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tachybradyRN

tachybradyRN

ICU, Emergency Department
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tachybradyRN has 7 years experience and specializes in ICU, Emergency Department.

ER nurse, currently back at school for my MSN/Family NP focus

tachybradyRN's Latest Activity

  1. tachybradyRN

    Different Titles (initials)

    My alphabet soup: TachyBrady, BSN, RN, CEN BSN - Bachelor of Science in Nursing RN - Registered Nurse CEN - Certified Emergency Nurse ...soon to be MSN, FNP-BC or FNP-C, so I hope! (Family Nurse Practitioner student graduating next May!)
  2. tachybradyRN

    The sloppy image of nurses today

    I had to wear a "pirate patch" to work multiple times last year because of recurrent corneal erosion syndrome affecting my eye... I would wake up every few days with a brand spankin' new corneal abrasion that just kept trying to heal and reopening despite multiple debridements, bandage lens applications, drops, oral medications, supplements, dietary changes, sleep goggles, you name it. It SUCKED. I was missing so much work for appointments with my corneal specialist that I had to do something in order to be able to show up... the patch allowed me to get myself to work and function without having to stop every three seconds of my day to pat dry my eye that was pouring tears thanks to super ridiculous dryness from the medicated drops and photosensitivity. The eye would still be uncomfortable, but at least I could somewhat function with the patch. It was not a fashion statement, and plenty of people gave me weird sidelong glances, but you know what...? I was present, accounted for, and able to care for my patients. Thankfully my eye is now chilled out (although I still have to use gel drops multiple times a day and sleep with nighttime ointment every night) but I still refuse to wear most makeup (any powder on my face or near my eye, or mascara or eye makeup, makes my eye flare up again), pull my hair back from my face (so that my bangs don't poke me in the eye at work), wear safety goggles when in a super dry environment (for example, when caring for a suspected ebola patient earlier this year while wearing a PAPR) or anywhere I might get a splash of anything even remotely irritating in my eye, and otherwise "dress down." My scrubs are (well maybe not always ironed but) presentable and neat, I keep up my personal hygiene, and I think it's ridiculous to judge nurses who are often hands deep in god knows what for not appearing more professional. When I'm an NP, and I work in an office and have less "hard labor" on my job description, I may dress up a little more, but my basic standards are perfectly acceptable and won't be changing a bit.
  3. tachybradyRN

    ER dropping the ball?

    I haven't read through all the responses, but a recurring theme seems to be that there are system failures and issues specific to certain facilities that don't apply to all, and that could be coloring some of the situations you're experiencing. For example, someone mentioned earlier that in their hospital "the ED nurses don't give potassium (even with a pt. with a K of 2.1), they don't start insulin on DKA patients, and they don't place OGT on intubated patients" [i'm paraphrasing here.] None of these are an issue in my facility.. I work ED, and if my patient were severely hypo or hyperkalemic, it would be treated; insulin drip would be started and protocol would be initiated and followed (on the same form the ICU uses) on a patient in DKA, and I try to always place the necessary tubes on my intubated patients (OGT/NGT, foley, get a doc to obtain central line access if pressors are needed, etc.) ED nurses in my hospital are also expected to take patient for stat scans (particularly CTs on r/o stroke patients) and monitor them during the scans. Our policy for report on med-surg or observation patients that don't require telemetry monitoring is to wait 15 minutes after bed assignment, then call and try to give report, and if the nurse can't take report we are to fill out a standardized report form and let them know we're faxing/tubing the form and also send a copy up with the patient and transporter. If they are telemetry monitored or ICU patients, we call 15 minutes after bed assignment to give report, and if they can't take report we let them know we're bringing the patient up (we must travel with the patient and a monitor in these situations) and will present a bedside report - which is the STANDARD OF CARE on the units ANYWAY. We don't change medic sticks in the ED if the line is patent and intact, but then, we don't have a specific policy that says we're supposed to. Again, I don't think all of these issues have to do with ED nurses in general having unethical and dangerous standards of practice, which is what some of you seem to be asserting - these sound more like hospital policy issues that need to be addressed much higher up.
  4. I'm a little confused... you say in the "thinkers" section that these people can be "carers" but not "runners", but then in the "runners" section you say these people can be "thinkers" but not "carers." I think it's hard to fit every nurse into a tiny, compartmentalized box that way. I guess I'd characterize myself primarily as a "runner", but I did work in ICU before ED and I did function well in that environment, as well as on a med-surg floor, an observation unit, and a telemetry floor. I am a "thinker" as well in the sense that I'm always curious to learn more and constantly working to advance my knowledge by studying patho and attaining specialty certifications, going back to school for my BSN and MSN, and asking the providers I work with to teach me about the procedures they do. I also feel I function well as a "carer"; probably not as obviously in ED as I'm a lot busier here, but I've spent many hours holding the hands of the dying, or listening to patients' life stories, seeking out warm blankets and sources of comfort and overall trying to make people's stays in the hospital as comfortable as possible. So I just don't know about all this. I think many nurses have some of each of these categories within them, and the characteristics that shine most obviously are probably determined more by the environment and the particular goings-on of the shift rather than some innate character asset/flaw that makes them fall into one category. I just can't see it as that black and white. Thanks for your article. It's an interesting thinking and talking point.
  5. tachybradyRN

    Poll: Nurse and law enforcement couples

    My husband works for the police, but not as an officer. He's a 911 dispatcher.
  6. tachybradyRN

    NP Starting Salary range in Maryland area?

    Jules, I totally agree with you. I work in a department I love currently, with great coworkers, and I've ahd no problem leaving jobs before because of poor work conditions and undercompensation. I stay where I am because I have great coworkers and I am compensated well for what I do (significantly more than I was offered at other hospitals). At the end of the day, love your job in healthcare or not, we all need to get paid and put food on the table and many NPs (and staff RNs as well!) are the main providers for their families, so salary is an important thing to consider. I appreciate all your input.
  7. tachybradyRN

    NP Starting Salary range in Maryland area?

    Thank you for your suggestion barnstormin', I didn't see that feature on Indeed. I'll check it out further. At least it's a start.
  8. tachybradyRN

    NP Starting Salary range in Maryland area?

    Thanks for your response. I'm looking mostly at the Baltimore City area as I plan to start in that vicinity, but I'm open to MoCo, Carroll County, Frederick County, and parts of Howard County as well. And I plan to. I agree that one of the major struggles in negotiating one's salary in this field is the ongoing secrecy that surrounds it (especially when NPs aren't being paid what they're worth) and I plan to be fully transparent with others regarding my own salary and negotiations. Hopefully I'll be able to get some specific info to guide an idea of what I should be bargaining for. Thanks again!
  9. tachybradyRN

    NP Starting Salary range in Maryland area?

    Wondering if anyone can help me out... I've checked Salary.com and similar sites but the ranges are so varied it's hard to get a good sense. I'm currently in FNP school at GWU and trying to get a sense for starting salaries for (specifically FNP's, but really any) NP's in the area. I know this is also based on RN experience and I am not asking for anyone's specific salary information, but if you could give me a general idea of what to expect I'd greatly appreciate it. Thanks!
  10. tachybradyRN

    What Kind of Experiences before ER

    I had 5 years of experience prior to transferring to ER - 1.5 in MedSurg, 2 in tele, 6 months in observation and 1 year in ICU just prior to transfer. I transferred to ER when I got accepted to a Family Nurse Practitioner program - I needed a change, and wanted to see a greater variety of patients than I would see in our adult ICU. Been in ER about a year and a half now.
  11. Just thought I'd post for anyone looking into ADN - FNP programs that GWU slightly changed the format of the semesters this year... it used to be 9 semesters long for part-time education with Fall start and you'd walk in graduation in June of the year you graduate but still have to complete 1 more semester of classes... they've changed it so that now, for Fall start, it's 8 semesters and you'd finish in May of the 3rd year right before you walk in June graduation. They also changed the previous health assessment class - apparently in the past, you were required to obtain your own clinical hours for that class and come to campus to "test out"; now, they have students come to campus for 1 week for didactic education and a "test out" at the end due to students feeling they weren't getting a good enough learning experience / having difficulty finding someone for such a short clinical. The program still requires 40 hours of clinical your first summer semester during Community Health/Epidemiology and the overall NP clinical hours requirement has been decreased from 750 to 700 clinical hours, all completed in the last 3 semesters of the program as laid out in the outline. Here is a copy of the new format of the program - it has gone into effect for currently enrolled and future students. New ADN to BSN-MSN FNP Course Sequence.pdf
  12. tachybradyRN

    ED techs to start IVs?

    Our ED techs are qualified and trained to start IVs and perform phlebotomy as well as EKGs. They are very helpful to us. A number of them are better than the nurses at getting difficult lines.
  13. tachybradyRN

    New grad starting in ED in 2 months, what to review?

    Fast Facts for the ER Nurse on Amazon is a great reference I gave to one of my orientees in ER when she started, she was a new grad and has used it every day.
  14. tachybradyRN

    why do nurses hate medics?

    I don't get the beef. I have worked with some excellent nurses and excellent medics, not-so-excellent nurses and medics, and the same for the EMTs that worked with the medics. While I don't trust everyone implicitly, I especially love the select few medics I've gotten to know and understand well enough to trust in their practice. They are so helpful to the overloaded ER nurses, and I am grateful for the way they care for my patients. Some of them have become great friends of mine, as well. I have never taken issue with a medic, I think that they are an asset to emergency care and they fill an important role. We're all parts of the same puzzle, people.
  15. Hi, kzywus1. The application was through the NursingCAS website and was quite detailed and required at least two letters of re%ference, but no GRE's. I am not sure how many people have been accepted to the program in entirety, but it looks like everyone who replied to this thread and applied to the school got in. GWU's overall acceptance rate is approximately 33%. I am starting in September so I have not really gotten much info about the program other than my acceptance, but I will keep you posted if you remind me!
  16. Hi juppy! I was told I am required to come to two days of orientation, August 20-21 at the Ashburn, VA campus. I am also in the process of completing my background check/drug test and finalizing my loans for school at this time. Will you also be at orientation on those days?