samie

my least favorite are the one's that come in with their child who has a runny nose and is running all over the waiting room drinking a coke and eating doritos........ after triaging said child mom say's the other child has a cough and want's the other child seen too. after triaging child # 2 mom says she's also had a cough for 2 weeks and "since I'm here" might as well been seen too. aaahhhhh yyesss....... job security :rotfl:

I don't have the website. It's done through our risk manager, she sends us a link. I did a google and found a link to one for ya. http://www.nursingeducation.com/welcome_download.htm The one we do is 10 hours also, lot's of case studies and examples. Hope this helps

We do annual online EMTALA training. It's mandatory. Very informative too! :rotfl:

Hi Beth, I agree with needsmore$. Though your hospital is not a trauma center does not mean you won't see trauma. I work in a hospital that is not a trauma facility but is the only hospital in the county. We see trauma. I strongly recommend you at least do TNCC. It will help you organize the chaos...... at least in your head. You'll find you have a constant priority list playing in your head the whole shift :) After doing this for 20 years the best advice I can give to someone new to the ER is know your limits. Know when you're in over you head. It's OK to ask for help and it's OK to look things up...... use your resources. Good luck to you and if you like it, the chaos is what keeps you coming back for more! :rotfl: sam

Thanks guys for your response. wayover... your situation sounds live one I've been in more than once. It used to be a rare thing now it's almost weekly. I've been in some situations that I felt were unsafe and I went up the food chain..... chrg nurse, manager etc.. but, I did not document it. I will in the future. I love the ER but I've found myself wondering lately if it's worth it. I keep a smile on my face and focus on what's right in front of me. sam

I would like input as to what others are doing with ICU holds in the ED. The ED I work in is holding patients nearly everyday. I can handle the M/S folks but the ICU holds leave me nervous. I do not have ICU experience and am not familiar with the paperwork. When we are holding, we are assigned a hold room and 4 other ER rooms to equal 5 rooms per nurse. At that level I can not provide the same standard of care that they do in the ICU where the nurse to patient ratio is 2:1. I have discussed this with my manager but am told that if I can work ER I can handle an ICU hold. What to do? Thanks for your feedback! :)