Recently had a young 20s heroin OD, given 2mg of Narcan in the field, AOx3 upon arrival to ED. Vitals stable, tachy in the low 100s. He ordered a full work up. Even blood cultures. No medical hx, took...
I think it mostly depends on your location but I know plenty of nurses (BSNs and ADNs) who came out of nursing school and went straight to the ER. Including
Well they've been making me charge nurse without my permission lately with my entire whopping 16 1/2 months of experience. But they actually did give us a pin and a certificate for our first year at...
Jasel replied to theantichick's topic in Emergency
We tend to go with Propofol. I've never actually hung a Versed drip. The ED doc didn't want to mess with her blood pressure though (although her BP was fine) in the ED and wanted the hospitalist to...
Jasel replied to theantichick's topic in Emergency
When we intubated we gave her 20 of Etomidate and 100 of succs. The Veruconium and Versed was given after she was intubated. We definitely sedated her lol, I would have insisted on that if the MD had...
Jasel replied to theantichick's topic in Emergency
To be honest I'm getting more and more annoyed with floor nurses and I've only been in the ER for about 17 months now. It's like they expect you to send them the patient gift wrapped with a bow and...
I usually grab a scrap piece of paper to write down certain info. Usually who the admitting Dr is and the admitting Dx. As well as any relevant/abnormal lab or diagnostic results. If I'm reporting off...
I'm kind of like you. I was an LPN for 3 years and have been an ER-RN for 9 months. I don't think the experienced nurses have a problem with newer nurses. Where I work at least there is a lot of team...
When I clock out and I'm on the way to my car. If I had been in that situation I would have just answered the pt. Especially knowing a manager was watching that exchange. Things like that do not look...
Jasel replied to principessaGG's topic in Emergency
Congrats. I've been an ER RN for 6 months now and I enjoy it. I was an lpn for 3 years previously and I think that helped me a fair amount, but 7 years of med-surg is excellent experience despite ER...
When I worked LTC I hated being floated to the sub-acute unit, and like you I strongly preferred LTC. What I did was try to look at it objectively as a learning experience. The more experienced nurses...
Trust me you're going to learn a lot on the job and continue to learn throughout your career. Don't feel too bad, when I went into my first nursing job I felt like I knew nothing. Turns out I just...
The job market is not great out here if you're trying to land a hospital job. Most want a BSN and 1 - 3 years experience. Even with no experience you'd need a BSN for most. Nursing homes, home health...
After becoming an LPN I'd have to say my first year wasn't too bad. I'm about a month and a half into my first RN job in the ER. So far so good. Honestly I do think being a male helped when I was an...
When I worked nights I'd flag orders in the MAR that were scheduled to be given later. That way I could just flip right to the meds I'd need to give. I'd also try to get familiar where meds are if...
I was a bit nervous about OB during my rotation but it was a pretty positive experience. My clinical instructor, the nurses, the patients, and of course the newborns were very nice. I got to see a...