One1 BSN, RN

Down to 1 pt in a 35 bed ED. Never seen a clear board..

Is she learning what she doesn't know at home? IF (a big if in my opinion) her attitude is a sign of insecurity and anxiety rather than disinterest then she would be studying at home to fill her knowledge gaps. If she still does not show improvement ...

You might have classes during the day while doing orientation during night shift. You will most likely not work the night before classes, although that has happened before..

Maybe the ER is just not a good fit for you? Have you thought about switching to another specialty that would be less stressful?

We don't have mental health nurses in our ED. We have a trauma, a med, and a psych section and all staff RNs are able/assigned to take any of these areas. Regarding the kids: always have another nurse help you keep the kid still, go in gentle with th...

I wouldn't recommend it. You will invest a lot of time and money into prerequisites and nursing school only to be one of the gazillions of new grad nurses looking for a few open positions. Chances are (of course there are always exceptions) that you ...

I found the NCLEX harder, but the NREMT gives you a good idea about the style of questions.

Absolutely chart it. Like everybody else said, use objective language and quote whenever possible. Also document what you did to de-escalate the situation. If this patient ends up complaining about the "customer service" then you have yourself covere...

If you start in the adult ER you might still see peds (many ERs see both peds and adults), which offers you a wider range of experience. However, if you are absolutely sure you want to stay in peds, sign up for the peds ER right away.

You might not be able to stay on PRN. In general, PRN nurses are expected to have enough experience to "jump right in" and do the job. I would still give proper notice and do it in person if possible. Like others said, it helps with not burning bridg...

We'd love you in our psych section! Don't let your weight hold you back. If you can keep up, apply to the ER. Good luck!

It should be AT LEAST 100 compressions per minute, like you said. The more the better, as long as the chest is allowed to recoil completely in between compressions. As long as a human is doing compressions I think it would be difficult to go too fast...

If you have to ask on a nursing forum to come up with "spontaneously funny nicknames" then you might want to reconsider the whole idea.

As a heads-up, you might find it very DIFFICULT to be able to do humanitarian trips while working as a staff RN. Some religious-based employers might offer short 1-2 week humanitarian trips, but many employers might ask you to resign if you want to g...

We are also being "re-educated" on PROPER nurse-patient relationships right now via new policies, funny little "model conversations" in our newsletters, and so on (please note that these lines are dripping with sarcasm).. Like your workplace, these t...

My experience was very similar to yours regarding having a lot of different preceptors. It is not ideal by any means, but like everybody said, stick it out and learn as much as you can. On the upside, it gives you a chance to get to know different nu...

It depends on your facility. With us, you have to make your 20hours/week minimum or your missing hours to make it to this minimum will be taken from PTO time. Some of our staff work the same days each week, others have different days each week. Ask i...

Children wiggling their loose teeth. Seriously. Vomit, stink, feces, oozing wounds don't bother me, but if a kid proudly wiggles his tooth I want to run. Ugh.

Don't apologize for the long post and thanks for giving us more background info to your post. Sorry to hear you are in this situation. Like others said, it seems the issue is the disagreement between occupational health and you regarding your ability...

Littmanns, whichever one of them you like best, and see if you can get yours engraved with your initials when you order it.

We have a 2 stick policy as well. I don't follow your jump to this conclusion though, and I am still not sure why you are so hung up on if it is an essential job function or not. I agree with hiddencatRN, I think it is absolutely an essential part of...

This is a hair-splitting question, but I'll play. My essential functions per job description require me to be COMPETENT in several procedures, including IV starts and specimen collections (plus many more procedures of course). My essential functions ...

I'd recommend you get your EMT-B + IV certification and look for a ER tech job while you are in nursing school. It'll show you if you really would like working in the ER or if you like the idea of working in the ER. It also exposes you to a lot of "t...

I agree with the others. List what clinical you did and where, but don't list what you did in each clinical. Employers know what the clinical objectives are. I think your clinical experience only becomes interesting for employers when they see that y...

Different ED, different culture I guess . We use 18s and 20s as standard (preferrably 18s though) and 22/24 only on children or the patient that is impossible to stick (eg a 22 in the thumb).