VICEDRN BSN, RN

ER

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All Content by VICEDRN

  1. Since I posted on this thread and I was a single mother for a long time, my ex husband was unfaithful multiple times throughout our 7 year marriage. I assure you that as a paralegal who worked on...
  2. VICEDRN

    Where does everyone stand in the Trauma Room?

    Tell you a story to contrast what ESME says... When I was a new grad, I pitched a fit at the small rural ER I started at. Too many people running into the code or trauma when they came in. It was like...
  3. VICEDRN

    Cooler weather and homeless "patients"

    I would love it if the answer was that simple but the waiting room was not intended for people to pull up three chairs and sleep. It scares decent paying "customers" out of our facility and gives them...
  4. VICEDRN

    Question on new grad preceptorship experience

    Honestly, I hear a lot of escuses but what it boils down to is you were "frustrated" and "flustered" by taking your own patient assignment of acutely ill patients when you are at the end of...
  5. VICEDRN

    Is My Nursing License At Risk?

    I'll bite... So your theory is that because the nurses that you know that got their licenses revoked all did something illegal/ very serious that all nurses who have their licenses revoked did...
  6. This entire post bewilders me. I have met other dnp types who believe the same line of malarkey but they all work in academics as it is so entirely and utterly not true. Mds are obviously at the top...
  7. VICEDRN

    NP...to keep my job?

    Hi guys- I kind of wanted everyone's opinion on a topic that has been bothering me. I would prefer no judgmental comments about the thought process and invite constructive comments. Starting several...
  8. VICEDRN

    NP...to keep my job?

    My last facility allowed patients with a history of migraines to be treated in urgent care. My current one does not. Sorry about not being clear in that last post.Triage is a guesstimate of what kind...
  9. PA school requires more biology pre-reqs than RN or NP school. NP school wastes time on public policy nonsense and varies from programs to program. PA programs are all the same. PAs scope of...
  10. VICEDRN

    nurses and EMT's

    What you are saying is very true. I am an RN who was an EMT first and I can tell you that RNs are very narrow minded about the EMT world even when you try and explain it to them. If it makes you feel...
  11. VICEDRN

    NP...to keep my job?

    It is true that they are trying to expand the scope of practice of the NPs in our ER and yes, this would include taking on nursing responsibilities. I told the NP that I know well that I wouldn't want...
  12. VICEDRN

    Need to vent.....dont understand why people are so nasty

    First, you did the right thing. Second, I think people do this kind of stuff out of desperation. They are afraid they will lose their jobs or they get paid by the hour and desperately need the money....
  13. VICEDRN

    Cooler weather and homeless "patients"

    Everyone keeps forgetting that they patients are entitled to an assessment, not treatment. All that is required is that a nurse practitioner or md depending on your state greet them in triage the...
  14. My facility offers the choice between vaccine and mask. We have 19 people wearing masks last year out of thousands of employees. Our aids patients believe in them and this impresses the heck out of...
  15. VICEDRN

    Joke..You know you are truly an ER nurse if...

    Excuse ME, but I am not. I am married to an icu nurse, not a cop, medic or fire fighter. My brother is the medic and fire fighter. I used to be an emt.
  16. VICEDRN

    Cooler weather and homeless "patients"

    Yes, this is typical in my facility. They complain that the shelters are not safe and that they would rather sleep outside but tonight is too cold or too rainy, etc. usually, they know the right...
  17. VICEDRN

    Whats your biggest pet peeve working in the ED?

    My pet peeve is the customer service garbage where we give the patient whatever they want. Pt c/ o ankle pain, no swelling noted, nothing on X-ray but insists she can not walk and needs crutches. Why...
  18. I really don't think the fact that the smaller hospital is leveled a four is relevant. It just means they participate in the network.I agree with posters above. I started in a smaller er and felt...
  19. No. Can't wait to start my application to grad school. Been nursing two years and change ! Hubby already applied to grad school. Been nursing almost three
  20. VICEDRN

    Certifications for an ER nurse

    I'd rather get a 20 then fight for an 18 in a trauma patient. I disagree with tncc guidelines anyway. Trauma patients come in two varieties: sick as heck and urgent care. Ems puts two 18 or 20s in...
  21. VICEDRN

    Traumas...how does your room operate?

    First of all, we have decided recently to do and say nothing until the ems report is completed. When ems is done talking, any questions are asked and their tough book is signed, no one is supposed...
  22. VICEDRN

    Just a question to understand the ER better

    Should have added that we do ekgs on all dialysis patients and I would have sent him to charge nurse when he resulted with a new onset afib with a rate that high. He wouldn't have waited after
  23. VICEDRN

    Just a question to understand the ER better

    In my er, er get patients from dialysis centers all the time like this from ems. We send them to the waiting room to have labs drawn, EKG done and chest film taken. We barely bat an eyelash at them....
  24. Simply tell the person that where they can find a disposable or if they can't obtain one from the Pyxis themselves, offer to get it for them. If they press further, say "sorry, I have seen a...
  25. VICEDRN

    My anger

    I know you feel discouraged but I have to say...I bet it isn't half of the grads from your class. Please be careful with dichotomous thoughts like these. They can, in and of themselves, be damaging...