pockunit replied to heloooooBCRN's topic in Emergency
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...
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...
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...
pockunit replied to heloooooBCRN's topic in Emergency
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...
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...
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...
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...
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...
pockunit replied to russianbear's topic in Emergency
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...
pockunit replied to russianbear's topic in Emergency
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
pockunit replied to russianbear's topic in Emergency
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?...
pockunit replied to russianbear's topic in Emergency
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...
pockunit replied to russianbear's topic in Emergency
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
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
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...
pockunit replied to russianbear's topic in Emergency
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...
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...
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,...
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