Bedside critical care nurse, first-time adult, nursing blog author, and expert Pinterest-recipe ruiner.

 

lauradora91 asked
Hi Nurse Eye Roll! So I just graduated in May and passed my boards in the beginning of July. Now I'm looking for a job and feel like I've applied EVERYWHERE with no response. Any recommendations for the meantime as I am steadily losing faith? Thanks, Laura

Hi there!  I recommend reading a post I did about a year ago when someone else was having the same delimma.  Unfortunately, it’s kind of common now.  Let me know if this answers your question!

http://www.nurseeyeroll.com/new-grads-2/i-graduated-now-what/

americangothgirl asked
Hi there! I'm an American living in the UK, and I'm about to enter my final year of my nursing degree (eep!). Anyway, my husband and I are thinking about moving back to my native California in a couple of years. NCLEX and state boards aside, what do I need to know about American nursing? As I'm completely British-trained, I have no idea how things differ!

I am the other side of things - I don’t know what British nursing is like!  I have talked to someone that worked in Scotland and she said that the biggest difference she’s noticed is that we administered a lot more pain medications and narcotics here.  We frequently give IV pain medication, multiple times every shift, and she said she rarely did it there. I don’t know what it’s like there, otherwise I’d tell you more differences!  Sorry!

jstaki asked
As a nursing student, were you allowed to start IVs, do blood draws, etc? I just completed my 3rd year in nursing school and I haven't been allowed to do these procedures in the facilities I was at. It makes me nervous for the real world because I haven't been trained in doing them!

I was allowed to do that but didn’t get a ton of experience.  I kind of felt like I started all over once I got into the real world because they had different IV’s and whatnot.  Also, they had a different policy/procedure.  It had been months since I’d done any procedural stuff once I started anyway, so you will have to re-learn it in a sense.  So don’t freak out about it, try to be familiar with it and take opportunities when and if you get them.  I know people that graduating without ever starting an IV or placing a foley and they’ve done just fine :-)  You’ll be great!

ER Time Management

ER time management question:


I’m a CCU/ER float. ER is totally different as far as time management compared to floor nursing. In my ER we have 36 beds and 2 trauma rooms with level 2 trauma cert. We certainly aren’t the busiest but we can certainly get hopping. Like with all nursing tasks you always start by prioritizing. When I first start my shift I take report on any existing patients mentally making a note of who I should see first. Once report is done I go and do a focused assessment on the top priority patient. Unfortunately you don’t always have time to do a complete head to toe right when you get there. Once you’ve laid eyes on all your patients snagged some vitals and asked about pain and nausea check your orders for what meds they can have. If none go find their doc and get some orders. After addressing a focused assessment, pain/nausea and obtaining a recent set of vitals I go through all my orders and complete any that are still hanging. Once you’ve done all that continue to stay on top of any new orders, obtain a set of vitals at least every hour (depending how critical the patient) and always reassess pain. That’s the flow that works the best for me but like most of nursing there is more than one way to skin a cat.

thisfuturemd:

"Head trauma causes a subdural hematoma by tearing some of these bridging veins. Notice how thick the dura is and how delicate the bridging veins are in the image." - from OnSurg. #neurosurgery #neurology #humanbrain #brain #surgery #medicine

thisfuturemd:

"Head trauma causes a subdural hematoma by tearing some of these bridging veins. Notice how thick the dura is and how delicate the bridging veins are in the image." - from OnSurg. #neurosurgery #neurology #humanbrain #brain #surgery #medicine

Did your patient French kiss my patient again??

Words I never thought I would have to say to a resident. (via md-admissions)

Anonymous asked
Do you have any suggestions for nurses managing their time in the ED?

The only experience I have in an ED was in a really, really small ED.  So small that even when they were full, they’d have less patients than I did at one time working nights at my first job.  I don’t have any time management tips for that speciality.  Sorry!  Are there any phenomenal ED nurses out there with good time management skills!?