DayDreamin ER CRNP

DayDreamin ER CRNP

ED

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All Content by DayDreamin ER CRNP

  1. New Grad in the ER

    DayDreamin ER CRNP replied to jdon19's topic in Emergency

    do a search on this subject. It has been talked to death on here. Heck, just scroll a bit.... there's a recent

  2. Working with MLPs in the ER

    DayDreamin ER CRNP replied to DayDreamin ER CRNP's topic in Emergency

    OMG! I followed a different NP on orientation and he did this exact thing. I was like, we still have RN in our title and the C and the P doesn't mean we can't still be nurses. Come to find out,...

  3. Starting out in ER?

    DayDreamin ER CRNP replied to YoursNursingly's topic in Emergency

    Do a search on this topic. It has been discussed A LOT around here for years. My personal opinion...It just depends. Depends on the person and the ER. Some ERs are definitely not new-grad friendly...

  4. Working with MLPs in the ER

    DayDreamin ER CRNP replied to DayDreamin ER CRNP's topic in Emergency

    I couldn't stand that either! There was one particular NP that I used to work with and he would leave a trail of trash in every room. He used to try to help start IVs and such on newly landed...

  5. Mandatory Vaccine Waiver in Nursing School/Clinicals

    DayDreamin ER CRNP replied to firecracker_1's topic in General Students

    I have to wonder why one would go into a healthcare field and willingly allow his/her patients to be exposed to preventable diseases that he/she could have played an active role in avoiding. If I...

  6. MedSurg Trauma RN transition to Emergency Nursing, what do I need to expect and know?

    DayDreamin ER CRNP replied to zhapper2002's topic in Emergency

    Search this board. This topic has been discussed multiple times here. The best advice I have for any floor nurse coming to the ED is to get out of "floor nurse" mode. In my opinion, floor nurses...

  7. Emergency Department Triage Policy

    DayDreamin ER CRNP replied to Ocelot's topic in Emergency

    We've talked about this a few times here. Do a quick search on the subject and you might find more

  8. ED interview advice

    DayDreamin ER CRNP replied to silkysteph's topic in Emergency

    Remember your ABCs. Address the patients that will need immediate attention first. They are going to be looking at how rattled you get when they start firing questions at you, too, so bear that in...

  9. New Grad NP - which job would you take?

    DayDreamin ER CRNP replied to serenitylove14's topic in Nurse Practitioners, NP

    ignore

  10. Disappointed

    DayDreamin ER CRNP replied to CardiacDork's topic in Advanced Practice

    Count me as one of the ones that will disappoint you. I did go to NP school to better myself and my career. I'm also knocking on 50's door and know that, while I love be at the BS, I'm already...

  11. Currently on orientation at a level 1 trauma ER,help!

    DayDreamin ER CRNP replied to lainaa's topic in Emergency

    Don't be too hard on yourself. The ER is a very different animal from the rest of the hospital. It is ever-changing and an ER RN has to be able to anticipate and recognize those changes. The ER...

  12. ER Orientation/Training Guide

    DayDreamin ER CRNP replied to SerenaBeana's topic in Emergency

    We have a skills checklist that new orientees have to get signed off on by the coach... restraints, managing a drip, accucheck machine, etc. I think there are about 20 skills / procedures they have...

  13. How did you get your ER position?

    DayDreamin ER CRNP replied to Alexxoxox's topic in Emergency

    I agree with @PeakRN 100%. No new grad RN is equipped to handle trauma right off the bat. Most L1 centers require years of experience before stepping foot even into a L2 trauma. How do you know...

  14. Med/Surg to ER?

    DayDreamin ER CRNP replied to cnbnicole's topic in Emergency

    I agree 100% about shadowing in the ER. I've seen a lot of floor nurses and OR nurses come down to the ER and thing he/she can hang but end up hating it. It is not only a different mindset but also...

  15. Is earwax removal an emergency?

    DayDreamin ER CRNP replied to Emergent's topic in Emergency

    Minimal at BEST. Society is very "me, me, me" and would rather someone else fix his/her problem than even attempt self-help. How many times have we heard a patient's c/c and asked him if he tried...

  16. New grad 3rd week into ED Orientation program seeking tips

    DayDreamin ER CRNP replied to ED_RN52's topic in Emergency

    We tell our new grads that it takes a year to feel comfortable with the patient load and charting. It takes three years to be fully competent and five years to be proficient and considered...

  17. Bedside Handoff

    DayDreamin ER CRNP replied to ryhudark's topic in Emergency

    This pretty much what we do. I give the very basics at the BS and give a real report at the desk. I usually give a very brief re-cap of the pt's c/c, what we have done thus far and what we are...

  18. Way too close....way too personal

    DayDreamin ER CRNP posted a topic in Emergency

    I had a pretty sick patient today and was in the room pretty much the entire shift. The patient and his wife were very nice but the wife just grated on my nerves ALL day. First of all, she popped...

  19. Clinical placement in ED

    DayDreamin ER CRNP replied to AusSRN's topic in Emergency

    Just to be clear.... are you talking about a full / respiratory arrest or are you talking about a trauma? We always allow students into codes and welcome them and put them to work doing compressions....

  20. Experienced NP seeking Derm Job

    DayDreamin ER CRNP replied to Mdkrzyange1's topic in Advanced Practice

    I'm a new grad NP and most places around here will pay you the topped out RN salary while in training and until your credentials come through. I think that is around $30/hr here (we have notoriously...

  21. How much do NPs in the Southeast really make?

    DayDreamin ER CRNP replied to Scrubs&Pearls's topic in Advanced Practice

    From what I've seen, it varies quite a bit from state to state even in the South. In north and south Alabama, an NP in a larger facility makes around $40/hr but might make more in a clinic. In...

  22. Pain Management in Long Bone Fractures

    DayDreamin ER CRNP replied to widi96's topic in Emergency

    We don't see protocols as something in place when things are handled poorly at all. Our ER utilizes nurse-driven protocols that our ED docs have agreed to sign if the nurse initiates the set of...

  23. Pain Management in Long Bone Fractures

    DayDreamin ER CRNP replied to widi96's topic in Emergency

    In the ER, I don't really think a protocol would necessarily work, so to speak. Every patient is different and even if you have two identical femur fractures, you could have two very different...

  24. If the shoe fits

    DayDreamin ER CRNP replied to kepd's topic in Scrubs, Uniforms, Gear

    Every foot is different so it is really hard to give you one solid answer. For me, however, it is ALL about the socks. I wear Balega or SwiftWick socks. I wear running shoes with inserts for my...

  25. Should I leave ER?

    DayDreamin ER CRNP replied to amzyRN's topic in Emergency

    I'd say you need to talk to a supervisor and ask for a 'peer' review to see where you stand in the department. If they feel like your skills are lacking to care for the critical patients, then you...