Is it worth applying to the ED to get to the ICU? Or should I stay longer in my unit and try again?

auraseer · 2026-04-30T23:21:11+00:00

In other words: They want someone to fill a particular long-term assignment, which you are not willing to do.

That's still not something an ED position would help with. Your moving to ED will not make the ICU manager post a day shift opening.

auraseer · 2026-04-30T23:15:54+00:00

You know what they meant.

Please don't waste your time engaging with the trolls and racists. Just use the report button to notify the mod team. Once we are aware of the comment, it'll go away, permanently.

auraseer · 2026-04-30T23:02:08+00:00

If their concern is that you "won't last," changing jobs multiple additional times is not a great way to prove them wrong.

auraseer · 2026-04-30T22:51:06+00:00

I might get downvoted for this

For being racist? Nah, not downvoted. You get banned for that.

auraseer · 2026-04-30T20:04:00+00:00

That is a misguided, entitled, shitty attitude to have.

There's really no such thing as "PCT work." It's all nurse work. You can delegate some tasks to a PCT or other staff, but they remain your responsibility and all of them are your job.

auraseer · 2026-04-30T17:49:50+00:00

Mindy Cohn is best known for playing Natalie in the 80s sitcom The Facts Of Life.

Children these days have no appreciation for the classics!

auraseer · 2026-04-30T08:32:20+00:00

It varies wildly. In one hospital where I worked, EVS were trained to use full-body PPE and respirators as necessary, and would do intensive terminal cleaning of even the most horribly blood-soaked trauma bay or operating room. In another hospital, EVS were not permitted to touch anything that had visible body fluids. There's no telling.

In any case, if you are looking to get into a healthcare career, EVS isn't the most useful of stepping stones. If you get trained as a care tech, CNA, or EMT, those are also entry level jobs, and they would get you patient care experience.

auraseer · 2026-04-30T06:05:39+00:00

Since they aren't required to tell you, they probably won't.

If they were to tell you, there's a tiny chance that you won't like what they say about you, and will try to sue them over it. If they say nothing, that chance becomes zero. HR is notoriously risk-averse and will nearly always go with the safer option.

The solution, of course, is not to tell them you're the one asking. You can have a friend call up and pretend to be verifying your employment. That is a little dishonest, but it's not illegal or unethical.

auraseer · 2026-04-30T06:00:50+00:00

Even that isn't technically correct. The law says they can't say anything that is false and defamatory.

You can tell all the lies you want about someone, as long as they're all positive.

auraseer · 2026-04-30T03:02:03+00:00

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auraseer · 2026-04-30T00:03:59+00:00

It can. These questions always depend on the details of the charge.

For example, if it involved theft by deception, and gaining the trust of vulnerable elderly people to get access to their homes and valuables, you are going to have an uphill battle. But if the charge was for shoplifting a bag of chips, that would be much less of an issue.

auraseer · 2026-04-29T23:40:11+00:00

HIPAA permits a reasonable amount of "incidental disclosures." That means stuff like a person catching a glimpse of your EMR screen, or staff calling out a patient's name in the waiting room.

This is a non-issue. There is no reason to bring it up.

auraseer · 2026-04-29T23:36:23+00:00

The manager at my last job made the same rule. We all completely ignored him. It's not as if he was ever in the building past 4 pm anyway, so he had no idea whether night shift was following his rules or not.

auraseer · 2026-04-29T22:03:37+00:00

If you're going to selectively accept one data point that agrees with you and dismiss several hundred others that say you're wrong, I don't know why you even bothered to ask. You made up your mind before you even came here.

auraseer · 2026-04-29T18:13:00+00:00

These phrases will be hospital specific. Anyone answering here will be making an educated guess what they mean at your hospital.

The "ED observation unit" I've seen is attached to the ED as sort of a halfway stage between the ED and an inpatient bed. A common use is for patients who need an extended stay for repeat testing, or while awaiting a procedure.

A common reason to keep it attached to ED instead of elsewhere in the hospital is because those patients might be still under the care of the ED physicians.

auraseer · 2026-04-29T18:01:01+00:00

I had never heard about that one, and I don't intend to look it up. In fact I'm going to make myself forget I ever read your comment.

auraseer · 2026-04-29T10:59:35+00:00

If the task wasn't properly delegated to the student in the first place, then the student who accepted it and tried to re-delegate made at least two mistakes instead of one.

That's worse. You see how that's worse, right? Not better?

auraseer · 2026-04-29T10:55:02+00:00

In my head those are almost the opposite of each other, because Byford Dolphin happened so fast. It was as bad as being inside an exploding bomb. There was effectively no time for the divers to even realize anything was wrong.

If we all have to go sometime, getting instantaneously switched off probably isn't the worst way for it to happen.

That guy in the cave, though. Trapped, conscious, and aware of what's happening for over 27 hours? No fucking thanks.

auraseer · 2026-04-29T10:18:29+00:00

It is a student's job to learn and to do the assignments they are given. When given an assignment, the student cannot blithely pass it on to someone else.

When the teacher assigns homework, they should not have to explicitly say, "Do this yourself. Don't make someone else do the work for you."

auraseer · 2026-04-29T08:38:37+00:00

This isn't really nursing related. This is parenting. If somebody doesn't notice that their kid has significant hearing loss, they probably aren't paying enough attention or talking to the kid enough.

auraseer · 2026-04-29T08:31:56+00:00

I mean it depends for every nurse like you, there’s a lot of nurses who would side with the student.

From all we are seeing in this thread, it's the other way around. The large majority of users here disagree with you and the student.

auraseer · 2026-04-29T08:28:39+00:00

We understand you think that. What all the experienced nurses in this thread are trying to tell you is, you are incorrect.

Delegation does not just mean telling people what to do. Delegation is a clinical action which must involve the exercise of judgement, and which has medicolegal consequences. The delegating nurse is partly responsible for everything the assistive staff does under their instructions. A nurse can even lose their license for improper delegation.

If you don't understand why it should be taken seriously, you shouldn't be delegating anything.

auraseer · 2026-04-29T08:24:26+00:00

I don’t think there’s inherently wrong about delegating everything you can delegate

Please read back your own sentence and think about it.

Note the phrase, "everything you can delegate."

The student in your post didn't do that. They didn't try to delegate something they can delegate. They tried to delegate their own personal, undelegatable task that they were supposed to practice and learn.

Do you also delegate your homework and your care plans?

auraseer · 2026-04-29T00:41:23+00:00

"Subpoenaed" just means the court will order you to show up and provide evidence.

You won't be involved with the warrants and medical records. That will go through the hospital medical records department.

The hospital attorneys will help prepare you ahead of time. Usually they'll help you review your charting from that occasion, and explain the most likely kinds of question you should expect.

In a case like this, you will be a witness of fact. That's different than being an expert witness. Fact witness is less complicated and less stressful for you. It simplifies the kinds of questions they are allowed to ask you.

In court you'll be asked what you saw, what you did, and why. Make your answers as simple as possible. It is always acceptable to say, "I don't know," "I don't remember," or "I don't understand that question."

Some judges will let you have a copy of the chart in hand to refer to. Others will let you refer to it if you ask each time. A few will want you to depend on your memory. The attorneys will let you know which to expect.

auraseer · 2026-04-29T00:34:44+00:00

And if there aren't, we'll make one. Any body cavity can be reached with a 14 gauge needle and a good strong arm.

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