Veldtor

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, and data collection for the studies themselves. I also have already been a superuser through two different EHR system implementations at a large urban hospital. Automation is an interesting topic, but I believe while jobs will be removed because of it, there are jobs created to manage those autonomous systems as well. So as long as you prepare yourself well and make yourself flexible, you should be able to make yourself somewhat marketable.

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 to just stop improving their systems, doesn't seem like a good business model. There will be new iterations of Epic in the future, and I want to help develop those next generation systems.

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 higher, you can teach at many universities as adjunct faculty even if your degree isn't education. 2. Informatics is only going to grow as a field as technology becomes more and more advanced and integrated into our lives. 3. For me personally, I love technology. I want to help develop the next EPIC system. I have ideas for healthcare related software as well. 4. I feel like informatics is probably the least popular route, meaning the most opportunity to grow in that field.

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

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

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.

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 satisfaction and our patient's satisfaction, but this month we are running a little dry on ideas.. Besides pay raises, more staff, and a bigger ED, what are things your ED does to keep you satisfied as a nurse? For example, one of the councils projects was to implement a "Hydration Station" for the RNs. A convenient place in department that nurses could adhere to JCAHO, but still have easy access to their drinks.

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 proper protocols and write an incident report.

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.

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 included is who the population is. Our hospital is surrounded by an affluent older population, making a large majority of our traumas geriatrics who have traumatic falls.

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 do you know which med caused it if they are both infusing at the same time? As for compounding medications, pharmacy does that, and we are highly discouraged from doing it. Our ED has its own personal pharmacist during the day time hours, plus a pharmacy tech during most overnight hours to provide us with anything we would need.

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 for an hour).. I think I'll stick to my hospital in the burbs. Good Luck, stay safe.

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 were complications with the sedation specifically, then the time is extended and additional hour. They are maintained on cardiac monitor for the entire hour plus.

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 your reliance on pain management, look at jobs that don't require much walking or standing, like working in an office or tele-nursing.

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 up, it happens, even pros can't always get IVs in. 3-You'll learn to objectify the arm. You think, can I get this needle inside this tube. I don't even really think about the veins being veins anymore. 4- You are a professional, and you will keep your composure regardless of whether or not you are freaking out on the inside.

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 royally eff up, you won't get fired or anything

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 take it personally. But it's not an attack on you, they are just trying to provide you with the wisdom and knowledge they have. Just try to keep that In mind.

This might be a silly question, but are you sending a cover letter(letter of intent)?

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 hypoglycemic, we are required to immediately do another FS for accuracy.

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.

...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 no experience in the situations in which they are expected to perform. The Novice lacks confidence to demonstrate safe practice and requires continual verbal and physical cues. Practice is within a prolonged time period and he/she is unable to use discretionary judgment" We all felt how you feel right now in our first job in our first year. The important thing is that you don't give up. Your preceptors and colleagues are tough on you because they want you to be great at what you do. They don't want you to make the same mistakes they did. You'll get there!

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. When considering working during nursing school, it really depends on the individual. Some people just can't handle that kind of workload or stress. I personally worked as a NA per diem while I was in school and it was doable. When I got hired, I was offered part time or per diem, and the HR director strongly suggested per-diem. I know people who worked part time, and the only downside to that is you don't have much flexibility with your scheduling. At least as a per diem you make your own schedule, allowing you to not work around a big test or project. Hope this helps!

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 patients at any given time. Our main ED ratios depend on staffing, but usually are 5:1 up to 7:1. But for us we usually can place a high acuity patient into the Critical Care room, which has 3 beds.

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 and BSN. Regardless, I see science and math, two subjects that do play a role in nursing. If you are still concerned, most schools have plans of study for each degree posted on their websites, and if not, I would call the Registrars office and ask if they can provide you with a plan of study. Good luck!

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 working for over a year now as a CNA, I want you to know how lucky you are to have this job and how beneficial it will be to your nursing career. When you start your clinical rotations you will have the benefit of previous patient interaction. Many students are terrified to walk into a patients room and be met with resistance. Your time as a CNA will give you invaluable patient-provider social interactions. I hope you post more about your journey, and I wish you luck! Congratulations again!