melissakp

melissakp

ER, urgent care

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All Content by melissakp

  1. Should all EDs have a Triage Nurse?

    We are required to have a triage RN 24/7. Even if we are short handed in the back, if there are pts in the waiting room the triage nurse must remain up front.
  2. traumatic wound documentation

    I'm responsible for creating peer chart review forms and this month I've chosen traumatic wound documentation. Does anyone have any suggestions of things I should have the nurses looking for in the charts ex; type of wound, size.... what other thing...
  3. traumatic wound documentation

    I am just looking for nurses to document that a wound exists in the ED chart. I am looking at traumatic wounds that are the reason for the visit. Not the nasty ulcerations/pressure wounds that wound care has been following.
  4. ER New Grad Time Mgmt Help

    just remember to focus on only the body area that the complaint is about unless you see something else contributing. You can go back later after you've got all your pts settled, labs and meds done, and do more assessments if you think they are warra...
  5. ER New Grad Time Mgmt Help

    remember in the ED your are there to address current life threatening events/problems. Example, back pain you need to know how long, any tingling numbness, and any bowel bladder issues. Then the rest is up to the MD. Maybe I over simplified it som...
  6. Anyone done a Paramedic-to-ADN program?

    I was a medic/ff for 20 years and I feel the advantages were: I didn't have to wait and apply to nursing school and retake all my basic classes again because by AS degree was "to old". I have alot of experience taking care of pts. in crisis so sore...
  7. Questions for New Grads

  8. 12 hour shifts vs. 8 hour shifts

    I love working 12's but I used to work 24's as a medic so this is a piece of cake. I don't have a phone in my bedroom and my cell phone is silenced so I don't get woke up. Also I can turn my doorbell off. I sleep with earplugs and my bedroom windo...
  9. Urgent care centers

    I work as an RN in a stand alone UC. We see, chest pain, weakness, sore throat, UTI, back pain, lacerations, fractures, HA, n/v/d, psych... anything people decide they don't want to go to the ER and wait a long time to be seen with. I work in the s...
  10. So who got a job and how?

    I agree on networking, I didn't get hired because recruiting liked my application. I got hired because I met the ED manager and took a casual job in a clinic in the same health system. I joined ENA and met other hospital ED staff and put my name ou...
  11. I get to join this board now!!

    Just accepted an ER job in Albany OR. Start March 1. I graduated from Excelsior sept. 09, medic for 20 years at Albany Fire Dept. Finally got the job I wanted, so excited and scared because I have soo much to learn. Melissa:yeah:
  12. Excelsior Grads - Where are they now?

    Graduated Sept. 09, just got a job in ER in Albany OR Start March 1st. ER was my first choice since I'm a paramedic, it is the area that most closely relates. Don't know if I could do floor nursing, don't understand managing the same pts. for 12h...
  13. Any hospital hiring new grads? anywhere in the country?

    yes by all means contact her. TO me the letter first sounds good then a phone call, but I am not an expert in proper ettiquete. But you have to do something. I also did job shadows at a local hospital just to meet some people and see what they do....
  14. What am I doing wrong??

    Most places are being picky, I applied at Salem, got denied they only hired BSN's for the internships. Applied Good Sam Corvallis they didn't take me in their critical care internship. Applied at Silverton, not enough experience. and so on... I am...
  15. Lpn to Rn bridge programs

    I am a paramedic and did the Excelsior program, all online and self study until the big test at the end. You can go and check out some web sites for the following areas in Salem to find out job openings. I don't know if you are interested in LTC o...
  16. Any hospital hiring new grads? anywhere in the country?

    I finally got a job in the ER in Albany Oregon. I graduated in Sept. and put in lots of apps. Things are slow for new nurses in Oregon. But just keep putting in apps. The best advice is meet the dept. managers and get to know them. I wouldn't ha...
  17. Excelsior Grads - Where are they now?

    Graduated 9/09 and passed NCLEX in Oregon. Applied for many hospital jobs, no luck still. Turned down for 2 internships. I have 20 exp. as a Paramedic. Working casual at an Urgent Care but looking for a fulltime job still. Pretty frustrated but t...
  18. Still looking..

    Boy this no job thing is getting old. I guess I'm lucky I work at a fire department and casual at an Urgent Care to get some experience, I'm fortuante to have found it. Just wish I could get a hospital job in the Salem area. Melissa:o
  19. The continuing saga of nurses vs. EMTs...

    It is unfortunate when people have bad experiences with EMS. Since I do both jobs I have an appreciation for both sides as do many on this board probably. There are bad medics, nurses and doctors, we've all had experience with some of them and we u...
  20. The continuing saga of nurses vs. EMTs...

    Don't discount the education that the EMT's have. Paramedics in our state have 2 year AS degree same as RN's. I agree the behavior wasn't professional and I think we don't understand each others jobs very well at all. Melissa EMT-P, RN
  21. Will my EMS experience help me get a job?

    I have been a paramedic for 20 years and can't find a full time nursing job in Oregon. Found a casual postion at an urgent care, love it but want to get in full time some where. Turned down for one new grad position they gave pref. to BSN and appar...
  22. Still unemployed

    I am waiting to hear from Salem hosp. also. So the internship they cancelled was that this winter? It is hard to know what is going on, I've filled out about 5 different apps with them, I don't want to bug them, but maybe I need to. Thanks for any in...
  23. What do I gain from getting a BSN?

    I did the Excelsior ADN program and got my RN and after I get through with being a "new nurse" I plan on doing their BSN program online. I have a family so online learning is great for me. Melissa RN EMT-P
  24. When will you/did you start applying?

    It seems like most programs in my area hire in June-Aug and Jan-Feb. So you would need to apply before those times to be in the running for that hiring. I graduated in 9/21 and nclex on 9/25 and I'm just being looked at for the winter hirings now. ...
  25. When will you/did you start applying?

    I started applying before my NCLEX and again after, still no luck here in Oregon. Melissa