1fastRN

1fastRN

Emergency Nursing

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All Content by 1fastRN

  1. SOB interventions on dialysis patients in ED

    Yup I stayed late to document the heck out of my chart. He prescribed a baby dose of MS, 2mg. Being a heavier lady and not super old it barely touched her. I just felt like crap not being able to put...
  2. Just curious, what's the standard pay increase at your facility following a performance review? Is there a standard percentage? Also feel free to throw in base hourly pay if you wish, since it differs...
  3. New RN in ED

    Nursing school is NOTHING like working in the real world. You're not alone in feeling that way. you'll look back in a few months and be astonished at all the things you've learned so quickly. Ask...
  4. Do you like your job?

    ER nurse here. Love it most days. Short staffing and too many patients per nurse can make me hate it. In general I love the job in
  5. The Infamous Cab-ulance

    Taken in for EMS for a rash for a week. Patient now has no rash. "You don't know what caused my rash!?" No, and there is no visible rash. Go see an allergist. Cab voucher home? You have an iPhone and...
  6. This happens from time to time, especially when the clerk gets so tied up and they "thought" they called to confirm the bed. The nurses used to be the ones to call and confirm but they've now...
  7. New RN in ED

    Great advice in this thread! You will be overwhelmed and feel like your drowning. You even may want to cry. This is normal and it will get better. I promise. Keep your head up, keep positive, treat...
  8. Makes sense, I've had numerous patients actually say they "liked" the pain of getting an IV put in because it distracted them from whatever pain brought them into the ER. Like when you have a headache...
  9. How to deal with negative nurses.

    I have to second you on this! I sometimes rant to friends outside of work (many are nurses elsewhere) and I've definitely tabbed to other nurses in the med room. I feel a sense of relief afterwards....
  10. How to deal with negative nurses.

    As others have said I think a lot of it is burn out. And I'll second it that it's important to take vacations and time to yourself. Also, I find if I take a lot of overtime I spread myself too thin...
  11. RNs with less than 1 year of acute care experience

    All you can do is try. I landed a position in the ETD on the east coast with no experience. In all honesty it was just luck. I applied and a position opened up, it just happened to be perfect timing....
  12. Haha I can definitely relate to all of these! And yup love when they wait until shift change to assign beds. I love when my ICU patient gets a bed at 6am and the nurse in the unit won't take report......
  13. Agree with most of what you said, and yeah might be a little different work culture. Just saying I'm scheduled until 730 so if im done with report by 715/720 I don't mind staying to wrap things up....
  14. Why are nurses not paid more?

    I make decent money working in the tristate. More money is to be made in NYC but the cost to commute isnt worth it in my eyes for a few bucks more an hour. Working nights is a plus too. Hopefully I...
  15. I work in the ER so my discharges are quick. I also like to.discharge a patient ive had all shift since ive already established a relationship with them. I am able to answer their questions a bit...
  16. NO, three in a row is killer. Four in a row and im a
  17. I'm an ER nurse with a BSN. I want to pursue futher education to broaden my knowledge and keep myself marketable. My hospital offers tuition reimbursement that would allow me to slowly pursue a...
  18. The Culture of Nursing

    Nurses who eat their young.... Ive actually only heard older nurses say this. As a young nurse this hasnt been the case. It is more so that ive had to "prove myself" to other nurses, docs, and techs....
  19. Patient is stable his whole ER stay, came in for opiate "overdose". But he was aaox3 and ralking for hours. Im giving report and i decide to do it bedside for this patient. Whelp, now hes unresponsive...
  20. Only 3 days orientation as a new nurse... Hmm whole thing seems strange. I think a loner orientation would benefit you but the fact they want to pull you from FT is weird. Is it sort of a probationary...
  21. I was in a 15 month accelerated BSN program following a psychology bachelors. Passed the NCLEX and had no issue finding a job after a couple
  22. What age did you complete your BSN or ASN?

    BSN 23, have a bachelors in psych as well. By 24 was lucky enough to get a FT ER
  23. Most common (+ overlooked) reasons for abnormal vitals?

    Very sick febrile CA pt was was admitted to onc floor... No bed yet so he was being held in the ETD. When i got report on him he was at xray. He came back and he was AMS but i didnt think much of it...
  24. Most common (+ overlooked) reasons for abnormal vitals?

    Or you look up at the monitor, see a HR of 220 and think "that can't be real, the pt must be moving around." Nope, perfectlyregularcomplexes.... SVT. Time to grab the adenosine! Yup happened to
  25. Another tattoo Discussion

    I'll put in my two cents. Where I work the policy is very vague. I have two half sleeves and I CHOOSE to keep them covered with 3/4 sleeve shirts under my scrub top. Unfortunately I sweat my butt off...