northshore08 replied to S.T.A.C.E.Y's topic in Emergency
Usually when you are certified/recertified in ACLS, your instructors will let you know if you are "instructor potential" with an "IP" on your card or a talk after the testing is over. I've seen this...
northshore08 replied to UtErRnEmt's topic in Emergency
Don't fuss at the charge nurses for pushing the agenda; they are only doing what they are told by administration. Unfortunately, that's who signs our paychecks. I've seen the board member who throws...
northshore08 replied to travelcrazyRN's topic in Emergency
In my experience, successful precepting of new ED nurses (no matter how many years you have been a nurse) has involved 1:1 orientation for at least 6 weeks using ENA orientation materials and close...
Last job I was at it was in a hurricane area, and you were required to go to work if scheduled and stay until released. I can see them trying to do that with a pandemic. Yes, "take care of you"...
northshore08 replied to crb613's topic in Emergency
Every new place you have to learn the docs and what they want/allow you to do. That just takes time. It's especially hard if you come from a place that is more aggressive; sounds like the first doc...
northshore08 replied to phillyrn10's topic in Emergency
Worked in SC a long time...It is the Lewis-Blackman Act, specific to SC, giving the public the right to know who is treating them and what they do. Our facility even asked us to stop using the...
northshore08 replied to RNcDreams's topic in Emergency
Honey, I still feel sick when I miss something; it makes meget the book out or get online. Or I grill the docs again. I vote for staying in your facility and getting hours there if you can; you...
northshore08 replied to LeahJet's topic in Emergency
:twocents:Yup, definitely is an issue with potential pics of other patients (or maybe the ER manager, or the doc on duty, etc, etc.) "Well, ****, if he was willing to take a picture of me in the busy...
northshore08 replied to crb613's topic in Emergency
OP, it is great that you are recognizing how you are doing. Personally, I feel bad that you were dumped off after 3-4 weeks of "off and on" orientation. In my experience, successful precepting of new...
northshore08 replied to SDS_RN's topic in Emergency
I first took the CEN in 1988 after my first two years as an RN--I had gone directly into the ED at a 300-bed community hospital in NJ. I kept it current until 2000, and went AACN for a...
northshore08 replied to SupeRNursERatchet's topic in Emergency
I first took the CEN in 1988 after my first two years as an RN--I had gone directly into the ED at a 300-bed community hospital in NJ. I kept it current until 2000, and went AACN for a...
northshore08 replied to billsnurse's topic in Emergency
bringing back memories.... I agree that the smell is usually related to "other things" about the patient, not the maggots. My biggest memory about this subject was a morbidly obese bed-bound pt with...
northshore08 replied to IcanHealYou's topic in Emergency
It is important for you to see more than 6 hours of triage a week before you make general decisions about emergency nursing (or about any type of nursing, for that matter.) Busy triage nurses are...
northshore08 replied to JoshuaAdamsRN's topic in Emergency
I usually carry the mini version of the usual ER trauma shears, but I don't like them very much. They are okay for basic trimming of cast stuff or bandage cutoff. When the real cuttin' has to happen,...
northshore08 replied to northshore08's topic in General Nursing
I like it! You've got to be more self-guided about job requirements (certifications and such) but you get a lot more freedom. The freedom is new to me...I've always been hospital based. It does...
northshore08 replied to northshore08's topic in General Nursing
Hi redeyefan! I did read over the HNA website, and could not find any info on the questions I posted above. Since I'm doing agency predominately at this time, I will probably not worry about it unless...
northshore08 replied to NRSKarenRN's topic in General Nursing
Hi Suzanne! Work is better; I belong to a couple of agencies now, and things are looking up. I've worked in several places, and am getting the feel of fitting in quickly. Home life is getting...
northshore08 replied to Anagray's topic in Emergency
I find it interesting that a decade or so ago drug-seeker lists were removed from ERs and deemed "discriminating" to the seekers it listed, and now with the wonders of EMR's, the best, most accurate...
northshore08 replied to wpz6660's topic in Emergency
I have worked with techs that do nothing and ones that do it all (well, almost.) My last ED had a secretary 11a-11p only, and one tech days and one nights, with 18 beds and 25,000 visits yearly. Usual...
northshore08 replied to RocknRollYogaRn's topic in Correctional
I just signed up with Altres and they are sending me to a facility in the morning...You know I read all I could on these threads. I've seen a lot in the ED in 20 years, but this will be an eye...
northshore08 replied to RNcDreams's topic in Emergency
Our ER docs told each other it was considered a "sign of weakness" to go on diversion...we had two related facilities at both ends of the county with 20 bed ER's each, routinely holding 5-9 patients....
northshore08 replied to Party-of-Five-NY's topic in Emergency
100% correct. I've heard it and said it a thousand times. If you don't write it up, nothing will be done about it. And it sounds like it won't take many more complaints about this one. The nurses...