JessiekRN

Hi All..so on a somewhat embarrassing and personal note I've been dealing with obsessive compulsive disorder for probably most of my 29 years. Very typical and textbook symptoms..a lot of cleaning/organizing/counting/checking behaviors. Which is inco...

We switched to Cerner from Edims last summer. I still dislike Cerner intensely. I find it to be anything but straightforward. It is awkward and disorganized. Not only non ER friendly but non nurse friendly! I miss Edims every time I chart.

I started out in med surg and am now over a year and a half in the ER. I didn't know exactly what I wanted when I graduated nursing school and was open to taking anything that would be a learning experience and start paying the bills. To be honest th...

Think about it this way- many nurses (and other individuals) come in contact with patients many, many times before they are even diagnosed with anything. I work in the ER where patients are seen first- much of the time we don't even know what a patie...

Amen to that ktwlpn. This customer service nonsense is getting seriously out of hand- gd forbid we tell people the truth or what they need to hear. Gd forbid we offend anyone. Common sense has gone out the door. I've only been in nursing five years b...

"Am I going to be admitted?" As patient walks into the room. One of these days I'm going to just say exactly what I'm thinking. Which is. How the hell am I supposed to know? Why don't you tell me what you're doing here.. And we'll just take it from t...

My ER managers were kind enough to show us nurses their appreciation by buying us.. I can't make this up.. A marker. And as they were handing us our sharpie pens, we were told it was so we "could keep our boards updated." That was pretty much it- way...

Hi Everyone!! Was wondering if anyone who's been in the same position as me would have any useful advice. I've been on the night shift (7p-8a) for a little over 2 years now (since Sept '08)..this was my first job as a nurse. I'm on a heavy orthopedic...

I will admit- it was a pretty humbling experience! I've been in the ED for over a year now, after almost three and a half years on the floor. It was a tough experience to go from being a preceptor, to being precepted. I had become extremely comfortab...

Just think of it all as job security...

Airway is the priority. A patient's LOC will not kill them. So if to maintain airway patency you need to assess LOC to determine how to maintain patency, that's fine. But that's the sole reason LOC would need to be assessed in that situation. I think...

Thanks Ruby Vee. I thought I was the only one cringing.

"When are they going to move her out of the hallway and into a room?" What I actually say: "let me speak with my charge nurse and see what I can do. I apologize we're very busy today. I know being in the hallway is difficult".What I would like to say...

"Are they going to be admitting her?" Ma'am you just got into your room. How about we do some blood work and figure out what's going on FIRST?

Okay- I agree with you completely. You're right in the sense that prioritization is not clear cut and entirely dependent on the situation. But I think the OP is aware of that. Patient in respiratory distress, or discharge? It's clear cut. I think OP ...

Also I don't think the above poster was talking about hanging out doing nothing till the dr sees the patient to save herself some work. What I think you missed was that she said sometimes you simply can't be faster than the dr, and if the patient is ...

Larry.. With all due respect here I wasn't talking about "delaying discharge".. In the sense that I don't let discharged patients sit around for hours so my rooms don't get filled. Rather, if we are talking pure and simple prioritization, the dischar...

Wow I had no idea the appendix could regenerate! Live and learn!

what does this mean?

That's like asking how do you stop sick people from coming to the ER. You can't. Until science comes up with a cure for addiction, there will always be drug seekers in the ED. Think of it as job security.

Best- the teamwork, comraderie, intelligence and support of my co workers. Learning something different every shift. Never stagnant, the ER is constantly shifting, evolving, moving, flowing- I love that every minute is changing. I love expecting the ...

Learning to balance is one of the toughest things to figure out. My apologies to the charge nurses lol- but look at it this way- if you discharge your patient first, then go see your new one- you will have two new patients before you know it. And tha...

I was an ortho nurse for three plus years. You will learn a lot about pre op/ post op etc. But it is backbreaking work- turning, lifting, many patients I cared for were obese and had worn out their own knees and needed replacements. It is very physic...

SOB first. Airway airway airway.

Just a word to the wise- be cautious how much, and to whom, you disclose your personal concerns. Anxiety is normal, especially being a new grad. But if you get too "comfortable" so to speak, telling co-workers and your nurse manager, all of whom you'...