1fastRN

1fastRN

Emergency Nursing

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All Content by 1fastRN

  1. Mandatory meeting with employee relations?

    1fastRN posted a topic in General Nursing

    Not sure if this is the right spot to post.... Got an email yesterday from my nurse manager telling me to set up a "mandatory" meeting with Employee Relations in HR "at my earliest convenience." Any...

  2. Mandatory meeting with employee relations?

    1fastRN replied to 1fastRN's topic in General Nursing

    A couple months short of a year. I would think if it was a general HR follow up/retention meeting it would have been worded differently. Guess I'll find out on monday

  3. Nurse to patient ratio in ED

    1fastRN replied to 1fastRN's topic in Emergency

    Without disclosing too much, I'm in the tri-state area.... not far from

  4. Snowed in ER's, what do you guys do?

    1fastRN replied to Adenosine6's topic in Emergency

    I think in a state of emergency when roads are closed, we are allowed to legally drive to work. When hurricane sandy hit they implemented a law which limited which days you could fill up gas. RNs,...

  5. When Intensivists don't want to accept a patient...

    1fastRN posted a topic in Emergency

    So I've had several sick patients who were decompensating... Hypotensive and only able to hold a decent BP with aggressive fluid resuscitation. So far, they're in for a step down or maybe just a unit...

  6. When Intensivists don't want to accept a patient...

    1fastRN replied to 1fastRN's topic in Emergency

    Brilliant.

  7. When Intensivists don't want to accept a patient...

    1fastRN replied to 1fastRN's topic in Emergency

    Exactly! I've actually said that. Just because I FINALLY got there BP WNL doesn't mean it's going to stay that way. Yes, their BP is finally 92/50 after 6 liters.... but unless a miracle happens it's...

  8. Top Skills Every ER Nurse Should Possess

    1fastRN replied to mrnurse504's topic in Emergency

    I cant stress the importance of this enough! I've seen so many nurses ignore the family when they're obviously concerned. Sometimes it's simply because they're busy! So if it's another nurses patient,...

  9. Top Skills Every ER Nurse Should Possess

    1fastRN replied to mrnurse504's topic in Emergency

    You're right, I didn't really think out my reply and just wrote it on the fly. And I'm pretty much referring to only slightly elevated BPs. We usually treat 180 sys and above. But sometimes if it's...

  10. Nurse to patient ratio in ED

    1fastRN replied to 1fastRN's topic in Emergency

    We have little ancillary staff. We have several areas that each have around 18 beds. But lately, we have 25-40 patients. We have to put people in any nook and cranny we can find. Winter sucks! So we...

  11. excited but overwhelmed at my first day in ED

    1fastRN replied to marsy82's topic in Emergency

    Be proactive. Ask a lot of questions and don't be afraid to "get in there." I see way too many nursing students just standing against a wall because they feel out of place. I completely understand...

  12. Top Skills Every ER Nurse Should Possess

    1fastRN replied to mrnurse504's topic in Emergency

    I feel so annoying when I'm in one of those situations.... like when a patient expires. There are so many phone calls to make and documenting to take care of. I'm always afraid to mess it up or forget...

  13. Top Skills Every ER Nurse Should Possess

    1fastRN replied to mrnurse504's topic in Emergency

    Haha finally a place where our hyperactivity can

  14. Top Skills Every ER Nurse Should Possess

    1fastRN replied to mrnurse504's topic in Emergency

    All those skills that are stated by the poster above are important and come with time but as mentioned, they're not necessarily the crux of being a good ER nurse. Sure, it's important to be able to...

  15. Trinitas ER Residency program

    1fastRN replied to Kelly2008's topic in Emergency

    Damn, they charge you? I did a residency elsewhere and everything was paid for. I also got full RN base pay and benefits. I wouldn't really want to pay for anything but that's just me. I don't know...

  16. what type of watch do you prefer?

    1fastRN replied to amazingdaisy's topic in Scrubs, Uniforms, Gear

    Casio Baby-G Easy to read- I set it at the 2400 clock. It also displays the day and date which is handy for documenting. And it's waterproof and easy to clean. I've had this watch for 3 years. Got it...

  17. ED Orientation (a bit of a vent)

    1fastRN replied to BrooklynRN11201's topic in Emergency

    As a new nurse in a fast-paced ER, I can relate. I've been at my facility almost a year. It DOES get better. Half the struggle is building those relationships, especially with the patient-care techs....

  18. Nurse to patient ratio in ED

    1fastRN replied to 1fastRN's topic in Emergency

    Wow, sounds like we work in just about the same facility... same area too. Tri-state craziness I suppose! My patient's always ask, "How do you work like this!?" while I'm running from patient to...

  19. Holding admitted patients in the ED

    1fastRN replied to hella_RN's topic in Emergency

    Same problem at our facility, it is so frustrating. Not to mention patients will be asking for their 6pm Lipitor when they hit the ED doors at 545pm and haven't even been admitted yet. I try to put...

  20. Triage and Assessment Abbreviation

    1fastRN replied to PMHNP2023's topic in Emergency

    ROM=Range of motion AAOx3/A&Ox3=Alert and oriented x3 CP= Chest Pain HA= Head ache AMS=Altered mental status Abd= Abdomen N&V= Nausea and vomiting CA=Cancer CVA=Stroke Hx=History COPD...

  21. Nurse to patient ratio in ED

    1fastRN replied to 1fastRN's topic in Emergency

    Thanks for all the great advice. Definitely going to try to bring some numbers and I will be addressing this issue with other nurses in the unit based council. I'll keep you posted! The issue is...

  22. What are your pet peeves?

    1fastRN replied to forgop's topic in Emergency

    I had a young, strong 24 y/o male that came in for fever/flu like symptoms. Basically came and and slept the entire time, nearly refused the IV, etc. Swabbed him and he had H1N1. He got tamiflu,...

  23. Team nursing in the ED

    1fastRN replied to floridaRN38's topic in Emergency

    I agree with the posters who prefer primary nursing. I think it's better for the patient as well as the nurse. I like to know what's going on with my patient's so I can fully care for them. If someone...

  24. The Elephant in the Room

    1fastRN replied to Anna Flaxis's topic in Emergency

    I just hate the inconsistencies between docs. Some are adamant about "not feeding the beast" and they deny the patient pain meds. Others just medicate them because it's the easy way out. On the other...

  25. Team nursing in the ED

    1fastRN replied to floridaRN38's topic in Emergency

    We don't have an organized "team" but we always jump in to help each other. (although there are always a few who never seem to go the extra mile). We are constantly asking each other "do you need...