amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. About the Nature of Nursing

    I don't have a problem with it as a philosophical opinion. It's not based in fact, but her view of humanity and nursing. At least that's my take on it. It's like the belief or disbelief in "God" or...
  2. NURSE SMOKING a survey of knowledge and educational experience

    I smoked off an on as a teenager and young adult when I was out drinking. I have asthma so couldn't every tolerate it long term. When I was 16 I smoked 1/2 a pack a day and one day I tried to run for...
  3. Is it best for the new nurse to start with night shift?

    Go for the shift that's best for you. you'll learn on any shift. It's hard to be a new grad, day or night shift. My first 6 months as an RN were brutal, such a steep learning curve. I started on...
  4. How To Sell Myself...

    Sounds like you've got quite a skill set. Don't state any weak points in your cover letter, resume or interview. When you get your interview turn your weak points into opportunities for growth. Any...
  5. Anyone else try urgent care and hate it?

    I met a few older nurses who liked the fast track part of our ER because it was lower acuity and less physical than the other sections. One nurse felt that his body could only take triage and urgent...
  6. Mandatory Influenza Vaccine

    Where I've worked you have to wear a mask if you refuse it. I had a reaction to it last year and had to wear a mask this year even with a doctor's note. I was glad to wear the mask though because I...
  7. Orientation length?

    I'll be going back to the ER in about a month having been out of the specialty for 7 months. The facility I'm going to said they usually give nurses 4 days of orientation. I'm sure they will extend it...
  8. Orientation length?

    Yeah, I'm definitely not a big shot and I have limited experience with trauma. I'm still pretty green with only about 1 and 1/2 years experience. I think any experienced ED nurse would know that...
  9. What is more valuable, time or money?

    I would also look at the economy in your area. Will you be able to get a job when you graduate? I guess no one knows what the future holds, but when I graduated the economy crashed and new grads were...
  10. Hopefully the economy will allow you to have a choice to pursue a chosen specialty, if not, take any job that will give you experience in nursing. When I started the economy crashed and there were...
  11. Unstable Admission

    I don't know why you got reprimanded for asking a question. It's okay to ask questions in my opinion. I've seen ESRD patients with low MAPS before. Usually there on midodrine or albumin if they also...
  12. Orientation length?

    It's a smaller ER, 18 beds with an average census of 80 visits a day. I doubt the census would be this low all the time, however. It's not a trauma center, but the manager said the acuity was high....
  13. Pro Life Beliefs and Nursing

    There are religious hospital systems that don't do abortions, why don't you seek employment there? In nonreligious based systems I think there are policies that staff aren't required to carry out...
  14. Is the ER for me?

    I think ER can have "hard" personalities but also has a lot of "soft" personalities too. I was surprised by that, that there is a huge diversity of types of people who work in the ER. I think you...
  15. Emergency Nurse Core Curriculum, you can get it on Amazon. Also start learning about ESI traige. Go to the ENA website, they also have resources. Oh, and Sheehy's Manual of Emergency Care is highly...
  16. Benefits over passion?

    Transfer to their OR. Take the job. It's hard to start out in a specialty when you first start. It's your first nursing job, you don't have to stay
  17. Nursing sadness

    I think this is an old post but I'll answer anyway. I would try to get on a different shift. I tried nights before and it exacerbated my depression so much my doctor restricted me from doing it. Now I...
  18. I think you should speak with a specialist. It might be biochemical versus situational. I have depression and anxiety too so I understand. There are meds you can take that might help you. I am...
  19. Case study need help!

    You need to take this patient to the hospital, he sounds septic to me or some other emergent issue going on. That's what I'd do if I were the home health nurse, take this guy to the ER. That would be...
  20. Perhaps try to use this experience as an opportunity for growth, to show you how to improve your skills and what you need to work on. People learn by experience an mistakes. No one knows everything,...
  21. Loss of all personal freedom.

    It could be worse. I've never been drug tested for a Federally legal substance at any of my jobs and I have never been randomly tested either. Regarding immunizations, they let us wear a mask if we...
  22. Mini cath on peds

    How do you find the right spot in a female patient? I haven't ever been able to see it and have put the catheter in the wrong place before then I would know what wasn't the right spot but would have...
  23. Mini cath on peds

    I've always had to have 2 additional nurses to hold a pediatric patient down who was kicking and screaming at the tops of their lungs when I've had to do caths. Most kids hate it and it is one of the...
  24. Mini cath on peds

    That doesn't seem right to me either. It's such a traumatic experience for everyone involved. The doctors at my last hospital would only make a cath required if absolutely necessary where the risks...
  25. My hospital encourages this, they even compared a hotel experience to the experience at our hospital, that the experience begins when they arrive. Survey scores and patient satisfaction scores are...