The unexpeced?! I think we understand that in the ED even more the surprise crazy person, or the walkin MI, stroke ect

Luchi Loyale I really appreciate the ICU nurses at my hospital. I’m an ER nurse and I have never been asked unnecessary questions from my fellow ICU nurses who do their own research before grabbing my pts.

Thanks for helping me decide! I’m an introvert and it scares me to be posted in the ER where I have to shout aloud (bec of the chaos) to pts and relatives

Firecreeper Aza yes, this! Med/Surg nurse of 6.5 years here, about to train to ICU in 2 weeks... introvert. 👍🏻

Tbh I noticed the ICU nurses are much more talkative and easier to get along with than ER nurses but I work with them more frequently so that could be why too.

I’m an ambivert- I like cardiac nursing which is mostly ICU..

I'm an introvert (I keep time alone and that's where I get my energy from), but I'm not shy or scared of social situations. I love my current job as an EMT in the ER, and I hope to continue in the ER when I finish nursing school in 6 months!

Devon Sewell i am in the situation #torn

Er rocks.

ICU is rewarding. You get to see some people get well.

Just saw this vid... Uh... How bout the poor Med Surg Nurses....

Devon Sewell me too! I’m leaning more towards ICU

Same for the OR. No time to be on hold, or do call backs. Grrrr! Anesthesia is leaving without me! LOL!

No joke. IR here...gotta keep rolling! No time for call backs!

One time I got a call from the ER nurse to give me report. I was in the middle of giving an enema to a patient. I told her to give me 10 minutes as I am literally in my patient’s rectum right now. I had to ask a tech to pick up the cell phone for me so I can speak with the nurse. Sometimes we just don’t know what’s going on on the other end lol

This video is good to see things from another perspective. Im guilty of these things however I don't mean it. But this is good information and well delivered.

I agree. This seems to happen every shift. Last night I tried to call report 2 separate times and was placed on hold over 10 minutes. I don't have time to sit there for 10 minutes waiting for the nurse to come to the phone. When that happens I make sure to chart that report was attempted, so it's documented that I tried to hand off the patient on my end. Drives me nuts.

Hello Kim, How are you.

Well said Jaclynn!

well said dear

Really like the way you put it

I know this is 3 years later but which unit did you prefer?

Hahaha I thought it was just me

haha not the only one who noticed! ;P

I thought he had an Australian accent for a minute but then it got southern. 😂😂

Rachel Dorsey I love both accents

Where is he from?

Organic, u guys gotta get ur s#it together. How & why the hell u guys put up with that HAZARDOUS WORK CONDITION? HAZARDOUS for the patient & the nurses!? Ur suppose to advocate for the patients, not allow HAZARDOUS SCENARIOS u described to occur without doing anything about it. Staff that dont do anything, is equally part of the problem! Wake up RN's! Without u, the hospital will GRIND TO A HALT! Use that power & leverage to force the greedy CEO,CNO,CFO,COO to staff not just the bare minimum industry standard, but staff above industry standards! If that sounds like a pipedream to you, but NOT for the California Nurses working in a SUPER, SUPPORTIVE, POWERFUL Unionized Hospital that put Administration in a VICE whenever they even think about JEOPARDIZING PT & RN SAFETY. California Nurses working in a SUPER, SUPPORTIVE, POWERFUL Unionized Hospital DO NOT MESS AROUND when it comes to PT & RN SAFETY! If u say u guys care about PT & RN SAFETY, then do something about it. Dont be a sheep & because complacent.

Right?! 😂

You are so right. This is why I said it is actually a stupid attempt to compare ER nurses to ICU nurses, or any other specialist nurse. We are different. The departments are different, and things must be done differently because of it.

I did the same thing...then I transferred to the ER!

Haley Loeffelholz come on over to the OCD world ;)

You do realize there are lazy nurses that will fabricate dates on the labels on tubings because they are too lazy to change the tubing? You are in clinicals, wait until you get into the real world.

When you have the time to organize your IV lines, you do! When you don't have time and other things are more important, you don't. When you have time to sift through the entire patient's record, you do. That is not a luxury ER nurses have. I've been an ER/Trauma nurse for 17 years, and an ICU/CCU nurse before that. I know both sides.

I am a RRT and work with both ER and ICU nurses Love both groups!

Christian you are mistaken about who is in charge of when a pt is transferred to the ICU. trust me, ER tries to get the patient out of there as fast as possible. We constantly get blocked from ICU charge, room isn’t ready, not enough nurses staffed on the unit, etc. admit orders placed has no bearing what time the patient can leave the ER and go to the unit. That’s all on the unit.

Negative, Order to admit is different from room being assigned. You can have an order for admit for hours but until a room gets assigned the pt says in the ED. The reason as to why floor transfers occur more often around shift change is due to the admitting MD or hospitalist dropping the case load before they go home - until they decide the level of care needed a room can not be assigned. LOL you have time to get situated at shift change? That's cute - the moment I walk in, my assignment is opened with patients being pulled back prior to me even clocking in, If I'm really unlucky all my assignments labs, meds and discharges line up meaning that I'll be hitting the ground running only get get 4 news ones and do it all over again all shift. Yeah if the patient is slated to go up in the next few minutes I don't start blood transfusions because as you know pt with blood transfusing can only be transferred by RN's - Then even when I call and tell the floor that the pt will have blood transfusing 9 out of 10 times the room isn't set up, there is not a pump to switch out and the RN won't be there for 5-10 minutes meanwhile I still have my pts downstairs with a new one being brought back to the now open room. Life is comfortable when you don't have a 5 hour waiting line of pt's that still have to been seen labs drawn etc... Don't take it wrong I absolutely love the ED but it's a whole different beast than the floor. Each a different occasion I've given 6 units of blood between 3 pt's in 1 shift, managed both a septic and cardiac pt that walked in at the same exact time with consideration that i still had 2 other pts, heck last shift was 3 pts 2 of which kept calling out for me with the 4th pt being in 4 point restraints requiring checks Q15. There are good and bad nurses in every unit - I've stayed an extra 2 hours for an walk-in SVT and a stabbing that both came in at the same time, neither of them were my pt's nor was I asked to stay. I did it out care for those other RN's that these were their pts. Can you say that you've stayed hours after 12 hr shift for others without being asked to when critical cases hit the floor at shift change?

@@Gnarly_sheen our ER has no patient ratios....SOOOOOOOO downtown Detroit Trauma 1 we take patients until they stop coming NO MATTER how many nurses...or lack of nurses we have! No patient ratios means: I have had 5 ICU, 2 brain bleeds, 1 withdrawal, 1 ETOH, 1 suicidal and 4 other random ER crap ALONE, because we had sooooo many codes all our "otger" nursee and techs were in resus or lunch. So calling report ASAP benefits us. However, with that being said we usually correct the problem and discharge from our ER before they get a bed because we are so FULL! YEPPPPPP they just keep coming 24/7 all day no matter what!

Perhaps it is because getting an IV in is often an emergency and the AC space is the best place to get one in quickly. Besides, we don't have time to sit on our asses and sift through every aspect of a patient's chart to know that person's entire life history!

The turn over rate for patient in the ER is entirely too high to know everything about each patient. I can have more than six patients in and out the ER in one hour, while a patient remains for days in the ICU, allow the staff too know more about each patient.

If the patient is going to the ICU, most likely they are a critical patient which may require critical medications. Wouldn't it make sense to go for a large bore AC that would benefit the patient instead of going for a smaller hand IV for the convenience of the unit nurse?? Are ICU nurses not good at starting lines? If you don't want it where it is placed, re-site it? Seems obvious enough. And its easy to know about your patients when ICU has 2 to 3 patients throughout a 12hr shift whereas in my ER, on average, each nurse gets about 12 pt's. Within 1.5 hrs receiving a pt by rescue, a bed is already assigned and administration mandates that if its an ICU pt, the pt must be off the unit within 30 minutes after the bed is assigned to make room for those in triage or coming in by rescue. Don't blame ER, blame the system. Are the ER nurses expected to do and know everything???

crypto85 I understand all of your points. How ever, I have had one ICU patient that keeps me busier than 8-9 med/surg patients. Just depends on pt needs. Yes, a large bore iv is great, but why not forearm? Ijs. 9/10 times the pt will get a central line once they get to the unit anyway

furlvr1961 I hope you aren't implying that we (ICU) nurses just sit on our asses. At least not at my hospital. I work in a level 1 trauma center and teaching hospital in Atlanta. Tripled most nights with no techs, etc. Even charge sometimes has 3 patients. 30 bed unit. It's insane.. always.

Amen! Or they ask me the entire pt history of someone who is unresponsive.

Thank you! We do not care, not ask. We don’t give a crap about that lol

Yes!!!!

LOL, this!

Kari Folsland lmfao.totally!! Unless the pt came in with abdo pain or anything GI related I don’t care when they had the last bowel movement and I’m not gonna ask the pt when he last had a BM when they are having a heart attack or stroke or anything that has nothing to do with BM.

Melissa... BOTH places are "more work". It can be crazy busy in either department.

Melissa Misinco Sounds a bit lazy. You don't want to understand the patient as a whole because it's more work...? Yikes

411foryou I’m an ER nurse training to be a CRNP! If you treat your nurses, cnas, and rt, with respect, that’s a great start. So many docs and PA’s brush us off because we are “just nurses”. Just always remember that nurses are the first ones to double check for your mistakes (and often times catch them) and notice changes in the patient. If you can do that, you’ll be solid. OH! And if you don’t know something, Ask! There’s no way one person can know everything, and we all learn different things through different experiences. I always have more respect for docs, PA’s, and NP’s that ask our opinion or ask questions about the patient/situation.

Like most things in life, it boils down to the golden rule of not being a dick. Treat nurses (and all of the interdisciplinary team) with respect and dignity. If they are a new nurse, take the opportunity to teach them instead of yelling at them. If they are very experienced, listen to them and seriously take their suggestions into consideration. I realize that this comment is old, but the points stand true no matter where you are in your profession timeline.

yeahmirandaa I'm an icu nurse and I see this all the time. Patients coming up on room air,aaox4, voiding, no gtts,etc. And I'm like, why?! So yes I will tell my charge nurse to see if this patient really needs to come to the unit. Maybe they could go to step down or medsurg with tele.

Chelsea Shaffer I'm sorry but a patient detoxing from opioids has no business on a step down or med surg unit. They could go down real quick and with no warning. Also my hospital doesn't have step down floors anymore it's either ICU or tele floor or med surg

yeahmirandaa I disagree. At my hospital they send etoh withdrawals (which is worse than opiate withdrawals) to the floor all the time. I guess it just depends on the hospital type, size, etc... We have step down units that can do narcan gtts

Chelsea Shaffer Both are pretty sick and can downhill quickly. Granted I'm just at a level two trauma center but they function as a level one.

Cuz seizures and brain swelling is FUN

I think that's habit lol. My shift starts at 0700 but I'm there by 0600 every day. My report sheet is filled out in its entirety, from the meds I plan on giving to the patient's urinary output to what time the patient's tube feeds need to be replaced. This frees up what I like to call "mental RAM." If I'm focused on what size foley was inserted or the placement marker of the endotracheal tube, maybe I won't notice the titration of vasopressors doesn't match what was documented or the patient quietly shifted from normal sinus rhythm to a-fib and the lung sounds you thought were wheezes are now diminished, etc. etc.

Please don't NOT do something because of how difficult it MAY be. It is difficult, but you are truly capable. Have good study habits.. Don't ever dismiss yourself before you've even begun.

Eve Fadahunsi it's not hard

I thought the same thing, that's one reason I didn't go to school for it until I was 24. Don't make that mistake, if you want it bad enough you'll work hard for it and do fabulously. Remember, most of the best things in life aren't easy. If they where everyone would do it.

Eve Fadahunsi if you want it do the work and get there. No short cuts at 13 you have plenty of time. Get high grades in highschool and develop good study habits now. When it comes time to apply to school you'll be on a solid foundation

BSN Student here. Had a 12-lead the other day in my ER rotation. I was trying to untangle and straighten out all of the wires. Does that mean Im destined for ICU? lol I loved ED btw

No need to be rude about what you're saying. Although I get your point, ICU nurses have a 1:1 nurse to patient ratio because IT'S FUNDAMENTAL. On a ICU, patients are critical and require more time of the nurse and it's absolutely not predictable. On a ER, there's a higher nurse to patient ratio because not all cases are critical!

lol girl!! he is cute. you guys would look cute together!

HAHAHAHAHAHAHA!!! Ladies....he is single!

Ashley Adkins, RN if it wasn't creepy I'd totally send him a message lol

Abercrombie babe --- he is a total cutie!!!!!

get your creep on girl...go get him lol