amarilla

amarilla RN

MS, ED

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All Content by amarilla

  1. If you were to move from ER...

    I am leaving nursing for another health profession and it is the ONLY reason I'd leave the ER, *laugh. I could never go back to floor nursing and have no desire to work for a doctor's fiefdom in...
  2. ESI Triage Question

    Hmm. While I may not be one of the more eloquent posters here, I'll try to be succinct: I triage people in danger of dying or nearly dead as '1', indicating immediate lifesaving intervention needed,...
  3. How to be an ED tech?

    I think the best thing to do may be to look up your local hospitals to take a look at the job descriptions posted for ED techs. It will tell you exactly what they want in terms of experience,...
  4. Oh, so many things here that irritate me on a regular basis (and now I've been reminded of them on my day off!). Here are mine: Cosign the many who have posted about the cutesy cartoons and cut-outs...
  5. I need help. =(

    Please take this gently, OP, but sometimes we aren't always doing as well as we think we are. A month on med-surg to work on your skills may just mean that you're lacking the assessment skills and...
  6. Subservience to the docs

    Hi all, I could really use some advice. I've been a nurse four years or so; a few years on the floors and about 18 months in the ED. I started a second job a few months ago for more hours and am...
  7. Subservience to the docs

    When you put it that way, definitely! I suppose it's just been surreal that none of the other nurses there seem to be bothered by the way things are there. I come home and feel bad about the care some...
  8. Subservience to the docs

    ICURNmaggie, I feel like a number of my free text entries in the chart are 'pt ______. Vital signs now _____. MD ____ made aware. No further orders at this time.' You can actually see the situation...
  9. Subservience to the docs

    Hi TLC, Thank you for your reply. Perhaps I should give a few examples to better illustrate the scenario? Let's say you go up to one of the docs with an update and as you open your mouth to speak, you...
  10. Police Holds

    You might not always need consent to disclose to law enforcement though; know your state laws and hospital policy first. JME. Another link, this one specific to LE from HHS:...
  11. Police Holds

    We get these - call them 'detainers'. For whatever reason, the police place the detainer and make us aware when we accept the patient into the ED. They leave and we treat the patient. When dispo...
  12. transportation issues

    I feel your pain, OP, and yes, I would LOVE to have a discharge specialist to coordinate rides home! My regular job does not give out vouchers or bus passes, (we're nearly bankrupt as is), but my pd...
  13. Anyone on a block schedule?

    Hi all, I'm about to start in a new ED, (ordering those scrubs must have manifested the offer, seriously), where they're utilizing a block schedule. Days are grouped and change every week; excluding...
  14. What should I expect in ER nursing?

    Agree with the previous posters to ask yourself why you want off the floor and what you're looking for. I started in med-surg, went into float pool and pursued an ED position for about six months...
  15. RN Salary Survey 2013: Post here!

    1. NJ 2. 3 3. ED 4. 34.00 5. 2.50 for nights 6.
  16. Tasks that are left for the floor

    I (try to) do all the stats and anything that seems like a biggie to move treatment forward, i.e., giving units of blood, starting that heparin drip, making sure the blood cultures / ekg / trops /...
  17. Triage complaints- the good, the bad, and the shocking.

    Oh...how sweet it is to check in and see this thread still going. :) Recent ones: Male pt, 50s, found in wheelchair in front of ED. Had IV and bracelet from another facility. Hrm. Called them up and...
  18. Manifesting job offer by ordering new scrubs.

    Samesies OP!! I had an interview followed by a contingent offer and bought new scrubs in anticipation. I've been trying to get into this particular ED since spring and felt so close to clinching it. I...
  19. I am three years in and agree with a few of the previous posters: yes, you settle in with a job and once you get comfortable, you begin to look for challenges once again. I worked the floor for over...
  20. GIVING REPORT!!!!!

    I spent several years on the floors in float pool and have now been in the ED for the past six months or so. Depending on the floor, YES...unfortunately this is absolutely possible that the first you...
  21. Changing our colors again- rant.

    Rant respected. I'm expecting a dress code change myself and am preparing my pocketbook. I'm just hoping it's nothing too ugly or, worse yet, all white. Ug! Maybe you can sell those gently used scrubs...
  22. prioritizing in the ER

    I've only been in the ED a few months myself but agree with others that your ratios are outrageous! I'm not sure how much better you can be at 'prioritizing' if you're babysitting a handful of admits...
  23. Need job in NY...help!!!!!

    Apply in the outer boroughs - Manhattan is overrun with applications and no harm, no foul if you're planning on living in Brooklyn or Queens. If you have recent (within the last year) acute experience...
  24. Telemetry RN to ICU RN

    The orientation offered will differ according to the hospital, their available resources, and the background of the incoming nurse. I've worked for large, level 1 teaching facilities with strict...
  25. Signing RN behind my name

    I wouldn't worry; I sign my regular 'civilian' name on work documents for HR, payroll and the like. I save the 'RN' for times it is necessary to indicate my position - like patient records, union...