Tips For New ER Techs!
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- เผยแพร่เมื่อ 7 ก.ค. 2024
- In this video I will be giving tips to new and future ER Techs!
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when I start a new job, I spend downtime opening cupboards and drawers. that’s the best way to find out where things are. spend time in the stock room, too.
That’s a great tip! I like to take a picture of the stocked drawers on my phone so I can reference
1. Try not to put the pulse ox on the same side of the BP cuff (the baseline sat is important and determines a lot)
2. When starting a line put the tourniquet above the BP cuff (by the proximal humerus) instead of taking the cuff off
3. You can quickly inflate pressure bags by pressing opening at the bottom of the bulb against the o2 tree
4. When splinting a leg on a stretcher you can elevate the leg by tying curlex across the side rails then cut it off when you're done (instead of using another set of hands)
5. Vaseline gauze is great to use as chapstick for patients
6. Put the nasal cannula in the patient's nostrils before turning on the o2 (it tickles the nose and they might move their head making it difficult to place)
7. You can attach the end of a cath tip syringe to a condom cath and retract the plunger to create a bit of suction on male patients who don't have much down there
8. You can cut an ETT in half and cut a channel down the middle of it to use as a guide and support the esophagus when dropping a difficult OG tube then peel it away using the channel you cut when it's done
9. The belmont runs faster without a hep lock and you can hold down the button to increase rate to override the 500mL 'max' setting
10. For female foley insertions start anterior and aim at an anterior angle (to reduce chance that you place it in the vagina)
11. When doing an ecg (especially on a pt in resp distress) avoid placing the lower limb leads on the belly when they're using their abdominal muscles to aid in breathing. There will be less artifact
12. When attaching a pt to the cardiac monitor I find that it's faster to clip the leads onto the electrodes then apply them to the pt (instead of placing the electrode on the pt then going back to that same location and clipping the lead; this way you're hands only go to those locations once instead of twice)
13. If a pt is not registered yet and you need a stat glucose you can put a bunch of 0's instead of the pt's fin number to override the glucometer or scan the qc bottle instead of the pt's wristband and let them know what the sugar is
Hope these help!
these are great tips Ferris!
Hi!! I would love you talk to you. Is there any way I can reach out? Like an email address or another form of social media??
I like numbers 4 and 7. I will definitely be doing those. The others I pretty much do. Although clipping the leads to the electrodes first before putting them on the patient is great when you know a code is coming but most of the time it's a rush thing and we have hands to assist. One tech is putting the electrodes and they would be the first 5 leads just to get a rhythm while attaching the other 5 leads.
I’m a newer tech. Only 1 month in and everything you touched on is accurate. These are things I actually come across myself. So anyone about to begin the process of becoming an ER tech. I can vouch that these are very helpful tips ( especially knowing what your priorities are ). Everything is important but that Would be the number one advice to take from this learning how to prioritize things appropriately.
I'm so glad you found my video helpful!! I actually think I'm going to make a new one with some updated tips. What tips or topics should I include in this new video?
It's being pretty overwhelming to say the least. It feels like a lot of stuff at times I had to remember to keep myself on track with my preceptors. Sometimes I felt dumb for asking questions because sometimes there were the sames ones because it's so much information I have to soak in. So basically I had to take lots and lots of notes when ever my preceptor demonstrates the tasks and responsibilities to keep afloat. Also let alone the fact that my hospital didn't require emt certification so I got hired to the position with just my CNA background experience and Monitor Tech. I'm sure it would of been easier had I been emt certified. Everything I could of learned in 3 months from emt school is what I'm learning now during orientation which is within 3 weeks.
when I started as a tech I didn't have my EMT license! I learned almost everything on the job. I know it can be overwhelming at first, but it will get easier. Also, don't be afraid to ask questions. It's okay if you don't know and when you are new you don't know a lot lol. The ER is a special beast and it can be hard to get your footing at first, but once you do it feels great!
The difference between Day and night shifts is the staffing. Dayshift gain staff as the day progresses and nightshift loses staffing as the night progresses. The bad part is that on paper, the ER is supposed to slow down with patients but the majority of the time it doesn't. So the small crew at night has to work with this belief and this is where patients complain about waiting times. We may have the beds to fill them up but we don't have the staffing to manage them.
As an ER tech, your main goal is to transport, stock, and help out whenever possible. Outside of that comes your skills; IV, EKG, vital signs, splinting, compressions, and drawing blood. If you're good at your skill you will be used a lot. I've been at this for over 17yrs and I'm trying to get to the next level of my life which is PA or NP. This is a great field and position to get into to learn and move on to med school if that's your end goal.
New nightshirt ER tech here. I have one week left of orientation. I was a care partner prior to being in the ER so orientation hasn’t been so bad. The most difficult thing for me is being in the resus rooms. There’s just so much going on at once and so many people in the room. So far I’ve been in there probably about 8 times. Also, my hospital is so confusing so getting lost transporting a pt is quite easy lol. You were spot on those hospital beds, they are tricky to maneuver.
Congrats on the new job ally! And yes the resuscitation rooms can be very intimidating. But the more you see the more comfortable you’ll get! It just takes time 😊
So happy for this new video! I binged watched all your others the same day I subscribed, now I need more! Lol but I’m super excited to start working as an ER Tech after being a Dialysis tech for the past 2 years!
Raynia thank you for subscribing and congrats on getting hired for the ER! You’ll have to keep me updated how you like it 😊
starting my class to be an ER tech in January, because of you! I didn't even know it was an option for undergrad, until a few months ago when I saw one of your videos!
Oh wow thanks Miles! I’m glad my videos have helped 😊
I start my job as a Student Nurse Tech in the ER in two weeks! Thank you for all the great tips
So glad I was able to help charlie! Good luck😁
I start mine soon and came across your video and this is really helpful thank u for the advice.
Glad I was able to help☺️
I’ll be retiring very soon as a Fire Fighter. I’ve already started my orientation as an ER Tech. I love it..!!
Thank you for posting this video.
New sub..
Thank you for the support John! Glad I was able to help ☺️ Hope you’re enjoying orientation!
Awesome video, super helpful!!! Thanks for filming :)
Glad I was able to help you Heidi!
Hope you found this video helpful! Let me know if you all have any questions or tips that I left out! 😁
I would love to get to know the items in the stock room ....to learn more.
Love your videos💜💜
Thank you so much!
my hospital has a team to stock and I am so very grateful lol
I wish we had that! We definitely need that in the ER!
Thank you for the information. 😁
Glad I could help you Andrew!
Very helpful!! I LOVE your channel!! I applied for PCT/ER tech position and am in consideration!!! & this will be my first time in a hospital! What are some interview tips for the questions the interviewee will ask?
I would ask what your expectations are as a tech. And what your responsibilities are in the department!
Good luck with your interview!
@@CaseySmithOfficial thank you!!!❤️
I work as a tech in the ER in a level 1 trauma center. We’re allowed to do foley Caths and straight caths
Wow I’m so jealous! It’s great that you get that hands on experience!
We don’t clean rooms in KC!
Sign me up fam lol
I start my ER tech job in 2 days. Is there anything I should study before then? I don't have experience as I just finished the EMT program. Thanks!
I would make sure you know the range of normal vital signs. Good luck at your new job!
Hey. I’m about to become a Tech2. For overnight. What’s the difference from tech 1 and tech 2
I have an interview over zoom tomorrow for a ER Tech position I’m so nervous and everybody keeps talking about priority questions. Wish me luck 🤞🏻
Good luck! Don’t be afraid to hype yourself up and be personable!
I don’t know if it was asked or if you covered the topic. Why are you making the switch from ER tech to EMT?
Because I’m working in the ER without my EMT there are a few things I can’t do in the ER. So I’m getting my EMT so I’ll have full privileges.
What I should go to school for to become ER tech
Most emergency departments require an EMT license or to be a nursing student. I would check job postings for requirements.
where did you get your scrubs?
The scrubs in this video are from figs. I have a whole scrubs playlist where I review all my favorite scrub brands😁
How do you stomach seeing a head or a hand separated from a body
Working in healthcare you can see some gruesome things. I personally handle it by focusing on improving the patient.
how old are you & what do you want to do in the future?
I’m 25 and I want to be an ER nurse
How do you become an ER tech ? im from Ohio
I will be doing a full video on this soon! But most ERs what you do be a nursing student or EMT
I'm thinking of doing this instead of being a RN 😁
I think this is a great job to have!
she mention around 12:40 (i think), dont be afraid to ask if you can watch the procedure. (what happens if its a intimate problem?) shes said shes super lucky i work at a teaching hospital. so they almost always say yes, ive actually never had anybody say no. she never mention anything about asking the patient if its ok. me personally , as a male. anytime i got to the er and if its for an intimate problem or i have to put on a gown . i always ask for male doctors and nurse due to this right here. females dont ask patients if its ok, they assume its ok. what happen to patients PRIVACY, DIGNITY AND RESPECT?
I ask the provider for permission to observe the procedure then the provider confirms if the patient is comfortable. It’s usually not a problem because we are a teaching hospital so patients are use to having students, but the patients have the right to say no.
@CaseySmithOfficial a lot of patients don't know they have the right to say no. men are expected to just bear through it. have you personally asked the patients if it's ok? (probably not)and ask the provider doesn't count as ask the patient. that's why I personally ask to see all badges. if they are not a nurse, then that's a no-go, and even then, if they don't need to be there. they're gone. a heads up. you asking if you can sit in on a procedure . if it's a intimate exam or procedure, and they are a male. you are causing more embarrassment to the patient. why do you think males don't seek medical treatment until it's to late? be the nurse that males remember, yeah she's one of the good ones
@@vinny1982123 I understand your argument, but it sounds like your bringing a lot of personal bias into it. We are teaching hospital. So there are always students around. Consent from the patient is always recived before sitting in on a procedure. The patient is our first priority and we will always respect their wishes. Also if we are doing an "intimate exam or procedure" our facility has a policy that there needs to be two people in the room. One performing the exam or procedure and one chaperone.
@@CaseySmithOfficial ummm, yeah i guess you can say i have some bias. i ask myself why dont alot of men seek medical treatment until its to late? so yeah i guess you can say im bias, but i guess its just me. doesnt matter if you're a teaching hospital or not. its about the PATIENTS RIGHTS to DIGNITY, RESPECT, AND PRIVACY. majority of men dont feel comfortable with the opposite gender around when they are having intimate issues. for the company policy on a chaperone. if its a male patient with a female doctor, then it should be a male chaperone. if a female is having an exam done, its always a female doctor or a female chaperone. alot of men feel like they cant say or ask for the same gender care. and if they speak up for themselves. there will be repercussion with their treatment. be honest, you heard nurses gossiping about a patient or miss treating him, but you dont hear of any nurses standing up for that patient.
@@vinny1982123 Oh wow there is a lot to break down in your comment. As I previously said the patient is and always will be our first priority. As I previously said consent is obtained observer a procedure from the patient. You as the patient have the right to say no. You can decline certain treatments, you can decline to have student present, you can even request a new docotor or nurse. We always try to maintain patient autonomy. Part of obtaining consent is make sure the patient understands what they are consenting to and that they do have to right to say no. A patient's rights, dignity, respect and privacy can still be maintained at a teaching hospital. There are no repercussions if a patient says no to having a student present. Punishing a patient for refusing something they have a right to is completely unethical along with gossiping about a patient. There is a federal law, HIPPA that protects patient privacy. If patient privacy is breached the institution and the medical professional can be held liable.
I think I have an ER tech position interview
Omg that’s so exciting! Are you nervous or excited for the interview?
Kind of nervous, but at the same time I hurt myself around my foot and ankle area
@@addiprice7976 oh no! I hope you're doing better and the interview went well!
Are you are full time ER Tech?
I'm PRN because I'm a full time student
You're amazingly beautiful.
Aww thank you. you’re so sweet