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Mebzone05 BSN

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  1. Mebzone05

    First shift in ER!

    Hello I am an RN with 2.5 years experience. My first year was in a med surg unit and my second year was in an observation unit. My dream has always been to work in the ED. I was recently hired into a level 3 truama center. I hope to one day become and ENP. I just wanted to give some feedback on my first shift as an ER nurse for new grads or nurses interested in the specialty. The first difference that I noticed between the floor and the ED was the pace. The pace in the ED is insane. You will run for 12 hours straight. I did almost as many IV's and Foleys in one day as I have done in my entire career thus far. Charting is far less of a priority than on the floors. Having a doc present makes things move so much faster. I used to hate having to wait 30 minutes for a call back simply to get a patient some acetaminophen for a headache. I love not having to worry about silly things like a K of 3.5 or a bp of 160/80 in an asymptomatic patient. I love not knowing the diagnosis when the pt arrives. My assessment actually makes a difference in the ED. On the floor I always felt like I was assessing the patient for legal reasons instead of it being of actual benefit to the patient. I put 2 units of blood in a patient in ten minutes instead of it taking like 7 hours. The techs are actually helpful, no offense to non ED techs. I've also never worked in an ICU, which I'd assume that techs there would also be pretty good. The techs are proficient at IV's, lab draws, EKG's, Foley's and straight caths. I didn't have to delegate anything all day. I actually had to tell the tech to let me start some IV's and draw labs because it was usually done before I even saw the patient. Call lights are used far less often and almost everyone is npo so I never had to search the entire hospital for a ginger ale. I dont have to chart a full neuro assessment on a 20 year old with kidney stones lol. It's only been one day but I think I made a great decision. I am nervous though, I feel like I have a ton to learn in a short amount of time. The charting system is completely different and just learning that will take weeks. I was always the person to tell new grads to go straight into whatever specialty they wanted to go into, but my first ED shift has changed my opinion. There is no way, without a ridiculously long orientation, that a new grad with no prior ems experience could succeed in this ED. As a new grad, I was pretty terrible at nursing skills. I had no clue how to read an EKG, nor did I know the treatments for each rhythm. My time management was awful, my assessment skills were mediocre. In my ED, I can pull any med I want to out of the pyxis regardless of a physician's order. As a new grad, not being knowledgeable of many medications and their typical dosages, I'd likely commit several med errors considering the fact that we don't scan medication like we do on the floors. We also don't have to wait for pharmacies approval so you better pay close attention to the patients allergies, electrolytes, and med rec. Knowing what meds not to give depending on things such as liver on or kidney fuction is also something I think that 99% of new grads would struggle with. Can most new grads determine whether or not a pt with kidney failure is ok to send for a CT with contrast? This is something that I actually had to bring up to a physician multiple times during my shift. I doubt I could have properly prioritized my patients as a new grad as well. Idk, maybe I was just a bad bew grad. Either way, I loved my first shift. The ED is awsome. All of you ED nurses out there are heroes. I've never been around so many great nurses at once. I am looking forward to a long career in the ED. I will post an update on day 2. I didn't want to go into any pt details because of hippa and I have other posts on here that could lead to someone to being able to guess what hospital I work at.
  2. Mebzone05

    Suspended for touching a child's head and face

    Wow this scares me. This is the reason so many nurses are hesitant to do their jobs. Patient complaints are often taken seriously regardless of how absolutely ridiculous they may be. I was taught in nursing school not to give two opioids at the same time. The first verbal warning I ever received was for refusing to give a patient oxy and morphine at the same time. I was so confused. Sorry this happened to you. I would probably start job hunting. Seems like a unit culture issue to me. I have to be able to trust management to have my back.
  3. Mebzone05

    Banner New Grad Experience

    Good luck everyone
  4. Mebzone05

    How hard is the CEP?

    I'm in block two in the NAU CEP. It's not too hard. The nau portion is a lot of reading, discussions, and papers. The CC portion is tough imo. Getting used to nclex style questions take a lot of time. Don't get caught up in the patho side of things. That's what seems important at first but understanding the nurses role is more important. When I realized this my test scores increased. It's time consuming but not overly difficult. I think A and P and micro were tougher class than the nursing blocks. BTW...I have a 4 year old and work full time.
  5. Mebzone05

    I need advice on people who do CEP and work as well

    I'm in the NAU CEP Block 2, have a 3 year old, and work 36 hours per week. I'm not going to lie to you, it is very difficult. Not only does working really cut down your study time but the nursing program has a ton of changes that happen on the fly. I have found myself having to change my work schedule multiple times already. As of right now, I start clinically is less than a month and am still not sure which day of the week they will be on. Most employers probably won't want to deal with things like this.
  6. Mebzone05

    maricopa block 1 books

    I'm finishing up block 1 right now. The only books I really used during block 1 were the fundamentals book and the drug guide. The Med-surg book was only helpful when I was studying Diabetes. Everyone recommends getting them all, which I did, because you will use them in other blocks.
  7. Mebzone05

    GI Bill and Nursing CEP (Veterans)

    I am currently in block 1 of the NAU CEP. This is 100% correct. The VA doesn't recognize the program as a dual program because you graduate with two separate degrees so they won't cover it. What I have done is use my go benefits only at my community college. That way you get all of your blocks paid for, a book stipend, and 9 credits worth of your housing allowance. I than use the hell grant to pay for my NAu classes. It works out fine. The only difference is that my book stipend and housing allowance are lower than if I had all 12 credits at the community college.