qc rn

Being a supervisor is an incredibly demanding and demeaning )ob. You can never make everyone happy especially yourself. I think most supervisors are perfectionists and demand there fellow workers be the same. I can say this cause this is me and I am almost always irritated at someone or something not done correctly. The best advise I was givin is Do not expect the same work from others as you would expect from yourself because this is NOT going to happen....I still feel if the supervisor does not set the example who will....Hang in do not give up..

HERE ARE A COUPLE OF MY FAVORITES. Nurse here is what I pulled out of my privates this morning and hands me a baggie with a crab crawling!!!!!!around in it. Pt. comes in with temp 104.5 have you taken anything for your temp...no I wanted you to see how high it was.Woman comes in and says something is wrong with my little toe. I ask her to take off her sock....Her toe is black and the surrounding tissue is necrotic. How long has your foot looked like this... OH ,ust the last few weeks!!!!!!

Ok,In my crash box I have all sizes of angios 18 to25,Benedryl,Epi,solumedrol,nitro,adenecard,asa,pravachol,alcohol wipes,needles,tournoquet,also you need o2,IV .9NS, We usually do not know much about the pts. so .9 is best. Also need albutrol for inhalation and nasal canulas and masks....We have 12 lead ekg machine. Sit down and think of possible emergent problems and make a list of what you may need....Good luck

Today first pt.sob with blue ring around lips. Second pt. has a little chest pressure he says he ate something bad this am but can not understand why his left arm feels so heavy and he is sweating. Next fell 6 feet from a ladder can not bear weight has bump on left side of head size of oh lets see a large apple at least. He vomits on my new lab coat. IV,nitro,o2,ekg,o2,solumedrol iv push, neb tx,xray,bledsoe boot,sling,ct head. that takes care of 2hrs. at work. What am I worth,much much more than I make.

:) Laura, Keep up the good work. Believe me they will apprietiate it someday. Well maybe not. But at the least you will be prepared believe me if you have walk-ins something will happen sooner or later.

I am supervisor of a walk in UrgentCare clinic. We have everything we need in case of emergency and have had plenty, Everything from seizures to MI in progress. We have crash cart, ambu, I have incorporated a crash box that has everything we need except defib. and that is on the cart. If you have walk ins you need to be prepared for anythig. We have people walk in with swelling of the tonguesooo bad they can not speak. As for only MAs that makes my hair stand on end

I Agree The Pain Scale Is Silly Especially With Cardiac Pts. Most That I Have Seen Talk Pressure Not Pain. Also I Have Seen Many Frequent Flyers But What Makes Me Mad Is The Docs Who Have Given 1 Script After Another Of Vicondin Then Suddenly Try To Cut The Pt Off With Nothing.... We Have Created This Monster And Then Say Too Bad No More Narcs For You. But No Help In Stopping Either.

:angryfire Do not give up... When we have emergent pts. in our department I as supervisor am not always sweet and kind. I tell other nurses what to do sternly at times and am always saying HURRY UP....but when its over let everyone know what good work they have done...Protocals are nice but great assessment skills are a must. If you love it hang in I hate to say this but sometimes in this kind of derpartment you need to prove yourself first.:balloons:

Good call..I love when we can show the docs how smart we are. I work at an urgent care department. Last week we had a new doc very smart but not used to fast pace and was hurried. We had a young female with some sob but had ok sats. I listened to her lungs and could hear nothingin the left side. Told the doc but she said the pt. was diminished and ordered a neb. tx befor a chest xray. Wellllll the chest xray showed a giant pneumo. I was proud yet embarrassed for the doc. Go figure....

I agree with MiMi, Toradol is a great drug for pain. We see many different kinds of pain ie, bone, muscular,ha,etc... I also had surgery for acute appy last year the pain was baaaad, I was given toradol IV and had no pain....it was great and no drowsy or sleepiness.

I work in an urgent care department, that is also a walk in clinic. We see everything from fractuers, headcolds, to chest pain. We have posted in every room a small framed message to our pts. explaing our triaging and why the wait may be long. What we find is most people do not care if you have an emergent problem going on. They are most concerned about fast service. Good luck with your sign.

Dear Vent, Please keep looking. There are soooo, many different ways to practice nursing. I did the hospital stuff for experiance found the experiance invaluable but the anger and stress too much. I now work in an urgent caredepartment kinda like ER but no trauma. We do have people coming in with chest pain and other urgent problems but the docs are there and we have protocols we follow. I love the rush yet there are calm days too. Keep looking and washing your hands.:)