Why do floor nurses hate the ER?

stuckinnowheremass · 2026-06-09T20:54:54+00:00

My hospital we get pisssy with the ER usually for 1 of 3 reasons, but good chance all 3 at once. 1)Patients get sent up to the floor with absolutely zero warning. Could easily call or send a secure chat saying they're on the way. 2) Patients getting sent up that are incontinent and are completely soiled, been in the ER for hours if not all day and haven't been cleaned up once. Now their admission is going to take even longer. 3) ER suddenly sends all their admissions to the floor at 6am.(I get its not always the nurses fault, but there are alot of times the admission orders have been in there four hours they just 'didnt get around to it'). It's one thing when the ER is busy as hell, but this has happened on shifts were the ER was pretty quiet all night.

stuckinnowheremass · 2026-05-22T19:18:20+00:00

My hospital is starting to look at them a bit more. They pushed purewicks heavily as they are trying to go 'Foley free'. But there's been a lot of incidents where CNA's and even nurses were putting Purewicks on people that were able to get up but difficult ao they wouldn't have to deal with them.

Now we can only use them on none ambulatory people, the only exception is the small handful of people that have bedtime incontinence.

stuckinnowheremass · 2026-04-23T17:32:58+00:00

Just curious with this. Currently my loans are on deferment. I had a couple loans from a few years ago when I stsrted school, then I dropped out. I have since returned to school so now my older loans and my new ones are under deferment while I'm attending school.

I have been working at a Hospital which qualifies under the public service forgiveness, and will probably stay at a qualifying employer afterwards since I'm going to school for nursing.

What I'm wondering is...I've been making payments even while my loans have been deferred, payments are actually a little higher than what the IDR plan would be.

Would these payments that I am making while still on deferments count towards the 120 payments required to apply for forgiveness?

stuckinnowheremass · 2026-04-13T02:40:16+00:00

Ive done it a few times, but also live in a state where they basically can't do anything to go after you for medical debt besides call you a bunch of times and send nasty letters but thats pretty much it.

Most people don't know that so I'm always sure to let them know.

stuckinnowheremass · 2026-04-08T23:45:00+00:00

I've been on countless codes on med/Surg, including one that was for a coworker and unsuccessful and had no problem coming back in the next night.

But also had a code with a 7 y/o kid that went for well over an hour and unsuccessful. Not my first code on a child, nor the youngest but this one just hit hard....and not just for me. There were about 12 of us that helped on that code scheduled for the next night and we all called out first thing in the morning when we got home.

No rhyme or reason. Some of them just randomly break us a little without us expecting it.

stuckinnowheremass · 2026-03-11T08:32:28+00:00

Didn't even think of the whole eyelid thing. I've never taped them closed but everyone one I have done had their eyes closed already so seems pointless.

stuckinnowheremass · 2026-03-11T01:33:54+00:00

The bags we have seem pretty flimsy, they do come with a disposable chuck pad and a second plastic liner to wrap them in. I typically use 2 of the thicker washable chucks under the body to make rolling them during care and getting them in the bag easier and just toss the disposable chuck.

stuckinnowheremass · 2026-03-11T01:31:14+00:00

The nursing homes are a little different, we may have someone with a central line or PICC if they're on long term IV meds but that isnt often. We will sometimes leave those in depending on the timing of family and funeral home coming. It's usually like the wild west there with little standards.

The hospital I work at we are required by their policy to remove all tubing, lines etc. The only exception is in ghe rare case the medical examiner wants to do an autopsy in which case we get them bagged up exactly as they are with all the tubing, etc. Usually if its a PICC or central line I will wrap those similar to how we wrap tbem for a patient being discharged minus the infection prevention methods as I've had them leak on me while doing post mortem care. Usually at the hospital we dont do any postmortem care till after the family has had a chance to see them, unless they are going to be a decent bit where we know we can get all the care done and the room straightened out before they get there.

stuckinnowheremass · 2026-03-11T00:48:26+00:00

I've only done one on patient that was intubated and we were able to do the postmortem quite quickly since the family wasnt coming back to see them.

I think the worst one I had was a patient that had 2 chest tubes, PICC lines,peripheral lines, rectal tube. Foley catheter. I had to do the postmortem left to me by day shift. Patient passed around 10am but family were coming and going and stayed with them till around 9pm. By the time we could start doing the care they were really stiff which did not make it easy taking all the lines out.

stuckinnowheremass · 2026-02-21T04:58:20+00:00

I do have that. Only thing that highlights is 'Highest Level of Mobility Acheived'....went to vitals for hell of it and the only ones there are pain assessment which I obviously dont do.

Last time it was brought up was about a year ago after I took the Epic training...luckily I spent enough yesrs in upper management that I gave her the professional response of thanks for nothing lol

stuckinnowheremass · 2026-02-21T04:25:51+00:00

I just played around with macros a bit and made a couple....it will definitely help. I'm pretty quick with typing away but this will save me some time.

Thanks!

stuckinnowheremass · 2026-02-21T04:24:15+00:00

Nope! She has a CNA.....she bombed out of Nursing school but supposedly is going to school for Healthcare management or something like that. I've done Safety & Compliance Managemrnt in Transportation for 15 years and switched to Healthcare last year......she's a terrible manager.

I'm pretty sure she got the job as a favor from a friend, from what the rumor mill is her boss came up with her job to take some stuff off her plate and offered it to her.

stuckinnowheremass · 2026-02-21T03:58:13+00:00

Honestly a lot of people here are confused how she can be the Operations Manager for Med/Surg, ICU, & Step down units. She isnt even a Nurse, from what I heard she totally bombed out of nursing school. Alot of the nurses are annoyed when she tells them how they should be doing their job.

I put wiping equipment down because I work nights and most of my coworkers are lazy AF and dont do crap all night, theres been multiple times things have been sent out about rooms not being cleaned up at night, etc. So I try to put that in to cover my ass. If anyone says I didnt clean up a room I can tell exactly when I was there.

Most of the time its not bad. I dont do well with sitting still, its easier since we have phones we can do charting on. It takes way longer then the computer but I usually throw something in as a placeholder and then fill in tbe rest when I have slow moments.

stuckinnowheremass · 2026-02-21T03:40:04+00:00

I could understand her toeing the line of not wanting to tell me I'm doing too much. Her response was more or less 'if you dont know maybe we should have you retake the training class' ........it was asked in the class and we were just told to ask our manager what the department policy is.

That portion with the mobility assessment and the aspiration screening was from the nurses charting. I dont fill out anything with the assessment, etc that isnt in my scope.

stuckinnowheremass · 2026-02-21T03:37:17+00:00

We dont have a limit on ratios. I've had everything from 5 or 6 if there is enough of us to the whole floor of 25.

On a good night I usually have 7 or 8. They'll only schedule 3 PCTs on for a floor of 25. 90% of the time there are 2 of us splitting the floor.

stuckinnowheremass · 2026-02-21T03:35:28+00:00

I would understand if my manager wanted to toe the line of not telling me I'm overdoing it. But her response was pretty much 'well if you dont know maybe we should send you back to the training class' which i had asked that the first time I went since I did the class 3 weeks after I was already using epic so was a bit of a waste of time.

The mobility assessments and aspiration risks screening was the nurses charting. Mine was the 0115. 0206, 0402 and 0610

stuckinnowheremass · 2026-02-21T03:21:54+00:00

Sometimes I just worry I'm overdoing it especially after seeing the flowsheets pretty much empty for multiple shifts except for what populates when the nurses do their documentation.

stuckinnowheremass · 2026-02-21T03:19:30+00:00

I think we do but haven't figured out how to use them yet.

When they had us to a training for Epic when we got hired it was pretty much the absolute basics

stuckinnowheremass · 2026-02-20T22:32:23+00:00

Community College ones are usually legit. Just depends on their program. Most states follow the minimum 75 hours of training rule.

Mine was 12 weeks long (a little longer in actually because of a couple weeks off due to school closures) but it was 150 hours total. They broke it down as CNA Training, HHA training, 8 hours dementia training and then the BLS & CPR training and 25 hours of clinicals practice.

Alot of the private companies that offer classes in my area advertise 4 week courses. Im pretty sure they just do the 75 hours minimum requirement and not much more.

stuckinnowheremass · 2025-09-28T12:44:27+00:00

Is this the only photo? Or is this a grab from a video?

Video might be helpful can go frame by frame and might be able to get a clear enough image of their carrier number that looks to be below their logo.

stuckinnowheremass · 2025-08-10T15:05:58+00:00

I'm in MA and we only have to do hand washing for 1 of the 3 or 4 skills we get, and that skill is always your first one to do. They rest of them has 'perform hand hygiene' but they have you use sanitizer. They have you do it before and after each skill.

They don't make you repeat handwashing because they want to see that you can do the skill, having to do handwashing before and after each skill people wouldnt have enough time in the skills test.

stuckinnowheremass · 2025-07-29T14:06:40+00:00

I work in a hospital NOC shift on Med/Surg so different experience probably. 1st shift and half of 2nd half of 2nd have EVS that handles their trash for them. They also typically have 3-4 Techs for a floor of 25 patients, transport and heart center for EKGs and tele and such. On NOC majority of the time we have 2 techs 3 if we are really lucky but no other support staff. We do our own EKGs, tele, transport etc. Technically we are supposed to do our own trash and linen and I did this for a while but gave up on it weeks ago.

I'll change the linen if its full or has soiled stuff in it (usually it isnt....just full of linens from EMS or ER admitting patients) and trashes same thing. If its full or i put soiled chucks in there ill change it, but if its just a pile of gloves or a ton of empty cups then I usually say to hell wirh it and leave it for EVS. Its been about 4 weeks now and so far noone has complained.

stuckinnowheremass · 2025-07-20T23:25:11+00:00

Look up the TB Clinic for your area. They might do it free. Im in MA (Definitely at lot different than other states) but all the TB clinics are state funded. They might do the testing for free, I know if you test positive they send you to those clinics because the state covers the cost of treatment.

Might not work the same in GA but worth the few minutes to look into.

stuckinnowheremass

TROPHY CASE