Veldtor

Veldtor BSN, MSN

CEN, TCRN

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All Content by Veldtor

  1. Nursing Education or Nursing Informatics?

    I definitely agree with you on this! Location is key to this field. Thankfully, I live in NYC and already work for a biotech company that does clinical research. They have developed an in house systems for streamlining and improving study enrollment...
  2. Nursing Education or Nursing Informatics?

    Yes Epic. Thank you for your extremely HELPFUL input to this thread. Who are you to say that I won't create the next generation EHR. You don't know what the future holds, you don't know me, and you also misinterpreted what I said. Epic is not going t...
  3. Nursing Education or Nursing Informatics?

    So I am starting my MSN in Informatics at WGU September 1st! I also struggled with this decision of what path to take. At the end of the day, I decided that informatics was the better choice for a few reasons. 1. As long as you have a masters or hig...
  4. What Makes an ED Nurse Satisfied?

    I am happy to say that I was recently voted in as one Co-chairs to the ED nursing council at our hospital. I am very excited to be starting this position and want to hit the ground running. We are always looking for new ways to improve our nurses sat...
  5. What Makes an ED Nurse Satisfied?

    Lol definitely out of my control, but 100% needed! ������
  6. Mistake

    We always have time parameters! 50ml/hr for first 15 minutes(as per hospital protocol) and then at a rate decided by the provider, but no more than 4 hours
  7. Your ER policy on giving rides home

    If they can't have friends/family pick them up, we try and find out if they are eligible for a Medicaid taxi. When they are not eligible for that, we can escalate to house supervisors to possibly get cab fare for the patient.
  8. TB exposure?? HELP

    How was that not brought up in handoff? That's kind of important to know.. although I will say, we've been exposed multiple times in the ED and as far as I know none of us had ever actually contacted it. You should be fine too. Just go through the pr...
  9. TCRN

    Take the TCAR class. 99% of what will be on the TCRN was covered in the TCAR class. I personally don't feel like TNCC content was on the exam.
  10. Trauma and ED nursing

    Heed this info. I work in the NYC suburbs at a level 1 trauma center. Id say we average 2-4 traumas in a 24hr period. We are, however in a saturated market, with multiple hospitals all very close to each other. One thing that PeakRN should have also ...
  11. Mixing Medications

    At our facility we use Lexicomp's compatibility program. Anytime I have to admin more than one med IV or IM, I always check to make sure they are compatible. The only problem with mixed meds is if the patient has some kind of allergic response. How ...
  12. ER RN NYC /Pt:RN Ratio

    I live in Queens, but I work in an ED on Long Island. I've heard the horror stories of working in a city hospital. Our ED usually has a ratio of 5:1 or 6:1, and when we cross-cover each other, we are at most taking care of 12 patients(and that's only...
  13. Recovery time post sedation

    I don't know if you are looking for specifically in-office, but I work in an ED where I do Conscious sedations. Our policy is we re-vital and reassess every 15minutes for an hour post sedation. If they are not back at baseline by the hour or if there...
  14. Crazy knee pain from injury

    Being a new grad makes it nearly impossible to avoid being a floor nurse for at least a little while; therefore I think you should consider your pain management options and get it addressed. Then when you have enough experience, if you want to reduce...
  15. I've never had a phobia of veins, but I do know that I was utterly terrified the first few times I put an IV in. But after awhile you just kind of accept that: 1- you are not causing nearly as much pain as you think you are. 2- You are going to mess ...
  16. Help i want to quit my first nursing job

    If you don't present yourself as confident, it's going to show and only make things worse. You are going to make mistakes, do your best to prevent them, but eventually it will happen and someone is going to yell at you, but it's okay. Unless you roya...
  17. Help i want to quit my first nursing job

    While I think this could have been said in a nicer way. Wuzzie isn't wrong. How we present ourselves, whether consciously or not, will be returned to you by your colleagues. It's hard to keep it friendly when receiving criticisms, it's hard not to ta...
  18. Resume help, starting to feel defeated

    This might be a silly question, but are you sending a cover letter(letter of intent)?
  19. Blood Glucose Measurement: Arterial vs Fingertip

    Arterial is consider most accurate, most glucometers, as previously mentions are calibrated to capillary blood. I find capillary readings vary on how warm or cold the fingers are and how well they are perfused. At our hospital, if someone is hypoglyc...
  20. wound vac with infected wound?

    I would clarify with your educator and look up the policy. Our hospital policy states one use is to remove infectious materials and exudate. There are contraindications, such as eschar in the wound and untreated osteomyelitis.
  21. Help i want to quit my first nursing job

    ...Deep breath...School is nothing like the real world, and your first few months to a year are going to be stressful! Remember Benner's stages of competency? You are a Novice, its not an insult, its where we all start. "The Novice or beginner has n...
  22. Starting Phlebotomy school before nursing school

    Hey Zach, Regardless of what you are doing, just getting your foot in the door at a hospital or medical facility is a plus. Many hiring managers just want to see you are being proactive. Even being a hospital volunteer will benefit your resume. Whe...
  23. ED staffing ratios

    I am an ED RN in Level 1 Trauma center with a Main ED, Fast track, Critical care room, and Trauma Center. In our fast track we do mostly 4s and 5s with a few easy 3s. There is usually 2 Nurses, who team nurse with two PAs or NPs and upwards of 20 pat...
  24. Is this right?

    Hi there, It really depends on each school. Are you going for a Associates or Bachelor's degree? In a four-year BSN program, you can definitely expect to have classes like these for General Education requirements. GEs are what really separate an ASN...
  25. Brand New CNA, Grateful

    Congratulations on the start of your new career! I work as a CNA out on Long Island, and I can tell you they love nursing students. Out of the 14 people in my CNA orientation only 3 were not in nursing school. Since I just graduated and have been wor...