RNcDreams

RNcDreams

Tele, ED/Pediatrics, CCU/MICU

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All Content by RNcDreams

  1. PANICKING! How bad is this?

    I did see each and every med that was given, so I do know for a fact! Should I still not write
  2. How do you feel when a patient's family member/friend/etc is a nurse, and comes to visit at the hospital? Do you feel territorial? Are you glad? Do you feel a sense of camaraderie, or do you think...
  3. Archetypes in Nursing

    The Martyr She feels that she is always a victim of injustice. Constantly sighing, moaning, and whining. Her patients are too sick/heavy/obnoxious, no one else is working as hard as her, and her face...
  4. Butt kissing management

    Our department's Director handed out goody bags to patients one day, when we were holding admissions for up to 24 hours.... Perhaps we could instead use money to acquire more nursing staff. It appears...
  5. Are there "well staffed" ERs?

    We have 30 beds, plus 4 wall beds. Charge nurse doesn't take an assignment- 1 traige nurse- 7 nurses take assignments on days, then one more nurse for the psych rooms & floating = Total of 8...
  6. Most silly reason for being called in the office?

    I was once told that someone complained that I was being too "aggressive" when speaking to one of the doctors... And she could not tell me what the situation was, who complained, or what it was that I...
  7. Attention all ER Travelers!!

    I am in need of your opinions, regarding my next career move!:) Here's my situation: -I am currently 8 months in at my first RN position, in the ED at a community hospital. This particular hospital...
  8. I was wondering.. What's the policy at your facility regarding the use of preexisting central lines in patients that arrive at your facility? Are you required to get a portable cxr to verify placement...
  9. Attention all ER Travelers!!

    My apologies if I'm beating a dead horse here... I'm sure there are threads somewhere on the topic... but what differs between agency and travel nursing? Can I do that across the
  10. Emergency Nursing -- What's it like?

    Okydoky... point taken!
  11. Emergency Nursing -- What's it like?

    It is a shame that these patients did not receive proper care. Recently, a COPD patient in my ED crashed on arrival on the floor.... and the nurses who sent the patient up had been there for 25...
  12. Emergency Nursing -- What's it like?

    I went straight into ER, but it's a community ER that gets an abundance of SICK medical patients-- it's a non trauma facility. I had this in mind when I took the job. I didn't want to get thrown to...
  13. dispensing medications

    My thinking is that the original package is speaking to the whole issue of not being able to take meds from a bigger container and then putting them in a smaller container-- they are two pills, in the...
  14. tips on being an effective charge nurse?

    Keep an eye on your newbies :) We look to you to reassure us that we are doing ok, and we need to you notice when we're drowning. You are like our parent-- let us flourish, keep us in check, and pick...
  15. Being in the ER from the get-go has been a blessing for me. The MD's are either at the computer next to me or at the station behind me. They never get angry if I ask them to explain something, and...
  16. dispensing medications

    Hmm..... I think there is a difference between giving 2 percocets go to (in original blister packs, and Dr.'s instructions with appropriate patient teaching) AND Mixing a bottle of Amox and then...
  17. Compassion....Why is it lacking?

    It is very, very hard to remain fully "compassionate" when your patient is pressing their call light every 10 minutes... and each time you respond, you hear their slurred speech, see their unsteady...
  18. When it's the visitor who needs the ER....

    I work in the ED and had a patient recently that was a spouse of a dying patient up on the floor... the visitor had a near syncopal at the bedside of their dying spouse, and you bet the staff got him...
  19. Hello! I just made a post on the First Year in Nursing board about some anxieties I'm having lately. I have a question specifically for you seasoned Emergency folks. In July, I will have hit the 1...
  20. how much I don't know. I'm 8 months in at a community ED (my first RN position) and it's beginning to click. I'm getting better at predicting what needs to be done, working on my focused assessments,...
  21. Where was your first nursing job?

    If you know what you like, go for it with gusto
  22. what sorts of routines/practices do you utilize to ensure that the patient isn't double dosed? I feel like my current facility has us set up to make errors. 1. Do you get a typed or phone report from...
  23. cause of diaphoresis

    Was the patient having chest pain? Shortness of breath? Shakiness? Belly or back pains? Did they have too many blankets on? Was the room hot? (Those last two might sound silly, but there are a few...
  24. Today I was "That" Aide

    To the best of my knowledge--It is NOT your responsibility as an aide to be starting or stopping infusions or feeds of any kind! That being said, good for you for owning up to the whole mess. P.S. Is...
  25. Need advice from "seasoned" nurses!

    I am not "seasoned" by any means, but I can tell you that there is a big difference between struggling and learning on the job in a medsurg unit you hate, and struggling and learning on the job in a...