An Emergency Room New Graduate RN


I finally got a job after 5 months of searching in an amazing ER in a big city. It's crazy and always busy and exactly what I wanted in a job. I've decided to start blogging about the patient I see and experiences I have to really remember what started my career. There will be no identifying information as to keep HIPPA in mind :) I won't even tell you where I am working to keep it all legal. Enjoy!
-slightrisk:

A family were on holiday in Australia for a week and a half when husband, wife and their 15 year old son decided to go scuba diving. The husband is in the navy and has had some scuba experience.  His son wanted a picture of his mum and dad in all their gear so he got the under water camera ready to go. When it came to taking the picture the dad realized that the son looked like he was panicking as he took it and gave the ‘OK’ hand sign to see if he was all right. The son took the picture and swam to the surface and back to the boat as quick as he could so the mum and dad followed to see if he was OK.  When they got back to him he was scrambling onto the boat and absolutely panicking. When the parents asked why, he said ‘there was a shark behind you.’ The dad thought he was joking but the skipper of the boat said it was true but they wouldn’t believe him.
As soon as they got back to the hotel they loaded the picture onto there laptop and that was what they saw.

Oh. My. God.
That is awesome! and really scary!

-slightrisk:

A family were on holiday in Australia for a week and a half when husband, wife and their 15 year old son decided to go scuba diving. The husband is in the navy and has had some scuba experience.  His son wanted a picture of his mum and dad in all their gear so he got the under water camera ready to go. When it came to taking the picture the dad realized that the son looked like he was panicking as he took it and gave the ‘OK’ hand sign to see if he was all right.
The son took the picture and swam to the surface and back to the boat as quick as he could so the mum and dad followed to see if he was OK.  When they got back to him he was scrambling onto the boat and absolutely panicking. When the parents asked why, he said ‘there was a shark behind you.’ The dad thought he was joking but the skipper of the boat said it was true but they wouldn’t believe him.

As soon as they got back to the hotel they loaded the picture onto there laptop and that was what they saw.

Oh. My. God.

That is awesome! and really scary!

Source: hann-h

Today is my one year as an Emergency Room RN

Where did all the time go?! 

“I think you’ve waited on me before.”

Excuse me, I’ve never been a waitress, and this is not a restaurant. I am a nurse, this is an emergency room, and I have CARED for you before. I did not spend 4 years in school, over $30,000, and take the worst standardized test in the world to “wait on you.” 

Sometimes all I want to tell patient’s who tell me, “I haven’t eaten all day. Can I get something to eat?” is, “Well, let me do some compressions on this dying patient and give him life-saving medications first hoping he lives, and then I will go and get you your precious sandwich since you haven’t eaten ALL DAY!” 

WHEN DID NEVILLE GET HOT?!

WHEN DID NEVILLE GET HOT?!

Source: parrillalana

Whoa! Now that is awesome! →

Kissing art is something I think I can get into ;)

Here’s what I believe with all my heart: I am worth more than a dime-sized cluster of cells. I have more of a right to my body than anyone else. I deserve to choose when I become a parent, or to never become a parent. And furthermore, as an American, I am entitled to legislation free of religious convictions. If your only argument is “God said no,” that’s not going to cut it for me.

stfuconservatives (via bettyinthebush)

Yup.

Source: stfuconservatives

4th of July :D

My last patient of the night was a 16 year-old who was incredibly stoned as well as happily hammered. He rolled of the bench in his holding cell in the jail. As soon as the firemen rolled him in, he pointed at me and said, “AWESOME!” He was a bit difficult to assess. I had to talk to him like a 4 year-old. But whatever. I tend to just flirt with the drunk guys, and I usually get my way. 

It took two techs and me to get a head CT and it took 4 security guards, one nurse (me), one tech, and one PA to hold him down to suture his facial lac. He seriously cried the whole time. THE WHOLE TIME! After the trying affair, he stood up. I was holding his arm so he wouldn’t fall, then he turned to me and gave me a huge hug. Not just any hug, like a full-on, arms all the way around, head on shoulder hugs. It was easily one of the funniest things ever. 

What a great end to a long 12 on a holiday. 

awesomepeoplehangingouttogether:

Tom Wolfe and Kurt Vonnegut
(submitted by Robin)

Caroline!

awesomepeoplehangingouttogether:

Tom Wolfe and Kurt Vonnegut

(submitted by Robin)

Caroline!

Drunks, druggies, and knife wounds.

Last night I had quite an array of patients. First I had a patient who relapsed on IV cocaine (which I don’t get, but hey, I’m clean!) 4 weeks ago. 3 weeks ago he developed severe back pain which had only gotten worse. He came in today at the beckoning of his primary. We found a epidural abscess on his spine which can be nearly fatal if it ruptures. He was so upset when the doctor told him. I assured him that yes, it is from your relapse. No, it is not as bad as it sounds. It can be fatal, but since he came in when he did, IV antibiotics should clear it up. If not, the hospital is exactly where he wants to be. I also made sure to tell him that he is taking huge steps to get clean. It is not a easy process, but he is doing a great job. This is just a little bump in the road. He was so freaking polite and nice. I really hope he makes it and continues with his own road to clean living. 

I then got a patient with a .583 BAC. He was 48 and talking about Vietnam…yeah…He is a frequent flier who is terrible depressed. He is also pretty non-compliant with detox. He was so freaking polite as well. Yes, I do flirt quite openly with most of my drunk patients, but I also have the least amount of outbursts from my drunk patients :D The poor guy kept telling me how scared he is and how terrified he is of everything. I felt so bad for him, but I also know how much has been done to try to help him.

Another patient I got was a little 25 year-old who was attacked with a knife. When I asked him if he knew who attacked him, he said, “umm…kind of…” Again, he was very polite, so I decided not to ask anymore about that as the police would be there shortly. This poor little guy had a 2-3 inch lac on his forehead that he was holding pressure on. It was clearly bleeding a lot as there was blood all down his body. I had him sit down, asked how he was feeling, making sure he wasn’t nauseated. Then one of the nurses I was working with smugly said, “Oh, you won’t need tele.” Seriously?! Can I make a freaking call with MY patient?! Put the pulse ox on the guy and his heart rate is 150…yeah, I’m going to need tele. I look at his lac, it is pulsating…yeah, I’m going to need a doctor, IVs and some fluids…idiot…

Again, the patient could not have been more polite. We got some fluids in him, got him sutured up which took some careful, skillful work from one of my favorite doctors who is one hell of a kick-ass woman. (Even when pregnant! I had my first code with her and her lovely belly. Watching a pregnant woman intubate someone is pretty cool.) After some fluids, fentynal, and TLC, his heart rate came back down to the 80s, and he could go home. Later, one of the policemen told me that the person who attacked him was someone he used to sell drugs to. It doesn’t make a difference to me. Everyone deserves respect even if they are into some questionable things. If they are polite to others, they deserve politeness back.

Remember that stupid, entitled people who think they deserve all the attention in the world! A little respect goes a long way in the ER. I don’t have time to smooth your feathers when I DID NOTHING TO PISS YOU OFF!! But I will definitely spend my precious time with the drunk guy crying about a war he was a pre-teen in than making you feel entitled again.

ameliepoutine:

laura-d:

-ryan:

One day I’m going to have a huge falling out and this will come out of my mouth.

^

LOL omg ryan

HAHA!! I remember when I watched this episode when it first premiered, and all I said was, “Well, someone should explain to her what the phrase ‘forgive and forget’ actually means…”

ameliepoutine:

laura-d:

-ryan:

One day I’m going to have a huge falling out and this will come out of my mouth.

^

LOL omg ryan

HAHA!! I remember when I watched this episode when it first premiered, and all I said was, “Well, someone should explain to her what the phrase ‘forgive and forget’ actually means…”

Source: joeydeangelis