Had a great day charging the crazy area. 2 in house trauma alerts and a separate level 1. I got to be in 2 of them. 2 were at once. Then ended on a level 2 that I had to take to CT.
Just ended the shift on a bad note. Giving report it was obvious I didn’t know what was going on with everyone. Makes me feel not as prepared as a charge. But overall, I got an awesome experience. I stepped up and charged and got into some trauma. It was nice. AND we delivered a baby.
Like a boss.
I’ve started charging at my new job. I’m nervous. We have some SICK patients. We had a 30 something young women go to the cath lab, inferior wall MI. A man had a stroke on the bus, we ended up keeping him TPA. Neurosurgery took him to retrieve the clot. He did well, his repeat CT showed no bleed! 2 level two trauma alerts later, my head was spinning. Even the head doc agreed we had a tough morning. “That’s what a stroke alert is supposed to look like.” I found my mentor. She doesn’t know it yet.
I’m scared but I know this is going to make me a GREAT nurse. I am going to miss it here, but maybe I’ll be back :) I hope so. At least I have 8 more months.
I hate looking young sometimes. The AM Charge Nurse was running late, I was asked to get report from the night shift and fill in until she got there. Night charge was SUCH a bitch. First question she asked was, “How long have you been a nurse in THIS ER?” I asked her if she wanted my resume and proceeded to call her honey.
She was shocked that I had an orientee as well. Thank god she’s leaving—- she made me feel so small, like I obviously couldn’t handle it. I didn’t get a chance to tell her I used to charge, but didn’t think I should have to defend myself. I think I could probably run circles around her. It sucks when you have nurses who have done it longer that you’ve been alive degrading you, rather than raise you up and teach you.
Funny thing, the shift right after this my Clinical Manager had me float with the Trauma Nurse and then precepted a charge nurse :)
Just got an awesome pep talk from some higher ups at work! :) feeling really encouraged to go for trauma! :)
Man it’s pathetic that a person who rather live in a hospital, hoping for IV dilaudid rather than living life. Job security I guess
Pink puffer (left) and blue bloater (right): obstructive lung disease
Pink puffers predominantly have emphysema, which involves the respiratory unit, while blue bloaters have chronic bronchitis, which primarily obstructs the more proximal terminal bronchioles, hence the greater trapping of CO2 leading to respiratory acidosis, hypoxemia, and cyanosis (note facial discoloration).
Just had a patient complain that we didn’t give him narcs for a stye in his eye and neck pain times a month and a half. He called administration, told them I put his IV in “crooked”. Yes it was positional, but shit. No need to blame the nurse because you’re not getting your narcs.