bgxyrnf

bgxyrnf MSN, RN

Med-Tele; ED; ICU

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All Content by bgxyrnf

  1. Training for ER; Didn't do so hot

    This story emphasizes something that I think is often underlooked: Just because you *can* get the job doesn't mean that it's a good idea to *take* the job. It sounds like you were in over your head. I...
  2. Understood.For me, a code means CPR. Everything else is aimed at not having to call a code and includes everything up to and including intubation, cardiac drips, and an emergent transvenous pacer at...
  3. HELP!

    I will only allow myself to change an answer if I am certain as to why the new one is the correct
  4. Sacramento Pay

    Well looky there... a new program... I'm not terribly surprised because retention is a huge issue.I did see the statement, "Applications from the public will generally be considered if a current...
  5. Our patient families are actually provided a telephone number to activate the RRT if they feel it's appropriate. I don't work the floor but I don't hear a bunch of RRTs getting paged so I have to...
  6. No need to be on eggshells. Discussion and debate are not argumentative, they're simply all of us sharing our views and opinions based on our judgments and experiences. The patient was clearly in a...
  7. Help! Prioritise Patients

    It's not so simple as that because you can have the highest priority be in any of those categories but also the lowest priorities. For example: Patient A is brought in by her family, you find her to...
  8. HELP!

    Generally speaking, you're not studying effectively. You need to evaluate your tests and the questions that you're missing and modify your studying and practicing appropriately. Are these...
  9. From my perspective in the ED, I wouldn't call a code because the patient has pulses and is not in a lethal rhythm.A rapid response is the appropriate action while someone is putting on the pacer pads...
  10. Sacramento Pay

    I wonder if that's in part due to age. The older docs tend to be less amiable with the nursing
  11. Sacramento Pay

    Kaiser is tough to get in to although the ED at UC Davis serves as something of a pipeline for them. I'm not aware of Kaiser having any program for hiring floor nurses from the outside and training...
  12. drug calculations progress check

    Let's start with some basic terminology and units of measure. VOLUME Volume is the 3-dimensional space occupied by something... in the context of medications, that something is a liquid solution of...
  13. Smoking Nurses

    It really depends on the location but generally I follow the RACE protocol using the PASS
  14. If he did that to me I would respond something along the lines of:"Doctor, you directed me to call the anesthesiologist who then gave me an order which was not contraindicated by the patient's...
  15. The "How was your day" question

    I'll happily sift through the toddler poop in exchange for cleaning up 1/2 a liter of Kayexalate in which I found my patient swimming when I returned from lunch
  16. Sacramento Pay

    If you have no ED experience, you're probably not going to have much chance. The only people that I've seen them hire from the outside come with substantial ED
  17. Made mistakes

    I'm a Star Wars fan... and old enough to have seen A New Hope during the original theater release while in high school. I've started more new jobs than most people... eleven of them in all, mostly...
  18. Well, I have known a BLS instructor who would provide cards for a very small fee to people that s/he worked with and knew well. The reasoning was something like, "I've been in multiple codes with you,...
  19. SO BAD at drawing blood, starting IV's??

    Monitors frequently have a "venipuncture" setting which pumps the BP cuff to approx 50 psi for 2-3 minutes.If I have any question about finding a vein, I use that setting. Like you, I find it to much...
  20. SO BAD at drawing blood, starting IV's??

    You've done it FIVE times... in other words, hardly at all. If your classmates are proclaiming comfort and competence after a similarly scant number of sticks, they are either deluding themselves or...
  21. New nurse and feeling so discouraged

    Absolutely... nip that in the bud right away.My preceptor at my first job used to say, "It's not a sprint nor even a marathon... it's a relay race... just make sure you pass the
  22. New nurse and feeling so discouraged

    Be cautious; your bright spot could turn into a thunderstorm if your boss is unhappy about the OT.None of my employers would have tolerated me staying late for such reasons; even now, OT must be...
  23. One of many reasons that I'm an ED nurse... time-limited encounters... and no primary nursing
  24. A few random experiences... 1) Having the entire department wishing me happy birthday, including with an overhead page. Birthday wishes that night came from every direction... patients, nurses,...
  25. Wrong side for amputation(loss of license)

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