emmy27

emmy27

ER, Med-surg

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All Content by emmy27

  1. Healthcare System Fail: Is This Why Nurses Are Overwhelmed?

    emmy27 replied to arthurbaird0's topic in General Nursing

    It's a source of constant frustration to me that the default setting for so many processes is "nursing will do that," even if it's a process entirely encompassed by another allied health profession....

  2. My preceptor is everything they taught us NOT to be...

    emmy27 replied to Live..&..Learn's topic in Patient, Colleague Relations

    I would bet good money that this is the crux of the problem. A new grad who is late on documentation because of refusal to relinquish tasks that can be safely delegated is not successfully...

  3. IV Insertion in School?

    emmy27 replied to meganec17's topic in General Nursing

    We didn't even cover it in skills lab. The rationale (I asked because I was surprised as well) was that because there are so few opportunities to do it in clinical, most of us would never even get to...

  4. Bedside report - hate it? Like it? Love it?

    emmy27 replied to ixchel's topic in General Nursing

    As a floor nurse, we were supposed to do bedside report and most of us hated it. Many of our patients were confused/sundowners and/or on bowel preps that kept them awake late in to the night, and...

  5. Is becoming a LPN worth it?

    emmy27 replied to Zysa's topic in LPN, LVN Corner

    Aside from that, whether an LPN degree is "worth it" depends largely on what you intend to do in the long run. An experienced LPN has a much higher wage ceiling than a Subway employee, and is much...

  6. Is becoming a LPN worth it?

    emmy27 replied to Zysa's topic in LPN, LVN Corner

    Even in Florida (where I went to nursing school and where it's true pay is lower than many other areas of the country) I have never heard of licensed nurses (LPN or RN) making $10/hr. That's about...

  7. Safe to take new admit at shift change

    emmy27 replied to russianbear's topic in General Nursing

    So your argument is that your ED's nurses lack common sense and intelligence, and therefore it's best to leave admitted patients with them as long as possible, regardless of how this overloads the...

  8. Safe to take new admit at shift change

    emmy27 replied to russianbear's topic in General Nursing

    Of course the patients in the ER aren't the only ones in the hospital, but the ones in the lobby are the only ones who don't have a bed, a monitor, and an assigned caregiver (unless you count the...

  9. Safe to take new admit at shift change

    emmy27 replied to russianbear's topic in General Nursing

    If they're admitting obtunded patients in imminent need of intubation to the floors, there are institutional issues that go way beyond how report happens to be addressed. "Throughput convenience of...

  10. Safe to take new admit at shift change

    emmy27 replied to russianbear's topic in General Nursing

    zIn EMR systems, all that information should be accessible to the receiving nurse as soon as they're informed they're getting a patient. In fact, the ICU nurses generally wave us off if we attempt to...

  11. Safe to take new admit at shift change

    emmy27 replied to russianbear's topic in General Nursing

    My experience as a floor nurse was that the report I got was rarely useful (all things that were all documented on the kardex, and often given by a nurse who had not seen the patient and was just...

  12. Is it possible to get the holidays off?

    emmy27 replied to Joe V's topic in Nursing Humor

    PRN status is how I get holidays off. I still work a fair number of holidays, since we don't have kids and my husband often has to work holidays- I don't mind picking up to help cover full-time staff...

  13. Safe to take new admit at shift change

    emmy27 replied to russianbear's topic in General Nursing

    An admit patient who isn't transported to the floor is in an ED bed. In the best case scenario, they're in a less-comfortable setting where many of the meds and amenities of admission are not readily...

  14. Need Encouragement/To Vent

    emmy27 replied to popcrnlvr's topic in First Year After Licensure

    It just takes time. Striking out on your own is a big transition for nearly everyone- you just happen to have undertaken it at the same time as your new grad job, which is also a very stressful thing....

  15. Can you recommend a medication?

    emmy27 replied to russianbear's topic in Patient Medications

    Especially when calling a hospitalist who has dozens of patients and probably doesn't have that patient's chart in front of them, and who might have been in the middle of anything when I called, I...

  16. ACLS should always be 2 days and in person!

    emmy27 replied to Emergent's topic in General Nursing

    I just used the computer program to recertify and hated it (I spent so much time trying to learn where all the buttons were on the menu, and kept getting dinged for things like not specifying to flush...

  17. 1st choice for a fresh grad?

    emmy27 replied to Chan891's topic in Emergency

    I'm not sure how much my m/s experience directly prepared me for ER life, but I do think it was a less terrifying way to start my career than being a new grad in the ER. While both specialties are...

  18. Valuable life lessons from an ER nurse....

    emmy27 replied to Momma1RN's topic in Emergency

    Dollar pregnancy tests work

  19. Compassionate Connected Care (C3)

    emmy27 replied to calivianya's topic in General Nursing

    Our last customer service seminar included not only the hated "I HAVE the time!" script (there was no mention of whether or not they would be hiring more staff to actually GIVE us the time) but a...

  20. Should I take the HUGE paycut to switch from ICU to a clinic?

    emmy27 replied to nirali.karsaliya's topic in General Nursing

    Having an hour long commute, even though I loved the job at the end of it, was soul-crushing for me. It was also scary- I was never well-rested and depending on the kind of drive it is, that can be so...

  21. Capturing charges is main function of EMR

    emmy27 replied to Emergent's topic in General Nursing

    We've recently been told that it's unacceptable to pull an extra flush or carry one in our pockets- they must be pulled as needed under the correct patient name one at a time. So that's definitely...

  22. When a patient signs out AMA...

    emmy27 replied to Lev's topic in Patient, Colleague Relations

    Eh, denial was perhaps the wrong term. She was fully aware she was pregnant, she already had a child (with her), she was certainly fully alert and oriented. Her mother came (to bring a car seat,...

  23. When a patient signs out AMA...

    emmy27 replied to Lev's topic in Patient, Colleague Relations

    I usually state their risks in leaving as clearly and non-technically as possible ("You could drop dead on your way in to the house, or have a stroke that leaves you unable to talk or feed...

  24. Need advice, please

    emmy27 replied to NurseK_44's topic in Nursing Career

    As an ER nurse, I think a year of ICU experience would be invaluable in many ERs, especially if you wind up in one of the many ERs that hold critical patients for hours or days. I'd take the ICU job,...

  25. Choosing a Specialty

    emmy27 replied to Karamia0x's topic in General Nursing

    Before nursing school, I thought I would like ER and was terrified of peds. I wound up loving my peds clinicals and did my preceptorship in the PICU, but when I graduated, I took the new grad job on...