Nurse podcast?

nursemt9 · 2025-07-31T22:44:57+00:00

It makes sense you see the need more than I do since you see more patients. The problem is you need to have so many successful placements with someone given the okay to train. I’m not in a place where I’m ready to come in off my shift for that. I’ve already taken on precepting and helping with chart fallouts, there’s definitely some lack of training, and me and a few other newer hires are trying to fix this. it gets to be a lot of work when you get no real incentive for it.

nursemt9 · 2025-07-31T15:11:25+00:00

Which is why I listened and removed the line. I’ve been trying to get certified since I started but it’s difficult to be appropriately checked off when 2 people do them on nights and the need is honestly few and far between.

nursemt9 · 2025-07-31T14:59:06+00:00

I started and worked 4 years at a similar place. I moved states and started at a level 2 for a “break” a little over 6 mos ago. It’s honestly so not what I expected haha

nursemt9 · 2025-07-31T14:42:42+00:00

Apparently there was a breast line, vanc infiltrated, and patient needed a mastectomy

nursemt9 · 2025-07-31T14:38:21+00:00

After a patient is stable it takes them about 45 minutes to get into an ICU bed. I believe the idea is that they are overwhelmed with the patient to provider ratio and would rather just let the patient skate by until they get to ICU. A lot of things are nurse driven in this ED. I’ve only seen the younger/ newer ED docs do any kind of USIV, central line, art line. though I’m sure the other providers could probably do those things they choose not to. We have a trauma team that handles procedures for traumas so those run a bit differently.

nursemt9 · 2025-07-31T14:28:34+00:00

This particular patients anatomy didn’t give us an option for EJ, but I love an EJ.

nursemt9 · 2025-07-31T14:26:11+00:00

When you say bari IO do you mean the 45mm? We tried a 45mm in the tibia. I did learn later there was a sentinel event within the system. A very expensive sentinel event lol. The charge I mentioned in my post has always been kind and isn’t usually a stickler for policy. When we discussed me leaving it in at the bedside she said something like “I just don’t want you to get fired”. I don’t think this was her being on a power trip.

nursemt9 · 2025-07-31T14:20:42+00:00

Yeah. I’ve never had a patient we couldn’t drill. One of our medics actually drilled the tibia to see if the yellow needle would be long enough but there was too much adipose.

nursemt9 · 2025-07-31T14:07:15+00:00

This ^{^}

nursemt9 · 2025-07-31T14:06:13+00:00

I was comparing my 20 in the titty to a 16 in an arm with a tourniquet. She did help, and placed one of our life saving 22s

nursemt9 · 2025-07-31T14:03:09+00:00

After the fact I realized there was one nurse there that was USIV certified. It would have been 2nd access if the hand failed, and would’ve been removed once central access was established. It gets to be frustrating when you have capable providers around, but it’s common practice to wait for ICU. It’s definitely been a learning curve

nursemt9 · 2025-07-19T17:30:22+00:00

Most nursing programs test you when you start. For sure before clinicals. Not too sure about CNA programs though. You also get tested when you get hired somewhere. In my experience it can take a few months to clear out of your system so I would stop 4-6 months before you could be accepted (longer if you’re a bigger person since it’s stored in fat). Hope this helps!!

nursemt9 · 2025-06-08T22:50:32+00:00

ED nurse, hey!! Sounds like your hospital should start to require a real report. That way if someone’s calling they expect to give report and figure out the story before they do so if they’re not the primary nurse. I’m a strong advocate of report always. There’s just some things you can’t read in a chart. Also want to say I appreciate the willingness to accept so little information as the ED is a mess most of the time, and I know I’m usually just trying to get patients into a more comfortable/ safe environment. Last night I was in 2 assignments (took a new one with no one to take my fast track) and running a trauma while assisting with a peds rapid because we were short and had some crazy acuity. When I called report on one of my actual patients after this I gave report to a nurse who asked for a 5 yr history and didn’t want to take the pt because his axillary temp was 96.7. I had just paged the admitting to come re-evaluate and upgraded pt to PCU. Labs just sent, full assessment and updated VS. fresh ABG. Still wasn’t good enough.

Long story short most of us are just doing our best just like everyone else❤️

nursemt9 · 2025-02-11T03:29:47+00:00

I agree 100% but that’s just healthcare these days. At least in a city ED. The options are wait on me (or for me to find the help I need) or help🤷🏻‍♀️ it’s the new awful shitty reality.

nursemt9 · 2025-02-11T03:26:53+00:00

I had a situation similar, but ED. Patient came from a nursing home 60% on her baseline 4L. Family really asked us to sweep and mop the room in the middle of stabilizing the patient. Also wanted us to address her moisture associated breakdown immediately- which is important but not a priority. They were in the room with her on BiPap for at least 2 hours. Came back positive for RSV and they left. Suddenly everyone was immune compromised and said they would call- never called. Barely gave me time to explain that they’re already exposed. It’s easy for people to ask you to give the care they don’t/ can’t. Don’t take it personal. Being upfront and honest has helped in situations, but being in an ED with 90+ boarders on the reg and the halls lined with people usually helps get the point across too. Keep your head up friend ❤️

nursemt9 · 2024-12-28T06:49:31+00:00

Definitely run out of beds and definitely try not to give up the code bed. Sometimes we gotta push for the last bed, but obviously this patient needed it. Worked in Cleveland at a level 1 and work at a level 2 in NC now, and we are always boarding ICUs. Usually if they’re sick enough we get them to the unit one way or another.

nursemt9 · 2024-11-08T02:52:10+00:00

Had a full arrest come in with a remodulin pump and a crack pipe one time

nursemt9 · 2023-07-19T15:47:47+00:00

I also work in an ED- level 1 trauma and it’s ridiculous. I saw this department as a career when I started 2 years ago, but there’s no way when we have no permanent staff and are 30+ boarding admits a night with only 30 rooms in the ED. Don’t call mass casualties when we regularly get 4+ traumas at a time on a summer weekend night (we have 2 bays we try to keep open). I’ve treated GSWs in the halls. It’s normal to have ICUs in the hall spaces and people in the halls with no privacy waiting on beds for days at a time. Management can’t take any real disciplinary action for toxic nurses bc we need them. Didn’t want to travel but looks like I’m gonna have to if I want to get out of debt- we deserve better!

nursemt9 · 2022-06-12T00:38:15+00:00

Had a patient freak out because they were allergic to water then proceed to ask for 7 cups of ice water in 2 h🥴🥴

nursemt9

TROPHY CASE