happyinillinois

happyinillinois

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All Content by happyinillinois

  1. ER to ICU-anyone do it?

    After 8 years I. The ER, I am looking for change. Has anyone gone from ER to ICU and how was the
  2. CEN review

    Watch Mark Bozwell on You tube. He is
  3. IVs in the breast

    Rarely possible to get PICC placed in ED. Generally, mess needs to be started, you place whatever IV you can get, and then the PICC placed whenever they can fit it in. Where I work (and it is a...
  4. Getting report during change of shift

    There is no way someone had a bed assigned and sat on the patient for three hours. Generally, once a bed is assigned you have 15-30 minutes to give report and get the person to their room. Unless...
  5. "Your ER sucks!" and other pleasantries...how you handle them?

    We are not the only game in town. There is another similar sized ER 15 minutes away and 4 others within 40 minutes, plus all the major teaching hospitals downtown, less than an hour. That's why It...
  6. Orientation Length and Type

    -What length of orientation did you have? 12 weeks -Were there specific ER classroom time or general nursing classes? How many hours would you estimate? Critical care:40 hours, EKG 16 hours, ACLS,...
  7. "Your ER sucks!" and other pleasantries...how you handle them?

    When a patient says "this ER sucks or this hospital sucks", I remind them that they don't have to be here. This is America and we can choose to go to whatever hospital we chose to! Usually shuts them...
  8. Nursing school was WAY
  9. Will prescribed Phentermine keep me from being hired?

    Yes, you will test positive for amphetamines. If you have an RX, you will be okay. They can also send your urine for additional testing to confirm that it is phentermine in your urine and not...
  10. Something bothered me today in the Emergency Dept.

    You were not using your time wisely. I am sure there is something else you could've been learning rather then sitting at 1 person's bedside for 2 1/2 hours. We aren't uncaring, it it just not...
  11. ENPC

    The good news is that everything you learn in ENPC will help you in TNCC. ENPC is a great
  12. What caused the hypothermia?

    Thyroid and diabetes can cause
  13. Nurse to patient ratio in ED

    Very busy level 2 trauma center. 3:1 main ER, 7:1 behavioral health, 6:1 fast track. Sounds great except that those 3:1's are always very sick, CVA's, MI's. ICU holds. Large elderly and poor...
  14. HELPPP Piggyback compatibility

    I'd start another line and run them both. Problem
  15. ENPC worthwhile?

    Yes, well worth it. More in depth than PALS, direct application to your job. It will also help you when you take
  16. How Hard is it to Start in the ER?

    I started out as a new grad in ER. I was willing to work any shift, do whatever they asked of me. This is a "second career" for me, and I am more mature then your typical new grad. My nights of...
  17. Phasing out noc shift differential in acute care?

    I think it is a big mistake. The only people who will take those hours will be new grads (no offense), but you need experience nurses to mentor the new grads, and without $$$ I can't see people...
  18. Interesting or Different Anatomy:What have you encountered?

    My son is dextroverted. His EKG reads NSR, whether you apply the leads the correct way or reverse them. We didn't find out about it until he was 17 and had a syncopal episode and had a chest
  19. 2 Page Resume

    Get rid of activities and
  20. May someone review my resume?

    Pm me and I will read it for
  21. ER nurses not calling report anymore...

    Level of care assignments are made by physicians, case managers and house supervisors not ER RN's. I find it very hard to believe that a full arrest went to an IMCU. I have never seen it, never...
  22. ER nurses not calling report anymore...

    I don't think you understand, it's not that if we leave inpatient orders to the floor, then we will have more time for eating Bon Bon's, it is that there is ALWAYS someone to take the place of the...
  23. Patient abuse... To staff

    I am telling this second hand, because I wasn't there, but a very high profile patient was being cared for in a hospital, and all staff were directed to only speak to the patient if spoken to (besides...
  24. difference between associates and bachelors in nursing

    The "catch " is for that price and timeframe, you must've completed all pre-rec's pertaining to the program. Pre-Rec's often include stats, bio/chemistry, religion if it is a private school, as well...
  25. ekg certification worth the time and money?

    Use it everyday in the ER. Knowledge is power, only you can decide if its worth it to