EmergencyNrse

EmergencyNrse

Emergency Medicine

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All Content by EmergencyNrse

  1. Triage-How is it done in your ER?

    Triage as a system is dead. Everyone has bowed down to the 5-level ESI system to "maximize reimbursement". Now you get to charge for every little detail of a person's visit. Ooooh, you're a one....
  2. Is anyone using Cerner in their ER?

    Cerner and Epic... NOT very good programs for our purposes but they are the leading platforms that integrate well with hospital systems. T-system is the Cadillac of ER charting but they (programmers)...
  3. Burnout tips?

    1.5 years you say? You need a change of venue. Good
  4. Drug Seeker Stories

    There is no such thing as a "seeker". Just ask the
  5. New Graduates who don't welcome feedback

    I know the mentality. I know the personality type. Go ahead and let them fall. Let them "feel" their way. Just make sure YOUR name isn't on any of their patients
  6. 1st assignment, ATL, BMT unit

    37/hr is a little light. You should be getting more for housing. Atlanta is a tough market for wages. They're just not good. Your contract is about average though. You could be making less... My...
  7. Cooler weather and homeless "patients"

    Treat 'em and street 'em... Nothing you can do to change their arrival. Doesn't change your paycheck either. Try not to be too concerned about the things you cannot control. It will burn you
  8. What is the best stethescope for an ER nurse?

    I have a Littmann Master Cardiology and am pretty good with high frequency/low frequency auscultation. Truth be known, the vast majority of physical exams in the ER can be eval-ed with the...
  9. General Travel Nursing Questions...

    double
  10. General Travel Nursing Questions...

    Although you are "traveling" I don't believe it's travel nursing you will be interested in... Travelers usually are flexible in going all over for short periods. I'm guessing you want to be together...
  11. New ED Program: Charting vs. Patient Care

    Patient care always comes first. I'm a traveler and see a new computer system every 13 weeks. I admit that I don't get everything in the system sometimes but I have never left a patient hanging....
  12. burnout in ER

    This.... (Don't let the idiots get you down. Shrug them off. They'll be back next
  13. Have been in the ER for 3 hrs now....

    I'll just bet you were able to leave the ER alive... Sounds like a good visit to me. Better if you were actually discharged. Did you really need to be there or did the staff manage to snatch you from...
  14. Sometimes you just can't bite your tongue.....

    As good as it feels to "inform" patients and their families of their rudeness and inconsideration of everyone around them I caution you to refrain from doing so. It never helps the situation and can...
  15. What is the best experience to transfer into ER?

    Ranger School.... Maybe Navy Seal BUDS. Learn to tolerate pain and suffering. Lack of sleep. Stress... Forced starvation and denying yourself basic elimination needs. Probably the best way to get a...
  16. Critical Care Experience

    The answer can be found in another question: How well do you work independently and make critical decisions on your own? It's not just "experience". I know a bunch of people that are really good in...
  17. New to Travel Nursing...need advice!

    First you should start out asking/talking to a recruiter. You are never just sent out to work somewhere you don't want to be. You decide when/where you will go. The recruiter will show you the job...
  18. Does this sound fishy?

    They usually submit you as a file not a contract. Your experience, references, history, and credentials. To "contract" you before you're licensed as a provisonal traveler seems odd to me. I know it...
  19. Recommendations for FL travel companies? horror stories??

    If you're considering American Mobile or ANY of their minion companies then grab a huge supply of Surgi-Lube ...because you're getting *******. Their margins are the highest in the industry and you...
  20. Another one for my journal

    This woman came to the ER and told me she had centipede. Centipede??? Yes, she had been admitted to ICU last month for "centipede". They changed her regular medicine, sent her to cardiac rehab. Now...
  21. San Diego pay

    PM me for this. Terms of service prevent spamming company
  22. Refused to float without orientation ...Terminated

    I'm sorry about your predicament but I'm advocating for the facility. Not that I agree with the nursing supervisor that lied but that you were ill-prepared for the assignment. Many nurses I run across...
  23. San Diego pay

    It depends on the specific area you work. ICU, ER, L&D, Tele... San Diego is gorgeous but you're paid in sunshine. Depending on your comps: housing, rental car, stipend... 1200 is okay but on the...
  24. Advice - I'll need a meal tray too

    Not much lingering in our ER these days... Chest-pain 10/10 you say? Great. Here sit down while I plug you with this large bore IV draw labs, get an EKG, the chest X-ray and some ASA. No time to get...
  25. Do you use a "code name" for psych

    I'm not very politically correct. I call them freaks. As in "Yo, there's a freak in room 7" (and room 4 and room 9). Just remember Haldol and Ativan are our friends... Better living through