RoyalNurse

RoyalNurse

CVICU, ER

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All Content by RoyalNurse

  1. Healthcare crisis solution

    RoyalNurse replied to RoyalNurse's topic in Emergency

    Hey, Oramar, thanks for the article! It sounds like you're at least making a dent, I wonder if health care dollars will be less than average in Pittsburgh in 5 years. I really believe in the annual...

  2. Things you would like the ICU to understand

    RoyalNurse replied to I_LOVE_TRAUMA's topic in Emergency

    Had patient yesterday, pressure in the toilet, we're putting Dopamine through a 20 in the wrist. I asked 2 ER physicians to put in a central line, they both initially agreed, then changed their minds...

  3. How long is orientation for nurse new to ED?

    RoyalNurse replied to LeLeeFNP's topic in Emergency

    I had 2 years of ICU experience, and moved down to the ER in my 400-bed community hospital. I got 2 months. There's still some things I haven't seen, but usually there's an "experienced" nurse...

  4. Things you would like the ICU to understand

    RoyalNurse replied to I_LOVE_TRAUMA's topic in Emergency

    Exactly. I used to work CVICU (we would take ICU overflow pts), never gave the ED nurse a hard time, mostly b/c I was impressed they had the time to intubate this sick pt, start a line in him, get a...

  5. Need some words of encouragement

    RoyalNurse replied to nursenancy82's topic in General Nursing

    You've probably already looked at the First Year as a nurse discussions here, that's what really helped me when I was coming off orientation. I also wrote everything down, ending with the good things...

  6. IM antibiotic

    RoyalNurse posted a topic in Emergency

    We haven't had any official "IM" needles for a week now, people have been using the 23 gauge, 5/8 inch SQ needles. I tried it on a patient, it only goes to the subcutaneous tissue. SO, for this...

  7. Numbing cream for peds IV's?

    RoyalNurse posted a topic in Emergency

    Okay another question about peds: do you use numbing cream (I think it's called EMTALA or something) for starting IV's in kids? I thought everyone did, but we don't at my place, and I think it's...

  8. To Throw in the Towel or Not?- Opinions Please!

    RoyalNurse replied to dreamingRN's topic in General Nursing

    RubyVee, you're pretty smart! I'm just figuring this out now after "being a nurse" for 2 years. I took an acrylic painting class last month, and I couldn't believe how much better this made me feel....

  9. Numbing cream for peds IV's?

    RoyalNurse replied to RoyalNurse's topic in Emergency

    :imbar oops, kind of stupid mistake,

  10. Kid breath sounds

    RoyalNurse posted a topic in Emergency

    I went to ENPC last weekend, and was told repeatedly that children's chest walls are so thin, that they can refer back and forth, so the only way to listen to their lungs is under their axillae. Yet...

  11. Kid breath sounds

    RoyalNurse replied to RoyalNurse's topic in Emergency

    Thanks, that makes sense, does Littman sell a stethoscope with adult and peds pieces combined into one? Thanks again

  12. ICU to ER transition issues

    RoyalNurse posted a topic in Emergency

    Hi everyone, I worked in a CVICU for 2 years, then moved to the ER 3 weeks ago. As I expected, I'm having problems switching gears to the ER world. Everything's so fast and flexible, things are...

  13. Error and Attitude

    RoyalNurse replied to iluvicu's topic in General Nursing

    I think I have to blame management for this one. Either the manager is completely unaware of what nurses are talking about and saying about each other, or he/she knows and is allowing it. I think...

  14. Stress/Panic Before Going to Work

    RoyalNurse replied to rn-n- 2005's topic in Emergency

    VirgoRn, how long were you on orientation? My manager said I'd get at least 2 months, it's been 3 weeks, and I think I'll need the entire 8

  15. The things you absolutely cant stand about nursing.

    RoyalNurse replied to ccbc_student's topic in General Nursing

    I'm in orientation in the ER now, and what I can't stand is that I have to discharge someone BEFORE I take care of someone else's pain. Because the time that I take to discharge someone is counted...

  16. Normal to feel so stupid?

    RoyalNurse replied to Virgo_RN's topic in Emergency

    Hey, I've been in the ED 3 days now, transferred from the ICU, I'm really having a hard time. The staff acted like "you've been in the ICU, you should pick this up right away". All those patients...

  17. I suck.

    RoyalNurse replied to Virgo_RN's topic in Emergency

    Hey Virgo, I moved from the CVICU to the ER last Monday, and I feel every day like I suck, AND I have that queasy feeling on the way to work. I'm starting from scratch, everything's so different for...

  18. Being a preceptor blows

    RoyalNurse posted a topic in General Nursing

    I'm with a nurse that's had 1 year experience in an ICU, who wasn't "making it", and had some complaints from doctors about her care. They put her with me for me to "observe" her, and write down what...

  19. Do I need a certain personality to work in the ER?

    RoyalNurse replied to ExaltedNurse's topic in Emergency

    I shadowed a couple nurses already, but this is a slow time for the ER, I guess every August is slow. It wasn't as bad as I thought, we saw 8 patients in 4 hours. Today I just went with my gut and...

  20. Being a preceptor blows

    RoyalNurse replied to RoyalNurse's topic in General Nursing

    I have to agree with RubyVee and DeepFriedRN. After 12 months of working on her own after orientatuon, she should have figured out not to give a beta blocker to someone on a vasopressor. Even if her...

  21. Being a preceptor blows

    RoyalNurse replied to RoyalNurse's topic in General Nursing

    She's not a new grad, otherwise I would fully understand how the "basics" would seem complicated, but nope, not a new

  22. Being a preceptor blows

    RoyalNurse replied to RoyalNurse's topic in General Nursing

    Thanks everyone for your reply. I used to think preceptoring would be "fun", I would show some eager smart nurse everything I knew. :) It's the hardest thing I've ever done, it's like having a full...

  23. Cardiac to ED

    RoyalNurse replied to Virgo_RN's topic in Emergency

    Hi Virgo, I work in a CVICU, and I'm thinking of transferring to the ED as well! I have a friend that works "down there", she has a lot of complaints, but I can tell she really enjoys the fast pace...

  24. My God, these family members!!

    RoyalNurse replied to SoundofMusic's topic in Patient, Colleague Relations

    We actually don't allow family members to stay over night partly for this reason, partly for other patient's privacy (we have a pretty open unit). I can't believe they just handed you a bag bath and...

  25. Who's going to NTI 2009 in New Orleans: 5/16-5/21 ??

    RoyalNurse replied to icunurse36's topic in Critical Care

    Hi, I'm new to NTI, I have a question: How do you register for the classes? When I registered on the AACN website, they were charging $99 to $200 dollars for each "ticketed session". Aren't classes...