VICEDRN BSN, RN

ER

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All Content by VICEDRN

  1. I bet they got the same thing as the RNs, just in their own "color." I am sick of owning all of the ancillary staff as part of the "nursing" staff. I have no idea what nursing assistants, PCTs,...
  2. VICEDRN

    Favoritism At Work? Say It Isn't So!

    You would assign that patient to a nurse who doesn't have that experience because if she or he never gets that experience, they will leave the unit in search of that experience and create unsafe...
  3. VICEDRN

    Favoritism At Work? Say It Isn't So!

    I have to add, as an ER nurse, that I think this endless bullying is an epidemic in the ER. I have worked in two ERs. In the first, I was a new grad and I never got any critical assignments like...
  4. i don't have underlings to do mindless skills, do i? i basically told you that in the last post. i do them myself. for the record, the phlebs draw labs on the floor here too and i know a fair number...
  5. So...here is the reality of my job. The real, grown up reality. I have five patients at any given time, most of them fairly critical because this is the regional trauma center in a large urban...
  6. The skills you refer to are absolutely suitable to a CNA/tech and I have seen a tech do every ONE of the skills you just mentioned. IV starts, foleys, even drop an NG (was a nursing student but...
  7. VICEDRN

    ER Book Reviews

    The Manual is more theoretical and goes more in depth than Principles and Practice. I have the Manual and I like it. Other people seem to prefer Principles and Practice so it really depends on what...
  8. VICEDRN

    ER computer programs

    My last hospital used Sunrise Care Manager which I really liked a lot though it is a tad unstable (crashy) but that never bothered me. My current facility uses EPIC which we refer to as "EPIC failure"...
  9. I guess that's what it comes down to. I don't think they missed anything. I think they missed out on something that they have defined as nursing: namely, skills. I certainly knew a lot of people who...
  10. Take a vacation. Angry bitter people are angry and bitter everywhere you go even if they aren't your patient's family. You can't solve their crazy and furthermore, you should TRY not to let it weigh...
  11. The real "skills" are minimally invasive procedures that the MDs got bored doing themselves. Historically, it was considered too complicated for an RN to take BPs; now, a tech does it. Most of what...
  12. You don't know what today's NCLEX is like; :) LONG testing is not smarter testing albeit I am sure it tests the stamina after a day...lol. Objectively, today's test is more difficult, not less. The...
  13. please tell me WHAT CHANGED... pt is 40 yo presented for elective ortho surgery yesterday am; no medical hx/no allergies; a0x3 at vital signs check at 0600; vss at last check; appeared non responsive...
  14. Let me just step in here with a few comments from a second year nurse... the studies are out there. task orientation training in nursing school does not produce successful nurses. in fact, the...
  15. VICEDRN

    Backboards in the ED

    No. We haven't seen this in the ATL. In fact, it seems the EMTs are back boarding more and more people based on protocoled order sets and increased pressure to adhere to protocols rather than employ...
  16. VICEDRN

    rn taking orders from an lpn?

    OP, good for you for doing the right thing. No matter what happens at your job next week, I think you can sleep well at night and that's what matters most. If you end up shopping for a new job, then...
  17. VICEDRN

    How do you deal with suspected addicts?

    I agree with the previous posters. I would tell her that it is not late until whatever the facilty's policy is,say an hour after it is due on the MAR, that she is not the only patient on your team,...
  18. VICEDRN

    what should i do?????????

    Seriously?? What do you care if she finds out that your PRN job offered training to you? In fact, I think you should put a gorgeous winning smile on your face and march straight into her office and...
  19. I agree that it is impolite and also unnecessary. Its just as easy to say, "If you haven't heard anything in a week or two, feel free to apply to other positions or another position on our website."...
  20. VICEDRN

    Mandated Flu vaccine?

    I am happy to receive my free flu vaccinations from my employer but I totally and completely agree that you should have the right to refuse for your own reasons and further, I agree that it is a...
  21. VICEDRN

    what chain of command?

    thanks for what doing what you do! LTAC is a rough
  22. VICEDRN

    PRN Job outside your specialty

    PLenty of ER nurses I know PRN in ICUs and plenty of ICU nurses I know PRN in ER. Not everyone has had full time experience in the other area. I don't see any reason you shouldn't apply just be sure...
  23. VICEDRN

    Can you be an er nurse with an assoc. Degree?

    I would say that in some places, it is impractical to expect to have an ADN and work in the ER due to increased competitiveness in areas of specialization such as ER, ICU and L&D. I would ask...
  24. VICEDRN

    SCHEDULING/WEEKENDS

    my current unit requires four weekend days a month plus at least one monday. this is nice because you can pick and choose what days you might like to work and those with strong religious beliefs can...
  25. VICEDRN

    Had to bite my tongue and....

    I hear what you are saying. While the masters might make it on to my to do list, I have gone blue in the face telling people that are fairly newbie (like myself, I know a woman who was shocked to...