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trauma_lama BSN

Trauma, Emergency


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trauma_lama has 7 years experience as a BSN and specializes in Trauma, Emergency.

trauma_lama's Latest Activity

  1. trauma_lama

    ER to CV surgical ICU or MICU?

    Hey friends, quick brain-pick. I finished my BSN and I'm looking to the next phase, not sure yet if I want to pursue acute care NP or CRNA. Either way I know I will need ICU experience to achieve my future goals so I'm looking in that direction now. I have a few years under my belt in a large level I trauma center ED so I'm familiar with high acuity, and I tend to like the sicker of the sick. I've got interviews set up with MICU for a no-weekends, days-only position (SWEET!) and CSICU with rotating shifts (yuck) but they do ECMO there (on my list of professional learning goals). Do y'all have any insight into either of these types of units? I'm stuck on quality of life issues (days only and no weekends sounds super good as I have small kids, while rotating shifts will probably beat my ***) and learning environment (any unit which has ECMO patients is probably going to be an amazing learning opportunity, amiright??). If you have any thoughts, please drop them below. Especially would love to hear any experiences you have with ECMO! Thanks y'all!
  2. trauma_lama

    any trauma program coordinators here?

    Hey all, A trauma coordinator position just opened up at my level III facility and I applied as trauma is my passion and advancing in it is my career goal. They've called me to schedule an interview. I wanted to see if anyone could give me feedback about their experience with the role. I'm aware that it is immensely stressful but I've also been told very rewarding by the trauma nerds I know. Anyone? Thx!
  3. trauma_lama

    Esophageal Intubation

    not scholarly but one instance: https://www.doitfordrew.org/
  4. trauma_lama

    Professional Certifications

    Yeah, what they^ said. CEN gave me a great foundation for getting into the swing of emergency nursing, plus covered a great deal of the content on CPEN and TCRN as well (I can't speak for CCRN because I haven't taken it yet). I would advise CEN and then from there TCRN but that's just anecdotal advice.
  5. Hey all, I'm finishing up my BSN right now, I've been a RN for 6+ years, in a level 1 trauma center ED for 3 years. I'm trying to figure out my next steps for getting going with a NP program... I'm interested specifically in Trauma NP or acute care NP. I live in central NC. It just seems like there are so many options out there. What should I look for in a program? What are some red flags I should be aware of when looking? HELP WHERE DO I START?? I don't know why this makes me feel so overwhelmed... any insight you might have to offer about getting started would be much appreciated! Thanks so much in advance.
  6. trauma_lama

    AN - be honest....do I suck as an ER nurse?

    This is the case in my department. It can be very disheartening to not be in the "in clique," and I'm 2+ years into the place. with over 5 years nsg exp.
  7. Hi friends, I'm just beginning in a level one trauma ED. I transferred to it from a tele unit in my hospital system. It seems like the classes and certs I'm required to get surpass any of the requirements of heard of nurses in other departments needing to fulfill. Luckily, I got a few of the classses out of the way when I oriented for my old unit, like IV infusion, 12-lead, and EKG interpretation. But now I'm also having to do TNCC, PALS, ACLS (which I already had from when I worked in the OR but let it lapse bc it's not required for floor nurses other than ICU at my hospital), mass casualty class, nonviolent conflict resolution, lethality (domestic abuse class), decontamination (we aren't too far from a nuclear power plant)... I think there was one called ENSI too, but I can't remember if that for sure is it. There's another ped very we have to get as well but I can't remember the name of it. Anyway, based on my experiences, this is a lot more information than most of our floor nurses are required to take in. Don't get me wrong- I'm not complaining- I love learning, and I want to be hella prepared for any possible contingency. I just get the impression that ED peeps are more formally clinically educated than most other types of floor nurses, am I totally off the mark? I mean they were "strongly encouraging" nurses to pursue stroke certification and cardiac certification on my last floor, but it wasn't mandatory so a lot of people took it as a "meh." I was working part time so I wasn't eligible to take the classes and exams under hospital pay, so I couldn't afford it but I generally approach things with an all or nothing attitude and would have if they'd offered to pay for the exam. Anyway, just wanted to know yalls thoughts on this? I was at a community hospital with 380 beds, and now at the main one within my same hospital system with 890 beds, if that is at all necessary to inform your opinion.
  8. trauma_lama

    New to ED question

    I've been told by a few it's because of burnout? As of right now, I can see myself making a career in the ED... fingers crossed.
  9. trauma_lama

    Demoted from ICU to IMCU

    This, x a million.
  10. trauma_lama

    New to ED question

    Thank you so much for your thoughtful reply! I have another question I just thought of- how do you do shift change report? Is it expected that you try to DC/admit to inpatient all the pts you can before leaving? Or just report off and hit the road when it's time? Also, I feel so silly saying this having been a nurse for 4.5 yrs now but I've only ever called a few rapid responses and a couple code strokes... never had to call a code. So anxious about that, even thought I *know* what to do and how everything should work, I'm anxious I'll go blank in the moment! God I feel like a new grad again...
  11. trauma_lama

    New to ED question

    Hey y'all, apologies if if this has been posted, I looked and nothing popped right up. So I have 2 yr OR exp ambulatory surgery, and 1.5 yr telemetry/intermediate. I just got hired on in the adult ED in my hospital system, level 1 trauma center. I have many reasons for wanting to make the change. I don't expect to be good at it right away, but I want to have as much knowledge going in as I can. I saw in another thread some folks recommended Sheehy's Emergency Nursing Manual and the Emergency Nursing Bible. I know that I won't be able to control the adrenaline and unfamiliarity at first, but I can control how prepared I am mentally to some degree. I bought the ENB, but have to wait til til next paycheck for Sheehy . Are there other books, materials, websites, shows, etc that yall feel like give an accurate portrayal of ED life or pertinent information? Any tips to prepare myself emotionally? I'm not the toughest bird out there but I'm no wuss, either. I still have 3 weeks before the transfer happens, so I want to read up as much as I can. Also, I streamlined the heck out of my brain sheet for floor nursing, but it occurs to me that I won't be needing it anymore in the new position... do y'all carry an ED equivalent of a brain sheet? If so, would you mind sharing it with me? I'm so thankful for any insight you can share. Oh, I read on a thread here the importance of real time charting in ED... any tips you have on time management are welcome, too? I left a message with my new sup asking her these same things, but I figured nobody ever died from having too many perspectives on a topic, right? Thanks y'all!
  12. trauma_lama

    tele to ER, tips??

    WHEW! thanks for your response! Holy cow, I better do some ncclex practice questions to review for this interview!
  13. trauma_lama

    tele to ER, tips??

    hey all, Hope you're well and surviving the onslaught of insane natural disasters plaguing us right now... I wanted to ask about a potential interview with an ED mgr. I'm currently on an intermediate CV care unit. I love the people, but it just doesn't feel like home to me. I've been applying to some area EDs- smaller ones, because the bigger ones are way out of my league with only medsurg/tele and OR experience under my belt, obviously. Anyway, I wanted to ask if any of you ED hiring nurses or recent hires can tell me what you remember about the interview process... are there any special ED-related questions that get asked? Or just standard hospital RN questions? What are the biggest things they might be looking for? if it helps, its a small ED healthplex that's part of my current hospital system. Its in a smaller town outside of the big city where our level 1 trauma center is, so I doubt we'd get any really crazy critical patients. Thanks for any insight you can offer!
  14. trauma_lama


    Hey! I am supposed to read the NLN Competencies for Assoc and Bacc nurses to answer a prompt that's due in 2 hours and I cannot for the life of me figure out how to find it. This is the page I get, but it's not something we're supposed to have to pay for. It's my first class in 4 years and it's all online (RN to BS) and I don't have a quick way to contact classmates or prof and I worked today and my kid was sick yesterday AHHHH! Any tips on accessing this info? Here is a link to what I keep getting?? NLN Competencies for Graduates of Nursing Programs What am I missing?! Thanks in advance!
  15. trauma_lama

    Horizontal bullying

    Yeah, what are they doing to make you feel bullied? I myself started on a CV intermediate floor this spring, coming from the OR (so not a new nurse, but new to floor nursing).
  16. trauma_lama

    Giving report (just a little vent)

    OH MAH GAH please do not interrupt me to read out loud something from EGD results from 3 weeks ago when it's 0710 and our patient is only on our cardiac floor because their most recent general anesthesia threw them into afib. AGGHHHHHHHHHH Seriously though, report is not for detailed H&P. I have to report off on 5 pts- I can't spend 20 minutes on each one.

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