DayDreamin ER CRNP

DayDreamin ER CRNP

ED

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All Content by DayDreamin ER CRNP

  1. What do you want from your clinical?

    I just accepted a clinical teaching position in a BSN program and will be teaching Med Surg II clinical students. My background is ED / trauma but I do have some med surg experience. I am not...
  2. What do you want from your clinical?

    just a little bump....
  3. Emergency Nurse Info Please

    Shadowing is a great way to get a taste of the ER. I would, however, not mention a thing about being a flight nurse. Go as an observer and say you just want to get an idea of how the ER works and...
  4. I'm Lost...

    No need to fret. Finding your niche may take a few tries and there really is no hurry to get there today. You will precept for at least one semester so that will help you make some decisions. If...
  5. ED vs other department pay

    Do nurses in your ED make more than nurses in other departments in your hospital? We were talking about this at work the other day. We have several co-workers that have been traveling lately and...
  6. TRIAGE

    They don't seem to get upset. I agree that all that seems like a lot of moving around but it is faster than having them sit around and wait and wait til a bed becomes available. It is significantly...
  7. HESI

    There is a strategy to these tests. I used to tutor students on the HESI and always focused on the strategy. You know the material. You just have to retrain your brain to test differently. The...
  8. why do nurses hate medics?

    Generally speaking, I don't see this in my facility. Of course, there are a few nurses and medics that just don't really get along but for the most part everyone keeps it pretty professional. I...
  9. TRIAGE

    We stay for the full 12 too. We are seeing about 200+ patients per day lately and triaging over half of these people is downright exhausting some days. We usually have 2 triage nurses, 2 techs and...
  10. ED vs other department pay

    Supposedly, one of our administrative officers is coming in for a staff meeting to address this issue that was presented to the board a few months ago. I didn't know anything about it but someone...
  11. New ED job 2:30p-3a! Advice..

    I used to work 3p-3a (be there at 2:30). It wasn't horrible. With our ED, we had a 12-bed pod that opened at 3pm so we got a lot of patients from the lobby at one time. I don't think it was a...
  12. Doing bad in nursing school?

    I get it! My friend from school used to get so frustrated with me because she was the one that got straight As in all the prereqs while I struggled. During our first semester of NS, I got better...
  13. Need all white shoes for clinicals.. Suggestions??

    When I was in school we were required to wear ALL white shoes. I saw everything from the pricey Danskos to cheap Wal-Mart sneaks. We were allowed to have minimal navy or grey on our shoes but that...
  14. Continue nursing school?

    I agree with Esme. This program may not be for you. Are there any other programs in your area that you could do? "Performance" is a big part of nursing school and nursing in general. I think if...
  15. The most frustrating part of NS..

    Been there, done that. When I was in school, I had an 89.4 in one class. My school didn't recognize the +/- system either. I was one test question away from an A in that class. Several of us were....
  16. Missed heart attacks - how can it happen?

    I can only echo a lot of the comments already posted. Sometimes things get missed. Sometimes you also have to go with your gut feeling and push for more follow up or another test / labs. About 18...
  17. Assaults on staff

    We have actually seen a decrease in assault. We started using the MOAB training to aid us in recognizing signs of possible threats prior to an incident and I can honestly say we don't see it too...
  18. Hyperventilating

    Not a real seizure. I've seen people have syncopal episodes from hyperventilating but not a
  19. An ER nurse

    Truth! I'd also like to add that we have at least three coping mechanisms that just evolve and we become fluent in all of these languages: 1. Sarcasm 2. Humor 3. profanity
  20. Triage Practices

    We have 4 triage rooms and usually have 2-3 triage RNs and two techs in triage. We also have a "work hall" behind our triage area for our NPs and work hall techs. When a pt comes in he gets...
  21. New job - ER

    If you are considering this job as a temporary gig, I think you should look elsewhere. It takes a year just to be comfortable as a nurse in the ER and about 3 years to be competent and another 2...
  22. stethoscope?

    I have a Littman Classic IISE. They are around $100 but you may find it cheaper on line. I've already had one stethoscope come up missing so didn't want to invest in the Cardiology version. Maybe...
  23. Hallways

    We have hall beds almost every day. If we have priority 2 patients that require a bed we just don't have much choice. I often do bed flow and hall beds get tricky; sometimes you do have to pull a...
  24. New job in ER, but out of practice!

    I bet that you find it is like riding a bike. You may feel behind the curve but once you get in there, all that may come back easily for you. I don't know of any books or anything to brush up on...
  25. Pain Management in the ER

    Some of our docs use that cocktail too. I think we have seen much great decrease in headache pain with that than with other narcs. I think in some cases we significantly under medicate our patients...