JMBM

JMBM

Emergency

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All Content by JMBM

  1. Tips For New Grad ER Jobs

    JMBM replied to S.T.A.C.E.Y's topic in Emergency

    I will join the chorus and agree that under no circumstances should a new grad try to start in an ER unless the hospital has a good fellowship/preceptor program. In fact, it would be great to find a...

  2. Nursing student tips for ER

    JMBM replied to fusster's topic in Emergency

    Can't really add much to Emernurse's excellent post, except to emphasize the part about being proactive. I can't tell you the number of nursing students I've had who sit at the nursing station,...

  3. Good at placing IV's?

    JMBM replied to anne74's topic in General Nursing

    Confidence, confidence, confidence.....easy to say, hard to do. First, why is confidence good? I'm sure there are lots of psychological reasons, but one big reason is that the nurse's confidence is...

  4. Does ED have a bad rep for mean nurses?

    JMBM replied to noelle4's topic in Emergency

    Way back in the beginning of this line, someone wrote that toxic situations like the one described by the OP are often a reflection of management, which I totally agree with. I'm been in departments...

  5. work in Alaska

    JMBM replied to Dom's mom's topic in General Nursing

    You didn't say if you'd be in Anchorage or Fairbanks - they are quite a bit different and a 12-hour drive apart. There are three hospitals in Anchorage (Providence, Alaska Regional and Alaska Native...

  6. Desperate Please Reply!!!!!

    JMBM replied to gatorh's topic in General Nursing

    I am an ED nurse working in Alaska, where we've lived for 35 years. I can't tell you much about traveling companies, but I do agree that working as a traveler right out of school would be a real...

  7. First week on my own in ED.... and frustrated

    JMBM replied to NewEDRN's topic in Emergency

    I agree with Tom. Whether its the trauma room, the critical area or the urgent care clinic, the ER is the spot for me. One of the reasons is that it forces you to be a jack-of-all-trades. Its not...

  8. Please Reply

    JMBM replied to qbingirl's topic in General Nursing

    By "native hospital", its typically meant one of the Public Health Service hospitals that provide care for Native Americans. There are several around the state, the largest being in Anchorage, and...

  9. Boosting Morale in the ER

    JMBM replied to 1sttimetraveler's topic in Emergency

    1. Listen / Be Aware. What's wrong with this picture when the charge is chatting on the phone while a staff nurse in the back is drowning? 2. Communicate and Do it Clearly. A charge nurse is...

  10. Rn Student Interested In Er

    JMBM replied to mom2three's topic in Emergency

    I agree with the above. Unless an ALS/PALS/etc course fell into your lap, I wouldn't go out of my way to get one now. I think the only way a new grad should go into an ER is at a facility with a...

  11. New grad

    JMBM replied to bluekitty's topic in Emergency

    ED nurses come from all over. Quite a few in our department have military backgrounds and have worked pre-hospital EMS. The thing that I think sets ED work apart is the chaos. Your patients and...

  12. What to wear???

    JMBM replied to IWANT2BE's topic in Male Nursing Students

    Shoes, shoes, shoes - it depends. You will see a large percentage of nurses using Danskos. Yep, they cost a bunch. I bought a pair on sale, wore them through nursing school and years into practice. I...

  13. ER nurses advice

    JMBM replied to RNCCRN's topic in Emergency

    In our facility, teams of 2-3 care for 5-12 patients. Occasionally floats chip in and when one section is hammered, nurses from other sections will informally float over to help out, too. We do...

  14. Is a backboard for transport only, or immobilization while in the ER?

    JMBM replied to vampireslayer's topic in Emergency

    Its not a question of immobilization vs transport. As vamedic said, the purpose of a backboard is to "splint" the spine - to immobilize the spinal column and so prevent further injury due to...

  15. The War with the Floors

    JMBM replied to zima60's topic in Emergency

    Like many facilities, we use faxed report forms for medical floors (with a follow-up call to confirm) and telephone report to PCU/ICU. Also, having worked on both "sides" at different facilities, I...

  16. Losing confidence in new job b/c of IV insertion?

    JMBM replied to moliuchick's topic in General Nursing

    Yep, getting good at IVs is 95% experience, measured in years, not weeks. IV skills are also notoriously streaky. There will be a week when I can thread veins the size of a human hair and then a...

  17. Do you have a union? Should nurses strike?

    JMBM replied to glenwood's topic in General Nursing

    Unions are /management is bad - Unions aren't good or bad. They are simply reactions to economic disparity. Management will always seek to minimize costs and maximize revenue. Employees will seek to...

  18. New Grad thinking to start career in the ER

    JMBM replied to georgehb's topic in Emergency

    It depends, it depends, it depends. I also went right from school into an ED, albeit after a long time as a medic. I cannot count the number of sleepless nights (or days) I had, hauling out the...

  19. Is ER nursing Floor nursing???

    JMBM replied to zaga21's topic in Emergency

    Elthia, I totally agree that floor nursing is not monotonous or brain shrinking. I'm pretty sure what Jennifer meant is that floor nursing would be monotonous and brainshrinking to her. Just like ER...

  20. Is ER nursing Floor nursing???

    JMBM replied to zaga21's topic in Emergency

    Is ER nursing floor nursing? Actually, I find it interesting that allnurses doesn't list ER nursing as Critical Care, since the rest of the nursing world regards it as such. Anyway, Jen2 and...

  21. Do drs really look down on nurses?

    JMBM replied to lmf2006's topic in General Nursing

    Wow, as you can tell from the replies, this is a huge subject. My personal take is that when I first got into medical work 25+ years ago, doctors were the elite, the ones who would decide for...

  22. Looking for a change

    JMBM replied to shannon8282's topic in Emergency

    I thoroughly agree with TraumaRUs. It is not unusual at all to have RN's, students, or folks from other facilities shadowing in the ED. If you aren't sure about what you want to do, you should...

  23. I'm an ADRENALINE junkie...and I'M SCARED!

    JMBM replied to pikevillenursing21's topic in Emergency

    First, if your facility has a 6-month internship, they won't let you out without training wheels until you are ready. So, relax, you'll have guidance and help. Next, it may seem counter-intuitive,...

  24. Soon to be an LVN grad from CA and life is moving me your direction...

    JMBM replied to MikesGirl's topic in General Nursing

    Okay - I'll give it a shot. First, Alaska is as large as the western third of the rest of the country, so summarizing the whole state would take a book. Anchorage is the main city, about 250,000...

  25. Red Cross or Heart Association?

    JMBM replied to smoke over fire's topic in General Nursing

    As with most things, it depends. AHA, Red Cross and Emergency Care and Safety Institute all offer basic CPR and Professional Rescuer/Health Care Provider level courses. AHA and ECSI are 2-year...