pockunit ADN, RN

Emergency; med-surg; mat-child

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All Content by pockunit

  1. pockunit

    when do you chart?

    Vouch. I've had other staff discharge my pts when I was busy. Having that charting done makes it easier for
  2. pockunit

    when do you chart?

    I'm the freak who buys a lot of liability insurance just in case, though, so feel free to ignore
  3. pockunit

    If you had to do it over again

    Are you me? This is what I did, too. Well, straight float but time on all the med-surg floors as well as mother-baby. I chose all my rotations based on what I thought would be useful to me in the ED...
  4. pockunit

    when do you chart?

    Getting used to the EMR is HUGE. If you don't know where to put information, it's a huge time suck. That will come in time. We use EPIC, and I use a lot of hot keys and shortcuts to speed up my...
  5. pockunit

    when do you chart?

    Good point. I haven't had any ESI 1 pts yet, but I worked as a recorder and that's the only way I can see charting being done in a code, because for sure, yes, DO THE WORK and worry about charting...
  6. pockunit

    If you had to do it over again

    THIS. If I'd gone to nursing school much before I did, I wouldn't have made it through. Do I wish I'd had my poop together earlier so that I'd be better at my job than I am now? YEP. But since I...
  7. pockunit

    Emergency nursing certificate

    We're required to have TNCC and ENPC, I believe, though I haven't done those yet. CEN is optional. ACLS and PALS are mandatory, too. I may go for CEN after a few years on the floor, but the other four...
  8. pockunit

    when do you chart?

    I chart at bedside, except for discharge stuff, which I can do when I have a moment. Unless someone is coding, I have time to chart. If someone is coding, then I'm not the one taking care of my other...
  9. I would like to see this on the wall of every pt room in our ED. That AMS could be from a pressure ulcer someone missed, or the necrotic foot that the pt has been ignoring for the last month (you've...
  10. YES! Loud babies are good babies. THE BEST
  11. YESSSSSSS. You can learn SO MUCH from just standing in the corner and watching. What tests are they generally ordering? What is RT doing, what is the MD doing, what questions is s/he asking, where are...
  12. pockunit

    Struggling

    They can't quite expect you to improve your performance if they don't tell you what's wrong with it. If they can't do that for you, then you may not want to be in this department because it will be...
  13. pockunit

    Struggling

    So what, SPECIFICALLY, did they tell you were the issues they were seeing? DID they specifically outline things? Or was it some vague, wobbly pile of crap on a
  14. pockunit

    Struggling

    So they need to give you SPECIFIC GOALS to aim for. Remember SMART? Your manager needs to help you and your preceptor come up with SMART goals for you to achieve. Also, how do you learn? Reading?...
  15. pockunit

    Struggling

    Dude. You have SO MUCH to learn in the ED. Put school on hold. It will be there next year or the year after. Do the thing you wanted to do, which was get into the ED. Learn it well. Then do the next...
  16. pockunit

    Struggling

    Pretty accurate. ER is not the place to deal with all the things in a person's history. It's the place to deal with THE REASON THEY'RE IN THE ER and the other floors can handle the things
  17. pockunit

    Disrespectful patient

    I hope fired is the least traumatic result, because a lot of patients wouldn't have hit themselves overthat kind of interaction. They would have gone after
  18. pockunit

    Disrespectful patient

    Take what? He was talking to his friend and on his phone. It's not like he was trying to assault her. Document the interaction and move on. Try again later, no big deal. Like you said, not our job to...
  19. pockunit

    Struggling

    This is hard. Really hard. Not assessing and documenting and talking with pts like I did on the floor is a big part of the ED learning curve. It's probably the one area where new grads have an...
  20. pockunit

    What is the drug of choice in your area?

    I know a doc who went to bat at their facility to refuse to carry Opana in the pharmacy. I was so
  21. pockunit

    What is the drug of choice in your area?

    Drug of choice around here? What have you
  22. pockunit

    Nurses smoking weed?

    Nope. "The medical marijuana amendment, introduced by Rep. Dana Rohrabacher (R-Calif.), prohibits the Justice Department (which includes the Drug Enforcement Administration) from spending money to...
  23. pockunit

    Nurses smoking weed?

    Holy crap, have you had the skinny mint
  24. pockunit

    Orientation

    I'm a huge proponent of just talking your way through a shift. Asking questions while you are working is an excellent way to learn. So when you're triaging a CHF pt who is hypotensive and getting 2L,...
  25. pockunit

    T-shirt Sayings

    ER: We Told You Not To Put That There. If you tell someone to hold your beer, you're probably going to be seeing us soon. No, really, don't put that there. L&D: Friendly nurses at your