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Emergency Nursing
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muesli has 6 years experience and specializes in Emergency Nursing.

muesli's Latest Activity

  1. muesli

    Ebola... What'cha Gonna Do When It Comes to You

    Now that it is in the US... we all have a responsibility to get answers to this question!
  2. muesli

    No teamwork in ED

    Is staffing and acuity different in your new job? Perhaps it's unreasonable to assume people are going to help you with routine tasks, but hopefully when the poop hits the fan in your assignment and someone else is less slammed with acuity, they will step in. The ED where I work has a layout which is not conducive to team nursing, but somewhat isolates nurses with their assignments. You really rely on your ancillary staff. With an average patient assignment of 6 in a busy level one trauma center people don't always have time to help on a routine level, but they are great at stepping in when acuity strikes, i.e. intubation, STEMI, code, etc. I've always believed you have to promote a culture of teamwork. I try to offer people help whenever I can in hopes that what goes around comes around.
  3. muesli

    ED vs. ICU experience

    Anyone get into CRNA school with ED, not ICU, experience?
  4. muesli

    Best CRNA programs

    What are some reputable CRNA programs? Can anyone recommend a school in New England from personal experience or reputation? It seems there are not many NA schools in the US; I also would like to get a sense for how competitive they are. How likely would it be that I would be accepted into a program with only 1 year of critical care experience and a BSN but no other certifications? Thank you in advance.
  5. muesli

    fentanyl as primary post intubation sedation

  6. muesli

    fentanyl as primary post intubation sedation

    Thanks. How common is it that a patient like this would just be on fentanyl? Is it just variable depending on the facility and physician?
  7. I was taking care of a patient intubated in the field during CPR, arriving unconscious, and placed on a fentanyl drip for post-intubation sedation. My previous limited experience in a post code situation involved a patient on a versed as well as a fentanyl drip. My understanding was fentanyl was primarily for pain, not sedation. Am I wrong? Can anyone elaborate? Thanks
  8. I'm new to the night shift (3 twelves 7p to 7a). I have someone watching my three little ones in the morning after I work so I can sleep. But how should I manage my days off? My plan was not to do daycare on my days off but here it is 1:30 in the morning and I'm wide awake and am expected to get up to take care if the little ones at 7 am! What does everyone else do? At least when preschool starts in the fall, my two oldest will be there until noon. But I will to get up early to drive them there. I need a solid schedule, but I'm not sure what that would look like! I just can't afford five days/week daycare right now.
  9. I am a nurse with 4 years of med surg experience. I am just about finished with my BSN. What would be the next step in preparing to apply for an entry level job as a nurse case manager?
  10. muesli

    Sigma Theta Tau: worth the money?

    I'm just wondering how many connections I'll make given that it's an online program and I'm never on campus, and given I work 2 jobs and try to find time to take care of my kids, that leaves out volunteering/participating in events much at this point in my life. Is there a monthly or yearly maintenance fee? I do pay membership in other organizations such as AACN, because I like the magazines/journals that they send with information pertinent to my job.
  11. I'm an RN going back to school to get my BSN, and I was nominated to be inducted into the Honor Society of Nursing, Sigma Theta Tau. I was flattered until I went to sign up, and realized that they want me to pay them $220 ($330 if I attend the induction ceremony). Really? Do all honor societies do this? Will any future employers really care if I was a member of Sigma Theta Tau? Are there any actual benefits to being a member of this organization (and please be real). I am on a really tight budget and work OT to pay my bills. I really don't have hundreds of dollars to drop on something that would be just a line on my resume. Thanks
  12. muesli

    CRNA army or no?

    In addition to the other advice given you, I would look at other branches and what they offer. I've heard they're better as far as frequency of deployments and benefits but I can't speak from experience. I would agree with the previous poster that deployments are going to happen. And even in the navy it may not be on a ship - apparently there are navy-staffed hospitals in Afghanistan.
  13. muesli

    What is a good pay rate for PDN in Mass?

    Thanks! I trust this person. I just don't know if I want to drive all the way to Eastern Mass to work - I do this 4x a week already. I'm trying to figure out if it's worth it. I was hoping to find something that pays well in Central MA.
  14. muesli

    After my 12, I just want to go home! RANT

    What are you staying for? If a patient is declining, or having an emergency, then I will stay, because the nurse walking into this patient hasn't even assessed them or got to know them, and I am better prepared to assist in getting them transferred to the ICU or giving them an urgent med than the nurse reading report. However, if the patient is simply due for a scheduled medication or routine intervention that occurs after my shift officially ends, then I don't do it. It is the next nurse's responsibility. I try hard to do all of my documentation throughout my shift, however it's not always possible. But if I have a change of shift note available at the time the next nurse's shift starts, then I expect them to have read it by the time I leave. I don't wait until the nurse who strolls on in 30 minutes late finishes reading her personal emails and then decides to read change of shift report. If I feel there is something important to emphasize, then I will pass that on; but otherwise, I'm out.
  15. muesli

    medication to dry up breast milk?

    Working a nursing job where no one covered my breaks and there was no lactation room for my shift helped my milk dry up really quick.
  16. I was looking forward to an interview I have at a local branch of a private duty nursing agency. However, someone told me the pay was only $31/hr... and I was talking to another nurse who works for an agency closer to Boston and gets paid about $41/hr... What are some good paying private duty nursing companies in Mass (esp. Central Ma?) What should I expect to be making for this type of job, per diem, in Mass.?