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EmergencyRNBSN has 3 years experience and specializes in Emergency.

EmergencyRNBSN's Latest Activity

  1. EmergencyRNBSN

    Heavily considering change to Day shift

    Everything that people worry about when switching from nights to days typically is not true. For instance I rarely see my manager, I rarely see hospital administration, etc. I made the switch just fine and so do lots of others. The one thing that I noticed, and it still can drive me crazy some days is the difference in personality you will notice in your coworkers. Yes, day shifters (I am one now, admittedly) teamwork is terrible on days, and we are usually stressed beyond belief about things that on nights I found myself just shrugging my shoulders over and thinking "we'll get it done, somehow". I miss my staff on nights horribly. I want to take everyone working nights and put them on days with me. That would be the best case scenario lol.
  2. EmergencyRNBSN

    New grad. Torn between two..ER or med/surg?

    I started out in ER as well and all the advice has been good thus far. All depends on what you get out of orientation and whether or not you have a good preceptor, IMO. You are taught what you need to know at the end of the day. While yes, med surge does give you a good foundation of what it means to "be a nurse" with passing meds, assessments, talking to physicians, I do not think that a lot of translates well to an ER environment anyway.
  3. EmergencyRNBSN

    Overflow in the er

    I second the question of is that a normal day? Is it lower acuity patient's where the LOS is really low? You can't even get labs/CTs to result on 300 patients in a 39 bed ER, let alone 400. That sounds terrible. I'd walk out of that place on my first day.
  4. EmergencyRNBSN

    Hospital Marketing FAIL

    When I am sitting out at triage I always want to tell people, "congratulations you are going to sit out in the waiting room for a few hours, I have determined that you stand a 0.5% chance of having a life threatening emergency and you should instead of complaining about the anticipated wait, feel badly for the people I take back in front of you". Think our managers would go for it?
  5. EmergencyRNBSN

    Foreign RN preparing for work in the ED

    I don't think that is necessarily true. The job does not carry over very well to other specialties at all unless you are thinking of ICU experience or critical care transport, etc. I don't know very many people that last long in emergency nursing who are using it just to gain knowledge. Now don't get me wrong, I love always learning and I see something every week that I have never seen before. But you really have to love working in ER to deal with the bad parts of it. I just think it is an environment that teaches everything with a slant towards emergency nursing and not a lot of it carries over into other areas of care.
  6. EmergencyRNBSN

    How long did it take you to master inserting an IV?

    It took me probably 6 months to get 80% of my patients without asking for help. 1.5 years to become so annoyed with myself that it physically hurt my ego to have to ask for help. Now at 2.5 years, I'm the guy that gets sent up to inpatient floors to try when numerous people have failed (No PICC team at night and the patient doesn't need a CVC). It just takes time and always paying attention to other people's techniques. I just changed jobs recently and it made me better to see a new set of people and their techniques with it. Just keep plugging away. It will come.
  7. EmergencyRNBSN

    new graduate nurse taking TNCC ?

    In my opinion there is no point to having a CEN without any actual ER nursing experience. But heck you don't have to impress me to get a job anyway. TNCC, however, is not a bad idea to have. Once you get hired though most places will pay for you to obtain that certification. Those things aren't that cheap.
  8. EmergencyRNBSN

    Med error- manager told everyone at meeting and made me explain

    This is a terrible approach by your manager. It completely discourages staff to feel comfortable admitting medication errors that may happen in the future. I would definitely suggest talking to your manager about it and saying that you felt disrespected by her actions and see where that conversation goes prior to just up and quitting your job though.
  9. EmergencyRNBSN

    I desperately need some advice

    This is all just further proof that where you get hired on for your first job is the biggest thing in the absolute world. I gave in my 1st month a med a wrong route (nothing serious, just gave IV something ordered IM, thank god it wasn't a big and bad drug and was just a muscle relaxer and an NSAID), and what happened to me was a sit down and basically a 'hey buddy, lets actually pay attention next time and not get complacent'. If they sat you down and talked to you, I personally would have been nervous beforehand and less nervous now. You have some set things that you need to work on now, so make sure that there is a system in place to evaluate you in the future on those certain tasks. Make sure that you make improvements. Ask questions or you get left behind. Don't ever sit around and do nothing. Always be asking if there is something you can do for someone else (someone always needs vitals, someone always needs their pain reassessed, etc). Unfortunately one of the hardest tasks sometimes is getting your coworkers to have your back. Find a way to become part of the group (not by gossiping..) and see how things turn out.
  10. EmergencyRNBSN

    Need some input about ED charting - Allscripts

    EPIC ASAP is what I use in the ER. I personally don't like it. But that could be that I am just getting the hang of it still. It just seems a little bulky for ER. I have had experience with emergisoft and liked that a little better, but who knows.
  11. Just started a month ago with my BSN at 22. Loving my ER job at the moment. Terrified beyond belief..but day by day I'm getting the hang of it.
  12. EmergencyRNBSN

    Need help choosing the right unit to work!!!

    All I comprehended was you want low stress and then said you were thinking about PACU or triage (which is ER). What exactly do you consider to be stressful if those are low stress? Haha I think you are right in asking the question of where you would fit in the best, that is the most important aspect of whether or not you stay in this profession. The most stressful job in the world though can be fixed with the right charge, the right docs and the right co workers. Good luck!
  13. EmergencyRNBSN

    Tired of bedside nursing

    Work ER? Work Psych? Work outpatient? Work OR? I don't know how anyone in their right mind could survive a year, let alone 13 of floor med surge nursing. But to each their own. They are great at their jobs and I sure as heck need them everyday.
  14. EmergencyRNBSN

    What were the gender ratios in your nursing classes?

    There was about 60 people in my BSN program and 7 of us were guys. Do not, I repeat do not, try to sleep with people in your classes lol. They end up more like sisters at the end of it, honestly. I wouldn't trade some of them for the world (some).
  15. EmergencyRNBSN

    Should I become a nurse ?

    I just started working with a guy who spent 5 years as a sniper in the Marine corps. And he wears that RN badge just like I do. I want someone to tell him he isn't a 'man'. I've always had a comeback ready for people who are quick to judge the occupation for myself, but honestly, i never really need it. Besides, what about your cubicle job and looking at accounting/anything business related is more manly than my chest compressions, running codes, having back to back level 1 traumas in 2 hours, hanging meds, starting 14 g IVs, etc. Let me think about that..oh right, nothing. Nursing is what you make of it. Dont let anyone else's ignorance affect your decisions.