chylerlove

I love "hemodynamic monitoring made incredibly visual". i moved to the ICU after 5 years of nursing (ER and med/surg) and it continues to be a great reference. Good Luck!

I felt alot like you when I was in school: I loved to learn and was already looking for the next degree! I graduated with my BSN and got the only job I could at the time (med/surg) and wouldn't trade the experience for anything! I think the best way to figure out which one of the paths you are considering is best is to get out there and get some experience! maybe be a patient care tech while in school, then work PRN or part time while getting pre-reqs for a master's degree? I am SO glad I did not go straight into a graduate program because once I started working and saw the positions I was initially interested in I was like "NOPE!" lol The experience will also likely put you into contact with professionals in the fields you are interested in, and you can pick their brains and hear it straight from the horse's mouth! :) good luck!

PLEASE think really hard about this... nurses leave jobs all the time, heck, PEOPLE in general leave jobs. Employers expect this. I am only writing because I have let a lot of amazing positions pass me up and missed opportunities to grow all for the sake of being "loyal". I can assure you that the employer has had this happen before and you won't be the last. Please reflect about what you really want and make a choice that serves you! Best of luck :)

Someone just posted an article about this on AN :) https://allnurses.com/critical-care-nursing/adult-critical-care-1039850.html

Good point, you are right. I assumed from the comment that the OP was asking about them in relation to each so thank you for the clarification :)

Hi! the way i think about SIRS vs. Sepsis is that they are a continuum instead of a "vs." situation. Check out this infographic: http://reference.medscape.com/features/slideshow/severe-sepsis?src=wnl_ref_clinfo&uac=25003ET#4 Let me know if that helps or if you have additional questions :)

Not really nursing related but the word "moist" has always grossed me out and I hate it

Ugh "pulmonary toilet" is one of the documentation options on our EHR care plans. Agreed that is sounds gross and could easily be rephrased.

Hi There! I am coming up on 5 years experience and currently have 1 year in the ED. I worked on a fast paced Neuro med/surg floor prior. A few things that you might want to think about What bothers you about non-emergent pts (bear with me here because i hear you :) ) ? i know some of them are rude and demanding but there are others who really are easy, friendly, grateful "treat and street" types. I think for your sanity figuring out what bothers you is important. If you are bothered with the fact that they should have a PCP, one thing i try to remind myself EVERYDAY is that i cannot control that part or our healthcare system... i try to focus on treating them just like I do all my patients. If it bothers you that they ask for things like food, water, coffee, etc. I try to think about how to them it really is a small request (even though on some days it really irritates me) and how i would want to be treated. Also, rest assured that no matter where you work these requests from patients, families etc. will always exist. Seriously unless you are in the OR where the pt is out and family is not allowed you can't escape the customer service part (and that's not to say surgical services doesn't come with it's own long list of nursing frustrations, because that surgeon may be waaaayyy worse than any grouchy patient or dramatic family member!) Anyways, I just wanted to write because you seem a bit dissapointed and that makes me sad. one important thing I have discovered about being a nurse is you have to "check yourself" regularly. Not to be too touchy feely but self evaluation is crucial. I hope the questions above help you, they did when i was struggling with the same issues. best of luck!

I wish i got up early enough to even consider putting on beautifying parabens prior to my shift....

No, they have to go to PACU and stay there until a bed is ready. Patient's from surgery get "first dibs" on beds bc those are not licensed beds and legally cannot be used for inpatient or obs beds. That means the ED gets backed up with admissions bc we have to place surgeries first. however, they never come back to the ED to wait post-op

I bought mine there and it saved me at least $75. If you are worried check the return policy, product review, seller ratings, etc. :)

Thank you very much for this! I recently read another article and there is so much that we could miss during our assessment. Awareness and education is key! I'm seeing more and more publicity on the topic, do you guys know if any state BONs are requiring CEs for human trafficking (the way that Texas requires 2 hours of Forensic CEs for ER nurses)? Just curious! Thank you again for this information!

Even when i took a break from the floor for about a year (educator job) i still had this dream once a week. HOURS go by then i realize i had a patient i did not know about.... Sometimes I'll dream and its so realistic, like, an entire 12 hour shift and wake up exhausted

I've attended the Med-Ed review course and they have CDs as well. A more cost efficient method might be to download the study outline from the BCEN and watch Mark Bozwell's youtube videos that act as an exam review and are broken down by system. Good Luck! :)