- Terminated the third week into my orientation
- Terminated the third week into my orientation
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What would you do
Something similar happened on Nurse Jackie on the last (?) season. And, as far as I am aware, insulin drips are a double RN check where you can't bypass the sign off in the flow sheets like you can with pressors. Granted, I guess this all depends on facility policy. In any case, it's a med error and likely to be reported which would result in either suspension or termination. Hopefully the hospital is unionized and not a right to fire facility.
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Central Line Placement and Masks
Generally the people placing the lines wear the masks or the people that are almost breathing on the patient's neck have to wear the mask. Otherwise, no.
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Discharging patients on the board
I had a charge who would discharge patients without telling the nurse and the patient would still be in the room. It's to keep the discharge times If management did this, I would notify not only the union, but CMS as well.
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Needing some advice
EMTs and Paramedics told me this: Most of the time, you will be a glorified taxi driver for transport. HOWEVER, those crazy moments you see tend to make up for the crap transport. I have the utmost respect for our first responders.
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ER patient wanting pain Meds
One of my facilities has a .phrase in Epic for narcotic administration that says patient must agree to have a ride home, etc. I've adopted this at my other facility to protect me as many patients say they have rides, but in fact, do not.
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CEN as a new grad ABSN?
Just get the CEN. You will learn a ton. Forget the naysayers who tell you that it's required to get the experience. If you got the time and money to study, do it.
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Futile ressusitation
You guys are saying these are futile resuscitative attempts. To your eyes, yes, they are. To the families watching that every possible thing is being done for their loved one IS NOT FUTILE.
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Will I be fired
I would just in case start applying to other hospitals while you still have a job.
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Inpatient Boarders?
It happens from time to time that you board inpatients patients in the ED for >3 days. However, I haven't been in a hospital that sounds like that bad.
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New Trauma Nurse Help
I'm assuming by now you've taken your TNCC? Nurses don't do a whole lot in trauma aside from the line and labs and blood transfusions. As the primary nurse, your main goal is to chart the primary and secondary survey and place orders that the doc says.
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MedSurg Trauma RN transition to Emergency Nursing, what do I need to expect and know?
Some people do take notes in the ER like they would on a medsurg floor. I don't get it at all. The important stuff should be able to be memorized and even if that's not the case, just glance at the chart while giving report. Most ER nurses will understand that it can be busy.
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Just got an ED RN position, Advice needed PLS!
Anyways. You can read up on Sheehy's Manual, ER nursing bible, critical care pocketbook. Brush up on PALS, ACLS, and NIHSS. Get your TNCC fast.
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Just got an ED RN position, Advice needed PLS!
You hate medicine? As in primary care? Or medical-surgical? Most of your ER patients will be medsurg based, few will be ICU, even fewer will be trauma unless you're in a major trauma center. The way you make it sound it's as if you shouldn't be in the MEDICAL field in general.