VICEDRN BSN, RN

ER

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All Content by VICEDRN

  1. VICEDRN

    "We want a nurse who speaks CLEAR English"

    I do not think that requesting a nurse that can speak English intelligibly is unreasonable. Germany does not allow foreign nurses to obtain licenses in their country unless the nurse can demonstrate...
  2. VICEDRN

    Advice needed. Crna vs MD

    I know it's off topic but I am so glad I found this thread...I knew within 3 months of becoming an rn that I wished I had followed my inner voice and pushed myself on to an md track...now I will need...
  3. VICEDRN

    One of the best...Invaluable to the unit

    This is why bending over backwards for a corporation is a waste of your time...and they complain we aren't loyal! Gee, I wonder
  4. VICEDRN

    ER Ratios and Delegation

    I came from an ER that was 6 or7 patients to one nurse at a minimum. It isn't safe. In terms of delegation, there was a phleb for 20 some odd beds and one tech per 10 beds. Realistically, the tech...
  5. yeah...um...the thing to do here is hope that none of the others are like this one and if they are...look for another job. its proof that even our MDs can get burned out in the ER. he or she...
  6. VICEDRN

    ER nurse to patient ratio

    I just left an er that was 6 or 7 to one. It took months of trying to get another er gig so I am not critiquing anyone who finds themselves in those shoes. My new er is 5:1 or 4:1 in critical or 2:1...
  7. VICEDRN

    It's Not MY Responsibility to Get YOU Home...

    Stop letting this bother you or you are gonna burn out of the er...if they refuse to leave treatment bay, call security. They were discharged, the are ambulatory and they are not awaiting a transport...
  8. VICEDRN

    Holding our tongues vs things we really want to say!

    If you want to be "seen" by the doctor, do you have an appointment? Poor kid. He has YOU for a mother. No, it isn't normal that you know how to treat STDs and you are only 19. NOW you think you made...
  9. I am also a second degree BSN and I have to say that I think you are way off the mark. First of all, I left my last career just as it was becoming lucrative to me because I wanted something more...
  10. My background before nursing was legal (paralegal) and I was just about to say "contact HR re creation of hostile work environment" Agree that it is common but that doesn't make it
  11. VICEDRN

    Who is in the OR during a c-section?

    1. the doc 2. the anesthesia doc and/or CRNA (they might both be present for a breath while at the beginning) 3. pt's ob nurse 4. the "baby nurse" : responsible for primarily caring for baby while ob...
  12. VICEDRN

    To all the newbie ER nurses out there...

    how to start an iv while sweaty and on a screaming patient how to start an iv upside down... how to convince someone to look at my patient who is crumping what crumping means (and also what it looks...
  13. VICEDRN

    IV Gauge for CT

    20 gauge above the wrist is all that's required...let's face an injury is usually obvious on CT. "the quality of image" is another
  14. VICEDRN

    It finally happened to me....

    Am at 8 months and I love working in the ER but I am taking a vacation in 10 days for about 10 days and I think its the only thing keeping me sane! In fact, I wish I was taking longer. My general...
  15. VICEDRN

    Patients families dictating care and treatment

    Another thought: There is a facility in my town I won't work in because they are so "customer service oriented." When I was a student, this facility had an a la carte style dining arrangement. One...
  16. VICEDRN

    How do you deal with.....

    Who said the ER wouldn't be fun also? It will be. And you will be a part of saving lives and you will tear up with someone when they lose a family member...and who said that would suck? because it...
  17. VICEDRN

    how do you fit in working out with working?

    I have a fiance and two kids at home. On days where I work, I go before I go to the gym before I go to work and I go to the gym before I work if I work a night shift. (At this point have done both)....
  18. VICEDRN

    Emergency Room Rotation - HELP!

    Not to mention that I said start an access not "run" one, whatever "running" an iv line is. (Honestly never heard that expression used.) Gosh, even said my brother is
  19. VICEDRN

    Emergency Room Rotation - HELP!

    In your state or in mine or in the OPs? In my state, EMTs not only run IVs, they administer medications and give breathing txs and fluids. In fact, most "code drugs" are given before the CPR in...
  20. IF somebody appears uncomfortable in your presence, simply apologize, excuse yourself and leave the room. You will likely also be spending time in post partum (kinda like a med surg floor), newborn...
  21. VICEDRN

    Rapid Response vs Code Blue?

    Would like to add that rapid response can apply to sudden acute change to mental status... In my facility, RR has a set of guidelines that are specific. For example, new onset of systolic bp less...
  22. VICEDRN

    Emergency Room Rotation - HELP!

    I would say pay close attention to the interaction between EMS and providers at the hospital. You will likely observe the following: pts often given conflicting reports regarding history to EMS and to...
  23. VICEDRN

    Catch a nurse stealing meds/what to do?

    I would answer that you should be careful in how you answer this particular question. Rather than say "I would tell someone what I saw." which makes you sound like a judgmental tattletale, I would...
  24. VICEDRN

    Catheters in Pregnant Pt going for US??

    we do not routinely place catheters at my facility
  25. VICEDRN

    Do you like ER or ICU better?

    PMFB-RN: Also: If I walked into the trauma room and you were asking me to record vital signs, I would flip off my gloves and ask you, "Girl, didn't you bring a tech with you?" sorry. not risking my...