oldandintheway replied to TheMoonisMyLantern's topic in Nursing
Yesterday for the third consecutive year I fell asleep during one of our “mandatory” annual refresher courses. Fortunately/unfortunately a dear friend of mine kept punching me in the arm to wake me up, apparently I was snoring. The instructor was a...
oldandintheway replied to dpgRN's topic in Nursing
I've said to patients that the two best things to happen in the Emergency Department is to wait and to have only one staff member in the room with you. If you are waiting you are not dying and if only one person is in the room you are not being code...
oldandintheway replied to MassED's topic in Emergency
Median times may be more helpful than average times, I also see many unqualified nurses in triage roles. I think the worst thing is when a provider interferes by trying to start an assessment to preserve their door to doc times. I also think fast t...
I experienced leadership and management training in a very unforgiving environment a long time ago and dealt with the harshest peer review imaginable, would they come back for you when your a** was hanging in the wind. I learned the single most impo...
oldandintheway replied to ivyleaf's topic in Emergency
1100-2300 can be good or bad depending on what you want, I like it. You don't deal with the lull at the end of night shift/beginning of day shift, usually busy when you arrive till when you leave. Trade offs are searching for and often not getting ad...
oldandintheway replied to sunnyskies9's topic in Nursing
Took a while but I've come to the conclusion I work for my patients not the hospital; although the hospital is legally obligated to thank me every other week for having clocked in. I try to get my affirmation from the conversations with my patients,...
oldandintheway replied to Nurse Beth's topic in Nurse Beth
I was over 50 when I started nursing school and I wasn't the oldest one. It can be done and it opened up a great and rewarding second career. You will face some different challenges than your younger classmates but they will have unique challenges ...
oldandintheway replied to 2737's topic in Geriatric
Depends, is this a routine recertification survey or in response to an incident. Although in theory surveyors may arrive at any time unannounced, I don't recall routine surveys occurring outside of regular state business hours. Surveyors are state em...
oldandintheway replied to emtpbill's topic in Professionalism
Andy and Barney went to Mt Pilot, Barney made reservations as B. Fife MD. Andy asked why everyone was calling Barney Dr Fife. Barney said he registered as Barney Fife, Mayberry deputy. In the end its capability and competence that matters.
oldandintheway replied to mer015's topic in New Nurse
The only real advice I can offer is: use the best vein you find, not the first vein you find; most situations allow the time to search out your best option.
oldandintheway replied to Emergent's topic in Nursing
Different industry, different lifetime but if we were forced to work short handed the ones that did show up split the missing persons wages. That eliminated the incentive for the employer to purposely short staff. I wish we could institute that pra...
oldandintheway replied to cardiacxo's topic in Critical
I understand what you are saying, however I did not come to the ED from a vacuum. I would not be artificially pounding questions, I do have a broader experience base. My question is would there be any value in the context of continuum of care. By t...
