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Beffers81

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  1. Amzyrn....I don't think it's because I'm not liked. I think it's because the turnover rate is so high that we all lack a little bit of direction. It's frustrating because even when we do have a triage nurse; half the time the patients are triaged even when they've been in the waiting room for 2+ hours. A majority of the time there is a CNA in the triage room. We are getting a new lead who has experience working at other facilities; she had a patient she knew nothing about because she was taking care of a more critical patient; it wasn't until she got out of the room to the nurse's station she finally saw the new patient (by that time he had been there for about an hour and was getting discharged); she was really upset about it, so I'm hoping when she becomes lead things will change. I was seriously upset the last day I worked and contemplated going back to med-surg because of the lack of splitting the patient's up between nurses instead of getting multiple at one time.
  2. Hello! All though I'm fairly new in the ED; I'm highly observant to things that happen. My facility has a high turnover rate, mainly because it's a teaching hospital in a rural area, so people usually put in a year and then move on to someplace bigger. I was a floor nurse for 1.5 years and recently (April) transplanted to the ED. The turnover rate in the ED is much higher and for awhile I thought it was due to burnout but after being down there for a few months I've finally see the light. The lead, triage nurse (or sometimes cna), and/or nurse first, UC will constantly slam a person with 4 new patients at the same time (ESI 1, a trauma, or other acuity); while other nurses will be sitting on one patient for a few hours. My question is how do you facilities divvy up your patients as they come in? Do you have a system or is it like my facility where it's sink or swim with 4 new patients who may or may not been triaged. Are you told about your new patient? Most of the time if we are in a room with another patient and we get a new one we aren't told about it until we get back to our computers and realize "crap....I have a new patient who's been sitting there for nearly an hour with nothing done on them" Thank you for your time
  3. Hi....I'm a recent grad (18 months ago) in Med-surg. Just recently I transferred to the ED. I'm looking for tips to help me be successful.
  4. Did we have the same instructor?!?!? My lab instructor would always say that. 2014-2015 I was taught to do reality orientation. But a lovely 97 year old woman in an Alzheimer unit taught me never to do that by socking me full fist and scratching at my face when I told her it wasn't 1950 and that she was in a LTC facility. This was way before nursing school too (around 2002). I just graduated
  5. I learned that it doesn't matter if you are a new nurse....there are seasoned nurses that don't want you to succeed. I wish they would remember the time when they were new nurses.
  6. So....I'm a recently new RN (January). I'm working in my first hospital but I'm having a hard time with reporting off to the oncoming nurse. I was told in nursing school to "paint" a picture of the patient; and so that's what I try to do. But I always feel on my way that I should have said this or left that out, etc...... So my question is......how do you do report? What do you include?
  7. I need help with planning and organizing my day. Any tips?
  8. My preceptor laughed and called the wall the morphine and dilaudid wall. I felt better that I wasn't the first to do that. I'm trying to learn better time management but have been told that it'll come with time
  9. I survived my first week on the floor. My body hurts and I'm still exhausted. Will I get used to it? My preceptor is awesome! She lets me spread my wings but is also there if I need her. My first day I only took one patient, second day....2 and they both got discharged at the same time and then I got an admit from ED. Yesterday I took 3 and then took over another patient around 1500. I kinda hit the ground running and got behind on charting. 2 of my patients had procedures so I was constantly taking phone calls. I finally got to insert a foley (on a guy). And I learned the thin morphine tubes do not need to have air inserted in it or the back blows off and you end up spraying morphine all over the wall. OOPS!
  10. I learned that I'm scared ****less of my first day on the floor (which is tomorrow) even though I'll be with a preceptor
  11. Hi fellow nurses! I start my first ever RN job on the 25th. I got hired to be a Peds/Med-surg nurse (mainly med-surg but if a peds pt comes in). I'm looking for some tips and guidance. Here's some questions....... 1. Time management is a weak point for me, how can I kick this in it's face? 2. Nurse brain.....yaaa or nay? 3. What should I have on my person? 4. What should I have in my "work" bag? 5. What shift is better for a new RN to work? (I was thinking night-shift) 6. How do I delegate without sounding bossy or needy And anything other pearls of wisdom you want to give. And go!
  12. I just graduated in December. My first RN job will be in a hospital that offers a residency program that ranges from 8-16 weeks of training. I have orientation for only 2 days
  13. I learned..... 1. That there is a such thing as boredom when you've been in school for 4 years and waiting to start your first ever RN job (the 25th). 2. I've learned men are some serious babies when it comes to being sick (my husband is driving me cray cray) 3. I've learned that after reading these comments us nurses really do have a wicked sense of humor. 4. I've learned that there are other people on here that also hate the word panties. Ugh....The correct terminology of a lady parts doesn't bug me but I refer to mine as the hooha, my husband calls is paradise or poonany.
  14. I like you and I don't know you! (Because of the LOTR)
  15. I graduated beginning of December and took the nclex yesterday. Passed with 75 questions. Sooner is better than later

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