Veroniche
Western Region, US
Female, 54
I’ve been an ER nurse manager since 2009. Previously, I spent 24 yrs as an ER nurse. My hospital, a Level III trauma center, sees 70,000+ ER patients/yr. My responsibilities include billing, federal/state regulation oversight, metrics reporting, software education of e-records, and hiring/termination/disciplinary actions. The ER is one of the key impacted areas of healthcare reform. It’s a scary and exciting time for us, not just in the care of patients, but what the future holds for healthcare.
The ED staff is considered a mandatory reporter for instances of child abuse, elder abuse, domestic abuse, gunshot wounds so those are no brainers. I am not sure if the staff are required by law to report crimes that someone else tells them about. I would hope ethically that a person would do so, especially crimes against persons. I will check with someone about my pay grade and get back to you. I
When I was in nursing school, I was so sure that I wanted to be a pediatric nurse. Then I started those courses and realized that pediatrics wasn't for me. Go through your courses, start doing a lot of reading and research about different specialities, and it will come to you. There is no speciality in nursing that is "better" than another. Every person is unique and you need to find what fits you best. If you don't you will burn out fast. The great thing about nursing in this present day is that there are so many areas to focus on, there is something for everyone.
When you finish school and still aren't sure what area you want to focus in, I recommend getting a solid background in medical/surgical nursing with critical care training. Every specialty needs that as a basis anyway, and you need to get good at the assessment of patients, and basic nursing care along with critical thinking skills. Patients are so much more complex than they used to be, and the technology in caring for them changes daily.
Good luck with nursing school and the Army!
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