brainkandy87 replied to jkr2020788's topic in Emergency
I've worked both ends of the argument. I never understood why floor nurses got bent out of shape when I was a floor nurse and I certainly haven't figured it out as an ER nurse. Maybe it's because I...
brainkandy87 replied to jlan79's topic in Emergency
We have a 4:1 ratio. However, I've had 8 at one time before when we were short. I had a float nurse from another floor helping me give meds and do tasks, but I still had to chart everything, and...
brainkandy87 replied to nurse_k29's topic in Emergency
The ED doesn't require you to be "mean," but you certainly can't be passive. If you are passive, you will have patients, nurses, and doctors walk all over you. You can't be afraid to stand up to...
brainkandy87 replied to bk1413's topic in Men in Nursing
You've come this far. If nothing else, pass the NCLEX and maintain your license. Don't ever let it expire. One thing I can say is, don't let nursing school deter you from nursing. The reality of...
I had a very similar experience in my peds rotation. Our instructor was a woman who had no business being in a clinical setting, despite the fact that she had an MSN (she couldn't identify the ST...
brainkandy87 replied to Mike A. Fungin RN's topic in Men in Nursing
Not a problem with me. It's the patient's right, in my opinion. I usually plan ahead to avoid the situation at all though. I work in the ER, so we usually have 1-2 float nurses or I'll ask a female...
brainkandy87 replied to docomo's topic in Emergency
Did you not have any clinical rotation through the ER in nursing school? I'd write a letter and complain to your nursing school if not. Of course, I'm biased and think nursing schools need to put...
brainkandy87 replied to Stormy8's topic in Cardiac
This. If you were having to bolus her to get her pressure to an appropriate level, it's a "hold the Lopressor" kind of night, even if the MD felt it was OK to give. There are other options to fall...
brainkandy87 replied to BUNightingale's topic in Critical Care
I'd refuse to work in a hospital that didn't have a policy concerning ACLS protocols. That's a dangerous situation for a nurse. If you have a code and start pushing drugs per ACLS protocol without a...
brainkandy87 replied to Kidrn911's topic in Emergency
I say to hell with the emergency kit. All your church needs is an AED, a telephone, and a pair of hands. If you want to help them prepare for an emergency, help them get into CPR classes. That will...
brainkandy87 replied to NativeSundance's topic in Emergency
Well, my entire thought process on blood has changed and had to change after I came to the ER from the floor. On the floor, I used a pump and infused a unit over 3-4 hours. I wouldn't even let FFP run...
brainkandy87 replied to nursejess12's topic in Emergency
Only eighty hours orientation for a new grad in a level one trauma center? Props to you for not totally freaking out. I think I still might semi freak out NOW if I was told I'd only get eighty hours...
brainkandy87 replied to ivyleaf's topic in Emergency
I got a B.A. from a large university, then went back to school and got my ADN from a community college. Same experience with clinicals, lots of monotonous labor that really didn't prepare me for the...
brainkandy87 replied to FORTHELOVEOF!!!!'s topic in Emergency
I think a new grad can thrive in the ER just as easily as a young nurse that's moving to ER from the floor, as long as that new grad is quick to adapt, knows when to ask questions, and knows how to...
brainkandy87 replied to ketonesRN's topic in Emergency
Your facility should, at the very least, have an IV drug book in the ER that will tell you y-site compatibility info. Hopefully your facility has an online reference you can use in which you can enter...
brainkandy87 replied to westieluv's topic in Emergency
There are a whole variety of personalities in the ER, but the good ER nurses do share some common traits, such as being able to prioritize, think on their feet, and stay focused on what needs to be...
Alright, so I need to vent (I seem to need to do this a lot, maybe I shouldn't work every day). EMS brings me a 93 year old man from a nursing home who fell from his chair and hit his head....
brainkandy87 replied to Wantoknow-rn's topic in Emergency
I feel bad for nurses that don't have any good or reliable techs. I'd be totally dead without my techs, so I'm constantly just thanking them for anything they do for me, even if it's just taking a...