NickiLaughs

NickiLaughs ADN, BSN, RN

Emergency, Trauma, Critical Care

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All Content by NickiLaughs

  1. Unhappy Speech Pathologist

    NickiLaughs replied to SLPrnTobe's topic in General Nursing

    Your comments for not liking slp mentioned helping people who don't want it, and a high caseload. that won't go away with nursing, it will be magnified. Remember nursing is all aspects of a pts well...

  2. Critical Care Nursing vs Emergency Nurse

    NickiLaughs replied to Cannary22's topic in Critical Care

    I've done both. i worked ICU for three years, switched units a couple times before finally realizing that maybe it wasn't a unit issue but I was in the wrong department. switched to trauma ER and...

  3. Nurses: How far is your commute?

    NickiLaughs replied to Cola89's topic in General Nursing

    My new job is 5 miles each way, all streets though so takes about 12 to 15 minutes. My last job was 30 miles all fwy and took 30 to 45 minutes. I liked that job better though. The one perk is I...

  4. Sacramento Nursing

    NickiLaughs replied to ssczesny's topic in California Nursing

    Elaborating on your statement and who you are referring to would help others see what you meant. Sacramento is a very diverse area. The neighborhoods I try to mention as safe are ones that tend to...

  5. Must we "pay our dues" by working night shift?

    NickiLaughs replied to Cola89's topic in General Nursing

    Everytime i changed hospital systems i had to start on nights. It seems the faster i was able to switch to days, the more difficult the facility was to work at. Probably the best hospitals i worked...

  6. Clinical Decision Unit

    NickiLaughs replied to _LittleMsRN's topic in Emergency

    Different places run CDU different ways. There is a 24 hour limit where I live. Usually CP with neg trops who need a treadmill. New DVT who needs lovenox teaching and elderly, dehydration, IV...

  7. When the grass isn't greener

    NickiLaughs posted a topic in General Nursing

    So I work ER for a large hospital system. I was working at a trauma center almost 30 miles away and the commute could be 45 minutes some days. I loved the team, how efficient we were but as I rarely...

  8. When the grass isn't greener

    NickiLaughs replied to NickiLaughs's topic in General Nursing

    Its the same system, so just a transfer. I just have to wait four more

  9. When the grass isn't greener

    NickiLaughs replied to NickiLaughs's topic in General Nursing

    Thanks commuter. Well if we subtract the 7 weeks I put in, I'll prob be on maternity leave beginning of June, so 4 more months? Ugh, day at a time. I'm thinking returning to commuting is my best...

  10. Sacramento Nursing

    NickiLaughs replied to ssczesny's topic in California Nursing

    So is breathing air and driving. There are plenty of safer suburbs near Sacramento. You just have to be

  11. New license expires a month later

    NickiLaughs replied to nursejoti84's topic in California Nursing

    Im so glad you got it fixed! Huge perk to live near the board of nursing. Congrats and good luck with your job hunt! This isn't an easy area to land a job as a new grad. Try sutter. I know many...

  12. Report etiquette

    NickiLaughs replied to nursecatRN's topic in General Nursing

    I look at meds, radiology and lab tests quickly as I get the run down from the previous nurse for the same reasons as everyone else, to find out what I need to do and ensure if I have a question, it...

  13. New license expires a month later

    NickiLaughs replied to nursejoti84's topic in California Nursing

    I wonder if they put the wrong year on accident. I would call and ask someone. They can make mistakes. Maybe they got confused by their own birthday rule. It should expire in March. I'm an...

  14. Verbal Hand-off Reports - Are they no longer necessary?

    NickiLaughs replied to yr.pedsnurse's topic in General Nursing

    90% of the time it's not the primary RN transferring the patient. They aren't able to leave their assignment of 3 or more other patients, some of whom are in the process of getting stabilized to...

  15. Confused about PTO

    NickiLaughs replied to freckles23's topic in General Nursing

    I would consult with someone in your HR department regarding your

  16. Future ER nurse

    NickiLaughs replied to Nursechamp1's topic in Emergency

    Why is everyone pushing OP to ICU? They did not say they want to be a flight nurse, they said they wanted to be an ER nurse. I did ICU for 3 years, great experience, but I'm much happier in the

  17. ER NURSE PEEVES

    NickiLaughs replied to wojoRN's topic in Emergency

    Pretty much what everyone else said. oh, and the patient who has severe abdominal pain, they look legit. But refuse IVs/lab draws and meds. I then ask, well, what do you want us to do?" "To find...

  18. Pros/Cons of VA Long Beach Healthcare System GNT Program?

    NickiLaughs replied to HeyWhatsUP's topic in California Nursing

    I had an interview a long time ago. They have great bennies but as anything with government the headaches with things you need can be substantial. Other issue to be aware of is they are not bound by...

  19. Do Nurses Earn Big Money? You Decide.

    NickiLaughs replied to TheCommuter's topic in General Nursing

    Definitely depends on location. I'm at 130k working 64 hours in 2 weeks (4 8s on swing shift). I can pay the bills, little savings and have enough to save for a small vacay yearly. Not rolling in...

  20. Verbal Hand-off Reports - Are they no longer necessary?

    NickiLaughs replied to yr.pedsnurse's topic in General Nursing

    The reality is that everyone is playing the blame game on each other which is exactly what management wants. We are all understaffed and it's not safe for the patient to leave the ER because the...

  21. The Silent Victims of Human Trafficking

    NickiLaughs replied to lorimadden's topic in General Nursing

    There was a case on my area, in a very upscale part of town a 15 y/o had been seduced at a mall, left with this guy. Im guessing because of her parents position the case got taken very seriously....

  22. Charting, done by the amazing psychic nurse

    NickiLaughs replied to DesiDani's topic in Patient, Colleague Relations

    There are also typos that happen. I charted a temp of 94.5 the other day a nurse thankfully caught it and it was 97.5. I'm gonna guess many nurses flub on their charting a bit. In the ER we put wdl...

  23. New Grad Nursing Jobs in CA

    NickiLaughs replied to canuck1019's topic in California Nursing

    It's a challenge to get into a new grad program if you aren't from the state. Many look at where you currently live as a factor and will only hire local from their county. I'd move somewhere rural...

  24. Verbal Hand-off Reports - Are they no longer necessary?

    NickiLaughs replied to yr.pedsnurse's topic in General Nursing

    We have a handoff note in the chart, it gives all the important details we'd want the floor nurse to know. ICU pts still get report called and primary RN travels with. The one exception for floor...

  25. RN I (new nurse) salary in Orange County, CA

    NickiLaughs replied to candycaneRN7894's topic in California Nursing

    34 to 36$ hr not including differentials. Night shift was about 6$ hr when I left there and I doubt they have bumped it up much. OC doesn't really pay well and raises are small. I remember the last...