VICEDRN BSN, RN

ER

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All Content by VICEDRN

  1. VICEDRN

    So I guess it is true...

    I agree with the posters above. I am relatively new (approximately two years as an RN) and I can tell you this is not nurses eating their young. To be quite honest, you should have dropped it when...
  2. since the original post sweetpei responded to with this comment was mine, i will respond. i am not young. i am nearly 34 years old and i, in no way, intended to imply that the original post was an...
  3. Its called visual acuity: do any of them actually look like they are in distress? Its triage. I get to lay eyes on them first because I even talk to them. If I have to choose, I assess the vag...
  4. VICEDRN

    The False Advertising of For-Profit Institutions

    To answer your question, I have talked to a small stinkin' ARMY of these people because they work with me in various and sundry capacities (techs, accounts reps and transporters,etc). They have also...
  5. VICEDRN

    Do nurses use their wristwatch in real life nursing?

    Yup. When I need to slowly push meds, count rr, apical pulse and when determining time estimates such as pain reassessment, time to ct with contrast, etc. hard to see all the clocks. We don't do a...
  6. No. You and you alone are to blame. When you (eventually) administer medications under your own license, you will be responsible for the meds. It is imperative that you draw your own meds and know...
  7. Seriously? Who told you this was an "educated profession"?It's obviously not as far as I can
  8. VICEDRN

    The False Advertising of For-Profit Institutions

    Have you ever talked to a student of one of these programs? They are their own worst enemies. They won't hear a negative word about it and are getting exactly what they deserve for the "easy road...
  9. VICEDRN

    Do you have a dangerous doctor in your ED? Long vent.

    To the OP: Don't know why you feel the need to endorse the MD to the patients. Patients inherently trust us to be honest with them. I wouldn't throw the MD under the bus but I might make subtle...
  10. This morning it would have been: Dear selfish self centered conservative friends, neighbors, relatives: I am sick of watching people die because you spend all of your time worrying about what other...
  11. VICEDRN

    First Screw-upp

    Aaaaand this is why we should not be using paper charts anywhere for any reason. They need to put their own orders in teh system. Unless your job description is to check the paper chart every time,...
  12. VICEDRN

    Why is it always "Fire the nurse"

    Whatever. I think its just an expression people use. I have heard a million people say that before and does that person ever get fired? No. Its just the way they are expressing their unhappiness at...
  13. VICEDRN

    Favorite and least favorite diagnoses?

    Most favorites are the simple turn arounds. What can I say? i have a short attention span. Asthma. DKA with fluid resuscitation. SVT that converts nicely. Don't mind a nice STEMI that goes back...
  14. VICEDRN

    q4 hour vital signs in the ER...

    To the OP, I think everyone who works in the ER needs a thick skin and your situation demonstrates exactly why. You did the right thing but you certainly did not make everyone happy. Unfortunately,...
  15. VICEDRN

    Apologizing for my prima donna ICU coworkers.

    I don't care how long they are in the ER. No one reduced my patient assignment and gave me just your septic/trauma/post code/drug overdose to deal with as my only patient. I simply do not have time...
  16. VICEDRN

    Night shift- when do you exercise?

    I exercise after I wake up and have breakfast. Usually between 2-4
  17. VICEDRN

    Any other cold hearted nurses out there?

    I think it comes with experience and I don't think its cold hearted. I think its realistic. You have been there done that before and you want it over quick as possible for everyone. You already know...
  18. VICEDRN

    What's the longest er wait time you have Even seen

    Patients can wait for an ER bed for up to 15-18 hours at my hospital on busy days. It can easily reach 24 hours before they are admitted. On a "Good" day, our wait is betwen 4 and 8 hours. We are...
  19. VICEDRN

    Why do ED docs hate putting in orders?

    True story: Had a patient guppy breathing with a tanking bp sinking below 80s systolic and a resident I have never worked with but obviously completely sucks (as far as I could tell in the situation)...
  20. VICEDRN

    Patient Complaint

    I would have reported the changes in mental status to the physician and documented them in the chart. And yes, partially I would be doing it to cover my rear when the complaint rolls in and partially...
  21. VICEDRN

    HELP! First RN job> two offers on the table: ER and ICU

    I think its generally easier to take your ICU experience and transfer it to anywhere else because those units are smaller and harder to get onto. If your love is ER, go with that! If you plan to ask...
  22. VICEDRN

    Am I cut out for the ED?

    I'm not an adrenalin junkie and I don't love drama. Heck, I do a lot of trauma and other than learning a new skill, it isn't even my favorite thing to do in the ER! I got tired of hearing the...
  23. VICEDRN

    Bedside hand-off/report?

    We are supposed to do bedside reporting on my unit and we did it on my previous unit as well. I don't really care whether we do it or we don't do it. I don't think it adds anything to the patient's...
  24. VICEDRN

    Magnet Hospitals

    Magnet hospitals are not considered good places to work in the area I live in. (metro ATL) This is especially true for ER/ICu types as PMFB-RN has suggested to you. IMHO, there is a lot of extra...
  25. VICEDRN

    Nurse Report please answer

    I agree to a certain extent with the previous poster. I would simply ask the next time what they would like you to do or what they would have done differently. It's common for new grads to think they...