NYCRN16 replied to E.D.ucated's topic in Emergency
:chuckle :chuckle :chuckle I am sitting here reading these posts about the ratio of 1:5 in your hospitals, if I have 5 patients that is a good night for me!! I usually carry around 8 or 9, the most I...
I just wanted to say, you did the right thing. And secondly, the not should be brought to the attention of somebody in administration because in most facilities writing notes (whether by the MD or...
This was a difficult area for me to study during NCLEX review because I was an LPN first, and I know what I used to do compared to what "they say" you can do. I learned most of my delegation questions...
When I worked at the nursing home, my former supervisor (recently retired), she graduated nursing school in the 1940's and used to tell me the stories. There are a ton of them, but she told me how the...
I must be an incompetant nurse...I didnt get the patient and his 3 family members a blanket and a tray of food at 2 am right when they demanded it, oh my, I had forgotten!!
At my ER we dont use LPN's except in fast track, there is one that has been an LPN for years, and they "allowed" her to stay because of her extensive experience. She gives some medications, assists...
Thank you all for listening to my rant, and if I would have seen a child like any of yours (the bee stings, fever that tylenol and motrin wont touch) they would have been upgraded in triage,...
I should have added, we give motrin or tylenol at triage to any kid with a fever, and then send them back out to the waiting room and recheck the temp in one hour if there are no beds available. It...
I agree that to some point pain is subjective, but you can't have 10/10 abd pain and not be tender at any point during palpation, be up walking to the bathroom with ease multiple times, and have...
In the courts of law you do have to document (and treat) the patients pain, but you also must have a REAL good reason to keep giving narcotic pain meds. This man had already recieved morphine and...
NYCRN16 replied to marcicatherine's topic in Emergency
I stayed home from work last night with the flu, everyone is getting it. Sorry, cannot be on my feet for 12 1/2 hours with these muscle aches. The wait has been ridiculous in my ED, and although most...
NYCRN16 replied to flashpoint's topic in Emergency
Im sorry about your bad week! But let me tell you, I know plenty of correction officers, and I know what happens to people in jail that abuse children. Lets just say, he is going to see what "men do...
we can give Haldol IV, but we dont put IV's in our psych patients unless there is a clear medical need for them so we usually give them 5 mg Haldol and 2 mg Ativan IM in order to knock them out if...
Regarding the post about not taking ACLS in a monitered unit, I have been working in the ER since August, and the nurse manager there did not want us new grads to take the course for a few months. At...
The beep sounds the same on the moniters we use, but if a lead is disconnected it will show a question mark where the heart rate is, if its a true asystole its "supposed" to say 0, but I have also...
None of the schools around here allow students to start IV's in clinicals, and in addition to that, the hospitals dont allow the students to do that either. When I was a student I thought it was a...
I agree with the two of you that NYC hospitals should hire any nurses whether ADN, BSN or diploma in order to fill the shortage. But you and I both know that the people that are making this decision...
I know the trend now in Manhattan is that some of the hospitals will only hire/prefer BSN new grads. I believe NYU only hires new grads with BSN, thats what they advertise in the paper anyway. If you...
My first week off of internship I had 2 patients code on me in the same night!!! (I work in ER). One we didnt bring back (he was 105) and the other one was brought back. One of them happened when I...
I once saw on a website (I dont remember where I read this, but it was not anything like ANA) that the entry level for a nurse should be MSN!!! Yeah right!!! I dont think that ADN's are going to be...
I am not talking about if I call report on the nurses break and she will be back in an hour, fine. We are all entitled to our break. And I dont call report at 1900 either, I will wait until at least...
I am a new grad working in the ER and I just had a few questions for the experienced ER nurses if that is OK. I am trying to figure out if my experience at work is common or unique. How many patients...
I wouldn't do it. No way in heck are we as new nurses prepared to accept that type of responsibility. Talk about flushing your license down the toilet! It also seems funny to me that the other nurses...
Be reassured, there are plenty of jobs out there. It seems that these people are not finding anything because they think they want to walk into a job that requires no weekends, nights or they want a...