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E passed his exams yesterday. He is now "Doctor E."

My preceptorship in the ED is soon ending. I asked my preceptor for her impressions of my orientation period and received the response that "...you need to work some on your prioritization and organization skills." This was not new news to me. These are areas I have always had to work on. At least there is consistency. And so improvement has begun.

In other news, one of J's closest friends is moving to the east coast with his family. His dad is an astronomer. E has had a standing employment offer also on the east coast. There may be big changes ahead.

Last night I/we worked on a few cardiac stabilization cases, a couple of patients with emergent but not necessarily life threatening problems, and one patient who had had a hemorrhagic stroke of some sort. One thing that is different between ED nursing and 'inpatient hospital nursing' is the concept of investigation and treatment of problems and potential problems verses the maintenance of 'order' (the milieu) and comforting and listening to patients in distress. I think that though I liked the latter, getting to be knowledgeable of the former is going to be challenging, interesting, and what I am looking for.

Tonight we will be working in the 'intermediate rooms'. FYI: The rooms in the order of severity as I understand it: Ambulance or Waiting room to triage to 'Red rooms' to either being a hospital admit and then waiting in 'Monitered holding' or going to one of the 'Intermediate rooms', an alternate path is 'Waiting room to triage to one of the 'Intermediate rooms' for clinic-like care or to be admitted or to the 'Minor Injury Clinic' proceeding then to discharge. This fast flow pattern is of course very dependent on the clinical presentation of signs and symptoms of the patient. Other factors influencing this flow pattern is 1) lack of space in the hospital for new admits, 2) flow slowed or stopped by a department like the laboratory or radiology, 3) ...

I was never very good at keeping secrets.

The kids are playing now in the yard of the younger's school and having fun. This is good.

R has given me a 'Poliwhirl' POKéMON figurine to adorn my stethoscope. Kewl.


( 1 comment — Leave a comment )
Mar. 9th, 2001 10:55 pm (UTC)
sorry for the delay in response, however, if you have read any of my entries lately, you can tell that things haven't exactly been slow paced... so much change in so little time...

Anyways hrmmm... history, or maybe you want Hx? ;)
I am not sure what I have and haven't related so I will just spew forth: Went to UCB, didn't like my major (not enough helping people). Got a job for a year at the Health center as a health counselor and loved it. Had some fun doing a ride along with the fire dept and got hooked. Went to Mission college and did an EMT class and loved it. Worked as a firefighter/EMT in the gilroy/101S area and worked a lot of trauma. Got a job in the central valley and one of the perks was my medic education being paid for. I did my preceptorship at UCDMC (huge level 1 trauma center) in the Resus room (all big traumas and medicals go there-codes, big trauma, emergent care) and had a blast with the nurses (maybe it was the night shift wackiness?). Made a friend while I was there and she gave me all her nursing textbooks and told me that with a medic Hx and a college degree I could take the regents program and challenge the requirements for becoming an RN. Should take me one year if I work hard, maybe two if I take a bit more time. As a medic I interned in a high call volume city (12-20+ calls a day, maybe 5 ALS contacts min per shift) for several months. I am not working in the field now as I go through the fire academy but will resume as a medic come June (god I hope I remember all the protocols!).

Why become an RN? It's an extension of the skills I enjoy now. It sounds like a fun side job for extra cash. Should I ever have to move to be with my girlfriend (and I just may have to since she is an aspiring MD) I'll need job mobility which fire does not offer right now (well not that easy anyways). Lastly because I like learning new things and being challenged and I am sure that an ER RN or MICN would surely keep my plate more than full...

What am I looking for information wise? How hard was it? Do you consider it worth all what you put into it? How should I prepare myself for this? How much experience do you need to be able to offer good care to your pts? Things like that...

Good to hear that things are giong well in the ER. Hope to hear from you soon...

( 1 comment — Leave a comment )

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