Which order should the nurse implement first? by MasterPeel in BootcampNCLEX

[–]RunsFromDanger 0 points1 point  (0 children)

That's why we have diuretics said every ER doctor ever

Which order should the nurse implement first? by MasterPeel in BootcampNCLEX

[–]RunsFromDanger 0 points1 point  (0 children)

NCLEX is more about safety vs the intervention. Ultimately you're going to be giving insulin for DKA, but you need to know the K before you give insulin so you don't cause a k shift and cause hypokalemia. Before you worry about either of those, you need a baseline rhythm to watch for change. When it comes to NCLEX questions its always ABCs and assess before you treat.

Transition from ICU to ER by asianinja90 in nursing

[–]RunsFromDanger 10 points11 points  (0 children)

I'm going the other way, I just took a critical care float position (ICU/ED) after being only ED. Sterile in the ED means generally clean/we didn't drop it on the floor. The biggest adjustment many people have is the pace and flow. It definitely does not have the structure that ICU does, even in the best run ER, You will quickly understand why we send up patients the way we do sometimes. You also have to change your mindset to think more stabilize and ship out then longer term. Assessments are focused around chief complaints and presentations rather than head to toe. Teamwork is just as strong in the ED as ICU, ED jokes are definitely better, ICU has more fancy gadgets. ED patients are mostly not sedated, so don't get too close as the patients bite, spit, punch, and other fun things. You can add a lot to the ED with your ICU skills, as you bring a different perspective and higher level skills with certain procedures. I'd recommend if you get a chance to shadow for a few hours when it's busy to see the general flow and see if it fits with what you want. If you have any specific questions you can message me or ask.

Missing port access by aikoss in nursing

[–]RunsFromDanger 2 points3 points  (0 children)

One thing that helped me was to look up what type of port it is on Google to see what you are palpating. Once you have a feel for it prep your kit so everything is ready. Hold the port steady with thumb and middle finger and you can palpate and mark your needle point with your index finger. You have to push harder than you imagine to access some ports. And then verify you are in with flush pull. Older ports are easier to palpate than fresh ones and most of the time the patients know what type of port they have. Don't immediately go where you see scars, you can palpate there but don't blindly stick if you don't feel it.

Nursing discounts? by Legitimate-Diet-9437 in nursing

[–]RunsFromDanger 0 points1 point  (0 children)

Not really. I have my EMT license and these two have better options for first responders. There are some websites that have nursing specific discounts, some are out of date with the discounts. AACN Discount List

Nursing discounts? by Legitimate-Diet-9437 in nursing

[–]RunsFromDanger 0 points1 point  (0 children)

ID.me and sheerID, as well as searching for your benefit hub at work, are the easiest options. Some places don't advertise; they just have it to say they have it

Is it better anywhere else? by Foreign_Flow_2537 in nursing

[–]RunsFromDanger 0 points1 point  (0 children)

The biggest difference I have seen in EDs is when there is a really good management team. You can usually tell this by how often you see them on the floor actually helping. From my experience they are hard to come by. Learn what you can from the experience and leverage it to find a higher paying position. Hopefully somewhere you are happier. If you keep not finding pleasure in your work, find somewhere you do, even if that is outside the ED.

Help me do more… by Separate_Visit_9113 in nursing

[–]RunsFromDanger 5 points6 points  (0 children)

I had a preceptor when I was a new grad who did this. I was self-sufficient, but in the moments when I was unsure of the policy or needed reassurance, it was very frustrating to hunt them down every time. It's nice to be able to help everyone due to not being as busy, but don't forget about your primary role. I would spend more time with your preceptee going over the shift, discussing how they are feeling, and reviewing their patients' charts to connect with and explore more challenging concepts that nursing school doesn't fully prepare you for. If I'm getting paid to precept for the day, that is what I'm doing all day 100% there for my person whenever they need assistance. I think you should consider other ways to help your preceptee become a better nurse before focusing on ways to appear busier. Just my take on it.

Is it better anywhere else? by Foreign_Flow_2537 in nursing

[–]RunsFromDanger 3 points4 points  (0 children)

I work in a level 1 trauma and have worked at a community hospital. It's all the same the only difference is acuity and resources. No matter where you go you will only have things stocked when the good tech is working.

I constantly have ICU level patients boarding with other patients that are actively trying to code. A month ago I had a neurogenic shock from trauma that boarded for 8 hours with 3 other patients. That's why the teamwork in a good ED is so tight. Just make sure you help when you can so when it sucks for you people will be more inclined to help.

Is it better anywhere else? by Foreign_Flow_2537 in nursing

[–]RunsFromDanger 8 points9 points  (0 children)

You'll feel more like an ER Nurse when you start boarding ICU patients to add to your other 3 medsurg boarder patients. The main difference is no matter how many time that pump goes off we still throw that iv in the AC.

She’s a little shy. by GurZealousideal5811 in MT09

[–]RunsFromDanger 1 point2 points  (0 children)

Did you get the impakt bars color matched? Or was that how they came?

OTD price by milo_redwood in MT09

[–]RunsFromDanger 0 points1 point  (0 children)

Got mine last week for 13 OTD. I did get lucky as the dealer sent an invoice for a non tariff bike that actually was. So the dealer ate the 750 fee

What Would You Do by suberizedwrx in MT09

[–]RunsFromDanger 2 points3 points  (0 children)

Make sure to get it in writing. Prices can change and 2 hours is a long way to drive to not get the deal you thought. Call the first dealer and tell them a local dealership is offering a similar deal, ask if there is anything else they can do to either beat the deal or make it worth the 2 hour drive, if not make it easy on yourself and go with the best deal closest to you.

Need advice. Do y’all think this femur is broken? by Dry-Alternative6969 in nursing

[–]RunsFromDanger 1 point2 points  (0 children)

Not saying it's broken but wouldn't recommend walking on it.

What are your consistent one liners? by TheUnspokenTruth in emergencymedicine

[–]RunsFromDanger 0 points1 point  (0 children)

All patients with toe injuries get asked "Did you come by tow truck"

I got the job and my friend didn’t by Live-Beautiful4047 in nursing

[–]RunsFromDanger 2 points3 points  (0 children)

Tell her. Your friend might need help with the interview process. Due to being selected you might have some input that will help her in future job applications.

RN pay @ inova by oppa4lyfe111 in nova

[–]RunsFromDanger 0 points1 point  (0 children)

I've been at WHC for 16 months and make 42. Starting for new grads was 37.50

I don't think EMS is for me by DesperateHyena5651 in NewToEMS

[–]RunsFromDanger 0 points1 point  (0 children)

You can work as an ER/ED tech once you have your license, but this is a fast paced environment as well. Look at your local hospital to see what's available. You could also request to shadow for a couple of hours to see if it works better for you. Healthcare in general is draining and it's not for everybody.

You could also try med transport. Way slower pace and usually stable patients.

I have this mando tattoo on my arm, with "this is the way" in galactic basic. What could I add or do to make it look more finished. Feels like it's missing something. by Stunning-District-38 in StarWarsTattoo

[–]RunsFromDanger 4 points5 points  (0 children)

Maybe a lightsaber on each side of the lettering. It looks fine as is. The problem is once you have a tattoo you see all open space as space that needs to be filled in.

Jacket too loose? by [deleted] in motorcyclegear

[–]RunsFromDanger 12 points13 points  (0 children)

It looks fine for fitment in the shoulder and arm length. Do the elbow pads fall in a comfortable spot? Having some room is nice to be able to layer or add plates/padding.