JMBM

JMBM

Emergency

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All Content by JMBM

  1. Working in ER/ED

    Okay, starting from the top.... Yep, nurses with Associate degrees in nursing can work in ERs. We have several that I know of in our ER. A Bachelors comes in handy when/if you are looking for...
  2. RN Scrubs

    In our mid-size (35 bed) ER, we don't yet have a dress code. A few RN's have even taken to wearing scrub tops and EMT pants (lots of pockets). I suppose someday someone will push the limit and we'll...
  3. trauma assessments

    As another writer suggested, the TNCC book is a great resource. Your school should have copies. Failing that, grab any good EMT text (AAOS, Brady, Moseby) for the basic outline of a trauma assessment....
  4. What is a union????

    there are hospital administrations that listen and take into consideration the concerns and interests of their employees. there are some that don't give a d**n and treat employees like dirt. Most...
  5. Wherever you go, whatever job you take, be it private, academic, government or military, you are going to run into jerks like we've been describing. Unfortunately, in many supervisory roles,...
  6. Is 'E.R' the tv show accurate?

    There have been a couple comments to the effect that it is delusional for nurses to expect "ER" to realistically portray nurses or to expect true medical accuracy on a drama. To some extent, that is...
  7. I need HELP!! with IV starts

    I'm an ED nurse and have to do alot of IV starts. Looking back, it seems like success depends on three factors. First, there is technique. I'd guess that yours is pretty good, from all the coaching...
  8. Where do you buy your scrubs?

    Mainely Scrubs and Green Scrubs are two smaller companies that make high quality scrubs in the USA. Both sell on-line and my experience with them has been excellent. You'll pay a buck or two more per...
  9. Is 'E.R' the tv show accurate?

    Is "ER" accurate? Depends on what you mean by "accurate". The show's producers make a big deal about their technical authenticity, and I suppose the medicine shown is way more real than silly shows...
  10. can i handle ER nursing?

    I agree. Just keep an open mind. The ED might look great now, but you'll be seeing thousands of new things in school. You'll get a chance to do clinicals in several different specialties and maybe...
  11. New ER Nurse

    I was (a long time ago) a new grad ER nurse and former EMT. Your EMT experience will help some, especially in trauma cases. However, the ER is a world onto its own. Except for basic pathophys, the...
  12. There's been so much good advice on this thread - I will chip in another plug for shadowing, especially if you can do it at the facility you hope to join. ER's vary tremendously. Shifts also vary...
  13. REST BREAKS for Nurses in The ER

    Just the other day in the news - Walmart got hit with a $172 million verdict for not giving its employees required rest breaks. Any hospital HR department head who doesn't recognize this potential...
  14. good Samaritan or emergency care doctrine

    Actually, my statement is accurate - in this state at least. A claim of negligence is one that alleges the nurse acted unreasonably or not as a prudent nurse would act. I don't know all states, but...
  15. REST BREAKS for Nurses in The ER

    As said by others, your state might or might not have a law or regulation covering breaks. However, if you have a union contract, it is certainly set forth in some detail there. If you are not...
  16. From what I could make out from the materials published by the NCLEX folks, you absolutely cannot tell how you did from the number of questions. It is not like a normal test. The computer gives you...
  17. good Samaritan or emergency care doctrine

    You are right. To make a successful claim of negligence, a plaintiff must first prove you had a duty to act. No state holds that a mere bystander, regardless of training level, has a duty to
  18. good Samaritan or emergency care doctrine

    The question is not very clearly drafted. "Good Samaritan" rules are created by state statute and so can be different in each state. In general, these laws say that any person who volunteers their...
  19. Shoe question...

    As you can tell from the replies, the "shoe" answer is .... it depends. In my experience, the most comfortable, supportive, "on-your-feet-for-12 hours" shoe I've had are danskos - although they take a...
  20. I volunteered in our ED way back before going to school. One of the best things I've done. As an ED nurse now, I can say that a good volunteer is worth their weight in chocolate. Our volunteers...
  21. Yep, the manager of our Dept gave out those same buttons with instructions to wear them. I work a rotating shift and so see most of the nurses. I never saw a single nurse wearing the button - except...
  22. HIGH Blood Pressure

    Yes. you might want to separate the issue of chronic hypertension, which you might see most anywhere, from an emergent hypertensive crisis, such as we might see in the ER. If someone comes into the...
  23. vasovagal - syncope

    IF you are a student, try not to worry about this now. You'll have plenty of clinical experience to find out what area of nursing is for you, and nursing school is tough enough without spending time...
  24. Yep, the exact same thing happened to me. After all my nursing school rotations and a year in the ER, the only problem I've had was not with patients, but with a couple of the nurses in L&D....
  25. ER Nurses Treated Different in my Hospital!

    Right On! Not to mention that three minutes after getting the call that the room is ready, the charge is calling you, demanding that you move that patient THIS MINUTE to make room for the next of...