SpaceCoastRN

Aviator scrubs work great for guys. Well at least for me. Tons of pockets and has a belt. The last like forever too!

Working ED and trauma I frequently get called many things that I am sure would violate the tos to post. But that is par for the course for the front door of the hospitals.

That is such a shame. Hospice is so very important. I hate hearing agencies treating their staff like that. Glad you found a better place to go.

I always recon with lidocaine. I prefer to verbally educate about std's than inflict pain as a lesson.

Family members staring from the doorway annoys the hell out of me. I wish ERs would have a no visitor policy until they are ready for admit or D/C. And asking for phenergan and Benadryl with your Dilaudid tells me you have done this far too many times. Especially when they ask for the meds not to be diluted and 'push it fast'. No thanks, I am not her to get you high or to feel a rush.

Ciale, I have heard that pretty much verbatim so many times. Thankfully that is the standard and most of the people (staff and management) are believers in 'sick patients don't *****'. And yeah patient satisfaction is pretty bad but thankfully it is not the focus, much stronger focus on assess, treat and dispo to the door or the floor.

At the hospital I am currently at once you are assessed and general treatment you are put in a hallway unless you are an isolation or actually sick. No televisions and visitors don't get fed. No taxi rides or bus tokens either. While it is warmer than outside the catering is at a minimum unlike most places where RN stands for refreshments and narcotics.

The codes are one thing, they suck but happen. I feel for the person with the epi. I've seen worse (well same outcome although in patients that were already coded or pericode time) that were dealt with in the room and it didn't go further than the door. This situation is different of course, not only did it change the patient's life it is going to change that nurse's life. They are going to need a lot of emotional support through this. Like the others were recommending talk to staff about a debriefing, it helps some people, I used to be a CISM debriefer in my fire rescue days and it helps a lot of people. Be sure to try to include the person you said was terminated as they probably need the most intervention.

Wow I would hate to have to document that someone gave that epi IV. The lawyers will be smelling blood from far away with that. Good luck.

Check your message box sent you a pm.

It all depends upon background (well attitude helps too). I have worked with several seasoned field medics now working as ED techs that I would much rather code a patient with than some nurses I have worked with, everyone should know their roles ahead of time though to limit confusion of task delegation and expectations. Dropping off patients in a room without notifying anyone let alone failure to start treatment as simple as placement on a monitor is a pet peeve though. Appropriate mentoring can help remedy that situation though.

http://www.amazon.com/gp/aw/d/0557119294/ref=mp_s_a_1?qid=1364302733&sr=8-1&pi=SL75 This is a good option it is more along a Cliff notes version of what you need to know. Has a good test and he has lots of videos posted on YouTube from his review class. It has helped several of my friends.

http://medicine.iu.edu/residents/index.php/download_file/view/416/94/ Study guide by IU Health. Very well put together. Hopefully it will help.

In the DC area most travelers that I know take the housing and are all making around $32 an hour. People working per diem or not taking housing make around $47. That is for ED at a level 1 trauma center.

I am in a really nice furnished apartment just outside of DC, they gave me a choice of four different complexes up here. All had positives and some negatives. I would make more money had I found my own place but just showing up for work is really all I wanted to do and play tourist on my days off. So far it has worked out ok. I am thinking about Hopkins for my next stop and thinking about taking housing there too as I hear there are a lot of very sketchy areas up there.

Check out WakeMed in Raleigh. I've always heard nothing but wonderful things about their ED. I took my emt course on campus back in 1990 but out of that area since 1993. And R Adams won't want you in trauma without ICU background.

I am on my third assignment now. Probably my next one I will worry about doing my own place to stay. I didn't want to be bothered with being in a new place that I knew nothing about trying to figure out where I wanted (and more importantly, where I didn't want to) stay. Go with a big agency that makes it simple, once you get your feet wet you can always look for more money.

I wish more places would do medical screening exams. One place I was at did them, a PA or MD would see the person if the complaint seemed inappropriate use of an ED, if the MSE showed no emergent condition the person was sent to registration for a co-pay prior to treatment or was given at follow up consult with a clinic. It was a good way of deterring improper use.

If people want to be included it is easy, get a certified. A previous hospital I was staff at did special days for just about every specialty from cna and all the different ancillary services. But for some reason they turned nurses week into healthcare week. The only group of people they didn't like to single out to recognize were nurses. I never liked that approach.

I agree when the first complaint is being hungry, that is a bad choice for the ED. Unless you are a diabetic with a borderline glucose, no turkey sandwich for you.

I don't want to see a horse on PCP, bad enough all the homeless on it! :)

I am about to start a travel spot that just uses paper charting in their ED. I am thinking the opposite, give me my computer!

It alway bothered me rushing minor complaints back until all the rooms are full and then getting someone sick that needs a bed and has to wait on a spot.

Inapsine makes annoying people less annoying. This was a quote from an ED MD I used to work with, it was a pretty accurate quote. That facility was a primary psych receiving hospital too so we were also close friends with Geodon and Zyprexa

Look up CEN review on YouTube and watch Mark Boswell's videos from his review course. He also puts a book out that is the core knowledge of what you need to know for the test without all the fluff.