Mental health patients and smoking

    amzyRN replied to lhall92's topic in Emergency

    Get them a nicotine patch. Patients aren't allowed to shoot heroin or snort cocaine either, why should they be allowed to smoke? It toxifies the air of other people too and that's why hospitals have...

  2. Will taking TNCC help me transition easier to ER?

    amzyRN replied to Lizzie1968's topic in Emergency

    I think TNCC is helpful if you work in a trauma center. Minor traumas are pretty straight forward. I think you will find that the ED is very different from what you expect. I was surprised that I...

  3. Transporting Patients from ER to Floor. Your Process?

    amzyRN replied to melmacrn's topic in Emergency

    The floor nurse comes and get's their patient. We transport to the ICU, NICU, or

  4. Being called an idiot

    amzyRN replied to historylovinglpn's topic in Patient, Colleague Relations

    I think my automatic response would be "no are you an idiot?". Wow. I've had some rude and downright nasty docs, but never any name

  5. ER Cliques and better assignments

    amzyRN replied to amzyRN's topic in Emergency

    At my ED they are putting new grads in high acuity assignments to "train them" I've been told. But these newbies are in with the "in crowd". Meanwhile a few of the more experienced nurses, albeit new...

  6. Nurse and MD relationships in the ED

    amzyRN posted a topic in Emergency

    One of the reasons I moved to the ED is because of the greater degree of collaboration and respect between MDs and RNs. I have not yet started in the department at my hospital but I am sure hoping...

  7. Handling multiple ICU patients in the ER

    amzyRN posted a topic in Emergency

    I will be finished with orientation soon and am pretty nervous about starting on my own. I've noticed that there are sometimes instances when we will have to manage multiple ICU patients. How do you...

  8. How old is too old to safely practice?

    amzyRN replied to traumaRUs's topic in Nurse Practitioners, NP

    What about "old" doctors? I've seen some attendings that look like they are 75. I know cardiologists who are in their 60s and are still practicing. I don't think there is necessarily a "too old". I...

  9. Advice for Stethoscope Upgrade!

    amzyRN replied to mo09's topic in Emergency

    I have the Cardiology III in black and I like it a

  10. How do you deal with Doctors that insult nurses?

    amzyRN replied to relusanmi's topic in Patient, Colleague Relations

    Write the incident up after to speaking with the physician privately about the behavior. One rude incident, I let that go. If it continues, I file an incident report. If that is ignored, go to HR....

  11. New grad - PCU or ED?

    amzyRN replied to FLRN_0713's topic in Emergency

    Be careful about burning bridges. Do read your contract more carefully. You will get great experience by staying 2 years if that's what you

  12. Eaten Alive in the ED

    amzyRN replied to MillennialNurse's topic in Emergency

    I second the idea of finding another job. I can understand one or two people being rude and unhelpful, but to have most of your coworkers like that is alarming. It is not the norm. In my ER, you have...

  13. Will I ever be good at this?

    amzyRN posted a topic in Emergency

    I am a new ER nurse and I thought because I'm not a new grad and have been an awesome nurse in other areas, like tele and cardiac step down that the transition would be smooth. It has kicked my butt...

  14. Too slow

    amzyRN posted a topic in Emergency

    I'm almost done with orientation and I'm worried I'm too slow and I don't want people to get mad because I'm slowing down the flow. When does a new ER nurse start to be able to really carry the load...

  15. Using Hand Sanitizers - Is a squirt and go method enough?

    amzyRN replied to tnbutterfly - Mary's topic in General Nursing

    I caught a really nasty stomach flu from a patient and I am very good at hand hygiene. For some things, I think soap and water is best. Any nausea or vomiting case for me gets a thorough wash with...

  16. Too slow

    amzyRN replied to amzyRN's topic in Emergency

    My preceptor has reminded me that I am getting behind and need to pick up the pace and told me to work on speed. When I'm doing things under pressure though, my anxiety gets in the way and I think I...

  17. How to build skills without getting in the way?

    amzyRN posted a topic in Emergency

    I'm trying to learn more about codes and become more comfortable with them while on orientation so I can be effective once I'm on my own. So far, I feel like my presence is more in the way than...

  18. ICU stuff

    amzyRN posted a topic in Emergency

    How much ICU should a new ER nurse know. I know I probably won't get the higher acuity patients right off orientation, but want to prepare for when I will need this information. The acuity is so high...

  19. OR nurse to ER nurse

    amzyRN replied to survivor1970's topic in Emergency

    Both new grads and experienced non ER nurses get 8 to 12 weeks at my hospital. They try to get us off by week 8 but some people ask for more time. I'm a non ER nurse and have worked on very...

  20. Learning what to say in horrible cases

    amzyRN replied to RunnerKate's topic in Emergency

    "Active listening" is helpful I have found during my experience as a crisis counselor. Validating feelings and reflective communication is important. She said she felt "dirty" I'd say something like...

  21. when do you chart?

    amzyRN posted a topic in Emergency

    I am really liking the ER so far and I find it very challenging both mentally and physically. I'm trying to get a rhythm and flow and am trying to understand the thinking process and work-flow of an...

  22. when do you chart?

    amzyRN replied to amzyRN's topic in Emergency

    I think it's good to chart defensively and is wise to chart interventions and responses to those and reassessments. I just haven't been able to do that in an efficient way yet using a new EMR. I used...

  23. If you had to do it over again

    amzyRN replied to heloooooBCRN's topic in Emergency

    I just started in the ER after about 3.5 years of floor nursing. I've done cardiac, surgical, med/surg, but always wanted to work in the ER. I finally took the plunge and am on orientation now in a...

  24. when do you chart?

    amzyRN replied to amzyRN's topic in Emergency

    That's what I've been doing too, priority meds and interventions on ESI 2 (I haven't had any ESI 1s on my own yet, just helping out), then tasks to keep the flow moving and then I try to chart but...

  25. when do you chart?

    amzyRN replied to amzyRN's topic in Emergency

    We have WOWs. I'm taking all the patients now, so I'm doing most of the charting unless my preceptor is helping me and they are still helping me, except with