LakeEmerald

LakeEmerald

Emergency/ICU

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All Content by LakeEmerald

  1. Screaming match with my preceptor

    LakeEmerald replied to jherd's topic in Patient, Colleague Relations

    I disagree with the posters who say you should leave because you are going to get fired. Continue to command respect. You stood up to this ill-mannered person and showed her (and everyone else) that...

  2. Lessons Learned From A Decade Of Nursing

    LakeEmerald replied to Surg-OncRN's topic in General Nursing

    Nice article. It reinforces many of the ways of getting through the day that I have learned to practice over the last almost 5 years as a nurse. Especially the ones about slowing down and prioritizing...

  3. Need advice, please

    LakeEmerald replied to NurseK_44's topic in Nursing Career

    If you already accepted the ICU job, then it might look bad to go to the ED interview. On the other hand, if you turn down the ICU position, you may not end up getting the ED position. The SAFEST...

  4. Requesting words of encouragement… I’m a new grad having a breakdown at work right now.

    LakeEmerald replied to BeatsPerMinute's topic in First Year After Licensure

    Sometimes we can't always prevent a death. If new orders were requested from more than 1 MD last night and you were instructed to monitor, maybe that's all that could be done. How was it your hands...

  5. Ideas I had for helping to educate the public

    LakeEmerald replied to SandyB's topic in General Nursing

    Your ideas are good and solid. Thanks for sharing them. I wish you all the best in your

  6. Want to quit after 3 months!

    LakeEmerald replied to abnRN's topic in General Nursing

    There's nothing wrong with approaching your employer with a professionally done resignation letter and stating that, "It's just not working out," without assigning fault to either side. It's called a...

  7. Developing a thick skin

    LakeEmerald replied to canche's topic in Emergency

    Show them as much love as you can. Most people are scared and feel out of control and want to know someone cares. I'm not talking about being fake and gooey sweet. Just simple kindness and respect....

  8. RN that doesn't want to be an NP

    LakeEmerald replied to Matt8700's topic in Emergency

    I don't want to be an NP. And I'm sure I could if I wanted to, I've always done very well in school. But, I love being at the bedside, where the action is! It's worth it to wipe a few butts...

  9. Brian Short News

    LakeEmerald replied to tnbutterfly - Mary's topic in General Nursing

    Brian, Allnurses has been a life-saver to me and countless others who felt they were alone until they found your community. Your work here was strong. Thank

  10. Narcissistic ED

    LakeEmerald replied to nikkimodl's topic in General Nursing

    Lol! I thought you were going to talk about how Emergency Department staff love their jobs/themselves too much! Just hang on, these types of off-balance people eventually make their nature apparent...

  11. Adenosine administration

    LakeEmerald replied to sreynolds's topic in Emergency

    Aren't you supposed to push 6mg, then 12mg? Wonder why the MD told you to push another 6mg instead of 12mg? Not how it's usually done. In my ED, yes, the MD would be at bedside and heck yes, the pt...

  12. Spice?

    LakeEmerald replied to AZQuik's topic in Emergency

    We see them weekly in our ED. Mostly male, mostly found babbling incoherently, confused, paranoid, fearful, combative. Some have tremors, a few seize. Had one go to the ICU for rhabdo recently: he was...

  13. Price of Patient Satisfaction

    LakeEmerald replied to knoxnurse236's topic in General Nursing

    Being yelled out because you are trying to politely and professionally enforce a policy is not OK and your charge should have reinforced your back on this, as well as your director. Sorry you didn't...

  14. HELP.Giving magnesium sulfate T.I.M

    LakeEmerald replied to ArwenRivendell's topic in Patient Medications

    Just curious, are new nurses are being taught to give IM injections in the buttock area? I thought this practice had been rejected because of potentially hitting the sciatic nerve? We were taught to...

  15. Is it possible to move from surgery to ER

    LakeEmerald replied to RNShenanigator's topic in Emergency

    Find a friend in the ED that will allow you to shadow her without pay for a few hours just to see what it's like. In the process, make sure she/he introduces you to your director or clinical...

  16. Nurses and their pens

    LakeEmerald replied to Brian's topic in General Nursing

    Pencil....?

  17. You're Not Dehydrated.

    LakeEmerald replied to Anna Flaxis's topic in Emergency

    Our MD's often order IV fluids before the labs are even drawn or complete. I think it covers the patient just in case they are dehydrated, and helps speed along their ED stay since their fluids will...

  18. Nurses and their pens

    LakeEmerald replied to Brian's topic in General Nursing

    My only requirement is it has to be a clicker and I have to have two in my left scrub pocket at all times. I get nervous when someone borrows one and I don't have two. Stay back,

  19. Our units acuity is at an all time high.

    LakeEmerald replied to TheNGTKingRN's topic in General Nursing

    Same here. Strangely high acuity this summer, especially an up-tic in sepsis cases. I've noticed an increase in patients that are healthy with no complaints the day before who come in with sudden pain...

  20. Elephant in the China Shop

    LakeEmerald replied to hcworker's topic in General Nursing

    Don't overthink. It's just the human body and it does what it does. Just be kind, compassionate, and do the procedure. If you're confident, competent, and comfortable, your patient will have...

  21. You should know better

    LakeEmerald replied to adventure_rn's topic in General Nursing

    I'm a coffee-head, but otherwise don't have other vices. I stay away from doctors as a general rule unless I am working. Including GYNs and mammographers. But I am a believer in Granny's Cure for...

  22. I'm a sexless nurse

    LakeEmerald replied to nursingaround1's topic in General Nursing

    Nursingaround, I agree, we need to acknowledge the limits and weaknesses of our coworkers, and work together to strengthen one another. If you were my workmate, I would help you do your catheters if...

  23. Is ER nursing out of my league?

    LakeEmerald replied to OkieDokieNurse's topic in Emergency

    If you are tough, willing to learn (and they are willing to teach), and if you do not mind running your buns off, then it's not out of your league. Best wishes to

  24. Weird Job Shadowing Experience

    LakeEmerald replied to SookieBSN's topic in General Nursing

    I gotta say, it sounds strange enough to be true. Best of luck in your job

  25. PLEASE HELP! fired/demoted RN still on orientation

    LakeEmerald replied to jrobbin44's topic in General Nursing

    So glad for you, OP! The CNO saw something great in you, and so did this other employer! Sounds like the CNO didn't intervene fast enough to retain a good nurse. Their loss. Happy