megRNn

Keep snacks in your pocket. Almonds, candy, baby carrots.

Probably will get clinical scenario questions to get a feel for your assessment and clinical thinking skills. A patient comes in short of breath, tachycardia, diaphoretic. Vitals 99.1, BP 165/90 HR 120 RR 25 SPO2 94%. EKG Shows ST elevations. What are your initial actions?

Do you have a union? If so contact your union rep asap. I would imagine you would receive a written waning if this is a first offense. A third party overhearing a conversation about a patient is not an intentional violation if you met the standards of the law- the conversation was had in an authorized area and the staff was involved in the patients care. Was it at the nurses station? This can be quite the slippery slope. If you don't have a union rep and you are facing termination definitely seek a lawyers advice. Good luck!

Coming from a level 1 trauma center you will be a desirable candidate for any position really. Get 1-2 years experience and you will be able to move back to Cali!

Usually means an offer is coming if all your references check out. Good luck!

I have great admiration for NICU nurses. It must be infuriating to have to deal with parents who put their babies in those situations.

I think you should stay put and apply for medsurg jobs when you relocate. Don't sell yourself short on all you can learn at your current job. If you like the work environment there that's golden. It will enhance your learning. I think new grads should get 1 year at their first job under their belt before moving on.

Yikes. I'm sorry this is happening to you! I would insist on more orientation. It's your license, reputation and ultimately your career as a nurse that you are putting on the line. If you begin caring for patients without the confidence and the experience, you will likely make mistakes that could harm you in the end. It's not fair for them to just throw you to the wolves like that.

I'm allergic to morphine & zofran. Can I get some Benadryl with that. It only works if you push it really fast. My pain is 10/10. Ugh, why can't my cell phone get reception in here! (Phone call to the ER)-um yeah the doctor told me to call when I run out of pain medicine can I get a refill/my friend lost my prescription can I get another one/no I swear he said to call/[calls again hoping someone else answers]

Salt always follows water. What your thinking of is when u put a cell in a hypertonic/hypotonic solution what happens to the cell (it swells or lysis). Vomiting = water loss = electrolyte loss

Thanks for the tips everyone. Fortunately I just got hired in a Level 1 ED :) So ready for this fresh start!

index this is a great online resource

Here's one pretty good thread https://allnurses.com/emergency-nursing/new-grad-er-1001648.html But just scroll down the ER forum and there really is a lot of threads worth reading. My fav link is index it has a ton of great info

Congrats on the job! As a new grad you will go through an extensive orientation period where an experienced nurse will guide you and teach you the skills you need to know. They will have a skills checklist to go off of. During this time ask lots of questions and be ready to learn! Nursing is about life long learning so even after your orientation ends you will still learn a lot, especially in the ER! Good luck!

So, how'd it go??