amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. Adenosine administration

    I've always had pads on with an IV in the AC prior to pushing adenosine and always with an MD present at least nearby. The MDs I've worked with were always very cautious with SVT and other things like...
  2. Should I come back to ER?

    So I left the ED about 6ish months ago due to unit drama, commute issues and some burn out. I had planned on getting into an ICU training program at the hospital I transferred to by being an internal...
  3. Tricks for drawing blood?

    Thanks for the tips! The unprimed catheter set is a cool trick I'm going to tr it. I've always just pulled blood off in syringes and transferred them to tubes after making a huge mess because I left...
  4. Tricks for drawing blood?

    The place I'm going to be working at doesn't have a phlebotomist, I'm wondering if anyone has any mnemonics for the ordering of tubes? I know you're supposed to draw the blood cultures first, then the...
  5. Nursing and overtime?

    It depends on the facility and unit you work on for OT. Tuition reimbursement is also facility dependent, some have generous reimbursement benefits, others don't. Also the more OT your work, the more...
  6. Manager said something covertly racist

    If you really feel like it was racist report it to the anonymous compliance hotline. I wouldn't confront my manager because of the power differential. If it were a co-worker I might say something...
  7. Am I thinking this through properly? New grad ICU/ED

    In both the EDs I've worked in the people with prior ICU experience got rotated more to the critcal care rooms (resus/trauma). The new grads who started in the ED and the people who worked on floors...
  8. Am I Too Old For This?

    There are people in their 60s and even one nurse who was 70 who was in the ER and they seemed to be able to handle the intensity. One thing I noticed when I worked in the ER was that my body hurt more...
  9. New to ED, Suggestions on Supplies

    Stethoscope, 2 pens, paper to write on, shears, hemostat with tape. I always grab a bunch of flushes and alcohol wipes too. A good
  10. Addressing Bullying in the ED

    The way "lateral violence" manifested in my old ED was by favoritism in assignments, giving the clique the better assignments with more help from the ED techs. The bad assignments were the 4 patient...
  11. Kaiser ED Question

    There are a bunch of Kaiser facilities across the state of CA, it would be impossible to know what goes on in each facility. I'm sure some departments would and others won't honor a 3:1 ratio. It's...
  12. ED nurses more educated than other specialties?

    I think the ED requires a broader knowledge base, hence more requirements. ICU also requires a lot of in-depth knowledge. I wonder what the ICU nurses think or nurses who have worked both specialties....
  13. Clinical placement in ED

    That sucks. Resus (and Trauma) are what make the ED unique. You'll learn more skills than you would on the floor, but if they aren't letting you in codes, I'd try to get a different placement (if...
  14. Med/Surge/Tele to ER

    Try to stay for a couple years at the new job, that will enhance your
  15. Ethical issue regarding antipsychotic

    Take this as a lesson as to what NOT to do as an RN. It is unethical to lie to a patient. As someone mentioned above, the nurse could have said this medicine helps psychogenic seizures. If he was on a...
  16. Going into EMS?

    That would be a step back though, less pay, less scope of practice. Do what you love though if you'd like it more than being an RN, by all means, go for it. Someone mentioned flight or CCT as an RN...
  17. Getting better in codes?

    How have some of you overcome your nervousness and lack of fine motor skills during a code? I'm always calm but I notice that my hands shake and I feel like I am not doing my best work because of the...
  18. Should I leave ER?

    I have been presented an opportunity to go back to my old unit, a laid back cardiac/surgical unit, but am having a hard time deciding. The issues I'm having at my current job are that at times I am...
  19. Should I leave ER?

    What I decided to do is take a job at a hospital that is a short commute. They offered me an ED position on nights which I declined because I hate night shift (ie. night shift makes me ill and totally...
  20. Am I not cut out for this?

    I think they should be teaching you the trauma rooms by now and you also have to make your interest known. Your department sounds like mine (the one I'm getting the heck out of), the gossiping and...
  21. 8 weeks is a short orientation for the ER. I had 10 with the option of extending and I had 4 years experience as a nurse and it was tough to be done at 10 weeks. You should have had very clear...
  22. I would tell her you have 5 minutes to tell her what you know and everything else is on the computer and you have to leave. If she doesn't accept this, tell her it feels like an interrogation rather...
  23. Your ICU offer was at a trauma center, take that one. Your experience will be way better there. Then after a year or 2, you can transfer to the ED as an internal candidate. I would jump on that ICU...
  24. I'd start in ICU if I were you. Your skills as an ICU nurse will be more valued by ED nurses (I have found this true at 2 facilities I've worked at). If you have ICU skills going into ED, you'll get...
  25. Should I leave ER?

    There are other things about the job that are pushing me to leave, the scheduling primarily. I have no autonomy over my schedule and am at the whim of what the staffing needs are. That is not going to...