GCom24 ASN, RN

Medical-Surgical, Emergency

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All Content by GCom24

  1. GCom24

    Podcasts

    I absolutely love EMCrit, it's what introduced me to the world of FOAMed. Definitely check them out and SMACC. If you're still hungry: Total EM, and The Skeptic's Guide to Emergency Medicine. Also, check out the blog RebelEM. Another great one that I...
  2. GCom24

    Feel stupid

    You'd love my hospital then ;P They've come up with this system where we print out a "SBAR" sheet that is automatically filled in with hx, vs, meds given, IV site, etc. etc., we fax it to the receiving floor. Then we call them and say "I've faxed the...
  3. GCom24

    Advice for ED Team Leader

    Hi all, a position for a ED Team Lead just opened in my dept and I've applied. I don't know if any of you are familiar with the Myers Briggs personality types, but I'm an ISTP-A. As an introvert, I know I don't fit the typical archetype of a "leader"...
  4. GCom24

    Advice for ED Team Leader

    Thanks for the advice! I actually had my interview today, and feel like I killed it. There's two other candidates, but I should know something in about 2 weeks. So I'm pretty excited. I think as an ISTP, I will be able to bring a unique leadership st...
  5. GCom24

    ED staffing ratios

    Just to help vary your sample: 26-bed ER, two of which are trauma rooms. We run Fast Track in 8,9,10, and "MSE." Room 9 has 4 chairs in it for lowest of acuity patients. So Fast Track, maxed out, would be seeing 7-8 patients. One nurse, one mid-leve...
  6. GCom24

    So what's going to happen to health care now?

    My view on what will happen, he will open insurance companies to be sold across state-lines which will broaden the market, slash through geographic monopolies and allow the beauty of competition to flourish. This will drive companies to provide highl...
  7. GCom24

    Am I ill-suited to the ED?

    So, in this specific situation. I will guarantee that the doctor. "Hey, you have xyz, I'd like to keep you at least over night to make sure your xyz lab stays stable, your BP is stable, etc. But everything looks fairly normal right now, but you had c...
  8. GCom24

    Nurses Who Smoke Marijuana

    Just have to bump this again. If you're done with it, carry on. It is bewildering that marijuana is talked about as if it's a mind-altering substance in the same caliber as LSD or psilocybin. I do not think anyone so far has argued that marijuana, wh...
  9. GCom24

    Am I ill-suited to the ED?

    1. A general and open disdain for psych patients. So, psych patients can be very testing. A general ED course involves, presentation, needs medical clearance, needs 1-2 liters of fluid to lower a CPK, then patient holds a bed for 10 or more hours (I ...
  10. What is your certification? FNP? AGACNP? Dual-certified? Post-masters certs? Any thoughts on ENP programs vs FNP with ENP cert?
  11. GCom24

    ER Nurse Advice Needed

    Not sure where you are geographically, or in your program, but, in my state, we hire ED Techs that either A) Are a CNA, B) Are a EMT, or C) Have completed one year of nursing school. Option C is how I got to spend weekends during my second year of n...
  12. GCom24

    George Washington University FNP Fall 2016

    Hey everyone, I know this thread has been quiet for awhile, but I'm looking at GWU's RN-BSN/MSN bridge program. I'm just curious about the admission requirements. So.. my ADN GPA is 2.78... Not very good at all, I know. There are 10 credits that I n...
  13. GCom24

    Do you ever wish you were a doctor?

    I'll throw in my two cents here, I'm definitely struggling with this idea right now. I'm looking at DO, PA and NP routes of advancement. At this point in my life, I definitely wish I had somehow had the foresight to go straight to med school out of h...
  14. GCom24

    Nursing Medical Symbol: What is it about?

    I didn't know about that verse, I like that! Thanks! I always thought that a right or left upper arm tattoo would be classic.
  15. GCom24

    Nursing Medical Symbol: What is it about?

    Love that verse, didn't know about that! I always thought a classic right or left upper arm tattoo would be awesome.
  16. GCom24

    Nursing Medical Symbol: What is it about?

    What up allnurses, simple question here. The caduceus symbol (two snakes, one staff, wings) is commonly used to represent healthcare/medicine, much nursing-related paraphernalia, etc. While historically speaking, this is incorrect, The caduceus is t...
  17. We have recently changed our report and transport processes. ER Techs can transport all pts except ICU. If the pt is going medical, then our report is filling out a SBAR form, faxing it to the floor, confirming that it was received, do you have any q...
  18. GCom24

    Advancing my practice?

    What's up allnurses? I just want to bounce some questions off the wealth of experience around these boards. I work in an ED now, been here almost a year now, I also worked as a PNA for my last year of my ADN program. In between that, I worked a year ...
  19. GCom24

    Reason for IV fluids

    Very good read on why NS is not a one size fits all solution and is given far too liberally. PulmCrit: We should engineer a new crystalloid
  20. GCom24

    To MSN or not to MSN?

    Hi there fellow nurses! I'm an ADN, graduated in 2014. I've worked in Med-Surg and now work in the ED (which I looove). I feel ready to advance myself and move forward. I'm looking into an MSN program. However, I'm kind of hesitant because I'm not re...
  21. Been a nurse now for a little over a year.. Worked in Med-Surg since I graduated, I always wanted to do ER, that was my dream. I wouldn't trade it for anything. Nursing school taught me a great deal about myself. And this career has only continued to...
  22. GCom24

    Food Pressure: Coworker Edition

    My two cents... When you eat healthy you're forcing other people to confront their lack of self-control, motivation, will-power, etc. Especially in this field. We all -know- we should make healthy eating choice, we are all intimately involved with th...
  23. Usually, it seems like I can't even blink 3 times before my phone is ringing again. There are days few and far between where the call volume is low. Overall though, it seems like someone is constantly calling. Doc, lab, PT, secretary, patient, family...
  24. GCom24

    Should I have stayed?

    When I was an ED Tech, there was a particular night shift tech that would come in, and while others would complain about uncollected urine or an EKG that had just popped up before shift change, etc. Eddie would always say "Man, we're open 24 hours, t...
  25. Hi everyone! I'm a RN with 1+ years experience in Med/Surg Nephrology and will be moving to the ED in October . My question is what are some good resources for healthcare news, advances in medicine, research, etc? I just want to be well-informed on w...