so, my friend finally got hired in our er, this, after much talk to my managers about how good an employee she would be etc.. etc... so that she could get in the er, go to nursing school. she is an ma, she was hired as a pct. she said the "er, soured " her on nursing". i'm sooo glad she's leaving. (after only 90 days) most people there are sick of her thinking she's "above" the job she was hired for. she has told people,"i'm the next thing to a nurse", " the er is boring", (ha !), " i do the same thing as a nurse", " i don't get paid enough for what i do here" . let me tell you some of the other halarious things she has said. she handed an attending a 12 lead, said to him , "it rsr". he said you can read these , she said "yes i can". we had trouble intubating a pt, got lots of air in the belly, called anesthesia, finally was intubated but just so happened when they got the tube in the pt let a big fart loose, she said, while pointing her finger at the dr, "your in ". we took a pt up to icu, she said " this is where people are really sick " oh my gosh, the other nurses are sick of it and want to offer some good old humility on a plate to her. all i can say is, i hope i'm there that night to help. the way i look at it, if she thinks she's anything like a nurse than time to step up and prove it. the ed is boring............ha,,,,,,ha,,,,,,,ha,,,,,,,, can you imagine the documetation for the intubation, " no. 8 et inserted, 24 cm right lip, no breath sounds present but we're sure the dr's in beacuse the ma heard a fart", what the heck are they teaching ma's !
can you imagine the documetation for the intubation, " no. 8 et inserted, 24 cm right lip, no breath sounds present but we're sure the dr's in beacuse the ma heard a fart",
:w00t::roll:roll:w00t::roll:roll
:rcgtku:
thought i was going to need to be coded from laughing so hard!!
RSR is a wave on the EKG where there is a notch or dent on the QRS wave. If I am not mistaken, if it is wide enough, it can be considered a bundle branch block.
I've heard those referred to "R-R" waves. The first one is R, the second is R1. This is because the two ventricles are depolarizing at different times, and the QRS complexes are superimposed on one another. The entire complex in this situation would be a "QRRS" complex. This along with a QRS greater than 0.12, indicates a bundle branch block.
I think the MA in the OP probably meant Regular Sinus Rhythm, but we refer to that as Normal Sinus Rhythm, or NSR.
We had trouble intubating a pt, got lots of air in the belly, called anesthesia, finally was intubated but just so happened when they got the tube in the pt let a big fart loose, she said, while pointing her finger at the Dr, "Your in ".
If she thinks the ED is boring, she hasn't had to do triage yet. I wonder how she'd like putting up with some of the demanding, annoying people who show up there.
All I can say is WOW..........I have encountered CNA's and AUA's who do have great skills but are no where close to being educated on an LPN level nor a RN level to say the least. Someone must have thought this gal was great or she thought it about herself. As for the recommedation for her hire into your ED? I hope your manager understands, sometimes we don't know people like we think we do. I had recommeded a nurse that I worked with at a previous hospital to join me at my current hospital. Well, after her interview, I was told that she said she taught me everything I know. I will never forget that, I am very careful now of who I attatch my name to.
I usually will not give a reference unless I have personally worked with someone more than a year. Sorry your dept. had that happen....:wink2:........
OK I have to admit my stupidity on this what is "RSR"?
As far as what they teach MA's they do not teach them about intubation they teach then to run 12 lead not to read them.
They teach them to room patients in a doctor's office take vital signs, give injections, do dip sick labs. Then when they go though their internship at a doctor's office they are taught ojt to assist with procedures and other things the doctor may want assistance with. I was also taught clerical work in my program.
She is less qualified than a CNA to work in a hospital let alone an ER. (this is not a slam against CNAs on the contrary)
Specializes in Tele/ICU/MedSurg/Peds/SubAcute/LTC/Alz.
LOL, I had a patient one time, that was med seeker and thought because she was a CNA that she was a RN. Told me she took her boards... oooooo
She refused my LPN colleague, in the beginning of our shift, who mind you is an excellent nurse, because she had to wait for me the RN to push IV Dilaudid. She really got on my nerves sometimes, telling me how to do procedures, that she had no rationale for. She spent her whole night basically getting high and complained that her IV site burned. Duh, you keep complaining of a pain of 10, every two hours, and giving you Dilaudid every time it is due, it is going to be sore. She also kept removing her dressings that the doctor her scopy procedure, which a RN can't even do.
She didn't want me to do any teaching, because she knew it all.
I feel bad if she works anywhere, she must drive the nurses insane. :rolling:
Specializes in Community Health, Med-Surg, Home Health.
I've heard those referred to "R-R" waves. The first one is R, the second is R1. This is because the two ventricles are depolarizing at different times, and the QRS complexes are superimposed on one another. The entire complex in this situation would be a "QRRS" complex. This along with a QRS greater than 0.12, indicates a bundle branch block.
I think the MA in the OP probably meant Regular Sinus Rhythm, but we refer to that as Normal Sinus Rhythm, or NSR.
That was what I was actually trying to describe (and I guess poorly)...thankyou so much for describing this more accurately for me. At the school we were taught that the 'rabbit ears" that were >0.12 were considered to be bundle branch blocks. I was taught that NSR=Normal Sinus Rhythm, not RSR.:bowingpur
If RSR is referring to a right bundle branch block, the "rabbit ears" are called R-S-R-prime, meaning 2 R waves. Otherwise, I've never seen RSR refer to regular sinus rhythm--always used normal sinus rhythm.:redbeathe
Oh My! I know this women! She thought she knew things she didn't! Worked in our ER, I floated there and thought, oh my, she knows slightly less than me, and that is scary cause she thinks she know more. WOW>
what the heck are they teaching ma's !
BlueRidgeHomeRN
829 Posts
:w00t::roll:roll:w00t::roll:roll
:rcgtku:
thought i was going to need to be coded from laughing so hard!!
made my day!!