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caddywompus has 9 years experience.

caddywompus's Latest Activity

  1. caddywompus

    Am I ill-suited to the ED?

    I remember coming from MS to ED and being both amazed and terrified by all I could do and was expected to do without an order. It took a while to get standing orders/protocols and to feel even a little confident. Definitely like being a new grad again!
  2. caddywompus

    Am I ill-suited to the ED?

    In a perfect world... Where to start? As others have said, ED is very different from other areas of nursing, and each ED has its own culture and flow. For many nurses, coming to the ED can be a little shocking or eye-opening. All of the "fluff and puff" goes to the wayside. There just isn't time. Even if there is time now, in ten minutes that can all change. I'm not saying we are uncaring. You just have to prioritize your care. Then re-prioritize. Then start over again. A few things- the disdain for psych patients. It's not disdain, really. You'll find if you work ED, psych isn't always psych. Sometimes it's "I don't want to go to jail, so I'm going to say I'm suicidal." Or "I got evicted and need a place to crash. Better go to the ER." With that said, many are truly psych patients and there's no doubt the system could be better. Psych patients, like all patients are as varied as they come. Some are manipulative. Some are just plain dangerous. And some are just sad. You said, "I would like to think about the future for the patient and not just their present needs." You have to remember, the ED is focused on present needs. ED is meant to stabilize. Stabilize and Move. A disregard for all things not life-threatening- that is why it's called EMERGENCY DEPARTMENT. Sorry, not at all trying to sound harsh. Assessments are quick and focused. They have to be to ensure there is a room and staff available for the patient brought in not breathing or post-trauma. I don't mean that it is only important if it's life threatening, just that again, it's priorities first. Example, a chief complaint of "Elbow pain x 3 months" is lower priority than "Elbow pain and limited ROM post-fall at 0300." It's not that the 3 month elbow pain doesn't matter. It's just obviously not acute. If often makes us wonder "why now" is it an ED visit? The second CC gives us something to work with, something to rule out. We don't do that- Not sure about this one. No doubt it can and has been used to avoid work. Human nature being what it is. I can't think of any examples. I think we do what we can in the limited time we have with our patients. ED is awesome if you can let go of the little things, prioritize, and adapt. You'll find you have to be quite direct to get things done. I don't mean rude. Just direct. Direct with co-workers, patients, and patient's families. Some will test you. Confidence shows. Speed with empathy. We have to move the patients or the gears come to a grinding halt. Remember this, the ED (and maybe L&D?) is the only department that can't say no to another patient. The doors are always open, regardless of staffing, icy weather, and full-moons. I wouldn't want it any other way!
  3. caddywompus

    SNHU online RN-BSN

    I graduated with my BSN from SNHU. It's a great program, intense but workable. I wasn't crazy about the group work but it was really only a small portion of the assignments. The professors are very helpful, but know your APA formatting as there is a lot of writing involved. The program is now CCNE accredited and retroactive for past graduates. I am very happy I chose this school.
  4. caddywompus

    Excelsior-Caveat Emptor-Let The Buyer Beware

    This post is completely biased due to failure. I passed with Excelsior on the first attempt with no repeats and had a wonderful, though stressful (of course) clinical experience. You are in NO WAY required to use The College Network and Excelsior is clear about that. I bought all of my materials from Amazon for cheap. I have no regrets about going through Excelsior. They also publish their pass/fail rates and this information is easy to find. It's been a few years since I've looked at it, but at that time the clinical pass rate was somewhere around 64%. With all that said, I am sorry EC didn't work out for you and wish you the best.
  5. caddywompus

    8 months as a nurse and I am failing miserably

    Caddywompus has a BA in English :) ... http://www.prdaily.com/Main/Articles/The_ellipsis_is_abused_and_misunderstood_7722.aspx Come on, people. Don't be offended. Yes, it also can indicate a pause, however, too many pauses in writing annoy the reader and make the writer appear to lack confidence, which, in this situation is understandable.
  6. caddywompus


    smo153, I applied to staff nurse positions. I thought residency was for new grads. I'll check into that. Thanks
  7. I would not recommend writing such an email, ever. It would definitely seem overly aggressive. You applied. You interviewed. If they want to hire you, they will. Just don't take it personally. You never know who you are competing with for a job. Sometimes these things are a blessing in disguise. One job I wanted so bad. I got an interview. It went great. I was even told, "We'll be seeing you back here soon." I did not get the job. Months later I found out that if given the job, I would have been working with someone I knew years ago and DETESTED. One door closes and another opens. It's the worst time to be a new grad. I feel for you. Don't be offended. Realistic feedback is positive feedback.
  8. caddywompus


    I had a phone interview three weeks ago. It seemed to go well. The recruiter said she would recommend me and that I would probably receive a call the next day. Nobody ever called. I'm trying not to get too down. I just went right back to applying on their website. I've heard the turnover is slow there. I guess if no one wants to leave then that's a good sign.
  9. caddywompus

    How to welcome a new staff member to the ED

    Ok, I consider myself to have a good sense of humor, definitely twisted (hence the name), but starting in an ER is stressful enough, or at least it was for me without being pranked. I guess it just depends on the orientee. I'm sure I could have handled someone jumping out of a box, but if I wasted 20 minutes outside with a wheelchair I would not like that.
  10. caddywompus

    8 months as a nurse and I am failing miserably

    I work with sharks too. It is hard, especially when you are new. I can't say anything about this that hasn't already been said, but I must say this- for the love of God people stop doing this ... all the time. Sorry, I'm a grammar nerd. Those three little dots are overused and improperly used ALL THE TIME. A period ends a sentence. An ellipsis indicates an omission. Sorry, rant over. http://www.thefreedictionary.com/ellipsis Hang in there. The first year of nursing is the hardest. You're still learning. Keep your head up :)
  11. caddywompus

    Fired from my first nursing job, before one year

    Actually, in the ED where I work, several new grads and almost new grads have been hired, especially if they have paramedic/emt experience. I would certainly pursue that and don't be too hard on yourself. None of us is perfect. Also, we have not all been terminated from a job, but if you have-hey it happens. Some posters on this thread are making assumptions.
  12. caddywompus

    things said wrong that drive you crazy

    I hear "worser" a lot. Drives me crazy! As for "often" I have never heard anyone not pronounce the "t" and it sounds wrong to say it without it. Actually I have, usually by the same people who say worser :) "I get this pain pretty offen, but it's worser today." Here are a few more- am-ba-lance, pt's saying "the law" when they mean the police, ana-bot-ics, example "When I'm gon get my anabotics?", and perscription instead of prescription. Can you tell I'm in the south? LOL
  13. caddywompus

    What do you wear to meet a family?

    I wear my best scrubs unless the agency states they are a "dress casual" family. I also don't wear jewelry other than my wedding band and NO perfume.
  14. caddywompus

    Not affectionate enough???

    I can see both sides of this. Still, I don't think you can be asked to be more affectionate. Affection is felt, not forced. I am probably overly affectionate with my peds patients, but I can't help it. When I worked in Elderly LTC eons ago, I could not be affectionate. I just did not feel the same bond, though I certainly cared about my patients. I think asking someone to be or feel something they don't is just asking for trouble.
  15. caddywompus

    Boundaries in pediatric PDN/home health

    Yikes! I'm one of those nurses who regularly crosses boundaries. Some kids are just so much fun to spoil :) As the parent of a disabled child (does not receive nursing) I would be thrilled for more people to come to my child's party. The more the merrier, especially if they bring along a kid! I think it all comes down to what is best for that child/patient. But then, I am not a manager, just a rule breaker.
  16. caddywompus

    I left private duty nursing a year ago

    Most agencies keep you at prn or temp status even if you work 7days/wk. That keeps most people from being eligible for agency benefits, which in my experience are usually only considered supplemental and are expensive. I'm currently working for Pediatria. I don't know about their benefits because I get mine from my hospital job, but the agency is wonderful.