bebbercorn

bebbercorn

Family practice, emergency

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All Content by bebbercorn

  1. Differences in US nursing vs the rest of the world

    We have intubated our fair share of drunks who "couldn't maintain their airway." (They usually start pulling at the ET tube as you're starting the propofol) My new ED typically does not do that, it's...
  2. Role in level 1 trauma

    Agree with all of the above... usually at least 2 RNs until the severity can be determined. Sometimes more until we get them to
  3. Type B in a Type A world

    I'm an
  4. Clinical classmates hate me

    Sorry about your awful classmates. Ignore them. Immerse yourself in your studies. Keep busy in clinicals. And, don't share your fabulous notes with the Mean Girls anymore. You may not always be...
  5. Where are all the NP preceptors out there?

    Yes, we have a directory... that's the list I've been going from, outside of google and cold
  6. Where are all the NP preceptors out there?

    I have been doing the letter and resume, but with little response. Cold calling is not much better for me, I get sent to voicemail for the office manager. It appears that I'll have to take a term off....
  7. Where are all the NP preceptors out there?

    I am going through this now, and am wondering how you have done? I refuse to pay extra for a preceptor through one of the matching sites... but it is oooooh so tempting. I am in an area that "only...
  8. Too Old to Enter Critical Care Nursing?

    I think one of the benefits of someone going into critical care a little later is that you are better able to handle and process constructive criticism. When I entered trauma (after 30), some of the...
  9. First job: Community or Teaching Hospital?

    If your intention is traveling, I would take the larger hospital. You can always take a travel contract with a community hospital later, but you won't necessarily get to go the other way. I have...
  10. didn't call about anticoagulation

    I am so sorry for your rough day!!! From ED perspective (and I don't think this is necessarily right), generally the admitting MD orders it, and it is started on an inpatient basis. Unless, the...
  11. Rescinded Contract

    How can a practice get away with
  12. Rescinded Contract

    What is a "non-complete clause" from a future NP? Thanks for clarifying in
  13. Delay in transfer to floor

    How detailed do you all get in your notes about charting delays in getting pts to the floor. E.g., when you are meeting resistance due to the admitting team, or floor concerns, do you put that in...
  14. How did you deal with the stress of an out of state move?

    It's one of those life events that causes the most stress... I have moved probably more 30 times, across country, ocean, city... you name it. I get stressed out every time. We are moving across...
  15. Not Enough Backup-CPS?

    OP, sorry you are going through this. Unfortunately, I've had to contact CPS more than I'd like. If they feel they can act on your information, they will. I've sometimes called and they've said they...
  16. refusing assignment

    Your facility is required to allow you a pump break. Texas Mother-Friendly Worksite Program - Breastfeeding
  17. Resignation

    OP, you are going to have a hard time getting any kind of reference when you leave on such short notice. I would, like everyone else here, highly encourage you to give two weeks notice. It is the most...
  18. Delay in transfer to floor

    We have been (like everyone else) trying to maximize throughput through the ED. My manager has encouraged us to write her with situations where we can't get the patients up. The debate is whether to...
  19. Delay in transfer to floor

    Certain things are understandable: room not ready, nurse is up to her ears in c. diff, another pt is crashing, etc. Nurse is at lunch, or no one is answering the phone is not a legitimate reason for a...
  20. Question from a doc on NP education

    I'm in an FNP track, and I don't get a lot of training in acute illness and injury. There is more recognition of abnormality and when to warrant referral to specialty care or for emergency treatment....
  21. I started on a Step down unit. I was one of a half dozen or so in which 4 of us really were successful and 2 were not... they were kept on, but with extra orientation. Here is one thing I noticed...
  22. Delay in transfer to floor

    Perfect example... do you escalate this when it starts to get ridiculous on the part of the RN
  23. Sometimes, you have to feel grateful

    You are my spirit
  24. Inserting an NG tube post arrest

    I second all of the above, I actually can't remember ever putting in an NGT on an intubated pt, I've always gone straight for
  25. Delay in transfer to floor

    Thanks for the feedback. My facility usually is pretty good on the side of the floor taking report. Recently I've run into a few issues. I'm at a loss at times as to whether I need to do a patient...