mish_RN

Awww how nice. I love it.

Restraints? One to look out for.. hehe

Don't forget your CO2 monitor. Find out which meds your docs like to use and look them up, familiarize yourself so you know what to be on the look for. We used to have RT at bedside prior to procedure too, but I don't know your policy. Speaking of, understand your protocol too so you can CYA.

Wow Thanks for the info.

25-50 of Benadryl, 10 of Reglan, 1 L NS bolus, and a dark room/side of the curtain. Sometimes given with 10 of Decadron and some O2. Never any narcs for migraines. Causes that rebound pain, one MD said.

My fear comes from telling before the first trimester, worried I'll jinx it. Although I was very worried the other night, had a lot of pts With the flu, diarrhea, hiv, etc. Then not to mention a very combative pt. And lastly, worried about benefits. Will it cover my pregnancy since I'm still new? Pretty certain I got knocked up after I signed on, but never had to worry about this before because this a private hospital which explained the benefits vaguely.

Was told still very early in the pregnancy, poss 4-5 weeks. Worried because just started a new job then no benefits until April and the risk of exposure at work. I don't want to say much because it's still early. As for the caffeine, I can have less than 220 mg a day, which is more than enough :)

1 week after orientation I found out that I'm pregnant with my second child. How soon would you inform management? How to survive without monster or coffee? Thanks in advance.

Thanks for the share.

I do 2 things: 1. I tell them I can come back when they are ready to go home. This usually catches their attention and they get off the phone. 2. If it was during my assessment, I just ask them to "please finish your call after I examine you. I need to make sure I have all the accurate information so I can give you the best care tonight." These usually work. No problems for me.

Thanks guys. The level 2 is in a smaller city and is a community hospital, so I know the move to this bigger city will have more opportunities for me. I plan to go back to school and hopefully save money for a house, thus moving back in with the family. I guess I'm just nervous about the new job. I know I will miss the traumas and have to be the newbie again. I have great coworkers and management too. However, I'm starting to believe this move is the best for me and the family.

First of all, Happy Holidays and thanks for taking the time to read/reply to my post. I currently work in a Level 2 Trauma ED for 15 months now. I was on a MedSurg/Oncology floor for 1 year prior to my transfer to the ED. Keep in mind, I moved my family to start my career after I graduated. So I'm back home for the holidays and recently got offered a job in a Level 4 ED. More pay, back at home with my family, less PT to nurse ratio, and the job is at the hospital I originally applied at, but was told to come back after I "get the experience." So anyways, I accepted the position, but now I feel guilty. Why? I love working with my ER crew now. I guess my question is, is this normal and how do you guys adjust after switching jobs? Thanks in advance!

Love it

When people come in for things that their PCP can take care of can be "waste of time." However, the simplest complaint can lead to straight to surgery or a common back pain with no health history can be a GI bleed. I've learned with being in ED for a year to expect the unexpected. Because as an ED nurse, you never know what can walk through those doors.

Cool! Thank you for posting :)

Thanks for the reply guys. We can't let them stay in the ED room/pod chair after D/C. I usually let them hang out in the lobby and tell them to be good so security won't kick them out. It does suck and it can happen to anyone at any point.

There have been times that I feel crappy about discharging some (not all) of our homeless folks especially when the weather is really cold and really hot because I know they have no where to go. The shelters are close already by time of d/c and some sign back in with a random complaint just to have a warm/cool place to stay in. Am I the only one? **I'm talking when it is calm, no traumas or real sick pts in the ED.

1 manager and 2 assistant managers (1 for days & 1 for nights). They are ER only.

I was on MedSurg/Oncology for a year then moved to a Level 2 ER 8 mos ago. It's a totally different pace, gotta be quick and accurate. Trust your gut and believe in team work (we do team nursing). Don't be scared to ask questions, better safe than sorry. You learn something every day. Good luck, have fun, and get ready!

Here in TX, our techs draw those labs. The pts can either consent or not, if they don't, they get an extra charge. PD brings their own consent and kits. However, if the pts are already under custody, PD doesn't need consent.

We got lab coats and food.

That was awesome!

Inside the room, I don't show any emotions while they are going at it which ****** them off more. It usually doesn't get to me, but that night was crazy ridiculous. I once had a pt, totally drunk, act about as "special." The family recorded the pt cussing me out, called me name after name. Anyways, the pt came back a couple days later for pain med, recognized me and apologized all shift for the behavior that was displayed. However, no meds because he was around mid 270s etoh, didn't want to literally make him stop talking.... But thanks for the input guys. Ever since I moved to the ED, every shift has been full of surprises.