umnurs

Nursie777 what HHC are u at? Im interested in Psych but do not see any listings online.

That must be in the boondocks.. i was a new grad starting at 40$ with additional night and weekend diffs in SF.. and free insurance with 2 raises a year!!!! Now I live in NYC and took a BIG paycut and work is much more grueling and less rewarding and more taxes... but i love NY so i am dealing with it...

Ive seen postings for new grads at NYP Cornell and Columbia hospitals in NYC, they also offer housing

F$!@ NO, I'm having a rough time doing it for 40$ an hour these days...... I dread going to work, people say think about the money-- I feel like my soul is being eaten:devil:

by "true emergencies" i mean the obvious MI's, strokes, GI bleeds, traumas etc. But we get plenty of "tooth pain", "i need my prescription refilled","i have a rash down there", abd pain for "a few years" , blah blah. most of whom dont even need labs (and shouldnt have come in at all!) But other pts arent so clearcut-- they may have minor complaints but have an extensive hx. I think the prob is we have no extensive nursing protocols-- which puts us at potential risk like the BS that happend at that other hospital.... maybe ill have to start a commitee or something!!

I totally agree.....

I work in a Level 1 trauma center in NYC. I only started a few months ago. We generally have anywhere from 4-12 patients at a time, so as soon as I get a new patient I try and line and lab them to expedite things (as do my coworkers). We recently heard a story from management that at another nearby hospital 3 nurses were suspended for "inserting an IV and drawing labs without a MD order." This was related to a lawsuit from a patient who ended up not needing an IV, but was "lined and lab'd" by the RN and went home to develop a staph infection at the site resulting in hospitalizattion, IV abx, and an I&D. The other 2 nurses were suspended when management did an "investigation" and found that they had done the same thing (as i'm sure EVERY nurse in that ED does). I dont know all the details or the "full story"... So we were reminded that inserting an IV and drawing labs are "not in an RN''s scope of practice". We dont have standing protocols except for true "emergencies". i make the judgement call every day regarding which patients I out Iv's in and which one's i wait for the MD to see first. But sometimes it can take HOURS for a MD or resident to see a pt., and if i feel that the pt will need an IV and labs or may go bad-- i do it. Anyone ever heard of this happening? What do you guys do in your hospital? (and yes i know the ratio is bad but thats how it is everywhere in this crazy city!!)

HI!!!! I was Recently hired for the ED at Cornell and have to take the pharm exam also. I've been working in Med/Surg for 1.5 years and may be a little rusty on "test meds" as oppose to "real life" meds (like digoxin-- i think i've given it to like 2 patients my whole 1.5 yrs) ... no study guide given, just 5 practice questions and a 600 page book suggested to study from.....eeeeeech! Help!!