Only took 14 weeks

So I finally felt like I had my sh!t together at work for 12 hours without losing my mind... only took 14 weeks (6 weeks on my own on nights)... 90 day eval behind me & I was told they'd gladly send me through a preceptor class or charge nurse class when I felt ready :)  Amazing how different things are down here.  Wish more hospitals would catch on to the fact that if you given nurses' autonomy & include them in patient care decisions patient flow would move a lot faster through the ER & patient satisfaction would increase.  Imagine this scenario: you come to the ER complaining of chest pain, you are quickly triaged or perhaps even directly brought into the back (direct bedding) where EVERY SINGLE ROOM (including Fast Track) has a cardiac monitor that links to a central monitoring station at each nurses' station.  Your nurse meets you in your private room because all the ER staff communicate via radios with secret-service style ear-pieces & mics, to help cut down on the ambient noise.  Your nurse completes your assessment, charting at the bedside because each room has a computer & puts in protocol orders for an EKG, labs, xray & an IV.  Everything is done in less than 15 minutes, with bloodwork results in less than 30-45 minutes, ready for the doctor to review by the time he enters your room to examine you.  A med room in each nurses' station with literally hundreds of medications, in multiple formulations (lo and behold they actually have PO Zofran available, in table & liquid form too!), most commonly ordered by the ER Docs; rarely do we require a medication from the main pharmacy. Computerized order entry, to reduce redundancy in documentation & increase effective communication between providers.  A refreshing ability to be able to walk up to any ER doctor, regardless of whether they are seeing the patient or not & get an order for pain medication, nausea medication, fluids, extra labs, imaging, etc.  without even a hint of arrogance.  Oh & did I mention a 4:1 ratio, 3:1 in trauma?  Amazing...