WonderRN

WonderRN

ED

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All Content by WonderRN

  1. Struggling with ED Orientation, advice appreciated

    I would encourage you to keep your head up and work hard. Learn on the job. Look up stuff you don't know. Find a mentor and ask questions. Look stuff up in detail when you get home. Review patho of certain disease processes that you weren't fully com...
  2. Struggling with ED Orientation, advice appreciated

    1) This is not an ICU forum 2) What is your contribution to the OP's question?
  3. How will I know when I am ready?

    You should jump on in. You'll never know if you're ready until you do it! Skills come with practice and experience!
  4. SLU accelerated BSN tuition

    whoops, I just read that its not an advanced practice program. Well, I don't really know that much about it..... but would just wonder in the end, if there would be any real difference in the amount of money you make with a Master's verses a Bachelor...
  5. SLU accelerated BSN tuition

    There was no AGMSN program in 2008 when I did the ABSN. If there was, I just might have done it! Just thinking about it, i would be intimidated by the idea of going from knowing next to nothing about nursing and being an advanced practice nurse in on...
  6. Another silly "what should I do" thread...

    I know I am a little late to the party, but I just wanted to add.... Perhaps she charted "pt taken off the bedpan" to indicate she was in the room and provided care to that pt during that hour? I often chart things like that because there is nothing ...
  7. Your ER policy on giving rides home

    They can call a ride and wait in the waiting room. Or we will call a cab for them and the cab can take them by an ATM on the way home. If they are really belligerent I will call the charge nurse and let them deal with it. Thats why they get paid th...
  8. Amio in a Code

    Documenting a code today. Full arrest, kept going into pulseless vtach, vfib. Drug pusher mixed the 300mg of amio to hang PB over a few minutes...... ?!? Don't you just push this in a code situation?
  9. Amio in a Code

    OH, YEAH- He also orders.... 2.5 mg of morphine on EVERYONE- we only have 5mg and 10mg vials. So i have to waste 2.5mg on EVERYONE..... and then I have to go back in there in an hour and give another 2.5mg because whaddya know, the first 2.5mg didnt ...
  10. Amio in a Code

    She did have CKD (no dialysis), and for that reason probably lives above 5.1. She had EDEMA everywhere (CHF) and used to be on lasix everyday but was taken off (dont know why). Lungs were clear. This doc happens to be the medical director of our ED....
  11. Amio in a Code

    oh, no. She was giving the 300mg as a IVPB. We then did a drip. I have given this drug several times in codes, always as an Iv push. I am at a new facility now and they are driving me batty. Causing me to second guess everything i have learned.........
  12. Amio in a Code

    Thanks, Lunah. I have pushed the Amio myself before in a code, different facility. Just wanted to check with y'all, make sure I wasn't missing something.
  13. Nurse Manager position

    I have been offered a Nurse Manager position at a fledgling urgent care system in the midwest. It consists of 2 locations at this time, one is well established and the second location is newer, still becoming established. I would be the Nurse Manager...
  14. Should I take the job?

    I posted a similar thread in the ambulatory care area of this site, but its been 24 hours with no replies..... I have been offered a Nurse Manager position at a fledgling urgent care system in the midwest. It consists of 2 locations at this time, one...
  15. Why I'm sick of the ED

    I have felt the same way....... I just moved to a new ED. The docs i worked with at the old ED learned to trust my judgement/assessment, with some exceptions (some docs just don't care what nurses have to say). At this new facility, the docs don't kn...
  16. Will I ever keep up the pace???

    You are doing fine. I was a new grad in ED, and I hit a slump too. It is partially because my preceptor was watching the computer for orders and would intervene when she became impatient instead of letting me work it out. I don't think you REALLY lea...
  17. How long until you were pretty good at IV starts?

    I've been a nurse for 1 1/2 years. I have worked in the ED the entire time. I think I was decent after 6 mos, and after a year, colleagues would ask for help on hard sticks. I would get the hard sticks, say 75% of the time, within 2 sticks. But every...
  18. treating hemolyzed potassium level...

    I think you were prudent to wait for the redraw. We don't do the K cocktail unless the K is over 6. Esp in a dialysis patient.
  19. A real nurse

    I do think Nurse Educators are high on the food chain. I hope to be one myself some day. I do think those that teach still need to have hands on care at least part time. In the trenches. With the same assignment as anyone else would have, not just fl...
  20. The 5 things you love & hate about being an RN

    I work in the ED: Love: 1. Learning new things every day 2. Using my knowledge to make a suggestion to the doctor that in the end, makes the patient feel better 3. Being part of the most trusted profession 4. Making a decent paycheck 5. Saving lives ...
  21. I Didn't Know I Couldn't do it, So I did

    Lunah, I am excited for you! You always have something valuable to say on posts in the ER forum, and i always look forward to hearing your input. I too chose nursing as a second career, after giving up a pretty decent income as a photographer (much t...
  22. Pregnant nursing student....

    I was about 6 mos pregnant when I started interviewing for nursing jobs. I was a few mos from graduating with my BSN. I couldn't get anyone to hire me because I was very obviously pregnant. I kept working as a tech until I was ready to have my son, t...
  23. Awesome story

    About 2 weeks ago, 46 y.o. male presents to ED with c/o crushing chest pain. Saw him rolling in on the stretcher from across the room, thought he looked bad, new grad assigned the room, thought I could maybe help. Getting pt settled in, EKG failed to...
  24. Awesome story

    \ Yeah, not sure. No ST elevation. Didn't have much time to look at it for obvious reasons. It was actually a mess. He was a super hard intubation. Had to call a second doc in to try. Then he vomited everywhere during the whole thing- ended up wit...
  25. To all the newbie ER nurses out there...

    Ok, I'll bite...... What is crumping !?!? I know what krumping (with a K) is.... and I'm pretty sure you don't mean beckoning providers to the bedside of pt's that are hip-hop dancing....