VICEDRN BSN, RN

ER

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All Content by VICEDRN

  1. VICEDRN

    Nurse manager says you can't refuse iv

    VICEDRN replied to paintedbison's topic in Ob/Gyn

    I am certain that any patient that is not intoxicated, psychotic or otherwise under the supervision of a 1013 (psych hold order) can refuse any treatment they like even if they have signed a blanket...
  2. VICEDRN

    Are there doctors on duty in the ER?

    VICEDRN replied to Anna Flaxis's topic in Emergency

    If I am NOT on shift that day, you guys need to make video for me, ok? Makes me feel better to know that both the actively dying patient and the delusional walk in urgent care people exist in...
  3. VICEDRN

    Why Is It That Everyone Thinks They're A Good Nurse?

    VICEDRN replied to Ruby Vee's topic in Patient, Colleague Relations

    was a little bit, wasn't i? :-) Edited to add: though I have yet to see a tremendous difference between an RN of 4-5 years experience, 10-15 years experience, and one of 30-40 years experience, except...
  4. VICEDRN

    Why Is It That Everyone Thinks They're A Good Nurse?

    VICEDRN replied to Ruby Vee's topic in Patient, Colleague Relations

    Am at 2 years now...seems like most people are running off to grad school.
  5. VICEDRN

    Why Is It That Everyone Thinks They're A Good Nurse?

    VICEDRN replied to Ruby Vee's topic in Patient, Colleague Relations

    lol. I was just thinking as I was reading this thread that the only thing more ridiculous than people who don't realize how they are struggling in the beginning is how people cling like desperate...
  6. VICEDRN

    OB Nurse's View on Natural Childbirth

    VICEDRN replied to LexiRN2's topic in Ob/Gyn

    Not an ob nurse but stumbled upon the post. I am mother of two with third on the way... the advice here is really good. I think, based upon what you want, a hospital is unlikely to provide you what...
  7. VICEDRN

    Starting out in Trauma

    VICEDRN replied to SWAT RN's topic in Critical Care

    Seems like most facilities require TNCC but you may already have that as an ICU nurse. My Level One Trauma Center requires PALS and ACLS as well though you list those. My facility requires you to...
  8. VICEDRN

    Let's compare ERs

    VICEDRN replied to trooperwifey's topic in Emergency

    In the southeast. Big level one trauma. Supposed to be 2:1 for traumas and criticals, 4:1 for most patients and 5:1 for lower acuity patients. Needless to say, we are never staffed to that level...
  9. VICEDRN

    Patient Abandonment by Physician???

    VICEDRN replied to TammyG77's topic in General Nursing

    Wow. I would agree that the patient's behavior is a bit suspicious but if the MD really felt strongly about it, a simple, "You will have to ask your primary for a refill as I am just offering a second...
  10. VICEDRN

    Nurse practitioner in EM/ER

    VICEDRN replied to danceluver's topic in Emergency

    The ER NPs see mostly fast track patients where I work. They have started to use them more with ESI 3s but we really have no need to use them in this capacity because we are a teaching hospital. It...
  11. VICEDRN

    Do you struggle with differences in Trauma teams?

    VICEDRN replied to MassED's topic in Critical Care

    I hear you...there are some teams that I just cringe when I see them coming and then there are some times when I see who the ER docs are and who the trauma docs are and I see fighting coming. My least...
  12. VICEDRN

    No IV Practice / Little hands-on practice in clinicals

    VICEDRN replied to SlyFoxRN's topic in General Students

    GIGANTIC SIGH! This issue has been addressed about a trillion times on this site and what you are about to find out is that there are differing opinions about what constitutes appropriate training for...
  13. VICEDRN

    You know its a seeker when . . .

    VICEDRN replied to BostonTerrierLover's topic in Emergency

    I think you have the wrong impression of what is obviously a one-sided thread. We are only talking about seekers here. If you are chronic long term pain patient or one of the handful of people who's...
  14. VICEDRN

    Have ya'll forgot me out here?

    VICEDRN replied to BostonTerrierLover's topic in Emergency

    Boston- You and me have the same story. I started at a country hospital and transferred to a level one trauma center in the big city in the Southeast. At my country hospital..all urgent care patients...
  15. VICEDRN

    What are the most important qualities for this nursing job as an ER NURSE?

    VICEDRN replied to Binduvijoy's topic in Emergency

    energetic, flexible, a little thick skinned and a perverse sense of
  16. VICEDRN

    You know its a seeker when . . .

    VICEDRN replied to BostonTerrierLover's topic in Emergency

    No idea why the ER nurse you met with doesn't know how to assess for pelvic fx. She's not so smart. The screaming when rolled thing is classic and I bet you complained of back pain too. Though...
  17. VICEDRN

    You know its a seeker when . . .

    VICEDRN replied to BostonTerrierLover's topic in Emergency

    Funny that you mention these two things because I look for them both. To me, a seeker is a complete picture. First comes the jovial overly friendly attitude coupled with the ridiculous list of...
  18. VICEDRN

    Advice - I'll need a meal tray too

    VICEDRN replied to LalaJJB's topic in Emergency

    I work in the deep South and I have learned to smile and have an answer for everything. (For the record, I learned these clever answers from my amazing co-workers.) I also take it upon myself to talk...
  19. VICEDRN

    which shift 3pm-3:30 AM or 11AM-11:00PM

    VICEDRN replied to Marisette's topic in General Nursing

    No idea why you think 11-11p or 3p-3a as anything to do with an employer's market. These are common shifts in the ER and in some ERs, they are so popular that people fight to get on
  20. VICEDRN

    feeling like a failure (kinda long)

    VICEDRN replied to luvmyhubbybunches's topic in Emergency

    I gotta be really honest here...certain patient complaints require an iv whenever they report to the ER. This includes chest pain, seizures, withdrawals, just to name a few. Its important that you...
  21. VICEDRN

    catheterisation... how many attemps until you call it quits?

    VICEDRN replied to Skylar86's topic in Emergency

    To address both of your thoughts: I consider the foley policy to be the same as the failed stick policy. Two tries and I find another RN to help me. Your other thought: the one where you wonder what...
  22. VICEDRN

    Rx drug abuse in your ED- steps you take?

    VICEDRN replied to thelema13's topic in Emergency

    I disagree with your take on the situation... Personally, I don't adminster narcotics to patients who I feel are seekers. (and I know there are people about to guffaw on me but I SWEAR in two years I...
  23. VICEDRN

    New grad ED nurse

    VICEDRN replied to thedon781978's topic in Emergency

    There is an introduction to ER course offered by ENA that will also help you study for CEN. I personally learn better by doing and retain information better when I can apply it to a particular...
  24. VICEDRN

    Lining and labing in the waiting room

    VICEDRN replied to melimaras's topic in Emergency

    In niether of the facilities I have worked at are we allowed to line patients in the waiting room. If we lined them, they wait in a sub waiting area. Otherwise, they have labs drawn and...
  25. VICEDRN

    CPR - AED- lost my first patient today.

    VICEDRN replied to NocturneNrse's topic in General Nursing

    Sorry for your loss. I am sure the team did everything they could for the patient. Hope you find some peace this