scrmblr

scrmblr

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All Content by scrmblr

  1. "New grad-itis"...

    scrmblr posted a topic in Emergency

    I'v seen it in a few forms. I had "new-grad-itis" in the timid form. I was afraid of everything. I had twitches and sweats if I actually had to touch a pt. Thank goodness it ran its course in...

  2. precepting nursing students?

    scrmblr posted a topic in General Nursing

    I have a confession...I hate to be followed by a nursing student. I work ER and yesterday was from hell. Started my day with a code/death. (lots of family issues, lots of paperwork) I swear I had...

  3. template? matrix? How do you staff your ER?

    scrmblr posted a topic in Emergency

    Our poor little ER is going through HUGE changes in staffing. We are needing to staff to expected pt census. Meaning less RN coverage in the morning hours and more in the evening hours. The new...

  4. template? matrix? How do you staff your ER?

    scrmblr replied to scrmblr's topic in Emergency

    We open beds according to staffing. we have zones. (red, green, yellow) green opens first and the nurses open beds there as the pt's roll in. When another nurse arrives at say 0900 they open red...

  5. Bad attitudes in the ED

    scrmblr replied to motivated2nurse's topic in Emergency

    Our ED has been really pressured lately...hospital wide lay-off's, new director, new schedule, and decrease in pt census has really put a damper on all staff. I work with some really wonderful people...

  6. switched from day to mid shift?

    scrmblr posted a topic in Emergency

    I have some seniority in my dept...I've been there 5 years. Others in the dept have been there longer but I am number 4 on the seniority list. (of day shifters) Due to budget cuts and pt numbers...

  7. template? matrix? How do you staff your ER?

    scrmblr replied to scrmblr's topic in Emergency

    I was hired as a 12 hour DAY RN...I guess that really doesnt matter anymore to our new management. I can see why they need to move people around to staff to pt needs, but DANG it

  8. template? matrix? How do you staff your ER?

    scrmblr replied to scrmblr's topic in Emergency

    What kind of pt to nurse ratio does this give

  9. template? matrix? How do you staff your ER?

    scrmblr replied to scrmblr's topic in Emergency

    We have 21 beds. We also have 4 fast track beds. Our ER was poorly designed and it is like having 2 completely seperate ER's. Our fast track used to be seperate but we decided to have the PA's take...

  10. what makes you a good ER nurse?

    scrmblr posted a topic in Emergency

    Just curious...What is it about your personality or skill level that makes you just right for the

  11. Are you afraid to go to the ER?

    scrmblr posted a topic in Emergency

    Soooo...I believe in Karma, but sometimes making fun of people who come to the ER is just too flippin' funny. We had a rare (brief) downtime the other day and the consensus was that NONE of us would...

  12. Ped's question? re IV's

    scrmblr posted a topic in Pediatric

    I'm a fairly new grad and a really new ER nurse (6months in ED) I have been terrified of starting lines on anyone under the age of 10. I had to start a line on a 2yo that had been kicked in the...

  13. sexual assault/evidence collection in ER?

    scrmblr posted a topic in Emergency

    I had planned on taking the week long sart course offered at my hospital. I have the course approved and I am all signed up for it. My last shift proved to me that I am not cut out to be a sart...

  14. what is the prognosis?

    scrmblr posted a topic in Burn

    I work in a level 1 trauma center. (very very new here) I had my first burn pt yesterday. This pt had 2nd and 3rd degree burns to 45% of pt's body. Full circumferential trunk, arms, hands. No...

  15. School is making me fat!

    scrmblr replied to krenee's topic in Pre-Nursing Students

    is your 30minutes all cardio? If so, I would try to squeeze in maybe 10minutes of some kind of resistance or weight training. I know it is easier said then done, but adding weight workouts seems to...

  16. Anyone here in a "nursing couple"?

    scrmblr replied to heartlover07's topic in General Nursing

    I met my husband when he was a newbie RN and I was a newbie CNA. (we were "set up" by the RT:p ) We got married the year I started my LPN program and had been married (with a sweet little girl) for...

  17. Becomming an RN??

    scrmblr replied to NoDrumsForYou's topic in General Nursing

    Hi there! My daughter is a senior this year and taking the CNA class at her high school. This is a wonderful way to see if nursing is what you want to do. If you are interested in nursing I would be...

  18. The sun, it burns!!!

    scrmblr replied to EMSChild's topic in General Nursing

    You need a good sun-hat too. They also make very lightweight breathable long sleeved t-shirts that won't make you roast in the

  19. orientation time lines?

    scrmblr posted a topic in General Nursing

    My ego is terribly bruised. I have been an RN since 2004. I was an LPN for 6 years prior to that. I work in a small-ish hospital in the ED. (I love it) I wanted more experience and more...

  20. orientation time lines?

    scrmblr replied to scrmblr's topic in General Nursing

    The only specific that they told me was that I needed to be able to move my pt's faster:chuckle Which is a total crack up. The incident they gave me was no way my fault. I had a family practice doc...

  21. orientation time lines?

    scrmblr replied to scrmblr's topic in General Nursing

    technically I'm not a "new grad" I have been an ER nurse for 2 years. I think that is why my ego is so bruised. (and yes, I know 2years is not a very long time) I'm afraid to quit the new...

  22. How long is the wait???

    scrmblr posted a topic in Emergency

    How do you answer this question? It seems to be the triage nurses job to keep everyone posted about the "wait time" I got so irritated at that question yesterday! I had a lady with a "toe infection"...

  23. Chest pain protocol in the ER

    scrmblr replied to StillBelieveRN's topic in Emergency

    of course. monitor, b/p, sat monitor. I was adressing the c/p protocol. I guess I just assumed everyone would know that any pt presenting with c/p would be put on a

  24. Chest pain protocol in the ER

    scrmblr replied to StillBelieveRN's topic in Emergency

    ekg in 5min. start a line draw the blood-order the cardiac panel nitro sl x3-depends on b/p asa @ 325mg ox at 2lt md to see ekg within 5minutes morphine is a sticky point-we have a "pain protocol"...

  25. Girrrrrl...Are you losing weight??

    scrmblr replied to AlisonBSN's topic in General Nursing

    Let's see...Here is my workout schedule. If I work 3 12's in a row I will get up super early the first 12 and do 30 minutes on our treadmill with hand weights. I will come home the night of the...