JMBM

JMBM

Emergency

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All Content by JMBM

  1. Press Gainey AARRGGHH

    JMBM replied to susi_q's topic in Emergency

    Yeah, I know....we just had our PG scores posted on our hospital's intranet website. Interesting comments by the patients. Under the doctors' heading, all the comments were about how caring and...

  2. Alaska Emergency Rooms

    JMBM replied to jenny031's topic in General Nursing

    There are 2 private hospitals in Anchorage, Providence and Alaska Regional. Providence has by far the larger ER, 32 rooms plus associated urgent care clinic and psych er. At any given time, there...

  3. Please be nice to medical students

    JMBM replied to cantor2537's topic in General Nursing

    Ah, the irony of a medical student going to a nursing site to complain about rude behavior by nurses. Where does one begin? Maybe an observation that every nurse viewing this OP could tell umpteen...

  4. Doctor interaction?

    JMBM replied to MsBruiser's topic in General Nursing

    Well, I do agree with what you say, RV. Part of the problem is that nurses allow docs to get away with rudeness that the nurse would never tolerate from someone in "civilian" life. The first step is...

  5. Doctor interaction?

    JMBM replied to MsBruiser's topic in General Nursing

    I wouldn't worry too much about it. If you've been out in the business world, you have undoubtedly run into difficult people and you know how to put that aside to get the job done. I recall a...

  6. Please Reply

    JMBM replied to qbingirl's topic in General Nursing

    Anchorage is a city of 300,000 with all you'd expect in a city that size. There are several furniture places and rental places. I'd probably check out the website for the Anchorage Daily News. They...

  7. After I graduate can I start right off in the ER?

    JMBM replied to sphz9471's topic in Emergency

    Traumas are challenging and exciting, but ER nursing is so, so, so much more. In most ERs, for every hour you spend in the trauma room, there will be 100 hours caring for patients whose problems are...

  8. Best Brand of Shoes

    JMBM replied to SwtTxLdy's topic in General Nursing

    I've got wide feet, too, and Dansko's work just fine. My current pair is 6 years old, handles 12-hour ER shifts with ease as well as occasional use outside the hospital. You can look for lots of...

  9. Please Reply

    JMBM replied to qbingirl's topic in General Nursing

    Okay, let's see. Remember that when you ask about Alaska, you are asking about an area as large as the entire western United States. Trying to describe it in one message is like trying to describe...

  10. IV's- nursing or medical decision?

    JMBM replied to canoehead's topic in Emergency

    This is one of those situations where we should not even have to ask the question. Starting a line is an invasive procedure and should be ordered by a doc. If, given the pace/wait time in our...

  11. Starting my ER Preceptor

    JMBM replied to SeriphumRN2b's topic in Emergency

    You've gotten some great advice from the other writers, so I'll just toss in some odds and ends. Carry a little notepad and jot down conditions, drugs, procedures and other stuff you come into...

  12. I'm an ER nurse and I love my job because...

    JMBM replied to sowie's topic in Emergency

    I love being an ER nurse cause I have a short attention

  13. Starting IV's...

    JMBM replied to raindrop's topic in General Nursing

    If you will be called upon to start IVs regularly, you must learn to locate veins by feel. In fact, the largest, best anchored, easiest stuck veins are not visible. The best way to do this is to sit...

  14. IV Insertion

    JMBM replied to chuckc's topic in General Nursing

    Try ENW.org. Its an ER nurse website with several good articles, including one on IV starts. ....... There are hundreds of "how to" sites, so I'll just suggest a couple odd things that helped me....

  15. Do all nurses wear scrubs?

    JMBM replied to APP's topic in General Nursing

    Like the answer to most questions - it depends. When I did community nursing, we wore office clothes or jeans - whichever was appropriate to the place we were working that week. Now I'm in an ED,...

  16. Adjustment to ED nursing from med/surg?

    JMBM replied to Larry77's topic in Emergency

    Obviously, the pace is tough, but there are lots of floor jobs that keep you moving just as fast. You can only do one thing at a time (well, maybe 2), you can only go so fast safely, and worrying...

  17. new grad leaving er

    JMBM replied to paphgrl's topic in Emergency

    I agree with the last poster. I've certainly seen some nurses snicker and put down new nurses, but in those cases, they also attack new travelers, transfers, etc. We have a particular night shift...

  18. pt report to ICU?

    JMBM replied to scrmblr's topic in Emergency

    I usually try to start my report calls with a simple question, "how's your night going?" . Just an attempt to connect on a personal level. The reason is that telephone report is one of those times...

  19. RN and Paramedic

    JMBM replied to ben123's topic in Emergency

    Nope - No extra for any prehospital provider certifications. We do get a small one-time bonus for CEN or CCRN

  20. pt report to ICU?

    JMBM replied to scrmblr's topic in Emergency

    At our hospital, a few of the receiving nurses like the "I don't know" game. Essentially, they'll listen to report, then ask questions, each more obscure than the next, until you say "I don't know."...

  21. er nurses: what kinds of teaching do you do

    JMBM replied to baby_gurl0604's topic in Emergency

    Okay, first think of all the different things that could bring a patient to the ED - car wrecks, flu, chest pain, stomach upset, fevers, seizues, too much to drink, cut fingers, broken parts of all...

  22. Medics vs Nurses in the ER

    JMBM replied to fire_911medic's topic in Emergency

    I think the intent of the thread is more about medics functioning in an ER. So, it's not really a comparison to football and, say, baseball, but whether the skills and scope of practice...

  23. Medics vs Nurses in the ER

    JMBM replied to fire_911medic's topic in Emergency

    Prehospital providers practice a tremendously difficult and stressful profession. In the EMS system, they are the "sharp end of the spear", providing complex care in crushed cars, freezing rain and...

  24. Medics vs Nurses in the ER

    JMBM replied to fire_911medic's topic in Emergency

    I am an RN in an ER, and I am an EMT-Intermediate. In past lives, I have worked in both urban and rural EMS. First, I agree that nursing schools could take a page from EMS training, especially in the...

  25. tough time giving report.

    JMBM replied to janetrette's topic in First Year After Licensure

    LIke all have said, don't worry about it. There is a version of the "report game" we've all seen. The game is for the nurse receiving report to ask more and more obscure questions until they get an...