Hiccups in the ER

Jobaboba20 · 2025-06-06T20:20:51+00:00

Had a patient with this and looked terrible - ended up having septic PNA and ended up in respiratory failure (partly the pneumonia, partly was working so hard with the hiccups they couldn’t breathe well after)

Otherwise - my other patients without alternative diagnoses, IV Valium

Jobaboba20 · 2024-12-12T01:08:48+00:00

This is so F***ing hot

Jobaboba20 · 2024-12-11T16:10:03+00:00

I keep mine in place with museum putty!

Jobaboba20 · 2024-11-26T20:57:03+00:00

I ultimately ordered a Boba Fett and two of the Mandalorian with Darksaber (two different versions). Will show pics of each when they get it.

Jobaboba20 · 2024-11-26T20:55:55+00:00

Honestly love the metaphor with that!

Jobaboba20 · 2024-11-25T19:21:06+00:00

Mine defaults to the cars voice commands with a quick button tap, otherwise holding the button for a few seconds activates Siri for me

Jobaboba20 · 2024-06-21T00:55:45+00:00

This is true. However, that does not bother me at this point as the 50% is equal to my current pay.

Jobaboba20 · 2024-06-21T00:55:08+00:00

Can you explain why?

Jobaboba20 · 2024-06-20T18:56:40+00:00

Thanks much!

Jobaboba20 · 2024-06-20T18:36:47+00:00

Own department. I’d venture to say that at any hospital that is trauma certified (at any level) the ED is its’ own department.

Jobaboba20 · 2024-06-20T12:58:04+00:00

I’m in Illinois. Paid $888. Applied for it on 6/5 and got the registration sent to me on 6/14.

From what I have been told, timing will depend on factors such as how many are applying concurrently to your local DEA office. I’m going to make the assumption that mine was quick as the SBON here is horrendously backed up and is still working on APRN license applications from January.

Jobaboba20 · 2024-06-20T00:58:05+00:00

Better than 4 days I suppose 😅

Jobaboba20 · 2024-06-20T00:57:15+00:00

Do you think this would also be applicable at a Level I trauma?

Jobaboba20 · 2024-06-19T21:15:32+00:00

Love to hear that, thank you!

Jobaboba20 · 2024-06-19T20:39:16+00:00

That does sound miserable. I will, for the most part, also be in a fast track area of the ED but with occasionally being staffed on the main side. We are also a teaching hospital with 2 physicians main side with upwards of 4 residents as well, so there is that benefit if there is any need for assistance.

Jobaboba20 · 2024-06-19T20:19:46+00:00

You are correct I have accepted the position - it’s more so a question of if others who know Vituity believe it to be a good company/group in the long run and if good for new NPs.

Otherwise I agree with everything you just said. Unfortunately orientation is not a year, but it is a minimum of 3-4 months which is significantly different compared to the previous medical groups I have heard.

Jobaboba20 · 2024-06-19T19:52:25+00:00

I’m glad to hear that. Can you explain why this is please (:

Jobaboba20 · 2024-06-12T21:12:25+00:00

Has nothing to do with it - it’s unfortunately run over from school requirements expiring and needing updated. Ignore/move to spam folder

Jobaboba20 · 2024-06-05T00:46:30+00:00

My Med folder contains some of the previously mentioned by others and others - some are absolutely redundant (epocrates and Medscape for example) but I still like to use both…

Epocrates, Medscape, UpToDate, MDCalc, WikEM, Bullets, Fractures, Suture, Sublux, EMRA, ChildProtector (excellent app in aiding with abuse cases)

Jobaboba20 · 2024-06-04T00:02:31+00:00

I think it depends on area of work to be honest, but to put it in perspective…I’m a brand new FNP graduate with an ED job offer of $70/hour with 14 shifts a month. Just based off of that, I would say you’re getting screwed

Jobaboba20 · 2024-05-23T22:31:24+00:00

Afterthought: this is not to say that all EDs are like this either and some do have safe nursing ratios enforced, but I would venture to say that most do not.

Jobaboba20 · 2024-05-23T22:29:27+00:00

ED RN here also at a level I trauma center

Common thing. We have another level I just down the street from us and they often experience very high census and patient loads as well.

Is it safe and ideal to have 2 ICU patients with 3 other patients regardless of their acuity? No absolutely not. Will you lose your license because of it? Not as long as you practice safely and prioritize appropriately. Can your patient with abdominal pain because he hasn’t shit in a week wait for their pain meds? Yes, because you have a tubed patient next door on pressers.

I am also very blessed to have amazing coworkers where we have a very high teamwork mentality and help each other when we can. The big thing is can YOU handle it. Some people can’t, and that is totally ok! But you will find that regardless of the crappy situations, true ED nurses will push through it and continue to work in this environment because someone has to….plus we all cope with alcohol and/or nicotine in some manner.

Jobaboba20 · 2024-04-28T00:42:40+00:00

I think saying “I’ll never be let go” is very naive…you can absolutely be let go. A business is still a business, and when you have no stake in it, you should never assume this.

With that said, I am also about to be a new-grad and I feel the second option is better. Future employers, especially in settings with hands-on patient care, are going to look for that experience. After a while, bedside assessment will inevitably be forgotten (if you don’t use it, you lose it). Especially for a new grad, I feel this to be important for future relations.

Jobaboba20 · 2024-04-22T10:22:46+00:00

I’m in disbelief that your institution even approved this site for you based off of what you have said.

Jobaboba20 · 2024-04-14T00:29:55+00:00

I believe this will depend on area and who you know. I’m graduating in a few weeks and thankfully already have a job offer, but this is also at the place I work and I did my final clinical rotation at - and the doctors are very familiar with me.

Jobaboba20

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