gere7404

We take new grads that did their practicum in the ER or critical care We take nurses with previous experience on a case basis, with a preference for nurses with critical care experience

My ER used to be 3:1 ratio but now my employer is citing this law and making us go 4:1 kinda sucks to get worse ratios out of this deal when all the other floors are staying the same or getting better ratios ngl

Float pool gets training on all of the med surg floors but seems to spend a lot of their time boarding patients in the ER.... they get a $6 differential to be flexible and I think the new grads who start float pool do a lot better than the floor nurses who pick up less flexible habits and don't like change — float pool nurses can get shuffled around a lot depending on staffing needs

If you’re on a telemetry unit you might have to run cardizem or amiodarone both are pretty simple in terms of titration — cardizem goes up until you get the heart rate you’re aiming for (~90) and then you take it back down, amiodarone starts off at 1 and then you half it after six hours. you just have to make sure to keep an eye out on your telemetry to make sure the rates aren’t going too slow or getting wacky. Also have to take frequent BPs, especially with cardizem.

EMTs are tech 1s, medics are tech 2s…. Tech 2s can start IVs and draw blood they both do wound care and apply splints and help move pts and objects around the unit.

I don’t think you need to bug out anywhere to avoid monkey pox

We have a tracking device that has a button we're supposed to press if we're under duress 9/10 it goes off when someone leans over something and it gets pressed accidentally I've never heard of anyone getting in trouble because they were caught not rounding or being somewhere they weren't supposed to be because of it

Depends on the availability of the testing center, I think three weeks was the quickest I was able to sign up for it

For free content, Mark Boswell has great videos on Youtube, but they’re from the previous blueprint so I’m not sure what info he’s missing. You can watch his stuff and compare it to the bcen blueprint for 2022 and then study the stuff he left out. He’s also a member here, but I’m not sure how active he is these days. if you’re willing to pay for it, Solheim Enterprises has an online lecture course that has been updated for the 2022 test blueprint. the ENA sells a practice test book that has five exams in it with codes for a couple more online exams (one is timed and includes 175 questions like the real thing), it’s a pretty good way to gauge how prepared you are. They’re a bit more in depth than the actual exam questions, and if you can get >70% on them consistently you’ll have no problem on the actual CEN.

I’m not sure what the changes to the NCLEX are can anyone elaborate?

I’ve been in the ER three years and have a CEN and TCRN — I still ask questions when I don’t know something and learn something new every time I go to work relax, it’s normal.

“Nobody told me I was getting a patient!” ”can you call back to give me report? I’m about to do a med pass.” ”I can’t take report right now, I’m in an isolation room.”

I mean, is specialty certification really the most important? Plenty of great cvicu nurses without CVRN credentials…. on a side note, I got my tcrn cert added to my badge today and they put my credentials in right order instead of RN, BSN like they had been doing

it goes highest level of education first, so like Rose Queen said, the MS would go before the BSN. Then you put the highest level of nursing licensure (RN, LPN, etc), then any certifications you hold (CCRN, CEN, RN-BC, whatever) so yours would be Lauren, MS, BSN, RN However at my work for some reason they put the RN before the BSN on our badge, so my badge says RN, BSN, CEN.... weird not sure why they do that

Mid-shift usually gets assigned support roles at the ERs I've worked at; you're either helping in triage or fast track like you're experiencing, get stuck opening hallway bed zones where you can fit them during surge times, or go around breaking people for lunch. Very rarely do I see our mid-shifters get a normal zone because then people will have to shift around and pick up their zone when they go home in the middle of night shift.