Delete_Me_Please

Sounds like his only issue was wanting an IV to make drug abuse easier... That, and being an *******, but the two are usually mutually exclusive. I have a personal policy that has served me well so far in my sixteen years..l never argue with someone who has to be convinced to seek health care (only exception being when we're legally required to). There is no reason whatsoever to waste your time trying to convince someone to get help when there are thousands of people waiting hours and hours for the chance of an ER bed to open up. Let them make their choice... You did the right thing by not taking it to heart. Just smile and show him the AMA form and you'll see him later. As for, "she is so young, I bet she's never seen a d*ck in her life," i would have pulled her aside and ripped her about three new *******s, but that's me. That wasn't just abuse you suffered, but discrimination since Th basis for the attack was your age. A witty reply would have sounded something like "I have, just not in this age group. I figured that old memberes were more YOUR category."

Hell, the worst person I've encountered for spelling and pronunciation of drugs was my nursing pharmacology instructor. Meta-pro-awl is not a beta blocker.

I wish... The last time I got punched, i called the cops, filed the reports, and said I'd be willing to testify and swear out whatever, so they arrested him. A few weeks later, I hadn't heard anything about the case, so I called e city attorneys office and got the runaround. When I called a friend in the office, she told me that someone from my hospital called the city attorney and influenced him to drop the case because (to paraphrase) it would make the hospital look bad if we looked like we were a place where fights were just breaking out in the ER. I gave the story to the media, the city attorney had no comment, the report no longer existed in their files, and my employer denied everything. I decided that next time, I'm probably just going to hit back...

Holy Jesus you people need to learn to spell the names of these drugs if you're going to be giving them.

All the bills in the world about violence against nurses aren't going to change the fact that, as our departments get more and more overcrowded, and continue that trend as obamacare phases in, people are going to get more and more abusive and aggressive with us. As long as payment is tied to patient satisfaction scores, our managers will continue to fire nurses for refusing to take abuse beyond what anyone should have to endure. My thought is, you can go ahead and fire me, but I'm not going to get yelled at and called names for doing my job and trying to help people... That **** will never happen.

Unlike others here, I would encourage you to take it, provided that failure would not totally discourage you from ever taking it again. There is no substitute for seeing the type of questions and the format of them. Go for it... Buy the test prep books, study for it, and then take it BEFORE you develop all the bad habits of emergency nursing that make people look at CEN review books and say, "pfft.. Nobody does it THAT way," believing that their experience is right and the book is wrong. If nothing else, you'll learn a great deal in the process and will be better served to pull your own weight as an ED nurse once you get a job.

Amen to that. It sucks hard when the end of a doctors shift coincides with nursing shift change or scheduled med times. In regards to the OP, As an ER nurse, I found it helpful to ask myself what things, if any, I could do that would make the admission transition easier or more efficient from the perspective of the patient and not from that of the inpatient nurse... After all, that nurse has the same priority as you; what's best for the patient. Little things go a long way, like giving them pain mess before you send them up, as it often takes 30-60 min for the pt to get added to Pyxis/acudose and get pharmacy to add all orders etc etc. ...but in general, if you want to know why an inpatient nurse isn't very accepting and warm about getting an admit, ask yourself how accepting and warm you are when that EMS radio goes off and you take report on another thousand year old nursing home patient presenting with chronic vagueness and maybe a fever sometime last year.

Ive been a paramedic for 16 years and an ER/ICU nurse for four, so I can relate...

My understanding is that as long as you are afforded a reasonable amount of time to respond, you are not legally entitled to compensation for on call pay. One of my former employers was sued over that very thing and emerged victorious leaving us all sans on call money just because we were allowed 30 minutes to respond. The lawsuit was in Federal court, so I don't know if or how state law factors in, but I'd say your probably screwed if you are in a right to work state.

Zippy cant help it; he's British. Their concepts of medicine, particularly emergency medicine, are about as wacked as their concept of rights, which is why our system of everyone having the right to be seen, having the right to ambulance services, etc. confuses them. You have to remember, they're *subjects* not citizens or individuals.

That's the difference between what the manufacturer recommends and what pharmacists know to be safe, thanks to clinical research and outcomes assessments. Rocephin, and Ancef for that matter, can be allowed to free flow in if necessary.

From what you're saying, the "are you an rn are you a student etc" questions probably originate in the fact that you make an effort to care about your patients as people, not just as bodies and numbers, like most ICU nurses do. Most ICU families are not accustomed to nurses paying them extra attention, but instead looking at them as a burden to be managed... Youre confusing them by standing out from your coworkers; you can either look at this as a black thing, or as a does-her-job-differently thing.

Correctional nursing is an environment similar to the burn unit... You only have to work there for about a week before you know if it is right for you or not. Go for it, just dont put all your chips on it, as you may find it to be a terrible fit for you.

That's not necessarily true... A gram of rocephin or ancef can be run wide open, as each can safely infuse in under five minutes. There are some, however not many...

I'm white... Where is this "power" that I guess I'm supposed to hold? I worked in a unit where I was the only white nurse and saw maybe three white patients in the six months I was there. People did look at me like I didn't know what I was doing, so those looks aren't reserved for black nurses, quandrika. We get them too.

When i read 'out of the question,' to me, that implies an absolute contraindication, so it may have just been mis.confus.ication on our parts. Hypotensive ans tachycardia shocj patients have received dopamine and dobutamine from me and me crews, and ive worked placed where the did levophed... didnt really seem to be any sit better than the other - halfass drugs in the hands of an excellent nursing team beats the hell out of selfish whiny hacks with all the best drugs abd equipment... just my $0.74 worth... (adj for inflation)

Not sure where you got that information, but you should check again. Hypotension and tachycardia (shock!!!) are two of the symptoms that accompany most acutely ill patients who receive dopamine. Neither is a contraindication.

Once I shunned everything that my nursing instructors, preceptors, and well-wishers told me, it only took me a few weeks, and the QA report at my last annual review showed a 91% success rate with a few hundred pokes... My suggestion for my students and trainees is to use your brain and your "mind's eye". FEEL for where the vein goes (don't trust your eyes), then get a mental picture of the path that it follows under the skin. Then just formulate a picture of where you want the cannula to go and then make it happen. Personally, my biggest pet peeve, is hearing people blame everything but themselves for a miss. For as many times as I've heard a missed stick blamed on a valve, you would think that our entire vasculature is comprised of nothing but valves. Just own it... you missed. Chances are it wasn't the IV, the tubing, the valve, that they didn't pump their fist, that you didnt smack the skin, or whatever... just take the time reassess your performance and think critically about why you missed.

Personally, I'm more inclined to think poorly of you for even considering filing for unemployment as a nurse. You work in about the most employable profession there is, so instead of being a part of the problem, lower your standards and apply for whatever job is out there. I'm personally beyond sick and tired of working more and more hours each week to pay for people that just don't feel like working for a job for which they're perfectly qualified and able to work. If you're honestly that lazy, leave the profession now and do all your future potential co-workers a favor - lord knows, they don't want to have to work harder to pick up your slack any more than the rest of us do. As for IV instead of IM, its not the end of the world. It's not the "major" med error that people are describing it to be, I don't think... to me, a "major" error would be something along the lines of giving vistaril IV or giving lantus IV. Giving something by the wrong route is still an error, and shame on you for even considering asking the physician to change their order to cover your mistake, but at least the route was correct and the dosage was still within acceptable parameters. Basically, and I hope you know this already but, you got very lucky. They taught us the five/six rights in school for a reason.