canche

canche

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All Content by canche

  1. Almost 2 years into this job and I have days where I feel like a fish out of water. I have no clue what I'm doing with certain patients. I've got a lot down, I'm comfortable with most patients, but...
  2. Advice for ICU Nurse Thinking about a Switch

    The biggest thing ICU nurses have struggled with when coming down to ED where I work is time management and learning to juggle 5-9 patients at a time (9 is for if we are in subacute). Imagine having...
  3. ED Triage Role

    Just listen to your gut. When a patient is really and truly sick and needs immediate care, you will know, you will just know. Also, some small things to remember. 1.) MIs can present themselves as...
  4. Why are you listening to the heart?

    In my ED even some of the doctors (including our medical director) don't always listen to heart sounds. We just so focused assessments, what's the point of listening to the heart sounds of a shoulder...
  5. Interviewing an Emergency Nurse

    I don't think so. The student would still be completing the assignment and if it wasn't otherwise specified...don't really see a problem. But OP let us know what you decide to do, hope you get some...
  6. Interviewing an Emergency Nurse

    Call me crazy but I think interviewing via email would be more than sufficient. Especially since it's an online course. Your instructor would never know and you would get the same information
  7. Why is everyone hating on ED?

    Man we are the most disliked place in the hospital and everyone has a complaint! Took a critically ill patient to ICU tonight with blood, two antibiotics, sandostatin drip, insulin drip, protonix...
  8. ER or Trauma Nurse

    In our ED there is only one nurse assigned to trauma and if we have no traumas they just
  9. Why is everyone hating on ED?

    Yeah or they want us to call the attending/admitting doctor to ask about an order 2 minutes before they get sent up to the floor. Ah no, you can call them. I had one patient who was staying 93%-95% on...
  10. Developing a thick skin

    Please tell me it gets better with time. I'm a pretty new ED nurse and have noticed that it's a pretty cut throat environment and that's fine, it sort of has to be, but I have such a hard time dealing...
  11. Developing a thick skin

    Thanks for taking the time to respond :). You are both very right in what you
  12. Why is everyone hating on ED?

    Maybe they are just miserable people then lol. Thanks for making me feel
  13. Why is everyone hating on ED?

    I admit I used to complain mildly about the ED when I worked on the floor but I never gave them problems personally. And if they called report at change of shift well I took it. At my new job however,...
  14. Are ER Patients Getting More Ridiculous?

    I think in general many people are selfish, entitled, and just don't give a crap. Like above people mentioned, there are exceptions to some of these complaints, but I hear ya. As for the nurse who has...
  15. ER NURSE PEEVES

    1.) Family repeatedly coming out to the desk. 2.) Pts with no insurance (and you pretty much KNOW they won't be paying their bill) demanding to see only a physician and not a PA for their finger pain...
  16. Why is everyone hating on ED?

    Man I did almost all of that! Got the central line in, labelled the IV tubing, sent down all of the bloodwork, cultures, etc. Got the Foley in. I couldn't believe how rude they were! Like I didn't...
  17. New Grad in ER (Time Management and Prioritization)

    First of all, your preceptor was rude to say that. I'm not a new grad and I felt that way when I first started in ED. Now, onto time organization. Honestly, you just have to relax about outstanding...
  18. I feel so incompetent and dumb

    Hi fellow nurses! I am a nurse with 3 years of med/surg experience behind me and I started in the ED a little over 3 months ago. I am officially off orientation and I feel so unprepared and dumb. On...
  19. I feel so incompetent and dumb

    Thank you everyone for your responses. I guess maybe I took it a little too personally. I am still not quite sure why she would be correcting me on a primarily nursing thing but maybe her intentions...
  20. ER nurses a different 'type' than others?

    I think ER nurses have to be very assertive. Some of that comes with time and some people just have a very bold personality. You have to be quick on your toes and know a lot. You also have to be able...
  21. I was given a warning for telling a patient that I was very busy with a few of my other patients and that I wouldn't be able to go off the unit to get her a food item she was requesting. She reported...