TRAMA1RN

TRAMA1RN

ER

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All Content by TRAMA1RN

  1. Paramedic to ER Nurse

    TRAMA1RN replied to rigmedic's topic in Emergency

    Where I worked we had lots of autonomy. Thing to remember is that you do not know everything! Just because you had more skills than most RN's (intubating, and IV in dirty filthy field and other...

  2. No blood draw from IV starts?

    TRAMA1RN replied to Larry77's topic in Emergency

    The Kendall company makes a device which attaches to your IV clave. This device is called an ANGEL Wing. Put your IV in attach your extension without flushing it first tape things in place, screw on...

  3. No blood draw from IV starts?

    TRAMA1RN replied to Larry77's topic in Emergency

    The way to fix this problem is to call lab for each and every blood draw they will then change their tune, I know this for a fact. Been there done

  4. Male ED nurses in the GYn room

    TRAMA1RN replied to CatintheER's topic in Emergency

    I think it was funny that you tried to bribe someone to take the GYN room, I am a female and I don't get a choice about taking care of male problems why do males in ER think they should get a choice....

  5. How long did it take for you to become efficient?

    TRAMA1RN replied to Sassybottom's topic in General Nursing

    Efficiency is something that is ever evolving, always improving and always changing. I have always worked ER and efficiency is vital, but it is also dynamic, after 8 years I am still changing and...

  6. Please share advice/thoughts- help!

    TRAMA1RN replied to zoo*moon's topic in General Nursing

    All I can say is this, I recently took a job as a Trauma RN in a level 1 trauma center, I now drive 45 minutes daily, compared to the 15 I used to drive, although I did get a significant pay raise my...

  7. Nursing has made me dislike dealing with people in general....

    TRAMA1RN replied to Kanani_Ikike's topic in General Nursing

    Unfortunately in this day and age of instant gratification, caring for patients is only getting harder. Television has given all patients unrealistic expectations for test results and answers, the...

  8. Prehospital RN for Lifeflight

    TRAMA1RN posted a topic in Pennsylvania Nursing

    Does anyone know how I as an RN in ER medicine for almost 8 years can get my prehospital RN so as to e qualified for Lifeflight job? Just started this week in Level one trauma center. Sincerely I...

  9. We did it! Reacredited Joint Commision

    TRAMA1RN posted a topic in Emergency

    I work at Geisinger Medical Center in Central PA, we just became reacredited by Joint Commision with no negative findings, JC stated they have not had this happen in a very long time for an...

  10. Was I out of line ?

    TRAMA1RN replied to grantw9066's topic in Emergency

    In my experience if you have to ask MD fro advice while triaging, DON'T! If you question something, anything, in your own mind like this injury or pain that patient should automatically get moved to...

  11. Susquehanna Health, Williamsport, PA? Any good (hopefully not bad) advice?

    TRAMA1RN replied to Brad_RN_Student_PA's topic in Pennsylvania Nursing

    Don't go to the ER. Over 60 hours of mandatory overtime no matter what laws are passed. I used to work there up until April 2007 and it was very common to work 20 - 28 days in a row all 8 and 12...

  12. Male RN-assist with pelvic exams?

    TRAMA1RN replied to walnuttree91's topic in Emergency

    I am so sick of this! If I can assist with all male GU items (I am female) then a male can do it with the females. Especially when we have the nursing shortage we have, begggars (patients) can't be...

  13. I was fired!!!

    TRAMA1RN replied to jnrsmommy's topic in General Nursing

    I recently was fired from my night shift ER job, after 17 months of hell. A supervisor kept writing me up for things. In our place of employment we have what we call care behaviors, CARE. My...

  14. Taking floor orders in the ED?

    TRAMA1RN replied to sorefeet's topic in Emergency

    We do, we have fought against this for 7 years. Some of our ER docs help though by saying to the admitting "OK, we will have the floor call you for oders, and then hangs

  15. turning non-emergent pts away

    TRAMA1RN replied to Jennifer, RN's topic in Emergency

    The people who abuse the ER are only going to increase in numbers, and no amount of public education is going to change this. One thing that may hlp would be to automatically deduct co-pays from the...

  16. Why are emergency nurses not considered critical care nurses?

    TRAMA1RN replied to JessicRN's topic in Emergency

    ER is critical care even if administration and others don't classify us that way, we have so much overtime in our ER, we started having ICU nurses cross train so that they wouldn't have to take...

  17. Med Recs

    TRAMA1RN replied to budger1983's topic in Emergency

    All hospitals are doing this it is a JCOH requirement. It is time consuming especially when our ED sees 60,000 visits annually are we are NOT computerized. It really is in the best interest of the...

  18. Have you called off work for a sick pet before?

    TRAMA1RN replied to L&DRNJenn's topic in General Nursing

    I would call off, you should not have to give

  19. Did I miss the memo???? (rant)

    TRAMA1RN replied to Cmariehart's topic in General Nursing

    You are on the right track! The trend of all healthcare facilities is customer service, she will surely lose her job down the road if her attitude doesn't take an immediate turn upward. Look in the...

  20. Bad experience with previous manager

    TRAMA1RN replied to smrfett76's topic in General Nursing

    Been there done that! The only thing that can help is time away, until the manager is no longer there. I was actually fired after 4 years at an ER, I workeda at a place that was non union and they...

  21. Triage sucks!!! Any tips??

    TRAMA1RN replied to BrnEyedGirl's topic in Emergency

    Our ER sees 60,000 visits yearly We do triage in 4 hour increments, almost everynight you will be at triage for at least 4 hrs, sometimes 8 and sometimes 12. You have to be respectful and nice to...

  22. Triage sucks!!! Any tips??

    TRAMA1RN replied to BrnEyedGirl's topic in Emergency

    just a note. Unless you work for a union you need to learn to be nice to everyone all the time no matter what. Smile and remain calm. I too hated triage but if enough patients complain and you for...

  23. Williamsport, Pa anyone??/

    TRAMA1RN replied to Brad_RN_Student_PA's topic in Pennsylvania Nursing

    I work in ER in

  24. Hey ER, what takes so long???

    TRAMA1RN replied to RunningWithScissors's topic in Emergency

    Well in our ER since we are never busy placing IV's or busy doing all lab work and since we have time to twidle our thumbs we never get sidetracked doing all of the admission orders like initial...

  25. "Just" a 2-year degree

    TRAMA1RN replied to RNsRWe's topic in General Nursing

    What is the difference between a 2 year degree and BSN? Learning to sit in an office and get away from the bedside nursing and fit into the management end, yes to move up the ladder of success you...