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true orthostatics
we do lying supine, sitting with feet dangling and standing if able.
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Can someone tell me how 12-hr shifts work?
I worked 3pm-3am like this- (week 1)-mon, tues, thurs, (week 2)-mon, tues, thurs, (week 3)- mon, saturday, sunday (week 4)- mon, tues. the only hard part was working the 4 12's in a row. i had a deal with another worker and switched to work my sat, and sunday, she'd work that monday so i had a day off, then worked tues, weds, thurs, and i loved it. i wish i could go back but since im still in school, the schedule gets in the way. now i work 7p-7a friday, saturday, sunday. puts a bit of a damper on the social life to say the least, but its alright. i enjoyed the 3-3's though. the best of every shift.
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Bipolar and Depression
is lithium still the drug of choice for bipolar? i didnt like how lithium worked for me, so now im on 5mg of zyprexa and 225 of effexor XR. seems to be a pretty good combination as my rapid-cycling is not so severe. although i do still think of suicide often, still have my battles with food and eating, and i have to talk to a councelor. i understand that bipolar is a disorder much like any other medical disorder. i really cannot help how i feel and my meds cannot be controlled. im not a bad person for feeling the way i do. some days are just tougher than others.
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Bipolar and Depression
I've been recently diagnosed with type I bipolar disorder and I seem to work just fine when controlled with meds. I dont know what I would do if i stopped taking them.
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Starting nursing school next week with one seizure under my belt.
I'm good friends with a nurse who has epilepsy. She does just fine at work. Sometimes she will just sense a seizure might come on and has had to go home because of that. and i've witnessed one of many seizures. just as there are other nurses who have heart conditions, lung conditions, even psychological conditions, there will be nurses with neuro conditions as well. Take care of yourself!
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Breaks in the ER
I work in the ER and when I work a day shift i usually get a lunch break, when i work evenings i sometimes get a dinner break, and when i work nights, i rarely get a dinner break. and when i do, i usually scarf something down at the nurses station. but i totally hear you about others rolling their eyes at you. people are great about picking up where i left off when my shift ends though. when its busy breaks are rare. but i ALWAYS find time to go to the bathroom and drink some soda- my two musts! i also don't mind taking patients to catscan because i get to SIT DOWN while they go through the scanner! don't compromise for less than you're worth. i understand most nurses must have a break to regroup- esp. in the demanding stressful world of the ER. stand up for yourself, pace yourself, no your limits, and yes, someday you'll get an entire break without feeling guilty about it!
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ER experiences with cooking
I worked this last fourth of july and helped the PA suture 16 people's lacerations and I was only there for 8 hours!
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Wierdest thing you've found in a bedside table?
All these stories just remind me of an experience I had last week. This sweet woman in her 60's came in with difficulty breathing. She was more comfortable in her wheelchair than the cot and hard to get up, so we let her sit in the wheelchair. When she asked for help to go to the bathroom I kindly asked her what was easiest for her to do. She was about 300 pounds and unable to stand. She scooted up to the edge of the wheelchair (I was praying she wouldn't just plop down on the ground!) and asked me to get a cup that was smashed up behind her. She placed it right underneath herself and went! I was amazed that she had such good aime, despite how grossed out I was. But whatever works!
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RSI meds
it just depends on what doc is on. usually sux and versed. i've seen etomidate and vecuronium and rocuronium though. never seen ketamine.
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What's your craziest story of the ER
While i was working as a tech in a busy ER, one of the nurses asked me to see what her patient was yelling about. I went into the room of a 63- year old woman who spoke very little english. She was there for possible GI bleed and I had a hard time understanding what she wanted me to do for her. She kept yelling "DOUCH, DOUCH ME!" I explained to her that I we dont douch women in the ER and that she could take care of that on her own. She started yelling at me for being a bad person because she couldnt reach. She went on to crawl out of bed and give her husband money to go to the grocery store to buy her a douching kit. That is just one request of many that I hadn't heard before. The scariest was when a van and 10 squad cars pulled up right outside our trauma bay. Not knowing what was going on a nurse and I walked out to see these people and the cops were firing at each other. The people dropped their guns and started screaming at me to get this guy who had been stabbed out of the van. I said "No, not until he's been searched for weapons." My god, I've never been in the middle of a hold-up before!
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What's the hardest shift to work in?
I agree with 3pm-3am... most of the time I just ran and ran and ran. But that all depends on everything. never can tell in the ER except you just know its going to be bad with certain docs, certain events and, of course, the moon.
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My experience in the ER- long rant-sorry
When I hear stories like this I always think to myself, "Who are these nurses and where did they come from?" Most ER docs that I've worked with are so good about letting the nurses give pain meds (and not necc. narcs if seeker is a frequent abuser) until they can get in to see them. I know it's not unusual to have a 2+ hr wait for the dr. but goodness sakes?! I try not to go 1/2 hr. checking on my pt's. Sometimes I get wrapped up with a trauma, but I ask SOMEONE to watch over them for me. And don't think for a second that back pain is a silly reason to go to the ER. I'm sorry you had such a poor experience.
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My shift sucked last night.
I'm sorry you had a sucky shift- I did too! Had a 20-year old girl hit by a car at 40-mph. Definately DOA but they worked her anyway. It was terrible. Family was worse. I hope tomorrow goes better. Hope your resident is okay too. Hang in there.
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Professionalism and Nurses
i use first names more when im working in the ER (except for 40+) then i do when im on the floor. thats probably because there are younger people there, more my age. But always the older adult should be addressed by his/her preference. as stated in all the posts above, i just wanted to add myself as well.
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Need help with 12hour shifts.....
12 hour shifts were my favorites (i do 8's now that i dropped down to PT). It looked like this- week 1: mon, wed, thurs week 2: mon, wed, thurs week 3: mon, fri, sat, sun week 4: mon, wed, thurs it was great i only had to do one weekend a month, but that weekend that i did work i had one day off in between 6 12 hr shifts (wk 3-4). Thats what killed me.