Emergency Nurses Day 2024 is on Tuesday, October 8, 2024: emergency room nurse?

Tuesday, October 8, 2024 is Emergency Nurses Day 2024. Gifts for Nurses‎ 300+ Gifts Starting at Just $1.00 Totes, Mugs, Pens & Much More!

I am a nursing student and there are definitely times that I am not really happy and cheerful...we all have those times. But I am a very compassionate, caring person and I really like to help people. You don't have to be super happy all the time to be a great nurse because we all have our bad days. I think that if you like helping people then nursing might be a good career for you. And yes, from what I have heard the emergency department is a very interesting place...I have not had my clinicals there yet, but I have heard many stories. So yes, if this is what you think you want to do then just go for it!

what do nurses do?

What do Nurses do?

Every day is different when you’re a nurse. The fact that no two days are alike is one of the main attractions of the occupation for many people who love their nursing career. They never have to worry about getting to a point where they hate their job because it’s become a dull, boring routine. Although many nurses may see some of the same people every day, and do the same tasks every day, because of the unpredictable human factor, things are always changing. Patients’ conditions change, their disposition changes, their prognosis changes, the patients themselves change, other doctors and nurses change, procedures and medications change…in nursing, change is the one thing you can count on to never change.

What’s a nurse’s job like? Well, that depends-on a lot of different factors. One big difference is between registered nurses and LPNs. Think of an LPN as sort of a generalist, and an RN as something of a specialist. This won’t always be true-some registered nurses will also function in general nursing capacities-but it usually is. LPNs do a lot of the basic, “hands on” work that most people associate with nursing. It isn’t all that they do, but it’s much of what they do. Their work involves tasks like taking temperatures, blood pressure, pulse; giving shots, giving enemas, monitoring catheters, monitoring a patient’s condition and responses, etc. An RN can also do many of the same things, but they’re far less likely to be giving shots, taking temperatures, administering medication, etc, than an LPN is. So if you’re one of those people who would love to be working in that kind of setting, and you’re in a hurry to get started, then you should consider becoming an LPN, since you can be trained for it in a year. Another option is to become an LPN, get into nursing, and then if you want to become an RN, go to school to get your degree while you continue working as a nurse. Then, once you’ve qualified as a registered nurse, you can choose a specialty to work in if you wish. About 60 percent of registered nurses work in hospital settings, and in a wide variety of areas.

What are some career specialization options for registered nurses? There are lots of them. Here are some of the nursing specialties an RN may choose from as listed by the US Labor Department-ambulatory care, critical care, emergency care, home health care, hospice care, infusion care, long term care, medical-surgical care, occupational health, perianesthesia, perioperative, psychiatric care, radiology nurse, rehab nurse, transplant nurse, addiction care, developmental disabilities nurse, diabetes management, genetics, HIV/AIDS, oncology, wound and ostomy nurse, cardiac and vascular nurse, dermatology, gastroenterology, gynecology, nephrology, neuroscience, ophthalmic, orthopedic, otorhinolaryngology, respiratory, urology, neonatal care, pediatrics, gerontology. And this list isn’t exhaustive-it comes from the Labor Department, but new nursing specializations are being created as times and conditions change. By the time you graduate from nursing school, there may be several more on this list. As you can see, there’s all sorts of options to choose from now, and if you’re interested in nursing, you’ll no doubt have at least a couple of these in mind as the areas you’d like to focus on. But, as you can see, one big thing to keep in mind is that an RN degree offers you far more options than you’ll have as an LPN. There’s nothing wrong with being an LPN, and if you’re interested in the basics of nursing, that might be a better way for you to go. But if you’re wanting to work at a more advanced level, you’ll want to qualify as an RN.

jane

Questions on Emergency Medicine?

Emergency Medicine is the province of the Internist

Usually literally. The Intern (student doctor) is the main person in the room except for the superior Residents who are just there because they have to be.

In a professional Emergecy Room it's usually just a young, rank and file doctor, often there from an Employment Service or as, literally, a Resident working their last year before testing for the license.

When required ER rooms call in Surgeons based on the patients, but by and large must Emergency rooms treat if they have to or just pat you on the head and send you on your way.

There is another kind of ER and that's the Cardio center, which does have a Cardioligist on duty at all times. This person could be a resident or from a service or a staffer.

Then there is also the ER that has the Golden Hour person, the TRUAMA unit.

This is very rare and I don't even know if there is truly a residency program for it.

Basically the ER guy makes $125K to $175 K a year

The Cardiologist makes more if they have one.

If he's a resident he's just on Stiepend at $25K a year

When they have to call in a Surgeon or Plastic Surgeon for consult the fee is billed to the patients hospital or insurance as a consultation, often like $300 or $400 for the consult.

This is an on call person who is part of an Employement service and he gets a call, goes out, they bill the Service $300 or $400 or $500 and the Surgeon gets a fee, how much I'm not sure. Half or 40%

So you come out look at someone for 5 minutes and make $125

The ER guy has to stay there all night for his pay. That's 8 hours or more.

So if the ER guy is making $150K a year that's $75 an hour.

The Plastic Surgeon looks at one guy for 5 minutes and makes $125 just for going out at 11 pm

The ER guys looks at 5 people in an hour so he's making $17.50 per person for 5 minutes work.

Of course he has no travel time, he's there all night.

You have to understand these days Hospitals have FEW doctors on staff.

Hospitals are ultra well equipped Hotels

Nurses are on staff

There is a DOCTOR in Charge

And maybe a few staff Doctors

But by and large a HOSPITAL has PATIENTS who are seen by PRIVATE DOCTORS who have PRIVILLAGES at that hospital.

The Doctor gets PRVILLIAGES in exchange for BOOKING in a PATIENT for half a day or one day or two days at $800 a day.

The Doctor books a Surgery Suit for maybe $1,000 or $2,000 per hour, which the patient pays for.

The Hospital provides electricity, nurses, gasses, blood, drugs, equipment.

The Doctor or Surgeon books 4 patients a day and brings the hospital $10,000 in Surgery Room fees and $5,000 in bed fees.

So the Doctor is bringing the Hospital $15,000 a day

These days there is a lot of HALF DAY patients with the BELLY BUTTON surgery.

You go in at 8 AM and you're out by 3 PM

Hosptial probalby still charges you a day rate for the bed

Hospital charge a lot

Patient goes in gets a tube of Cream they charge $15 for that cream

You go in the Blood Work Up pack is $750 today

The EKG is $500

The surgery room is $2,000, $3,000, $4,000

The bed is $800

The Hospital makes $3,000 - $5,000 on one surgery from one doctor

NO staff DOCTORS are involved. IT's all PRIVILLAGES sub-contractors.

The Surgeon picks his own Gasser and Assistant (usually the pateints family doctor who referred the patient, a more honest form of FEE SPLITTING).

The only STAFFERS are NURSES

The ER ROOM is different

Maybe the HOSPITAL has an agreement with a MEdical School sot he ER guy is a NO PAY Intern working to get his one year OJT so the ER guy makes NOTHING in that case.

Maybe the Hospital has staffers for the ER They pay them $125 to $200 depending on if it's LABOR DAY or EASTER

Maybe the Hospital uses an agengy and gets a sub contractor.

The Hospital PAYS the SERVICE the SERVICE Pays the DOCTOR who is usually FRESH out of MEDICAL SCHOOL with a LICENSE that is only 3 months old.

So they can SCREW that guy and pay him $100K

He's desperate

He can't BUY a practise

Can BUY his way in as an ASSOCIATE

Can't find a STAFF job

He's got $500K in STUDENT LOANS a license that is 1 month old so he TAKES the first job he can find.

Working for a AGNECY as a SUB CONTRACTOR

And he pulls overnight duty at the ER for $100 or $125K until he can find better elsewhere and QUIT

What's your job

At a SMALL hospital maybe you see 10 or 15 patients a night and send MOST of them packing to see their own Doctor and the Hospital BILLS them $300 for ER fees.

So you make the hospital $3,000 - $5,000 and they pay you or the service $800 or $1,000 or $1,500 for the night.

You draw from the Hospital Nursing Staff who is tending PRIVILLAGE doctors patents.

200 beds making at $800 to $1,000 a night so the hospital is making $20,000 - $30,000 a day

Just in BED fees

Add medicine and surgery fees and they are making $60K to $100K a day and paying what in salaries. $10K, $20K for the day to all nurses, techs, labs and ER Doctors.

As the costs go up so the the bed fees and surgery room fees.

But they can't get too much above Blue Cross minimums.

There's a lot of price fixing and sharing info about who pays who what.