llltapp

llltapp

ER, ARNP, MSN, FNP-BC

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All Content by llltapp

  1. I suck at IV starts

    see if you can't go down to the ER and work along with a paramedic. call the er manager, or talk to your house supervisor one day. we get lots of good "practice patients" down there
  2. Advice needed for coworker problems!!!

    That sounds like a total nightmare. You have several choices as I see it. None of them include keeping with the status quo :) 1. Send written incident reports about finding machines tampered with...
  3. Working at a nursing home

    It absolutely DOES even out. Shift wars were the most annoying part of working anywhere! It really makes no sense. You do your job, I'll do mine, and we'll help each other if we need to . I've...
  4. Working at a nursing home

    and of course the day shift thinks you do nothing and the night shift thinks everyone is incompetent LOL . Just kidding
  5. Stressed and Overwhelmed

    I will share the WORST day of my nursing career with you. I was an RN at a small community ED. It was a 16 bed emergency department. One doc. I was working with one other nurse, a new grad (who...
  6. Working at a nursing home

    LTC from what I've observed as a previous wound care wench :): -don't eat, don't pee, don't sit, and don't................you fill in the blank You will run your rear end off, do massive med passes as...
  7. ventilators vs ambubag

    and, always listen to moms of sick kids.............(they learn FAST) LOL. It's amazing how much a mother can teach you about a disease process in their child or what works best for them. Not by any...
  8. Glad they are flooding the market with New Grads...

    Have to say, what you permit you promote. It is sad what nurses permit. There are some good places out there and some great managers......... but they are few and far between. I just had the best...
  9. I want to get out of nursing

    Let me just say, that LTC nursing is the #1 setting for abuse of nursing! That's my nonscientific opinion lol. I worked at LTC/subacute rehab doing a wound care program a while back. The LPN's were...
  10. RN jobs with the most independence?

    If you hate administrative garbage stay away from LTC or subacute rehab. Areas that I have done and enjoyed with minimal bureacratic refuse :): School nursing corrections wound care ED and, think...
  11. Job Stress: Floor vs ED

    I did 1 year (years ago) of med/surg/ortho and have been working the last decade of my career in very busy regional trauma center ED. What I hated about the floor (that I worked on, not judging all...
  12. I Got the ED job!!!

    I am from Southern NJ too.......... I was exit 30
  13. Questions about alcoholism and withdrawal

    was a GI bleed ruled out? THAT is a distinctive odor that is common in alcoholics
  14. interview with addictions facility CEO

    Don't let this CEO make you crazy. She's a putz. Don't give her the power to rent space in your head
  15. Stressed and Overwhelmed

    Just remember one thing: PRIORITIZE. I know it can seem like everything has to be done right NOW. However, 1st take a breathe , then take your OWN pulse LOL. Hypotension and high potassium are more...
  16. I have never heard this before. The ONLY thing that I can think of that may have gotten this started "years ago" if it does exist as a wives tale is that we all know SOME women CAN become moody,...
  17. an add on: I always laughed in the ER when nurses were like "i'm gonna straight cath her if she doesn't give it up soon", as if the woman doesn't have a right to refuse LOL. If they are alert and...
  18. Please get and read "women who love too much" :) Take care of yourself, pray for him, and keep
  19. Sitting here dreading my shift tonight

    I don't know where you work, but I am a seasoned ER nurse and our ratio was 4 to 1. If we get a critical, they TRY to put us 1:1 with that patient and get the float nurses to cover my others. You...
  20. advice, please?

    Also, just a thought, have you tried to contact your old professors? they are usually working in the field as well, especially clinical instructors. If you have had good relationships with them,...
  21. That is not a good idea. Not even for a seasoned nurse. For the very LEAST reason, you need cosigns on blood, insulin, heparin drips......... plus staff safety, coordinating issues if a patient...
  22. First Job.... Scared....

    Congratulations!!!!! I graduated in 93' swearing I would NEVER do psych. Almost quit nursing school to be a beautician during my lock down acute psych rotation in Newark NJ LOL. My instructor...
  23. New grads, once of orientation....

    I don't know of ANY nurse that hasn't felt that way. I did. Back when I started it was a med/surg/ortho floor. We had 12 patients, some on VENTILATORS back then LOL and no CNA ! I'm not saying...
  24. FIRST of all, take a deep breath...... secondly, you are new, you are NOT wrong. There are way too many nurses who just say STRAIGHT CATH!!!! That's crap. Give the poor lady a chance to pee lol....
  25. Sounds good. You sound A LOT like me when I was going through school. I have just seen a LOT of nurses, especially ones who work nights and work in high stress areas rely on alcohol, prescription...