r/EmergencyRoom

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Hi

I’m a 4th-year nursing student specializing in Critical Care and Emergency Nursing. We have to choose an idea for our graduation project based on a real problem in healthcare that needs a solution.

Since I’m still a student, I don’t have enough experience to know which problems are really important in the ICU.

So I’d really appreciate your help. If you work in an ICU or have experience in critical care, what problems do you often face? It can be a problem affecting nurses, patients, safety, workload, communication, or anything else.

We also need to include AI in our project, so problems where AI could help would be especially useful.

Thank you for sharing your experience

Hello! I'm in a bioengineering medical device capstone project at UCLA. My team's goal is to find an unmet clinical need and create a device to help address it.

Can y'all comment any problems you've noticed during work? For example, the handles on gurneys being hard to reach.

Thank you!

ER TO ER JOB

I need professional opinions here. I’m at a level 2 trauma er, been there for 2 years. Before that, I was a step down icu nurse. Therefore, I’m not the most experienced but I’m not a new grad. I hate the culture at my job, people are cliquey, same people get assigned the trauma bays and the more experience people take some people under their wing to teach if they like them. My hospital is primarily Hispanic and I’m a white girl. I notice if a new nurse or tech is Hispanic or another race they make friends quickly. I am very outgoing and never had a problem making friends until I came here. I have an interview for another level 2 trauma near my house <10 mins and they are comprehensive stroke center seeing around 80k patients a year while current job is a primary stroke center and around 55k patients a year. Only problem is my retirement match won’t be given unless I stay 3 years. I’m on year 2 here. Is it worth leaving about 10k match for possible better atmosphere? Or grass might not be greener and I give up my vestment. I have tried multiple times including myself in conversation, inviting people to my house parties. These girls just don’t like me. I came to er to learn how to be a trauma nurse and I just don’t feel like I’m meeting my career goals.

1. is it worth it to leave by vestment and try another er?
2. anyone else experience this clique vibe?
3. is it just er culture ? ( step down wasn’t like this)

So as the title reads I dropped my first pt. We were already at a hospital and I was pulling the stretcher out of the back and As I am unloading the stretcher I am looking at my partner who is at the back door watching the catch hook to give me any signs that I need to stop, something is in the way of the bar or catch hook or that the bar is not coming down at all and she is SILENT. So I continue to unload the patient normally as I’ve done 100 times before and for whatever reason miss the catch hook causing the stretcher to roll to the right and fall about 3 feet with the patient still strapped in. The patient hit the side of their head on the ground but didn’t receive any injuries from the fall and was discharged about 5 hours later after getting checked out for her original complaint and the fall. We called our supervisor notified the charge nurse of the fall went back to base and did some paperwork then were sent back out to finish the rest of our shift together. My supervisor was very adamant that neither of us would be getting fired unless the surveillance cameras from the hospital shows that we were doing something we weren’t supposed to be which we weren’t and that this happens more often than people would like to admit, but I guess what I’m really asking is from a provider perspective and liability perspective, How much of the blame can really be put on me as someone who could not visualize the catch hook at all and is in a position that is relying on someone else to tell me if there’s a problem. Anyone who works in this field knows that while you are unloading someone from the back of the ambulance with a manual stretcher, you are relying solely on feel and your partner to know when the bar is caught or if something is in the way cause I CANT SEE ANYTHING and honestly, it feels like my partner really dropped the ball on this one (no pun intended) and caused us both to get in trouble and is putting my job in jeopardy when it was her mistake that caused this in the first place. Am I valid in this thinking? Am I shifting the blame to much? Any thoughts and opinions are welcome. I’ve been swirling on this pretty hard for the last couple days and feel pretty awful.

Got my EMT and phlebotomy cert, thinking it was enough but I've been ghosted by every hospital around me.

Can I get some advice on what I should be doing next?