does a facility or mentor have to sign off on hours? does it need to be in a healthcare facility or can it be volunteer or private work? do you have to work under a CDE? do you have to have a BSN or be an RN for a specific number of years? I'm no...
So I'm adjusting to working in the ED and really do enjoy what I do for the most part in terms of the actual job and the care I provide. I enjoy the fast paced and collaborative nature of ED work, and I feel like I've learned so much and now want my...
Hello - well I passed nursing school and I'm almost done with a 9 week graduate nurse externship I've been doing in the Emergency Department of a hospital here in New York and I love it! I'm also studying for the NCLEX-RN which I have scheduled for ...
BrooklynRN11201 replied to KYARNP's topic in Emergency
sure, okay, spin it like that. meanwhile, I think it's entirely closed minded and unrealistic to expect to be mother superior to everything that walks through the door. did you get licensed to care for the sick or did you get licensed to help get dr...
BrooklynRN11201 replied to newgrad1988's topic in Safety
what could you possibly get from a 5 year old? if you didn't puncture your glove or feel anything, you likely did not get stuck. I've had a needle stick and you would definitely know it if it happened. as for HIV, it's an extremely unstable virus t...
BrooklynRN11201 replied to helpers56's topic in New York
your father is 100% right - I work with two NYU grad RNs and I graduated from a community college - we all work in the same department of the same hospital, and I don't notice them having any more skills or knowledge than me. nobody cares where your...
BrooklynRN11201 replied to CP1983's topic in New York
network network network - doesn't matter at all than you're an NYC employee, if you're applying to an RN job they want you to have experience or to at least KNOW you, know that you're going to be a good nurse, know that you're responsible and profess...
BrooklynRN11201 replied to KYARNP's topic in Emergency
I see a ton of drug seekers in my ED and it is sad, but it is also extremely frustrating and a burden on the whole system. I don't see anything wrong with making fun or talking about these people behind their backs - we do that to plenty of other pa...
BrooklynRN11201 replied to NurseStelri's topic in Emergency
we have a totally separate ED for psych - but 9 times out of 10 they need to be medically cleared first, so we take care of them, get a psych consult, and try to move them to psych ED ASAP. it mostly works, but I honestly wish it were opposite - hav...
BrooklynRN11201 replied to tarotale's topic in Emergency
Well for me, we chart the minute things happen - as you know, everything is STAT so times are important. If I can't document it right away, I write the time on my hand. Needless to say, by the end of my shift, I've got some pretty inked up hands an...
BrooklynRN11201 replied to joe007's topic in Emergency
I work 12 hour shifts 3x a week (and 4x a week one week a month). I work 7:30pm to 8am and the day shift works 7:30am to 8pm. We all have a mutual understanding that we will arrive at 7:30am/pm, get changed/ready in locker room, maybe have a coffee...
BrooklynRN11201 replied to Ciale's topic in Emergency
I'm a new nurse and have been in the ED for a little over 6 months now. I'm pretty comfortable for the most part and we're a super busy inner city trauma level 2 and we're ALWAYS short staffed (typical RN to pt ratio is 1:12)... but I feel like I'm ...
BrooklynRN11201 replied to Emergent's topic in Emergency
my goodness, some of you sound like you work at FANCY facilities! I'm lucky to find a monitor that works in my ED. I usually set the parameters around my pt's baseline for the most part, but I always look when I hear any alarm going off - it onl...
BrooklynRN11201 replied to meghanlyn's topic in Emergency
your background is the EXACT SAME as mine. I graduated last June, interned in the ED July/August, got licensed in September and started my first nursing job in the same ED in December. I had the same feelings as you too - it's all 100% normal. I ...
BrooklynRN11201 replied to Louerrn's topic in Emergency
I 100% agree with this - it's the same at my hospital and I don't see what the big deal is. The provider wants IV contrast for a hard stick? Get the ultrasound and do it yourself - I'm not compromising my pt's safety with your "can't you get a 20g ...
BrooklynRN11201 replied to mmciv's topic in Emergency
I know this is a vent thread and I completely understand and share most of the frustrations you do, but do you have a union? can you refuse to work during understaffed and unsafe conditions?
BrooklynRN11201 replied to KYARNP's topic in Emergency
I work in an inner city ED in a very low income/low education area where we see A LOT of drug seekers. I know every ED has drug seekers, but I mean, we have A LOT! I do think our biases affect our ability to see pain as truly subjective. I know p...
from Jan 2014, not sure if it's been posted yet, but did a quick search and didn't see it: http://www.acepnow.com/article/myths-emergency-medicine/ text: See link for complete article
BrooklynRN11201 replied to BrooklynRN11201's topic in Emergency
very intelligent and SPOT ON advice, I appreciate it. to be clear, I do have at least a couple of patients shake my hand on discharge and tell me I was excellent on each shift (which does make it worth it). I do provide personable interactions and ve...
BrooklynRN11201 replied to BrooklynRN11201's topic in Emergency
I think you are missing my point entirely - never did I say ALL my pts are drug or ETOH addicts, but you are very VERY wrong about people not specifically choosing to come to the ED "just because they are drug seekers or drunk" - it happens all the t...
BrooklynRN11201 replied to JUSTYSMOM's topic in Emergency
well the obvious are the psych patients... I had one the other day who swore there was a squirrel stuck in her vagina. but one time I was working trauma and this lady comes in saying she fell on black ice - I asked her what hurt, what was her trauma,...
BrooklynRN11201 replied to mterrybsn's topic in Emergency
I'll echo what everyone else said - I am technically a new grad (June 2013) and the only reason I got a job in my ED is because I externed here over the summer and made some nice connections. I realize I am very very VERY lucky. That said, the types...
I might be relocating to Huntington Beach, CA from NYC in a little less than a year from now. I know it's a little premature, but I'm just wondering how the job market is there and if anyone had any advice on getting a job? Technically I am a new ...
BrooklynRN11201 replied to Caleb_RN225's topic in Emergency
Maybe of the seconds/minutes you're supposed to push? I know nurses who push meds way too fast (like in 5 secs) but I don't even count, I just do it as slow as possible giving a few seconds between each advancement of the plunger. But even if it's or...