MikeyBSN

MikeyBSN

ED

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All Content by MikeyBSN

  1. Good triage stories

    I had a young guy come into to triage the other day with his pretty little girlfriend left outside and I asked him what was going on. So he sits there with the standard hand in a C-cup over his lower...
  2. Anyone gone from ICU to ED?

    My friend worked in the ICU for years and then came down to the ED. She made one great ED nurse, but she absolutely hated it. The pace and quick turnover was killing her. The best thing to do is...
  3. The basic rule that I have heard is 2 years, and I completely agree with that. I don't think anyone should switch jobs or floors after 3 months. I completely disagree with the above poster. If you...
  4. When I first graduate nursing school I was offered a job in ped onc, but I decided to go to the ED instead. I think I made a wise decision, although I think I probably could have done it, but it's a...
  5. No OB/GYN. The best part about where I work is that we ship pregnant women 16 weeks plus directly to L&D. Do not pass the ED, do not bleed and gush all over our stretchers. I would never do LTC...
  6. Mandatory Flu shots

    I would like see the evidence-based study showing that wearing a mask somehow reduce the transmission of flu from a person who doesn't have the flu to a patient. Sounds like the employer is trying to...
  7. Mandatory Flu shots

    I have been thinking about this issue a lot lately. Partially because they are starting to mandate the flu shot in NYC and other areas, and partially because I've always been a legal-political minded...
  8. Considering a career in nursing, Advice please!

    Nursing school can be both fun and challenging. If you are interested in becoming a nurse, you should volunteer or try to get a part-time job in a hospital. You can then ask to shadow some nurses...
  9. My advice: No. I think there are a lot better, and cheaper schools out there, schools that have specialty programs and clinical connections. Further, I don't think that going to get an MSN with only...
  10. Hi, I have been an ED and Trauma nurse for a few years now. I started as a first responder when I was a teenager, then obtained my EMT. In addition to my current job, I was considering doing some...
  11. We use the 24 hour clock in our ED. When we call the floors for report, we usually get "what is that, in real person time?" Personally, I think the 24 hour clock has more advantages than...
  12. I watch the news, and I take it with a grain of salt. Do you really believe everything you see on tv? Yes people have been infected. As far as I understand, only one needed to be hospitalized. The...
  13. You're right, RSV kills about 4500 people per year, the "swine" flu has killed 149, if
  14. If a kid at the school had RSV would it make the news? Would you
  15. I agree, I hate the media in general. My favorite was the duct tape to protect us from anthrax. Personally, I don't think the "swine" flu is anything to worry about. We already know that swine flu...
  16. Becoming a nurse then going to law school?

    To be fair, I didn't go into nursing to "pay the bills." However, I don't know if want to be on my feet for 12 hours a day when I'm fifty. I know there are other areas of nursing that don't take as...
  17. Top 10 reasons to hire a NEW GRAD

    I only count
  18. Do alternates get in the nursing program

    I'm sure that some alternates get in, or else they wouldn't have them. Most people apply to more than one school, and some people transfer schools. Sometimes people drop out as well. I do hear...
  19. Becoming a nurse then going to law school?

    I have my BSN and I'm in law school right now. I agree that you should really know that you want to do both. There are a lot of wrong reasons to go to both law and nursing school. I have always...
  20. "will continue to monitor"

    I must admit, I've seen what I think is some shoddy documentation when it comes to peds. Not that I've never made mistakes on documentation, but I think some nurses who don't work peds much don't...
  21. "will continue to monitor"

    We start ICU flow sheets in the ED when we are holding the patient. In general, most people like them. I'm a little attached to my own personal method of charting, so I'm a little resistant to the...
  22. "will continue to monitor"

    Personally, I would not document on a patient any less than ever two hours, even if that patient is stable. If the patient is critical, then continuous documentation is needed. Perhaps this is a...
  23. Trauma/Acute Care Surgery vs. General Surgery

    Generally, the Trauma/acute care post-surgical patient will eventually end up on a regular med/surg floor. Trauma patients and acutely ill surgical patients (ie. AAA rupture) usually end up in the...
  24. No more LPNs?

    In my area, LPNs are mainly used in LTC facilities and in homecare. I know an LPN who works on a "sub acute" unit in a LTC facility, which takes patients when they are discharged from the hospital...
  25. "will continue to monitor"

    You don't "need" to write anything in the chart. However, if one of you patients has a bad outcome and that chart lands on a tort lawyer's desk, I'm sure one line per shift that says "will continue...