Jen2

Hello! I recently took a jod for Favorite Nurses. I currently work 3 12 hour shifts at a level one trauma center in the ED. I thought this would be a great way to earn extra cash and to see how other faciltites operated. I am still currently gettin...

Hi all! I will be taking my NCLEX on July 26th. I am up to about 3500 practice questions using Saunders, Kaplan, and NCLEX EXcell. I just began using the Mosby's CAT website last night. I had just worked a 12 hour shift and then came home and ther...

I never get sick of hearing these no matter how many old threads there are on this board. I want to share in the stupidity that I like to call, JOB SECURITY! "Walking outside and saw a bat fly by. I want a rabies shot." "I was visiting my neighbor ...

The above would never happen in my ER. The second we get a bed, we have to call report no matter what time it is. I do not know one charge nurse in my department that would let any staff nurse wait until shift change to call report just to "hold on...

First I would like to say that I am so glad that friends hubby will be fine. I am glad to hear of a positive experience in the ER. We are mostly chastized for being cynical, and uncarring a lot of the times becasue of the way we feel about people u...

You got some excellent advice already. I will add a few. 1. Believe it or not and dare I say, (sshh! don't tell anyone). Every once in a while there will be down time in the ED. Ususally between 3:00am-8:00am depending on what time you are orient...

Anyone ever take any of the Med Ed seminars? I am taking the CEN one. They boast a 98% pass rate on the CEN and money back if the exam is taken and failed within 90 days. I took a CEN exam prep course last year that was given through a local hospi...

Thanks everyone. Finished the seminar today and enjoyed it. I want to try and take the test asap though, just found out they are changing it July 1st.

The unexpected, the organized chaos, the teamwork/support that is unlike anything that I have ever experienced, taking care of the entire lifespan instead of just one particular age group, knowing what is wrong with a patient without all the bells an...

We use it for every intubated patient. We are a level 1 trauma center. It is the trauma surgeons that request it.

During the "Golden Hour" so to speak, I will take a quick second Before going to scan and tape the eyes shut before I start pulling at monitors and tubes. Once the trauma resuscitaion is complete and before family comes in I will take the tape off.

Level 1 Trauma center 35,000-45,00 patients a year. We do A-lines and central lines on a daily basis.

I cannot take care of anything and actually said that in my earlier post. Not being arrogant and actually said that ER nurses are not ICU nurses, but they do critical care nursing to an extent. Also said that I was not an ICU nurse, never said that...

Unit bed was available at time of acceptance. We are the only level 1 trauma center in the state. This particular patient had to be packed up and transported to us which took quite some time. During transport to our facility there was two codes on...

Nope! We have still had to take them from other hospitals that were transferred to us when no unit bed was available. CTU doc comes to the ED and sees the patient, writes the orders and we wait until a bed is ready before we take them upstairs.

Actually, I do know of CRNA schools that except ER nursing as long as that ER is in a level 1 trauma center. I am a ER nurse and a critical care nurse, however, I do not work in the ICU and do not want to or thats where I'd be. I have taken care of...

If a room is empty, shut off the light. Never say the Q word (We all know that one is not a myth) Hanging a pressor at bedside for a hypotensive patient, epi drip for analphylactic patient, etc. wards off the evil spirits. The first time you don't ju...

I agree with the systems failure part. There is only so much a nurse can do as far as workup. Yes I can order and draw labs/cultures etc., However when the white count comes back to be 18,000, I need an MD to write an order for that antibiotic. Ev...

Had a bad day and would like to have some fun. Thought I would try to put together a disclaimer upon signing into the ER that almost sounds professional enough to hand patients. Thank you for choosing __________ hospital for your emergency care. Yo...

Working triage the other day. Waiting room full of ESI 111 patients. Car pulls up and this middle aged man weighing about 120 lbs pulls up and comes running in through the doors. "I need help getting my wife out of the car , she can't move." The ...

There are several threads where this issue has been brought up. I cannot speak for your particular hospital, but I will tell you what goes on in our hospital. Scenerio 1. Patient comes in with post op-complications. They need to be seen by the ER ...

Just a thought, and I truly don't even know if this is true or if there is any literature to back this up, but I was taught in TNCC that if you put a #18g IV in the AC and then put a lock on it, it now changes your #18g to a #20g, and if you add a J-...

I don't buy the shift change thing. I stated before, the shift change in the ED means nothing. A lot of our shifts are 11a-11p, and 3p-3a. The floors at our hospital record report. When the 7a or 7p nurse comes in to start listening to report thi...

I have not read all of the responses, so I am sure a few of these have already been posted but here are mine: 1. When I ask a new nurse if she/he wants to go see or help with a procedure and they tell me that they saw that once in nursing school. 2...

We call triage the Penalty Box or Tragedy instead of triage because everyone has a tragedy. Management actually tells us that we shouldn't think that way becasue only the best nurses get to work triage. Sometimes it feels like a punishment though.