ICU nurses AND ER nurses - I’d like to say “thank you” to all of you! Regardless of which department y’all are in, I appreciate all of you. A good nurse tending to you is like gold. We patients need you and respect those of you who care for us when we’re hurting and not feeling well.
I always felt "at home" in an ICU. ER always terrified me. Even floor nursing seemed so much more difficult than the ICU. It was easier for me to get organized in ICU. The patients are sicker but you have more time to devote to them.
ER nurses strive on chaos, it helps if you are mildly addicted to adrenaline,. Unit nurses are control oriented,. They deal with subtle cardiac rythyms and micro doses of medication and most of their patients are hovering between life and death., Unit nurses avoid chaos like the plauge, but they can deal with it beautifully. I personally love ER but Ive spent years in the ICU, CCU and burn units. I enjoyed every day I worked for 32 years,. i have nothing but respect for the profession and those incredible individuals who choose this career.
I totally agree with ICU nurses being so detail-oriented with report. When I started my current ICU nursing job, I would get so frustrated because I felt the experienced nurses were asking for "unnecessary" information but now I understand why. As an ICU nurse, you have to be prepared for the unexpected and it helps when you have a detailed understanding of the patient's history. Great video guys!
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
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 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!
As an ER nurse, my biggest pet peeve is when an icu (or any inpatient nurse) is “too busy” to take report, and asks us to cal back in 15 minutes. In the ER, there’s no such thing as too busy for a new patient. In a trauma center, those 5 car accident patients are coming right now, ready or not!
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.
20 yr nurse here. I've done ICU and ER. I learned a lot from both places, and those frustrations are real! The best thing i took from my experience is that we each have a different focus and mindset, and we need to, but we also need to understand these differences and not expect too much out of each other. I was more OCD in the ER than a lot of my peers, but not as much as I could be! And... it happens on the way up A LOT!!
I have worked both ER and surgical-trauma ICU so I have seen both sides. I honestly think ICU nurses need to do a couple shifts in the ER, and vise versa. ER nurses should give their best effort to do as much as they can for the patient to provide good care, but ICU has no concept of ER nursing. rightfully so because most have not seen it first hand. It is a completely different approach and style of nursing. The demands, priorities, and resources are all very different, and to fully understand we need to walk in the other's shoes. I wish shadowing both ICU and ER was apart of orientation for these two roles.
Myself as an Emergency Dept RN for over 17 years, I can assure you, that ER nurses are NOT disorganized! There may be times when there is organized chaos, but believe me, there is definitely some OCD that ER nurses possess as well. We "OCD" on the important stuff! We're not all bumbling idiots!
What I hate about ER is that sometimes they wait until last minute to transfer their pt out of the ER and onto the floor. The order for transfer was at 2pm and report does not call until 6PM and pt arrives to the floor at exactly 7:31PM (because we have a no transfer rule during shift change of 7-730). It just sucks for the incoming shift because they can't even get situated. I know, I know, I don't know what is going on in the ED, but I've worked there and soo many RNs do this at different hospitals. Before people get defensive, I am pretty sure every RN has done this "wait" regardless of what task it is, like drawing up blood at 6am because you know the hgb is going to be low, so the next shift has to do the transfusion., etc. Nursing is hard, so I try my best to be courteous to my fellow RN, but what I realize is that your fellow RNs (from outside your unit) does not really care for that lol. I get downgrade transfer orders at 830AM. I know it's busy because it's just about the start of the shift, so when I call the receiving RN, I always ask if you are able to get the pt now or need 15 minutes before I call transportation. I may have vented. lol
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!
Bottom line is there just isn’t enough time, or staff in most ERs, we do what is important and if there is any time at all we will do more. Most of the time in the ER you can’t even take a break, pee, drink etc.... it is one of the most under appreciated areas of the hospital. Yes we all work hard, but this is an area that can never say no, that can never cap, we just keep going and going and going, and everyone expects more and more and more. All areas should spend a week in the ER, and maybe they’ll get it. Great video guys!
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.
I’m a phlebotomist and I’ve worked in both the ICU and ER (along with every other unit), and totally agree with this video. I told my boss to only schedule me in the ER from now on, because I love how they work together so well and respect each other. In the ICU, it seems like they’re always complaining about each other and questioning EVERYTHING. I get that it’s your job to know what’s going on, but don’t get mad at ME when the doctor orders an ionized calcium at 2 am. I don’t know the reason, the doctor does. Ask THE DOCTOR. I just get orders and go do them. The ER tends to treat phlebotomists way better for some reason.
I worked the floor before going to ER. Man I bitched every time a pt came up with an AC line lmao then I went to ER.....NOW I PUT EVERY DAMN IV IN THE AC LMAO When I realized I was doing this, I just laughed so hard. Like the tables have turned!! When you have that emergent situation, its just better to throw it there. It sucks for the floor I know it but man you just don't have the time to investigate for a better vein. I will glance at the forearm now, and if something pops quickly then Ill use it. Funny how life works. I love all nurses, but every unit thinks they are unique and busier than the next and honestly, it just about putting yourself in their shoes sometimes. I did unit secretary and tech, and its helped me so much realize how their jobs work and makes be a better nurse. I wish more nurses would ask to shadow a different unit. We did it at our hospital because there was so much tension between units. And finally, management just said everyone is gonna shadow on different units. And its helped a lot. ICU isn't better than m/s, m/s isn't better than ER, ER isn't better than PACU. Every unit has a unique goal because of that type of unit, but every unit takes care of a living breathing creature and we should all be so lucky that they are in our hands!! Love ur coworkers and just be chill. I always say, the day will end at some point haha
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 work full time Level II trauma ER and part time CV-ICU, (I used to be full time CVICU.) Before getting ER report, I print out the ED MDs progress notes and MD orders and highlight the important stuff. Everything is there so getting report is only a couple minutes long. Printing out the orders also clears things up. Sometimes we ER nurses are just too busy to look at the orders every 5 minutes when an MD sneaks an extra order right after you checked it. Example: was this repeat lactic acid done? Was this consult informed? Was the 2D echo done or pending? My pet peeve as an ICU nurse is when I’m about to get report and the ER nurse starts out with “just to let you know this isn’t my patient” or “I’ve only had this patient for only an hour and haven’t had time to review the orders,” Which I don’t mind, it’s when they continue with “patient wasn’t breathing right so he was intubated, vitals are stable but I don’t know the vent settings, don’t know if repeat ABGs were done, etc and other important stuff. When I’m working ED my pet peeve when giving ICU report is when they need to right down everything you say. Ex. Me: “Pt has a Hx of CHF, afib, CAD, HTN, Tubal Ligation..” ICU: “Hold on... you said CAD then what was after that?” Me: “18G IV right FA, 20G to right upper arm, 16G left AC...” ICU: “hold on... left AC had which Gauge again?” And you said the 20G was on the right upper arm?” I’ve learned to tailor my report depending on the nurse that will be receiving the patient. Cheers!
They need a critical float nurse who does both every week to moderate lol 1: Peevs of ED nurses: they're mean, they don't understand how many tasks we have for each patient they bring us 2: Peevs of ICU nurses: they're conceded, and every patient they get has seen at least two doctors and a nurse; yet they pick apart details in hindsight and scoff at the "stupid" ER staff
I'm an icu nurse and one of my biggest pet peeves is that ER nurses only seem to put IVs in the AC!! That way they can beep every time the patient moves their arm. Also, other than the reason the patient came in, the ER nurse doesn't seem to know much else about the patient (from my experience, any way). But I respect ER nurses. I couldn't do it. I love being icu nurse in level 1 trauma, 30 bed unit.
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.
Love Both of you guys humor! life cant be so serious all the time, ESPEcially since both the dept's yall work in are more often serious matters. You both Rock, keep it up and thanks for sharing!
I've been an ER nurse and I see his view points! I came from a hospital that had over 130 beds in the ER. Impossable to be as detailed to that point because there is another patient waiting on the ER bed...
As a paramedic that's dealt with ER and ICU nurses, I wouldn't say it's personality so much as volume. ER has to manage chaos because they have 5 patients, a line out the door and we keep bringing them more. ICU nurses have one or two so they can be more organized. Also working with ER docs verses Intensivist influences their departments.
I’m a ER Veterinary Technician and I very often feel the same way about rounding the ICU nurse. Although I often work ICU as well I tend to be less obsessed about obtaining details from the other tech. This made me laugh because it’s very similar.
A pt coming from ER with lines labelled? I would literally pass out from shock!!! That being said - i have several friends from nursing school that went to the ED's in the area and I have TREMENDOUS respect for what ER nurses do and how much they see and handle. I also have TREMENDOUS respect for how thorough and knowledgeable ICU nurses are. They surprise me every time I float over there (40-bed step-down unit RN of 1yr experience). Thanks for the video! it came up in my suggestions and I am now a subscriber to both channels.
Way cool, I was a ICU nurse first, travel nurse second, ER nurse third, and then ICU/Travel/ER/Registered nurse at the same time. Flip back and forth, even on the same day, it is more fun! Start your day getting confirmed for your shift at any area hospital, it is all the same. Show up in the ER, get a critical, bring them up to the ICU and finish the perfect day!
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.
This is such funny timing! I just got back from ICU clinical and I literally told my instructor the whole IV line thing between ER nurses and ICU nurses. I love the ICU and I have OCD and love how organized the IVs are!
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.
Hello, ER nurse here! The unorganized wires, lines and monitors that you mentioned, there is a reason for that. As we are starting inotropes, post intubation protocols, stabilizing bps, staring multiple lines, foley, tracing some vitals, arranging for STAT imaging, obtaining ECGS e.t.c My last priority is to get wires and lines straight. ER NURSING typically 4:1 nurse to pt ratio. RESUS 2:1nurse to pt ratio.Meanwhile, I.C.U nursing 1:1 nurse to pt ratio. By the time you (ICU RN) receive your patients from the ER already intubated, RT managing respirator, baseline blood-work done, STAT imaging done, lines started... You, ICU friend, are now more than welcome to get those line straighten up and carry on with your predictable, more stable 1:1 nurse to patient ratio. Also, Keep in mind that while I am giving you report my ER beds are being filled with some more new unpredictable/unknown patient presentations. Sorry I couldn't straight those lines for you. Sincerely, An ER nurse.
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!
Me: Pt. is a healthy 35 YO male, AOX4, with no med hx, he's being admitted for acute appe. ABT was started, pain is controlled. Floor: How's his skin? Last BM? Is he on O2? How does he transfer?
It seems to me that most of the differences between ICU and ER nurses from this discussion is more of the differences between male and female nurses not necessarily the differences between ICE and ER nurse. For example, types of report, rooms being ready, handing off a disheveled patient.
Thanks for the video. I am trying to decided between the two. I've been leaning towards ICU nurse a lot. However, this video has given me more things to think about as my personality seems more suited for ER than ICU.
After my shift on Sunday, this video was hilarious. Because I had one ICU nurse who wouldn't take report on my patient because that specific nurses opinion was they don't meet ICU criteria. And I'm just like that is not mine or yours decision (at least in my hospital) but the pt was completely altered and basically detoxing from opioids. It just gets frustrating when the select few ICU nurses ruin it for the rest of y'all. And vice versa with ER nurses.
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
So trueeeee I've floated to ICUs in our hospital and I feel like my report isn't good enough for these nurses. They want to know every single little thing. I try my best to get to the point the sbar format. Everything, you're right, can be found in the notes or seen by the nurses initial assessment if the pt can talk you can ask them if they're able to do things themselves (swallow, ambulate w/ or w/o assistance)
I’ve worked both and found that it’s made be a better nurse for it. Their resolve that you’re either one thing or the other sounds superficial. Certainly, there are nurses that find they can’t cross over into a different speciality, as it conflicts with their personality. However, there are utility players in nursing who can adjust for many scenarios, and they are super valuable when push comes to shove. Use of nursing skills and work flow is definitely different but the objective is still the same; Keep the patient safe and provide good care.
I'm a nursing student and I appreciate you guys posting this video. It helps to know what it would be like if I applied to a position either in the ICU or ER in the future. I'm OCD and I'm organized but I like how he said the ER's main goal is to help the patients chief complaint and get them out or admitted into the ICU or wherever. I feel like I would rather do that then deal with the patient as a whole like in the ICU it just sounds like more work.
ED nurse for almost 20 years. I hate the question do they have an IV, where is it and what size it? What is their diet order? Basically The ICU nurse that want a you to fill out their report sheet. Aren't you going to assess your patient and maybe read over the orders on arrival? And the snobery...ugh
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.
Hi!!! New to your channel.. Just started school for my MA.. for starters 🙄. I just wanted to say, Go Gurl!!! (5:20) Totally get it and agreed. 🤗 Edit: Wow!!! I heard the rebuttal to that and was blown away by this phenomenal contrast with a twist of irony!! Let's fix this in the medical field!!!!
I would love to work as a school nurse or travel nurse. I am not too sure about working in ICU . I have heard so many reviews of nurses becoming burnt out and serious accidents happening because a nurse is over worked. Some of these stories scared me away a little. I am now learning that you have other options as an RN.
I’m an ER Nurse and once received a patient: naked, unresponsive John Doe found in middle of street. Time came for me to give report to ICU Nurse. I started to give it but she kept interrupting with questions as soon as I identified him as John Doe. “What about his history, allergies, medications, name, family contacted...” Of course the majority of the questions I answered with “I don’t know”, because hello 👋 it’s a naked, intubated patient with no friends or family at bedside to give history. Naked, no clothes, no ID, no belongings. The conversation went downhill quickly. She was so pissed she asked what I did know, so I answered with what my initial report would’ve been: “Well what I do know is that I’m delivering a naked John Doe to you that’s still alive. I ensured he had a definitive airway, multiple large bore IVs, fixed the immediate life threats, a catheter, that all the appropriate labs were collected, all appropriate imaging obtained, and that I will be up in about five minutes.” She never got snotty with me ever again.
Great video! A video with a paramedic and an ER nurse would be super interesting too. I swear paramedics and er nurses are always irritated with each other haha.
I asked my trauma-nurse professor how many years one should be in the ER before obtaining trauma certification. She said, Before stepping foot in the ED, you will benefit from 2 years in the ICU...So, ICU first!
25 year ER nurse, it takes a lot to be am ER nurse you must be able to fly by the seat of your pants because you never what’s gonna walk in. My biggest pet peeve “ when did they poop last, what does their skin look like? What do you mean you don’t know?” I can’t take the patient yet, I’m on break. 😂
What are ICU/ER/or other nurse's pet peeves regarding MDs/PAs/NPs at work? I am becoming a PA and I would like to make sure I make the different teams comfortable. Thank you. (Don't water it down either, please)
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.
Great, funny video, now I'll get you both on a roll with this statement. Great to be a paramedic and avoid the hassles nurses deal with, lol. Keep up the good work
I wanted to do a nursing degree but it seems like nursing is so hard like the test have such high standards to pass and rn I'm only 13 so I don't know anything about nursing but for some reason I feel like when I learnt it, I won't Understand it and it will be had for me so I'm thinking of just being a midwife but that's hard too compared to other uni courses
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.
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
I respect your profession but after caring for two ailing parents (one had MS other stroke), and two kids with type 1 diabetes I pray to never see the inside of a hospital again! I had to fight for every bit of care for each. I am tired.
Ok my newbie-ness is showing but if you’re getting report from ER and the ER pet peeve is ICU asking lines running etc then when and where do you get that info from?
Hi Ashley! I'm a student Nurse from England, and I love your videos! I just wanted to know: do you feel like the ICU is the Nursing field which requires the highest level of critical thinking and/or physiology knowledge?
Hey Ashley, so are you going to get like a master's or a doctorate like in CRNA or something? You are very smart and seem like the nicest human being :)
Lol thanks guys 👍🏻 me and this other nurse I work with he said I would be a good er nurse but he would be more of an icu nurse so I was actually wondering if that was a good thing and what he was trying to say by that lol I think I'm going to take that as a compliment 😊
ICU nurses AND ER nurses - I’d like to say “thank you” to all of you! Regardless of which department y’all are in, I appreciate all of you. A good nurse tending to you is like gold. We patients need you and respect those of you who care for us when we’re hurting and not feeling well.
I always felt "at home" in an ICU. ER always terrified me. Even floor nursing seemed so much more difficult than the ICU. It was easier for me to get organized in ICU. The patients are sicker but you have more time to devote to them.
ER nurses strive on chaos, it helps if you are mildly addicted to adrenaline,. Unit nurses are control oriented,. They deal with subtle cardiac rythyms and micro doses of medication and most of their patients are hovering between life and death., Unit nurses avoid chaos like the plauge, but they can deal with it beautifully. I personally love ER but Ive spent years in the ICU, CCU and burn units. I enjoyed every day I worked for 32 years,. i have nothing but respect for the profession and those incredible individuals who choose this career.
I totally agree with ICU nurses being so detail-oriented with report. When I started my current ICU nursing job, I would get so frustrated because I felt the experienced nurses were asking for "unnecessary" information but now I understand why. As an ICU nurse, you have to be prepared for the unexpected and it helps when you have a detailed understanding of the patient's history. Great video guys!
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.
“I don’t like ER nurses and I am a ER nurse” reminds me of me saying I don’t like freshman and I am a freshman
They're mean!!!
ICU’s for the introverts, ER’s for the Extroverts and Ambiverts works well on both areas.
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!
As an ER nurse, my biggest pet peeve is when an icu (or any inpatient nurse) is “too busy” to take report, and asks us to cal back in 15 minutes. In the ER, there’s no such thing as too busy for a new patient. In a trauma center, those 5 car accident patients are coming right now, ready or not!
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.
This is a much needed video as these are the two specialties I'm deciding to choose from.
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
20 yr nurse here. I've done ICU and ER. I learned a lot from both places, and those frustrations are real! The best thing i took from my experience is that we each have a different focus and mindset, and we need to, but we also need to understand these differences and not expect too much out of each other. I was more OCD in the ER than a lot of my peers, but not as much as I could be! And... it happens on the way up A LOT!!
ER nurse: here, chug this on the way up.
Patient: what is it?
ER nurse: it’s called Kayexalate
I have worked both ER and surgical-trauma ICU so I have seen both sides. I honestly think ICU nurses need to do a couple shifts in the ER, and vise versa. ER nurses should give their best effort to do as much as they can for the patient to provide good care, but ICU has no concept of ER nursing. rightfully so because most have not seen it first hand. It is a completely different approach and style of nursing. The demands, priorities, and resources are all very different, and to fully understand we need to walk in the other's shoes. I wish shadowing both ICU and ER was apart of orientation for these two roles.
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?
New Grad RN starting my career in the ER in 30 days. This was awesome. Thanks guys. Will follow.
His accent started to rub off on you! Great video 👍🏼
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?
Myself as an Emergency Dept RN for over 17 years, I can assure you, that ER nurses are NOT disorganized! There may be times when there is organized chaos, but believe me, there is definitely some OCD that ER nurses possess as well. We "OCD" on the important stuff! We're not all bumbling idiots!
What I hate about ER is that sometimes they wait until last minute to transfer their pt out of the ER and onto the floor. The order for transfer was at 2pm and report does not call until 6PM and pt arrives to the floor at exactly 7:31PM (because we have a no transfer rule during shift change of 7-730). It just sucks for the incoming shift because they can't even get situated. I know, I know, I don't know what is going on in the ED, but I've worked there and soo many RNs do this at different hospitals. Before people get defensive, I am pretty sure every RN has done this "wait" regardless of what task it is, like drawing up blood at 6am because you know the hgb is going to be low, so the next shift has to do the transfusion., etc.
Nursing is hard, so I try my best to be courteous to my fellow RN, but what I realize is that your fellow RNs (from outside your unit) does not really care for that lol. I get downgrade transfer orders at 830AM. I know it's busy because it's just about the start of the shift, so when I call the receiving RN, I always ask if you are able to get the pt now or need 15 minutes before I call transportation.
I may have vented. lol
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!
Bottom line is there just isn’t enough time, or staff in most ERs, we do what is important and if there is any time at all we will do more. Most of the time in the ER you can’t even take a break, pee, drink etc.... it is one of the most under appreciated areas of the hospital. Yes we all work hard, but this is an area that can never say no, that can never cap, we just keep going and going and going, and everyone expects more and more and more. All areas should spend a week in the ER, and maybe they’ll get it. Great video guys!
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.
I’m a phlebotomist and I’ve worked in both the ICU and ER (along with every other unit), and totally agree with this video. I told my boss to only schedule me in the ER from now on, because I love how they work together so well and respect each other. In the ICU, it seems like they’re always complaining about each other and questioning EVERYTHING. I get that it’s your job to know what’s going on, but don’t get mad at ME when the doctor orders an ionized calcium at 2 am. I don’t know the reason, the doctor does. Ask THE DOCTOR. I just get orders and go do them. The ER tends to treat phlebotomists way better for some reason.
I worked the floor before going to ER. Man I bitched every time a pt came up with an AC line lmao then I went to ER.....NOW I PUT EVERY DAMN IV IN THE AC LMAO When I realized I was doing this, I just laughed so hard. Like the tables have turned!! When you have that emergent situation, its just better to throw it there. It sucks for the floor I know it but man you just don't have the time to investigate for a better vein. I will glance at the forearm now, and if something pops quickly then Ill use it. Funny how life works. I love all nurses, but every unit thinks they are unique and busier than the next and honestly, it just about putting yourself in their shoes sometimes. I did unit secretary and tech, and its helped me so much realize how their jobs work and makes be a better nurse. I wish more nurses would ask to shadow a different unit. We did it at our hospital because there was so much tension between units. And finally, management just said everyone is gonna shadow on different units. And its helped a lot. ICU isn't better than m/s, m/s isn't better than ER, ER isn't better than PACU. Every unit has a unique goal because of that type of unit, but every unit takes care of a living breathing creature and we should all be so lucky that they are in our hands!! Love ur coworkers and just be chill. I always say, the day will end at some point haha
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!
This is a really important video, Ashley. I salute you for your unselfish dedication and never-ending efforts every day! We value your contribution.🙌
I work full time Level II trauma ER and part time CV-ICU, (I used to be full time CVICU.)
Before getting ER report, I print out the ED MDs progress notes and MD orders and highlight the important stuff. Everything is there so getting report is only a couple minutes long.
Printing out the orders also clears things up. Sometimes we ER nurses are just too busy to look at the orders every 5 minutes when an MD sneaks an extra order right after you checked it.
Example: was this repeat lactic acid done? Was this consult informed? Was the 2D echo done or pending?
My pet peeve as an ICU nurse is when I’m about to get report and the ER nurse starts out with “just to let you know this isn’t my patient” or “I’ve only had this patient for only an hour and haven’t had time to review the orders,”
Which I don’t mind, it’s when they continue with “patient wasn’t breathing right so he was intubated, vitals are stable but I don’t know the vent settings, don’t know if repeat ABGs were done, etc and other important stuff.
When I’m working ED my pet peeve when giving ICU report is when they need to right down everything you say.
Ex. Me: “Pt has a Hx of CHF, afib, CAD, HTN, Tubal Ligation..”
ICU: “Hold on... you said CAD then what was after that?”
Me: “18G IV right FA, 20G to right upper arm, 16G left AC...”
ICU: “hold on... left AC had which Gauge again?” And you said the 20G was on the right upper arm?”
I’ve learned to tailor my report depending on the nurse that will be receiving the patient.
Cheers!
As an ER nurse that now works in an icu this is spot on.
They need a critical float nurse who does both every week to moderate lol
1: Peevs of ED nurses: they're mean, they don't understand how many tasks we have for each patient they bring us
2: Peevs of ICU nurses: they're conceded, and every patient they get has seen at least two doctors and a nurse; yet they pick apart details in hindsight and scoff at the "stupid" ER staff
I'm an icu nurse and one of my biggest pet peeves is that ER nurses only seem to put IVs in the AC!! That way they can beep every time the patient moves their arm. Also, other than the reason the patient came in, the ER nurse doesn't seem to know much else about the patient (from my experience, any way). But I respect ER nurses. I couldn't do it. I love being icu nurse in level 1 trauma, 30 bed unit.
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.
I am an ER nurse and found this so funny! Especially the report comments 😂
Right?! 😂
Love Both of you guys humor! life cant be so serious all the time, ESPEcially since both the dept's yall work in are more often serious matters. You both Rock, keep it up and thanks for sharing!
Hello Kim, How are you.
As a Er nurse I really love my dpt.....we r awesome.
It’s all about priorities/acuity, time, volume, and environment...both departments are full of equally hard working professionals😊
I've been an ER nurse and I see his view points! I came from a hospital that had over 130 beds in the ER. Impossable to be as detailed to that point because there is another patient waiting on the ER bed...
As a paramedic that's dealt with ER and ICU nurses, I wouldn't say it's personality so much as volume. ER has to manage chaos because they have 5 patients, a line out the door and we keep bringing them more. ICU nurses have one or two so they can be more organized. Also working with ER docs verses Intensivist influences their departments.
Yes you can do both! I started out in ICU and moved to ER after a back injury.
I am a RRT and work with both ER and ICU nurses
Love both groups!
I’m a ER Veterinary Technician and I very often feel the same way about rounding the ICU nurse. Although I often work ICU as well I tend to be less obsessed about obtaining details from the other tech. This made me laugh because it’s very similar.
A pt coming from ER with lines labelled? I would literally pass out from shock!!! That being said - i have several friends from nursing school that went to the ED's in the area and I have TREMENDOUS respect for what ER nurses do and how much they see and handle. I also have TREMENDOUS respect for how thorough and knowledgeable ICU nurses are. They surprise me every time I float over there (40-bed step-down unit RN of 1yr experience). Thanks for the video! it came up in my suggestions and I am now a subscriber to both channels.
Way cool, I was a ICU nurse first, travel nurse second, ER nurse third, and then ICU/Travel/ER/Registered nurse at the same time. Flip back and forth, even on the same day, it is more fun! Start your day getting confirmed for your shift at any area hospital, it is all the same. Show up in the ER, get a critical, bring them up to the ICU and finish the perfect day!
I'm kind of surprised to hear ER nurses described as disorganized. I'm not in an ER environment, but just surprising from what I imagined.
I hate when i call report from the ER and they ask when their last BM was! Don’t know, don’t care!
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.
This is such funny timing! I just got back from ICU clinical and I literally told my instructor the whole IV line thing between ER nurses and ICU nurses. I love the ICU and I have OCD and love how organized the IVs are!
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.
Hello, ER nurse here!
The unorganized wires, lines and monitors that you mentioned, there is a reason for that. As we are starting inotropes, post intubation protocols, stabilizing bps, staring multiple lines, foley, tracing some vitals, arranging for STAT imaging, obtaining ECGS e.t.c My last priority is to get wires and lines straight.
ER NURSING typically 4:1 nurse to pt ratio. RESUS 2:1nurse to pt ratio.Meanwhile, I.C.U nursing 1:1 nurse to pt ratio. By the time you (ICU RN) receive your patients from the ER already intubated, RT managing respirator, baseline blood-work done, STAT imaging done, lines started... You, ICU friend, are now more than welcome to get those line straighten up and carry on with your predictable, more stable 1:1 nurse to patient ratio. Also, Keep in mind that while I am giving you report my ER beds are being filled with some more new unpredictable/unknown patient presentations.
Sorry I couldn't straight those lines for you.
Sincerely,
An ER nurse.
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!
Me: Pt. is a healthy 35 YO male, AOX4, with no med hx, he's being admitted for acute appe. ABT was started, pain is controlled.
Floor: How's his skin? Last BM? Is he on O2? How does he transfer?
It seems to me that most of the differences between ICU and ER nurses from this discussion is more of the differences between male and female nurses not necessarily the differences between ICE and ER nurse. For example, types of report, rooms being ready, handing off a disheveled patient.
i’ve been an icu & er nurse... & i totally agree to you guys haha 😂 im just laughing while listening haha
Thanks for the video. I am trying to decided between the two. I've been leaning towards ICU nurse a lot. However, this video has given me more things to think about as my personality seems more suited for ER than ICU.
After my shift on Sunday, this video was hilarious. Because I had one ICU nurse who wouldn't take report on my patient because that specific nurses opinion was they don't meet ICU criteria. And I'm just like that is not mine or yours decision (at least in my hospital) but the pt was completely altered and basically detoxing from opioids. It just gets frustrating when the select few ICU nurses ruin it for the rest of y'all. And vice versa with ER nurses.
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
So trueeeee I've floated to ICUs in our hospital and I feel like my report isn't good enough for these nurses. They want to know every single little thing. I try my best to get to the point the sbar format. Everything, you're right, can be found in the notes or seen by the nurses initial assessment if the pt can talk you can ask them if they're able to do things themselves (swallow, ambulate w/ or w/o assistance)
Simply put, the ER is the hospital's sorting machine.
I’ve worked both and found that it’s made be a better nurse for it. Their resolve that you’re either one thing or the other sounds superficial. Certainly, there are nurses that find they can’t cross over into a different speciality, as it conflicts with their personality. However, there are utility players in nursing who can adjust for many scenarios, and they are super valuable when push comes to shove. Use of nursing skills and work flow is definitely different but the objective is still the same; Keep the patient safe and provide good care.
I love your videos, always looks forward to a new once every week!!
Just graduated from nursing school yesterday. Can’t decide between ER or ICU! Loved the video..
I wish EVERY ICU nurse had your attitude!!
I'm a nursing student and I appreciate you guys posting this video. It helps to know what it would be like if I applied to a position either in the ICU or ER in the future. I'm OCD and I'm organized but I like how he said the ER's main goal is to help the patients chief complaint and get them out or admitted into the ICU or wherever. I feel like I would rather do that then deal with the patient as a whole like in the ICU it just sounds like more work.
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
ED nurse for almost 20 years. I hate the question do they have an IV, where is it and what size it? What is their diet order? Basically The ICU nurse that want a you to fill out their report sheet. Aren't you going to assess your patient and maybe read over the orders on arrival? And the snobery...ugh
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.
Hi!!!
New to your channel.. Just started school for my MA.. for starters 🙄. I just wanted to say, Go Gurl!!! (5:20) Totally get it and agreed. 🤗 Edit: Wow!!! I heard the rebuttal to that and was blown away by this phenomenal contrast with a twist of irony!! Let's fix this in the medical field!!!!
Total ER wired here!
She is really cute! Good job both of you.
Look perfect together❤
I would love to work as a school nurse or travel nurse. I am not too sure about working in ICU . I have heard so many reviews of nurses becoming burnt out and serious accidents happening because a nurse is over worked. Some of these stories scared me away a little. I am now learning that you have other options as an RN.
Your both important because nurses are with you with you most of the time when doctors pa and nps are in and out seeing paitents
ashley looks like a rebel with that new look:v
I’m an ER Nurse and once received a patient: naked, unresponsive John Doe found in middle of street. Time came for me to give report to ICU Nurse. I started to give it but she kept interrupting with questions as soon as I identified him as John Doe. “What about his history, allergies, medications, name, family contacted...” Of course the majority of the questions I answered with “I don’t know”, because hello 👋 it’s a naked, intubated patient with no friends or family at bedside to give history. Naked, no clothes, no ID, no belongings. The conversation went downhill quickly. She was so pissed she asked what I did know, so I answered with what my initial report would’ve been: “Well what I do know is that I’m delivering a naked John Doe to you that’s still alive. I ensured he had a definitive airway, multiple large bore IVs, fixed the immediate life threats, a catheter, that all the appropriate labs were collected, all appropriate imaging obtained, and that I will be up in about five minutes.” She never got snotty with me ever again.
I have done both!
I value nurses very much ☺️❤️ thank you nurses ❤️☺️
Great video! A video with a paramedic and an ER nurse would be super interesting too. I swear paramedics and er nurses are always irritated with each other haha.
Im in an intersting field where I'm in the hospital a few times a month this is interesting next time I'm there ill pay attention to this one.
Ah this video made it even harder to choose between ICU and ER. I loved it though.
Hm, looks like my nurses do double job: wires always tangled and bed not ready.
This is so funny my next video will be on this lol 😂 I’ve worked in both places so i definitely get it
I'm an X-Ray/CT technologist and work with both ICU and ER nurses. This is very accurate. haha
Aaah. Collab with other nurse vloggers is totally cool. HDU nurse here.
I asked my trauma-nurse professor how many years one should be in the ER before obtaining trauma certification. She said, Before stepping foot in the ED, you will benefit from 2 years in the ICU...So, ICU first!
Why do you keep scratching your right brain? Lol.
25 year ER nurse, it takes a lot to be am ER nurse you must be able to fly by the seat of your pants because you never what’s gonna walk in. My biggest pet peeve “ when did they poop last, what does their skin look like? What do you mean you don’t know?” I can’t take the patient yet, I’m on break. 😂
What are ICU/ER/or other nurse's pet peeves regarding MDs/PAs/NPs at work? I am becoming a PA and I would like to make sure I make the different teams comfortable. Thank you. (Don't water it down either, please)
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.
Thanks for this. Maybe I should consider ICU ... the OCD in me certainly comes out (LOL)! Great comparison - thanks!
Lol Crosby can be my nurse any damn day! Travel on over to Texas, boo! 😂😂 no but really, great video. If Crosby is single let a girl know!
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
Needless to say, this vid. brought back memories of me working in both specialties which I enjoyed, thanks for sharing... Abrazos y OLE~
I'm a ED nurse and I'm an adrenaline junkie, speedy gonzales but my wires are always untangled and my med labels done (organized chaos) 😉
I would feel at home in the ER cuz im a disorganized mess😂😂 nah on the real im an adrenaline junkie so it's fitting
Great, funny video, now I'll get you both on a roll with this statement. Great to be a paramedic and avoid the hassles nurses deal with, lol. Keep up the good work
This is soooo cool
She got some killer eyes and smile. I'll be sick to visit you🥰🥰🥰🥰
I wanted to do a nursing degree but it seems like nursing is so hard like the test have such high standards to pass and rn I'm only 13 so I don't know anything about nursing but for some reason I feel like when I learnt it, I won't
Understand it and it will be had for me so I'm thinking of just being a midwife but that's hard too compared to other uni courses
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
I respect your profession but after caring for two ailing parents (one had MS other stroke), and two kids with type 1 diabetes I pray to never see the inside of a hospital again! I had to fight for every bit of care for each. I am tired.
Great video!
Comedy # 1: Don't talk about how you're going to be funny...just be funny.
Very cool video, but we’re all a team! All nurses and all frontline caretakers should work as part of a greater team!!
Hi? I'm nurse Rheyn. Nice video. Keep it up 👍
Ok my newbie-ness is showing but if you’re getting report from ER and the ER pet peeve is ICU asking lines running etc then when and where do you get that info from?
Being an icu nurse, do you clean poop??😐
Hey Ashley I was admitted to icu and I had a nurse that was a cut above the rest and I had status epelepticus at the time what is your opinion.
I can relate
Hell with report, they are all the same! Blue can only mean 5-100 things! Great video!
I just became an ER nurse and can already totally relate to this convo LOL But let me ask one thing though. Please tell me you hit it...
Before we did an RSI 🤦 sorry not sorry, I didn't have time to do full skin assessment ... depending on why they came in
My biggest pet peeve is “that nurse is at lunch, can you come after they get back from break”.....lunch y’all get lunches?!? 🤷🏽♂️
Hi Ashley! I'm a student Nurse from England, and I love your videos! I just wanted to know: do you feel like the ICU is the Nursing field which requires the highest level of critical thinking and/or physiology knowledge?
Hey Ashley, so are you going to get like a master's or a doctorate like in CRNA or something? You are very smart and seem like the nicest human being :)
Lol thanks guys 👍🏻 me and this other nurse I work with he said I would be a good er nurse but he would be more of an icu nurse so I was actually wondering if that was a good thing and what he was trying to say by that lol I think I'm going to take that as a compliment 😊
Loll! That's so funny. L&D nurses do not like giving report to Postpartum Care nurses.
Omg he's so handsome! He can tx me any day!!
🧐
We just need to get into a gang fight!!!!! ER FOR LIFE HOMIE!!!!!!