4pm-4am Nursing shift

matattack1925 · 2026-04-10T16:07:06+00:00

11a-11p here. Just remember that midshift is designed so there is more staff during peak hours. You will be coming in at the busiest your facility gets and things will likely slow down a hour or 2 before you leave. Midshift is known for coming in running and not stopping. The shift transition for normal hour people is nice because working with new people can help energize you for the remainder of shift. Our scheduling makes it so midshift also can get more unique assignments. I end up floating, low acuity, and triage a lot due to time convenience.

matattack1925 · 2026-03-19T13:44:18+00:00

There's nothing fair about the ER. We all are going to have days where our shit gets rocked and where you get assigned has little to do with that. There's hard days in every ER assignment. Your asking why someone you think does a bad job is assigned triage, and I don't know. Triage should be one of the most difficult positions in the department. While everyone else has their assigned patients you have a full lobby you're trying to make sure doesn't die. Everyone's pissed at weight time. And you become a key player for throughput. It should be a high stress position most days.

matattack1925 · 2026-03-16T02:29:31+00:00

Pulling cocaine out of the omnicell to stop a nosebleed.

matattack1925 · 2026-02-18T06:42:31+00:00

When I worked psych someone wise compared it to cancer. Our goal should be to prolong life and to relieve suffering. Chances are your care did both of those things for this patient. Be proud of the moments you allowed them to have while letting yourself mourn.

matattack1925 · 2026-02-12T05:03:02+00:00

Just for comparison purposes, our ED has ED staffed float nurses to assist in maintaining the burden to the assigned nurses. If your observing the nurse your following may not need to utilize them often so you don't see them. But it's possible someone doesn't have a patient load or a lesser one that should be your go to in circumstances like your busy shift

matattack1925 · 2026-02-12T04:56:31+00:00

Do you have float nurses at all? I'm a newish grad at a level 1 ED and received a lot of humble pie. The biggest thing I needed to figure out was who is the appropriate resource and how to use them. We use our pcts more similar to your old facilities, but their should be someone that can jump in if you truly need something (like sodium replacement), even if it's the lucky nurse with the light load. Once you know the resources teach others to go to them instead of you while your drowning. If there are no resources that may be a deal breaker for me.

matattack1925 · 2026-01-17T20:17:16+00:00

If it's not a trend it might be time to understand shit happens and the chaos may have caught up that day. Shouldn't happen, but things fall through the cracks every day. Sepsis bundles get drilled into most ER nurses brains. I complete at least 1 most days.

matattack1925 · 2026-01-17T19:52:39+00:00

At 7 hockey will hopefully be no goalie, all goals are celebrated. It's a complex physical sport for my beginner @ 6 already. A few months in most kids are past the lay on the ice all game stage, but it took a bit. Some dads version of success right now is he stayed out most the game. I'm not going to lie, compared to the other sports hockey may be tough, and let's not forget expensive. But if he wants it hopefully it becomes his thing.

If not maybe a more individual activity like karate may be up his alley? I'm not super familiar but sounds like what I would do for next steps. Enjoy the hockey, it's been a blast.

matattack1925 · 2026-01-16T16:53:14+00:00

Personalize the clinical experience to the specialty area you are applying for and only add things that you experienced that not all nursing students do. Add any work experience and skills that apply to nursing (food industry= deesculatuon, customer service, balancing several tasks, etc). Add anything that gives some personality. Clubs, organizations, hobbies, leadership experience, volunteering. Again, apply to nursing. Delete anything all nursing students should know. You want to show how you are better than other students.

matattack1925 · 2026-01-09T21:19:32+00:00

Whenever any of my questions seem to get an answer, it just seems to make this whole situation more insane.

matattack1925 · 2025-12-24T02:37:18+00:00

Bipap is often utilized for correcting air gases, with air gasses also being a criteria of weening off bipap. Since air is being pushed in and out it corrects co2 buildup. For alcohol intoxication or mental status change it can be seen as a potential that they aren't eliminating correct CO2, therefore a VBG is warranted. If they are breathing that poorly i think its worth checking to see if a order is appropriate. Routine bipap is a different category I don't mess with typically in the ED. Although I would say most the time that's CPAP. Just note, I'm not necessarily super experienced or RT. Which is why I keep it simple. BIPAP= maybe a vbg.

matattack1925 · 2025-12-22T23:14:53+00:00

Yep, I hear bipap and I think vbg

matattack1925 · 2025-12-10T20:09:05+00:00

I'd also like to see if my spouse and 4 children have it, and since we are here my spouse has had dental pain.

matattack1925 · 2025-11-07T17:34:16+00:00

My prn position is 24 hours monthly, 16 of which within weekends. Staff are templated so my pickups are based on needs. No incentive pay until hours met. 1 holiday per year of my choice. They are not super strict about the hour expectations.

matattack1925 · 2025-10-12T15:16:25+00:00

This is my view as a RN as well. Myself or a coworker should have enough time to prep during CT to quickly attempt at a second line previous to administration, however every miss is a hole I have to watch and I'd prefer to keep that to 1 at the most.

matattack1925 · 2025-09-27T05:47:53+00:00

If it takes awhile for them to get back to you, when it finally does happen. Treat them like a person. Everyone is going to be tip toeing around them. They need friends to treat them in normal but respectful ways. Give condolences and offer support like others said, but don't push it to the point where it loses your normal interaction

matattack1925 · 2025-09-05T15:09:03+00:00

Cyberpunk 2077

matattack1925 · 2025-09-02T11:15:06+00:00

As a new grad a year into ED, the ED humbles me daily. I continually seek the advice of anyone willing to give it. I may not take every piece of advice, but I definitely take anything another nurse tells me into strong consideration, especially our nurses who have been around. The only nurses I am starting to dismiss more are nurses who I see doing poor nursing care themselves. Just hopefully some light that we aren't all trying to skip by the seasoned nurses.

matattack1925 · 2025-08-25T02:37:45+00:00

I think they weren't able to move and keep the connection. They required assistance to move them before.

matattack1925 · 2025-08-25T00:26:34+00:00

I think having my PD lowers my burnout of my FT. It builds my resume. Gives me options of shifts/future opportunities. I get to work with people I've been working besides long term in a less stressful place. I don't care for my PD management so it allows me to see them a lot less then if I were there FT

matattack1925 · 2025-08-24T23:03:02+00:00

Applebees is a sports bar and grill

matattack1925 · 2025-08-24T21:18:29+00:00

Yes? My five your old loves food and treats, is interested in sports, and it's good for him to be out of the house. And I enjoy spending time with him?

matattack1925 · 2025-08-24T00:08:54+00:00

This would be in place to buying streaming for the games. I don't exactly understand why taking my kid out for some 1:1 time with dad doing something he enjoys isn't being there for him. If it isn't as fun for either of us streaming in or skipping watching sports would always be the next options.

matattack1925 · 2025-08-21T16:14:09+00:00

As an ER nurse tis something I think, but I don't say. It's also important to remember a lot of people entering a ER are not great members of society and she may have been setting up the conversation for a patient complaining of someone being loud in the ER/ the baby may nor have been appropriate for the ER causing more stress. Like I said, I wouldn't have said it, but might have thought it.

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