VICEDRN BSN, RN

ER

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All Content by VICEDRN

  1. VICEDRN

    When is a patient your patient?

    My first job...you received a report, even if it was just a call if the patient was critical or potentially critical. My present job? You hear nothing even if the patient is crumping and everyone...
  2. VICEDRN

    7p-7a or 3p-3a...any insight?

    I started as an RN on a midshift and I would strongly advise to consider your options wisely. First of all, the midshift folks see the ER at its busiest. There is no downtime and therefore I found...
  3. My personal take on the drug seeking thing: I pull a sympathetic face and tell them how worried I am that their pain is so poorly managed because one day...when they have horrible pain from cancer or...
  4. VICEDRN

    Epic (Nursing) FAILS!

    better yet... I was the recorder in a code we had. I reached the part that asked me to record the vital signs. The MD called out for rhythm, "PEA" and a few lines later, I asked if the patient had...
  5. VICEDRN

    Epic (Nursing) FAILS!

    In a narrow room, I tripped over my patient's foot, the one with the dislocated and fractured ankle. To make it worse, I moved the patient's wheelchair so that no one else would walk in and trip over...
  6. I know the answer to the last part: You triangulate the nearest ER to your desired destination and then walk away from triage. Happens to us all the
  7. Logical reasoning is never out of context. Its reasoning, right or wrong. Since you are so condescending and insistent that my line of reasoning is wrong, tell where your original statement that a...
  8. I make decisions based on what I think is best for the patient and not what is best for me. I am an RN with a license who goes to work every week so now you have met one nurse on the face of the earth...
  9. I am never rude to anyone who calls report. I am not personally seeing the patient at that time and I don't want to judge just because someone left something out of the report or because their skills...
  10. Its our job as nurses to make sure the patients are getting appropriate care and to advocate for the patients. If you do not know or do not understand the logic behind the transfer, you shouldn't...
  11. The nurse was incredibly rude to you and it wasn't appropriate. On the other hand, since I actively work in an ER, I would offer the following insight: we get so many nursing home transfers that are...
  12. VICEDRN

    Fellow Nurse Goes Off On Me!!!!???

    Since it seems like no one else offered the perspective of another ER/trauma nurse, let me. I can see where you were both kind of in the wrong on this one. First, you already knew she was having a bad...
  13. VICEDRN

    Reporting in Florida

    I don't about in Florida but I would assume you are a mandatory reporter and are required to report any assault. I will add as a side note that not reporting the assault means that "word will get...
  14. Pfft. This is a nonsense issue. Tell the rad tech that since you are new, you discussed the issue with a more senior nurse and it was explained to you that this is in their job description. Add that...
  15. VICEDRN

    All Those NPs with No Bedside Experience

    No one is taking pot shots at NPs. We are discussing which providers we personally think are better prepared to take care of the patients. I am sorry if you think that anyone expressing an opinion...
  16. VICEDRN

    All Those NPs with No Bedside Experience

    Do you not see how yours is a completely incongruous argument? First, its your clinical experiences as a student nurse add to your qualifications but then its "the role is completely different." As...
  17. VICEDRN

    All Those NPs with No Bedside Experience

    As an RN with almost two years experience in the ER, is it okay if I admit that reading the posts from the APRN-C students with no bedside experience and the practicing NPs with no bedside experiences...
  18. VICEDRN

    Don't you hate those bad IV days?

    Day? I had a stretch of 3 hideous weeks like this last year!! I almost quit the ER. I almost quit my job. It was horrible. HORRIBLE! I finally started to view it as a chance to learn some humility...
  19. VICEDRN

    What would you do?

    Will take the other tack here...if you really felt that strongly about it, you should have called the RRTeam yourself. Nursing isn't about being popular; its about the patient. Now is a heck of a...
  20. VICEDRN

    NO, NO, NO!!

    Yup. I think lots of us are and I think that's why there is so much turnover at the 2-5 year mark for nurses. Its a task oriented job. It really is. I work in the ER though and its still "task is...
  21. VICEDRN

    Bored in the ER?

    It seems there are those that transfer from ICU to Er that get a derisive attitude towards the urgent care/primary care patients and that will depend entirely on how you view these patients and the...
  22. Don't worry so much about the writing. Worry about stuff like transfusions, wrong site, wrong procedures and failure to rescue. Those are the big big issues. I'm sure your charting is fine.
  23. VICEDRN

    So I guess it is true...

    You're kind of stubborn or you don't take the time to carefully read posts as they appear. I didn't say the first query was out of line. Its the subsequent ones are out of line.And please clarify...
  24. Included in the definition of profession that I learned in college is a minimum education level of at least a bachelors degree. Similarly, a profession must meet all of the definition to qualify as a...
  25. I was a paralegal for five years before I became a nurse. I have worked on med/mals before. No lawyer would bring up writing skills because it would seem petty and irrelevant to the jury. It's also...