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  1. Hi all! I've been working in my current ED for a total of three years, two as an RN. I do practically everything by the book, kiss my patient's a$$ even if they're there for something ridiculous (because that's who gets the surveys and we need good scores), get run around by some of the more manipulative and keep a smile on my face with no attitude 95% of the time. I'm frustrated because if there's anything that is ever not PERFECT between me and a patient, somehow it gets to our main managers instead of being settled with charge nurses. And even then I try to resolve any issues before the charge gets involved as it's my job, in my opinion. However, I'm getting burnt out feeling like I put so much thought and care into my patient yet if they don't get their narcotics or if I don't get back to them immediately for a pillow, it seems like a complaint is filed and it feels like management is more like "well why didn't you delegate?" when there is no staff to delegate to (but they don't want to hear that). I think I'm just feeling a little burned out at the moment but I work myself so hard every day I'm there and just want to know if other people have those PIA patients that no matter what you do, you can't make happy? Do you get complaints about you from them? I rarely give attitude back to a patient when they're being super rude yet the nurses that either have a ton of attitude back to patients or are stone-faced and don't show how they feel one way or another don't seem to have issues although maybe it's just not talked about. Or maybe I'm being too nice and getting walked all over and then management knows they can blame it on me. Just wondering how other EDs are and if this is the same for anyone. Still developing a couple more layers of thick skin 🙂
  2. frequentFLyER

    Resources (books) for new grad in ED?

    Thank you, The Nurse Motivator! :)
  3. frequentFLyER

    Resources (books) for new grad in ED?

    I am a new grad in one of the busiest hospitals and largest ED's in the US (Florida Hospital Orlando) to give you an idea of volume. We have very high acuity patients. I trained from August to December last year and have been on my own approx. seven weeks. The transition has been ok but I am constantly chasing my own tail, trying to catch up, just doing tasks, etc. Everyone has said in time it will all click and come together. Even in these seven weeks I have seen improvement which is encouraging but I'm missing silly things I should have trusted my instinct about. I look up a lot of things but want a nursing/medical resource. I would like to know what some of the BEST resources are to help me learn even more? It's so busy there that there is no time to look up why we're doing something and by the time I get home I'm wiped. What are the best, current books you swear by that get more involved than glazing the surface of some of the scenarios we see? Thanks so much!!
  4. frequentFLyER

    Florida Hospital Residency JULY 2016

    For those starting July at Orlando (South): What units are you starting on?
  5. frequentFLyER

    Does ORMC hire ADN new grads?

    Thanks so much for your responses beingthankful and kabooski. I can't believe they start them every week and it's so different from FH! I appreciate the salary info. Not hating on ORMC/Orlando Health at all but I got that feeling, that they're a little snooty toward ADN's. Ah, I'm glad you mentioned their track record! That was one of the main reasons why I didn't truly pursue ORMC. It was only a couple years ago they had a massive lay-off and it made me feel uneasy that it could happen again. I haven't heard of FH really having that problem and like you said, they're constantly expanding.
  6. frequentFLyER

    Will an ER tech help me land a job in the ED?

    Absolutely yes! Excellent plan! Work as hard as you can every shift, show initiative and ability to anticipate needs, be courteous to everyone there, treat it like a job interview for the entire time you're there. ALSO, do not be afraid to become close with your manager or educator. Tell them after you've built up some rapport how much you love the ED and you want to be an ED nurse there. They aren't mind-readers and many people have interest in the ED, stay in their ear even if it's showing extra interest in the quarterly nursing education or keeping current on skills. Keep your grades up through school. Some places require a 3.0 or higher for new grad programs now. I worked as an ED tech for one year and two months during school. A spot was HELD for me in the new grad program in May to start in their next class (July) when it was booked up 'til October. I never would have thought I would be starting in ED and that they'd make such accommodations. Goes to show how important it is to get that experience especially somewhere you'd like to be hired on at as a nurse and how much work ethic you have. You'll be great!
  7. frequentFLyER

    NCLEX....how bad is it REALLY...

    Good luck tomorrow SWimbish!!! You'll be adding RN behind your username by Friday!!!
  8. frequentFLyER

    Does ORMC hire ADN new grads?

    Bueller? Bueller?
  9. frequentFLyER

    Does ORMC hire ADN new grads?

    Hello! Does ORMC hire new grads with their ADN (and B.S. in another area) into any of their of their ICUs? I have ED experience as a nurse tech 1+ year and lab/phlebo experience of 2.5 years. If so, how does their pay compare to Florida Hospital? Do they require you to start a BSN within one year or any other requirement? When do their new grad cycles start? I called the new grad coordinator listed on their site and left I think two messages and called other times over the span of a few weeks and can't seem to get a call back.
  10. frequentFLyER

    Surgical ICU Interview

    Hooray!! Congratulations on landing the job! I second Onyi25's question, do you remember any of the questions they asked you? Congrats again!!
  11. You guys would be so mad with the lab if they called every time there was a duplicate that was cancelled. They do a lot of cleaning up of doc's orders believe it or not. I totally get what you're saying though, keep you in the loop. Unfortunately I can see that happening with the GI hgb level. The med tech is supposed to let the phlebos know if they need the redraw for a critical. Some places have certain rules like you don't touch h&h's. If it's ordered you draw it, no questions. If it's from the ED they almost always call the nurse to make sure. If on the floor, usually if it's the same doc that ordered it again we make sure because he obviously knows he just ordered one. If he/she did and then a different doc ordered the same just minutes apart it'll probably be cancelled. That's what my lab kind of went by. I think they try to avoid calling the nurses because you guys are on the phone bombarded as it is with every other ancillary but sometimes bad calls are made.
  12. I'm probably going to get CAPS LOCKED for this but as someone that has been a phlebo/lab tech, current PCT, and current nursing student, I can tell you there's usually two sides to the story. I know a LOT of lab techs can be lazy. Some used to throw labels away to avoid drawing patients, scary!! However, sometimes when things are cancelled, it's because we can see that one doc just ordered troponin x3 q6 and another doctor ordered the same and you may not have your results just yet or be able to check those orders just yet. That means the patient is getting drawn constantly for no reason when each just wanted a trop level q6. Or when a doc orders something within another test...like a potassium at 1430 that is w/in the CMP due at 1445...so a lot of times our "laziness" IS trying to spare our self extra work but also trying to save the patient unnecessary sticks. Same with the PICC, we'll hunt you down because usually someone with a PICC means their veins are crap. BUT on the other side being in nursing I now see drawing from that PICC can slow a nurse down that is in the middle of passing meds and lab techs don't always realize all the things nurses do. I really didn't until I saw both sides. Lab techs also don't always realize how important some of those draws are to be ON TIME like vanco trough. I swear the lab should make the techs shadow a nurse for a few hours and vice versa so they each understand the schedules. Lab techs will see a nurse sitting at the station and complain they couldn't help but little do they know they're charting their assessments, etc.
  13. frequentFLyER

    Tncc as a nursing student

    How much is it to audit the course?
  14. frequentFLyER

    I give in, I'm a COB

    Some of my fellow nursing students would give you COB's a run for your money. I mean, they've been through foundations of nursing, they know nursing backwards and forwards. You all couldn't possibly have learned anything in your 15+ years. :-P On a serious note, I hope you lovely self-proclaimed COB's/Buzzards remember not ALL new grads think they know everything and are eager to learn what you have to teach when you take them on as an orientee.
  15. frequentFLyER

    Are the horror stories true?

    Thanks for the words of wisdom!