VICEDRN BSN, RN

ER

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All Content by VICEDRN

  1. VICEDRN

    Love/hate relationship to my work.

    Stargazer, I hear a lot of what you are saying and feel the same way about a lot of the same things. And I also hear NREMT as well. I too have been thinking about graduate school or flight in the...
  2. VICEDRN

    What phrases do you use?

    Line n
  3. VICEDRN

    Specializing as a fresh nurse?

    To answer your question, I don't think that starting in med/surg means you will ruin your chances at specializing later. As to the other part, I went from nursing school to er and my spouse from...
  4. VICEDRN

    Best one sentence handoff report

    The best reports are just facial expressions because we both know this patient and we both the story. If you come to the er every day by ems, no report is
  5. VICEDRN

    Ever accepted a position knowing it was a mistake?

    i am not originally from the south either but i do own a house and i have less than 3 years experience as a nurse. my hope is that the housing market will improve here and i can sell my house in...
  6. 90 something. And he just lazy and pushing off liability onto someone else. Lol. He knew there was probably nothing particularly
  7. Had a patient who took her bp at Walmart to find it was 150 systolic. She raced to the ER and demanded to be admitted. She was discharged. She came back the next day for a second opinion and was...
  8. VICEDRN

    Admissions during change of shift

    Please ask transport that very question. If we wait long enough for transport, we push them to the hall and use the bed for another patient. Naturally, this infuriates the patient and their family....
  9. VICEDRN

    Ever accepted a position knowing it was a mistake?

    First of all, the wages here suck. big time. You can make more money working in a factory, tending bar and doing just about anything. Second, there are no unions and nursing has no true strength here...
  10. VICEDRN

    Ever accepted a position knowing it was a mistake?

    Yes. My first job out of nursing school. I had a hunch it was not a good unit because they were so aggressively hiring. This turned out to be true but not for the reasons I had in mind. I took it...
  11. VICEDRN

    She sure did... and with a straight face!

    I'm sorry. When I looked for jobs, it seemed like hr writes the worse nursing job descriptions in the world. It's amazing how many jobs clearly want an experienced rn but the posting clearly...
  12. VICEDRN

    New and not so new nurses..

    Must have happened in icu!
  13. The ER I used to work in was like that. Between 0800 and 0900, off they went to cafeteria and breakfast. They were shocked when management changed the shift pattern to add two 0900 shifts instead of...
  14. I'm just going to say it: bullies must use real or implied power to bully. I agree that this extends to nurses on orientation who use their pull with the manager to throw more experience nurses under...
  15. VICEDRN

    Please someone help me understand..........

    We had one recently who's discharge instructions read (in bold capital letters): PT is DNR/DNI. DO NOT DRAW LABS. DO NOT RETURN TO ER. CONSULT XYZ HOSPICE GROUP." Pt was returned to ER 11 hours...
  16. Most of it is reactionary nonsense. They heard somewhere someone said and thus, a new policy is born. I work in the metro ATL area. How many of you have heard the one about the WOW? which isn't...
  17. VICEDRN

    8-hour shifts save money?

    I am no HR expert but I have been told that 8 hour shifts means a unit needs fewer people on staff because each person works more often. As a result, the cost of benefits goes down. Thus, a cost...
  18. VICEDRN

    GTPAL and Gravida Para need explanation?

    Bet your textbook could have helped
  19. VICEDRN

    popping and squeezing boils

    As long as you break all of the loculations that remain beneath the
  20. VICEDRN

    syringe to collect specimen from foley?

    From the bag if just placed and I have not ever left the room. From the port if it was placed pre hospital or before a ua was
  21. VICEDRN

    First ER death

    Yeah...also want to know why patient is occupying stretcher for this length of time. Should be been excited bed assignment to floor for patient and family privacy. glad you felt good about this...
  22. VICEDRN

    Hypertension in ED

    Agree with above. Our goal is 20% in the first 24 hours, never
  23. Ignore her. Plenty of my clinical instructors and professors told me I would make an awful nurse as I am head strong, a heavy hitting patient advocate and like to practice as independently as...
  24. VICEDRN

    Do you prefer 8 or 12 hours shifts?

    I spent five years in a 9-5 5 day a week job. At the time, I had one child and I thought it was difficult to manage. You can never get to doctor's appointments, business type errands (DMV, real...
  25. Had a friend who lost her baby to her at 38 weeks. It was heart breaking and sad BUT she said she felt the palpable grief of the staff and felt tremendously comforted that those around her...