amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

Member
  • Content

    1,142
  • Visitors

    18,908
  • Followers

    0
  • Likes

    24

All Content by amzyRN

  1. Discharging patients on the board

    I don't think it's appropriate to keep a discharged patient in a room for 3 hours to wait for a ride. Patients aren't taken off our board unless they are out of the department. I did work at a place...
  2. New RN Grad Need Guidance Please :()

    8 weeks isn't long enough for a new grad. Most new to specialty orientations for experienced RNs are 12 weeks long. You should have been given feedback after every shift and meetings every week with...
  3. Nasty/aggressive patients

    Don't you have security in your ER? If patients get aggressive and hostile, they are asked to stop if they don't they are escorted out by security. Some people have ALOC due to psych issues, hepatic...
  4. RN MGR Told me I'm too old.

    That is illegal to even hint at age during an interview. I'd report it to EEOC as discrimination. Nothing about age, race, religion, sexual orientation or disability should come up in an interview....
  5. Yeah but a nurse isn't just working for the company per se. The people they work with, the population they serve, and one's own professional development benefit from more longevity. Unless there is a...
  6. I moved out of state for 2 years and came back to Northern Cali. My very first job required a 1.5-year commitment. If a hospital is giving you a 3-month orientation, I think a good amount of time...
  7. Crisis of confidence

    I would go on a leave of absence. There is a "stress leave" that some nurses take who are burnt out. I think you need to view the situation with a clear head. I bet a lot of this is in you mind and...
  8. Iv antibiotic running as primary?

    We do this in the ER all the time. It drives the floor nurses nuts. If you will be giving multiple doses on the floor, it makes sense to run it as a secondary. It makes it easy for the next nurse to...
  9. Help! Tested positive

    Can't you get a confirmation test? I take a medication that gives a false positive for PCP on some drug screens, but the confirmation test is always negative. It's happened twice. My test always comes...
  10. New nurse and I had a breakdown at work

    The learning curve you describe as a new nurse and the stress associated with it is typical. I would just roll with it, recognize the process of learning and do my best. I would try to not be...
  11. Hospital cancelled my contract due to inexperience...

    I think you got a bad assignment and maybe they weren't helping you out enough. Maybe they wanted a seasoned traveler, but even then they would ask questions. I think a travel nurse needs to be very...
  12. Do you feel like you are getting too attached? That is one of the downsides to the longer-term care of patients, the closeness to the family and patients. When I worked inpatient nursing, I would...
  13. Did I cause this rapid response?

    As other's have pointed out, you missed a change in condition that you should have reported to your preceptor (or the physician) and you gave nutritional insulin when the patient was not eating. If...
  14. Should I tell my manager I applied internally?

    I think you should stay on for 2 years. Your department is going to take a loss if you leave. If my boss did all that I would stay on, but when I first started they asked us that in the beginning if...
  15. New Grad to Busy ER

    I think you need a vacation. Also, you've got too many patients. Are you in NY? I work in CA and our ratios are 1:4 for regular ER patients, and 1:2 for ICUs (most of the time). You've got to try to...
  16. Needle prick!!!

    I got a needle stick injury, fortunately, the patient did not have any contagious diseases. The process was reporting it to my supervisor, drawing the patients blood to check for diseases and drawing...
  17. Never sacrifice safety to go faster. Always use your 5 rights. Your time management will improve with practice and you'll be slow in the beginning. What is paramount is
  18. I would ask him not to talk to you anymore if it makes you uncomfortable, tell him you will report him for sexual harassment next time. Part of this is your disability though, making you extra...
  19. Should I report my own error?

    Yeah, I'd report it but if they didn't respond I'd forget about
  20. Try to go to the ICU, most states have an understood ratio of 2:1
  21. Tips for CEN 2018

    One of my old classmates passed it without ER experience. He was so enthusiastic about working in the ER he studied for it and passed. He did have nursing experience just outside of ER. He now works...
  22. How long before I feel comfortable?

    I think it takes about 2 years with experience in resus/trauma rooms to be "comfortable". By comfortable, I mean confident in abilities and knowledge base to handle most emergencies or that you could...
  23. Sobriety and NCLEX?

    I've worked in 2 states, presently CA and have never been asked that question. That's a HIPPA issue. I've only been asked about criminal history. I would keep my health info private if I were you....
  24. Accomadating patients racist request?

    You are certainly entitled to your opinion but I disagree with you. Sometimes we have accomodated gender requests when placing a Foley catheter or clean ups, but anything beyond that is unreasonable....
  25. Accomadating patients racist request?

    There's never a time to accommodate that. People need to be able to accept the help offered by the staff that's available. If they want to hire private duty doctors and nurses of their preferred color...