DayDreamin ER CRNP

DayDreamin ER CRNP

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All Content by DayDreamin ER CRNP

  1. Cerner EMR? Tell me allll about it

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

    I do recall liking Cerner over Epic because of the customizability of it. Currently, we can create our own templates to suite our specific needs and I love that. The "dashboard" or tracking screen...

  2. Hourly rounding notes

    DayDreamin ER CRNP replied to Matt8700's topic in Emergency

    We use a template based system and have added a Rounds made template that will allow us to chose which "comfort measures" we implement: watching TV, lights, dimmed, repositioned in bed, etc. I also...

  3. Why wasn't I placed in the ED?

    DayDreamin ER CRNP replied to shan_elle's topic in Emergency

    You might not want to read what I've written but you did come here asking to validation which I'm not going to give you. As a preceptor in our ED for the past 5-6 years, I've learned a few things...

  4. Passed my adult/gero AANP boards!!

    DayDreamin ER CRNP replied to mimiclack's topic in Student Nurse Practitioner

    Congrats on passing. I just took ANCC and did not pass. I got so many questions on a topic I don't think we spent more than 15 minutes talking about in school; TPN and tube feedings. Does anyone...

  5. Hourly charting

    DayDreamin ER CRNP replied to russianbear's topic in Emergency

    We use software that is template based and we can request for certain templates to be added as we see the need. We have added several "rounding" type templates that we can just drop in every hour or...

  6. Do you huddle?

    DayDreamin ER CRNP replied to SerenaBeana's topic in Emergency

    We huddle as a group before every shift. We have to clock in at 0630/1830 and our charge nurse comes in the room we meet in around 0635/1835 every morning and gives us all the stuff we need to know...

  7. New Grad Starts in ED !!!!!! HELP !!!

    DayDreamin ER CRNP replied to LouDogg's topic in Emergency

    Do a search on this board. This question is asked about every other week. Congrats on the job! my advice: buy GOOD shoes and great socks. Don't buy cheap crap. I wear Balega or Swiftwick...

  8. Transition from ICU to ER

    DayDreamin ER CRNP replied to nursesara09's topic in Emergency

    We have seen few of our ER nurses go to ICUs and either come right back or they wait a year to come back. We have a few former ICU nurses that have come to the ER and love it. I think people love...

  9. Chest Pain Protocols in triage

    DayDreamin ER CRNP replied to MidnightSun1's topic in Emergency

    Our goal is to priority triage the CP patient and get an EKG within 5 minutes. We don't always achieve that because everyone has figured out that if they say they are having CP, they get back...

  10. Was I told wrong information?

    DayDreamin ER CRNP replied to LeahJess's topic in Emergency

    I think what *he might have meant was that you could work as a nurse one day and a medic on another day, not doing both in the same facility. Most facilities only allow you to work at your highest...

  11. What's Rude?

    DayDreamin ER CRNP replied to Ruby Vee's topic in Patient, Colleague Relations

    You aren't!! and I was just living this on Sunday. Walking down the aisle and the guy sees me - like, even makes eye contact, and he and his cart are just parked right in the middle of the aisle...

  12. What's Rude?

    DayDreamin ER CRNP replied to Ruby Vee's topic in Patient, Colleague Relations

    I just love it when a sick-as-stink patient's family member repeatedly asks me to get the pt something to drink when I have repeatedly given the reasons that pt is NPO. I love it even more when after...

  13. ICU thinking about ED

    DayDreamin ER CRNP replied to CGB1's topic in Emergency

    Most people that go from ER to ICU or vice versa either love it or hate it. From what I've experienced with my friends that have gone from the ED to the ICU is that they hate the ICU. They thrive on...

  14. TNCC Before Graduation?

    DayDreamin ER CRNP replied to CAN_SN's topic in Emergency

    To answer your question simply....No. No real advantage. I don't think a TNCC cert will help you get a job in the ER if you are a new grad. Our dept requires nurses to have this cert w/in a year of...

  15. ER Cliques and better assignments

    DayDreamin ER CRNP replied to amzyRN's topic in Emergency

    If it were me, I would ask the person making assignments if there is something I am not doing or doing wrong to not get placed on the other assignments. I always have a "big bed" assignment but I...

  16. Triage times (under 3 minutes)

    DayDreamin ER CRNP replied to MassED's topic in Emergency

    I can triage our typical lobby patient in about 5 minutes. Our documentation software is template-based so we drop that triage template in and away we go....chief complaint, PMH, PSH, tetorifice,...

  17. New Grad New ER Position

    DayDreamin ER CRNP replied to McDowellM's topic in Emergency

    Keep reading this forum and do a search for new grads in the ER. There are dozens of threads here. good

  18. Too soon to become an NP?

    DayDreamin ER CRNP replied to SjwRNBSN's topic in Student Nurse Practitioner

    I respectfully disagree. Especially about the "academically speaking" part. As a patient, I'd rather have an RN with a wealth of patient care experience vs an NP that made straight As through...

  19. Trauma Team Eval/Survey

    DayDreamin ER CRNP replied to joyful_wanderer's topic in Emergency

    You need DEFINED roles. Whomever is responsible for that trauma room is the primary. The primary is on the right side of the patient and the doc is usually at the head. The primary is responsible...

  20. Too soon to become an NP?

    DayDreamin ER CRNP replied to SjwRNBSN's topic in Student Nurse Practitioner

    your post comes across to me as it is too soon for you. You mention "getting the minimum hours" needed. Will your patients appreciate that you just did the minimum? I tell people to get at least 3...

  21. What about funny things the nurses say?

    DayDreamin ER CRNP replied to scottdennisonsr's topic in Emergency

    How is asking pain scale, "Funny things nurses say?" It could have very easily been me that said this. I get that people want to keep things "light," I really do but triage is no time to joke,...

  22. Trauma Team Eval/Survey

    DayDreamin ER CRNP replied to joyful_wanderer's topic in Emergency

    Sounds like you need to revamp your trauma team program. You need more defined roles for the members. For our Level 2 traumas our TT has a primary and secondary RN and a scribe which is also...

  23. Eaten Alive in the ED

    DayDreamin ER CRNP replied to MillennialNurse's topic in Emergency

    I'll be honest....my first thought when reading this thread title was that someone was going to complain about someone being harsh to them in the ER. After reading your post, I am appalled that...

  24. Is this the best career route for me?

    DayDreamin ER CRNP replied to MedicineAndMuscles's topic in Student Nurse Practitioner

    I think it depends on the type of experience you are getting and what type of masters you are going for. If you (a collective "you") are only getting experience on a med-surg floor or in a clinic,...

  25. Nurse and MD relationships in the ED

    DayDreamin ER CRNP replied to amzyRN's topic in Emergency

    To me, the MD/RN working relationship is key to a successful shift in the ER. For the most part, the docs rely on the RNs to keep them updated on the patients but there is usually a period of...