livingthedream77

Why does the question start out with "if you are a know it all?" None of us are. Diuresis is priority, obviously. You don't want someone drowning in their own fluids. Drug screen is only necessary if meds to be given could interact. In this situation...

If you are not fully dedicated to nursing, it will be a very difficult and unrewarding profession for you. Scenario: someone is bleeding. There will probably not be a physician there immediately to tell you to apply pressure. You as a nurse are expe...

The first semester often serves as a period of time to "weed out" those that may not be good nurses. About 10 out of 60 failed in the first 8 weeks in my program. The amount of work was incredible, and those not willing/able to perform under that pre...

Hello, ladies and gentlemen of the ER. It's happened to us all, and I would love to hear your experiences. I work in a TINY 6 bed ER in the middle of corn town USA. There are 2 other hospitals of the same size near us, 5 miles, and 10 miles away. Mid...

No, the attacks are silly. Very junior high. That's what the ignore user function is for I suppose.

More insults. More assumptions. The hostility is palpable. Not professional, it's embarrassing. Now stop. Just stop. Thank you.

"Well we can tell where your bias lies from the questions/statements that you posted. I would say you are ill informed on the subject just from your posting, and there are numerous posting on this subject already." Stopped reading after this senten...

Recently, I got my 90 day review. I've been there 2 years. The reason was "I'm finally getting caught up." WTH. Then I was asked, "how was it being a new grad in the ER?" Now I'm P'd. So, I told the truth. I didn't sugar coat it. I told her, "I was t...

All of the hospitals in my area make you wear a mask if you don't get the shot, when the CDC says the number of cases in the area is at whatever arbitrary number is considered 'high'. At the local college, nursing students are forced to get the shot ...

*unless they've had a hyster, get the pregnancy test *don't let them scare you with "oh, they can never get an IV/my veins roll/you have to use a butterfly/you only get one stick". Sometimes, it takes more than one stick, especially if they are oh, I...

No, no, no. I simply refuse to believe that this actually happened!! If I did, my mind would explode. The only way this is acceptable is if the guys were, oh, 5 years old, both intellectually delayed, or suffering from shared delusion. I've heard al...

Kalipso, I think the worst part of it is as you say, these people want you to help, and you're trying, but you're getting 'verbally abused' for it. No where else would this happen. If you bad mouth a teenager at the McDonald's, the manager will step...

At the school I went to, nursing program entry was based on points. So, if you got As in the required prereqs (A&P I and II, Micro) your points were as high as someone who spent 2 more years and lots of $$$ getting Cs in zoology, chemistry, biolo...

LOL, well you see, he hadn't eaten since yesterday because he had ABDO PAIN! You know, the abdo pain that he came into ER for!! The abdo pain that was SO severe, yet didn't stop him from smoking.

Kalipso, truer words were never spoken!

MrChicagoRN and happyinillinois, thanks for your thoughts. What ticked me off is the complete lack of even minimal social skills. I would have loved to remind her that if she preferred another hospital, it was her right to go there, but as I said, I...

Hi Kalipso. You're assuming I never work on med/surg. I am speaking of MY hospital. We are very tiny. Everyone knows everyone. And 90% of the med/surg nurses at MY place do have the attitude I described. The CNAs are thought of as some kind of lesse...

We don't have sitters. If you call for a CNA to sit with a pt who needs it from med/surg, you get told they can't spare them. Guess the RNs on that floor would die if they had to clean up a poop (norm 4:1 ratio there). So.....if it's that bad that y...

Yes, miserable for sure. Understand the control freakishness with her spouse having serious issues, but dang. Who acts like that? Where else would you get away with this?

Guy with transverse myelitis. No feeling to speak of waist down. Well known to all local ERs. Look up drug seeker in the dictionary. There is his picture. To get pain meds: Has cut off the majority of the sole of his foot with a knife. Has ripped ou...

HOw many times I ask for previous medical hx, "none." Then you see in MAR they have insulin. "So you have diabetes?" Response...."No, not anymore. That's fixed now." The layperson usually has little idea. I ask about meds they take regularly, if it'...

Ask yourself these questions...Are they breathing? Is there any reason to believe they won't be soon? Are they pink, warm, and dry? Are they bleeding massively? Do they have bones protruding from their skin? These are the #1 folks to take care of. Ba...

Though he is right that there is no light duty in the ER, there should be something called teamwork. Used to be if health workers were pregnant, they were placed on light duty--no lifting over 30 lbs, etc. No more. Which I think is ridiculous. Proba...

I can't imagine that anyone would give you a hard time if you can do your job....but do be prepared if you have to counsel a pt to lose weight to help their condition. We have a couple large docs and they get no respect when talking to a newly dx DMI...

Phone triage--- "My girlfriend is bleeding!" "How much is she bleeding?" "I don't know, a lot!!' "Where is she bleeding from?" ".......uh......you know." "No, sir, I don't know. You need to tell me." "........uh.....her area....." "Do you mean her va...