LakeEmerald

LakeEmerald

Emergency/ICU

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All Content by LakeEmerald

  1. Screaming match with my preceptor

    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 you will not take any crap. Acknowledge to manage...
  2. Lessons Learned From A Decade Of 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 when things get hectic, and treating others the w...
  3. Need advice, please

    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 thing to do is accept the ICU position (since you al...
  4. 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 killed people? Instead of: They were tremendously s...
  5. Ideas I had for helping to educate the public

    Your ideas are good and solid. Thanks for sharing them. I wish you all the best in your journey.
  6. Want to quit after 3 months!

    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 graceful exit and will serve you well, especially ...
  7. Developing a thick skin

    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. I mean truly listen to their CC, show concern (e...
  8. RN that doesn't want to be an NP

    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 occasionally to have the privilege to be intimately invol...
  9. Brian Short News

    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 you.
  10. Narcissistic ED

    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 to everyone, including those who write their payche...
  11. Adenosine administration

    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 would be on the defibrillator/cardioverter/monito...
  12. Spice?

    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 so combative and revved up that his muscles had b...
  13. Price of Patient Satisfaction

    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 have appropriate back up. It is never OK to be ye...
  14. HELP.Giving magnesium sulfate T.I.M

    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 use the ventralgluteal and it's what I mostly use ...
  15. Is it possible to move from surgery to ER

    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 coordinator. If you express a healthy curiosity for the E...
  16. Nurses and their pens

    Pencil....? *shudder*
  17. You're Not Dehydrated.

    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 hopefully be at least half-way or all the way in by...
  18. Nurses and their pens

    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, Farawyn!
  19. Our units acuity is at an all time high.

    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 and turn out to be septic.
  20. Elephant in the China Shop

    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 confidence in you. Just keep them covered as much as possib...
  21. You should know better

    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 the Common Cold. I believe medicines should be th...
  22. I'm a sexless nurse

    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 you would help me lift my heavies! It's called ...
  23. Is ER nursing out of my league?

    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 you!
  24. Weird Job Shadowing Experience

    I gotta say, it sounds strange enough to be true. Best of luck in your job search.
  25. PLEASE HELP! fired/demoted RN still on orientation

    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 trails!