amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. mixing pain medications with a flush

    I've usually pulled my antiemetic or narcotic into a 10ml flush. I do this with Ativan too or if I'm pushing insulin. I was taught to do this in nursing school from my clinical instructor who said...
  2. Inpatient Boarders?

    I have never worked in a hospital with that problem. Even my first ER job, which was a very busy high acuity facility never boarded that many patients at one time. Maybe we would have a few that would...
  3. Are nurses and doctors equal?

    Every person should be respectful in all of their interactions in my opinion. I do not see myself as a subordinate to anyone. As a nurse, my role is different though. The MD or NP directs patient...
  4. taking a job but quitting in 4 months?

    How much training are they giving you? I would feel wrong if they gave me a 4 week or greater orientation and I stayed for 4 months. I know people do it all the time, yeah it's business and all that...
  5. I recently accepted a job with a sign on bonus in the ER. The hospital sought experienced ER nurses who will stay for at least a year. I really like the hospital and department so far. I think that a...
  6. If I were you I would try to keep my ego in check and use this as a learning opportunity. Extract all the knowledge you can and get out of that place. Don't gossip, help your coworkers out, be an...
  7. How long before I feel comfortable?

    You're new and won't know everything so it's the perfect opportunity to grow. I would try not to get bogged down in what you did wrong. In your scenario, you called for help and protected his airway...
  8. Will I be fired

    That's tough to come back to nursing after 4.5 years an jump into a busy ER with the expectation of doing that in 4 weeks. A more reasonable expectation should have been 12 weeks with regular meetings...
  9. Aggressive family member

    The father had no right to put their hand on you and that might be considered battery in a legal sense, though if you were not harmed physically, I wouldn't report it to the police. I think you...
  10. Terminated for Calling Out Sick?

    Didn't you have a doctor's note? The policy at my facility says you need a doctors note to clear you if you're out for 2 days and if you miss more than that you have to ask for a leave of absence...
  11. When you're not bored by the work and you get along with your coworkers and are not overworked, I think that's a good time to be like "ah ha, maybe this is my thing". That's how I feel now in my ER,...
  12. I would speak to an attorney for
  13. Do you have malpractice insurance? Every nurse should have it. I wouldn't be worried about it unless the patient was harmed, which would be different. Everyone makes mistakes and you did the right...
  14. New job- to quit or not?

    I'm not sure if I'd wait till I had an offer or just quit if it was making me feel the way you do. Who wants to live like that? Either find a way to adjust the way you feel about your current...
  15. Feeling like a failure in ER nursing

    Try not to take anything personally, let it roll off your back. It takes practice. Next time with your lab draw off an existing line just waste into a tube or syringe first to minimize contamination...
  16. Very concerned

    Didn't you tell the MD about the drop in blood sugar to 44? I would have let them know and asked about the Lemimir. In my experience, subsequent insulin and anti-diabetic meds may need to be adjusted...
  17. Med Error Advice...

    Everyone makes mistakes. Admitting to it and taking responsibility involves reporting it and talking to the doctor to make sure any follow-up needs to be done. I wouldn't let it sink my confidence but...
  18. Quit while on orientation

    I would give as much notice as possible in a face to face encounter. Don't be a slime bag and resign via email or text. I would come in face to face and explain and offer possibilities to stay on per...
  19. Transitioning to ER. Any tips?

    There are lots of "nice" people in the ER. A lot more than I anticipated actually. People go out of their way to help me and other team members when in need. One thing I've rarely observed in the ER...
  20. Transitioning to ER. Any tips?

    Don't be afraid to ask questions. Find learning opportunities and jump in to help. Never sacrifice safety to go faster, ever. Never be afraid or embarrassed to ask questions and admit that you don't...
  21. Nursing with mental illness

    Many states don't ask about mental illness, including CA and some states in the Midwest. If you have mental illness and it doesn't interfere with your ability to practice safely, it's really no ones...
  22. New grad sinking fast

    I would try to just roll with it and learn as much as you can and ask as many questions as you feel are necessary for you to learn. It doesn't matter how you look, what matters is that you keep your...
  23. There are references to it in medical training Pimping in Medical Education: Lacking Evidence and Under Threat | Medical Education and Training | JAMA | JAMA Network. I haven't heard of this used...
  24. BSN with PhD in Pharmaceutical Sciences .

    Money and excellence are two totally different concepts. Ph.D. grant/scholarships are few and far between, especially if you're studying a science. But, they exist I'm sure. It's nice to have goals...
  25. BSN with PhD in Pharmaceutical Sciences .

    Interesting information. It's going to take you a while to finish this goal. Getting into critical care after nursing school might take at least a year of med/sure if you don't get into critical care...