DayDreamin ER CRNP replied to Mqshell's topic in Emergency
I have seen two types that come from med surg to the ER. One makes it, one does not. The difference is attitude. If an RN thinks she is going to come down here and “show everyone how it’s done,” or if she is lazy and not a team player, she will not ...
DayDreamin ER CRNP replied to cheezbawl2003's topic in Emergency
I totally agree! while you probably have the knowledge and ability to pass this exam, I think it goes beyond being able to study and know how to answer the questions. Having two years of experience will help you to better understand why the answer...
DayDreamin ER CRNP replied to Miss_RN92's topic in Emergency
Do a search on new grad in ER and there are tons and tons of posts. You should find loads of info. My best advice is to ask questions. Don't act like you know everything and certainly do not be a know-it-all.
DayDreamin ER CRNP replied to stephfoun10's topic in Emergency
We don't require a signature of a responsible party but we do have to lay eyes on the person coming to pick the patient up after receiving narcotic pain meds. We don't even prescribe it until the ride is seen IN the patient's room. Not "on their way...
DayDreamin ER CRNP replied to Mariah87's topic in Emergency
In our L1 facility, it takes at least a year to be assigned big beds and another year before you can even apply to be on the trauma team pathway. That takes another 6 months to a year before you can actually be on the L1 team. Be patient, grasshop...
DayDreamin ER CRNP replied to nerdgrl's topic in Emergency
"Patient drove self to ED." "Pt reports "severe" vomiting x12 hours with approximately 20 episodes of emesis since onset of s/s. Pt actively / not actively vomiting at this time." For kids, I chart something like "Pt does not appear to be in in any...
DayDreamin ER CRNP replied to JUSTYSMOM's topic in Emergency
It never ceases to amaze me what people think is an emergency!!! early 20f....signs in for "sleepy" It is almost midnight. She says her mom told her to come in because she is falling asleep while driving and she is 10-ish weeks pregnant and it i...
DayDreamin ER CRNP replied to Irishnights's topic in Emergency
I'd would push for 0730 meetings! My previous ED was huge and would have a 0730 meeting and a 1800 meeting to cover both shifts. We also worked in crews so the manager would often have four meetings per week to cover everyone's schedule. There was...
DayDreamin ER CRNP replied to Angelsmom354's topic in Emergency
I think your idea of an info card is a good start. In my experience, however, no one reads them and they end up on the floor. If they do read it, they will have 8000 questions about why they don't get a "bed" in the back. There is a weird percepti...
DayDreamin ER CRNP replied to frequentFLyER's topic in Emergency
Recording?! Oh hell no!! Security would have been in that room in seconds and that pt made to delete any video. It is a posted policy so if they get all butthurt PD gets involved. And I am alll about some "sir" and "ma'am" like my mama raised m...
DayDreamin ER CRNP replied to verbalsjint's topic in Emergency
I realize I was a bit snarky last night. Long, long shift and came home angry. Anyway.... I strongly suggest you walk before you run w any tool or equipment. It is like buying a super expensive set of golf clubs before you bet hit the green. You...
DayDreamin ER CRNP replied to verbalsjint's topic in Emergency
It appears you want us to validate you in getting a fancy Card 5000. If that is what you want, get it. I personally don't think you need it. We ALL say we keep up with our things but it just takes one co-worker borrowing your scope for it to walk ...
DayDreamin ER CRNP replied to verbalsjint's topic in Emergency
I would get one you don't mind having stolen or misplaced during school. You can upgrade based on what you need / want later. Honestly, the expensive s'scopes are nice but I can hear just was well with my old Littmann SE II or whatever the heck it...
DayDreamin ER CRNP replied to GS ED RN's topic in Emergency
Awww.... You had your "I got fired" cherry popped. You should be celebrating!! I have been fired more times than I can count for my "tone." I have never ONCE been fired for my abilities or level of care. I'm in a position now that I can say to...
DayDreamin ER CRNP replied to abc616's topic in NP
I have not read every single reply but to answer your question... I chose my specialty based on my nursing experiences. Where did I best fit? Where would my skills be best utilized? I am definitely not a paperwork nurse and could not see myself do...
DayDreamin ER CRNP replied to Nurse-please's topic in Emergency
100% this. I'm actually an introverted extrovert or maybe an extroverted introvert. I dunno. I find that I love the quick pt turnover, the autonomy, and the team work. I have good work friends that know my story but only because we've worked ...
DayDreamin ER CRNP replied to er4lisarn's topic in Emergency
Our ER has a one hour guide to obtain a urine. If a female pt has diarrhea or vag bleed, we are only getting a straight cath urine anyway. If the pt is elderly and has dementia or we just think it will take a while, we have standing orders to go ah...
DayDreamin ER CRNP replied to ERRN84's topic in Emergency
What is an MICN? Based on your question about being the medics groan at.... Are you talking about the RN that takes the ambulance calls and places patients? If so, you need to see what your facility requires first. Our call log includes the call ...
DayDreamin ER CRNP replied to sfbates's topic in Advanced
I personally never wear a white coat. I don't even know where mine is now that I'm thinking about it. I guess I would have to wear one if my job dictated it but a lot of the jobs that do require a white coat might provide the coat and the preferred...
DayDreamin ER CRNP replied to HalfBoiled's topic in Emergency
#1. Thick skin #2. good socks. I like SwiftWicks or Balega #3 great fitting, good shoes. Go to a real running store and get a pro fit. #4. Good trauma shears, Raptors are great but I wouldn't get any until you know your habits and if you are p...
DayDreamin ER CRNP replied to Cmmc911's topic in Emergency
Not sure what you are asking exactly. When you are asking for an "opening note" what do you mean? Most EMRs have templates or a guide for charting. If you are asking about a triage note you should always start with the chief complaint. Keep yo...
DayDreamin ER CRNP replied to Emergent's topic in Emergency
I agree that it should be asked every time to every patient. #1 it will cover my butt. Why? Because if I were ever standing before a judge and he/she were to ask me, "Ma'am. How do you know you asked Joe Smith if he felt suicidal when he was in ...
DayDreamin ER CRNP replied to Tonyia524's topic in Student Assist
Right!! If there is obvious bleeding you need to address A C B. In the situation of the OP, I would have to read the full content of the question but you still need to maintain an airway for about 99% of all nursing school test questions anyway. ...