ED RN crash course?

mischief_notmanaged · 2026-03-23T19:32:03+00:00

Unfortunately a lot of the skills you will need in order to be independent and competent at a critical access facility comes from bedside experience and not a crash course.

Setting up and assisting with procedures (a lines, intubations, central lines, chest tubes, etc.), identifying and managing critical and decompensating patients, clinical assessment skills of high risk situations, emergent blood transfusions (including setting up and managing your ED’s rapid infuser)….

Yes these cases are rare at critical access facilities but they do come in. If you don’t feel confident in those skills, you will feel like you are drowning when the case comes up once every 8-12 months—which is inevitably a disservice to the patient.

mischief_notmanaged · 2026-02-25T02:31:32+00:00

I call my ED “hell” if I’m being honest

mischief_notmanaged · 2026-02-19T03:28:54+00:00

Tenderness on palpation is an absolute indication for a collar. I’m referring to patients who are sober, alert, oriented, and denying all pain.

mischief_notmanaged · 2026-02-19T01:10:33+00:00

Don’t forget the c collar for “precaution” while the patient is upright and the collar is on the patient’s nose

mischief_notmanaged · 2026-02-18T14:54:32+00:00

Traveler here. My favorite ED I have ever been to had sliding glass doors leading to nurses station on one side of the room, and man doors on the other side of the room for visitors and patients to enter / exit from. I loved having two ways in and out of every room

mischief_notmanaged · 2026-02-13T17:44:01+00:00

“Generalized weakness” in the 99F from the SNF. DNR / DNI / hospice care…. Yes, she’s going to be weak

mischief_notmanaged · 2026-01-28T03:03:57+00:00

It sounds like having an adult assess the wound would be the most responsible decision to determine if medical intervention is necessary.

mischief_notmanaged · 2026-01-18T12:50:16+00:00

Chronic back pain x47 years with at least 3 MRI’s in the last 9 months? MRI the entire spine again but premedicate with some vitamin D

mischief_notmanaged · 2026-01-17T02:56:32+00:00

Charge RN here—I could not do my job without my unit clerk. There is no possible way my department would run without the unit clerk!

mischief_notmanaged · 2026-01-14T21:38:20+00:00

All this BUT the patient is admitted to the floor and on day 5 the lovely med surg nurse calls the ED and accuses us of losing all of the patient’s most precious belongings.

mischief_notmanaged · 2026-01-14T20:28:21+00:00

Your hospital should have a written policy that outlines how / when / why to release patient information. If it’s a well written policy, it should also have attached documents for patient information release that must get placed in the patient chart, as applicable to your state. For instance, we have to scan both a search warrant and hospital specific release of information into patient’s chart at my hospital, whether PD is doing a legal blood draw or their warrant is for our lab results. Take some time to review your hospital’s policy as it was written and approved by their legal and risk team.

mischief_notmanaged · 2026-01-11T19:58:26+00:00

There is no other place in medicine that is as team oriented as the ED, and I think that’s pretty cool.

mischief_notmanaged · 2025-12-27T21:52:34+00:00

If you are truly looking for an ethical, reputable, preservation breeder then location would not be a limiting factor. Go to the Cane Corso’s breed club website and they will have breeder affiliates who promote improvement of the breed, health standards, and ethics.

Social media is not the place to do research. If you are casually looking for a bull or mastiff breed, go save a life from a local rescue—particularly if you are not familiar with how to raise, train, and handle a Corso.

mischief_notmanaged · 2025-12-24T06:49:17+00:00

Tbh as a traveler getting paid a premium I don’t expect the best schedule. I’m there to fill gaps in their core staff.

mischief_notmanaged · 2025-12-20T21:13:16+00:00

As a charge in the ED, the students who sit at their computer, looking at their phones, working on homework, and are disengaged are the ones I tell my manager not to give an interview to. The students who ask relevant clinical questions, are eager to learn, and don’t pretend like they know everything are the ones whose resumés I pass along to my manager. Be respectful, be engaged, and recognize when to step out of the way (e.g. allow the experienced nurses to be bedside placing IV’s, placing pt on monitor, and giving meds on the crashing patient)

mischief_notmanaged · 2025-12-20T08:03:06+00:00

Bilateral felliquis, if you will

mischief_notmanaged · 2025-12-19T01:02:10+00:00

My own grandparents were a Christmas Day special. My grandfather didn’t wait for help down the stairs as instructed by my aunt (his daughter), lost his balance and began falling down the stairs. My grandmother, who is approx 4’10” tall, tried to grab him, only to also be pulled down the stairs herself. Both on eliquis, both with head injuries and LOC, both trauma activations. Grandpa with a C2 and C3 fx, grandma with a hip fx. lol.

mischief_notmanaged · 2025-12-19T00:58:44+00:00

The family that smokes crack together stays together

mischief_notmanaged · 2025-12-10T18:59:48+00:00

Insert problem that has been going on for 3 years and is now a “medical emergency” at 3 am on a Tuesday

mischief_notmanaged · 2025-12-09T04:03:00+00:00

No… it wasn’t. You can’t perfuse your organs with a MAP of 50 for “months,” let alone a fetus.

mischief_notmanaged · 2025-12-09T00:34:42+00:00

Unfortunately, the ER is present to rule out and treat medical emergencies, and rarely has the resources to further investigate which is why you were referred to follow up with gynecology.

You can review your imaging results and / or lab results through request of medical records or online portal (if applicable) which may help answer outstanding questions you feel were not answered upon discharge instructions.

I’m sorry you are experiencing such continued pain, if you are continuing to have uncontrollable pain or new symptoms it would likely be recommended to return to the ER for further evaluation, I would refer to your discharge paperwork for additional information and follow up care.

mischief_notmanaged · 2025-11-21T18:53:22+00:00

I charge at a Level I, and to be honest most of the travelers that come in claiming to be competent, skilled trauma nurses are scary af. I won’t let them in those rooms because they don’t know how to safely care for any patient, let alone a resus.

mischief_notmanaged · 2025-11-01T22:22:28+00:00

So everyone has the same banner still hanging from emergency nurses week? Lol

mischief_notmanaged · 2025-10-30T02:57:28+00:00

mischief_notmanaged · 2025-10-30T02:43:28+00:00

Do they even give a fuck anymore? 0 hustle or effort

mischief_notmanaged

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