dream'n, BSN, RN 9,296 Views
Joined Aug 28, '06.
Posts: 837 (55% Liked)
My first patient death happened in the middle of the night in a nursing home. I was a brand spanking new nurse and the only nurse in the building. The patient was found on rounds having quietly passed on. She was a DNR and I still remember her name, although I did not know her well at all. I must have checked for breathing and a pulse for quite a long while because I was terrified of making a mistake and calling the funeral home on a living person. I will never forget that night because she was my first patient to pass, I was so scared of making a mistake, and the environment was a little spooky.
I assume you mean 'pausing the tube feed' because the HOB is lowered to under 30 degrees to provide care? If so, then yes I do. Would I stop doing it if EBP shows it's not necessary? I doubt it because I don't see the harm in extra airway protection. No, I've never forgotten to restart the feeding when I was done. Heck the machine beeps at you if you don't restart. BTW, I'm an old schooler that still aspirates with IM injections because after all my years of nursing, I have gotten blood return once. And that once was enough for me to believe it's a good idea. Plus the reasoning not to aspirate that I received straight from the mouth of the CDC was ridiculous.
People that are constantly negative can be so draining for those around them, but the fake, always peppy-positive people drive me bonkers too. I like my coworkers to be somewhere in the middle; able to use dark humor at times, but not be total downers. One of my biggest pet peeves is trying to connect with a person that isn't honest and real. The always happy cheerleader nurse with the 'everything is wonderful', and 'oh the patient's are just so adorable' attitudes make me want to pull my hair out sometimes. Honestly, I think I can deal with the negative coworkers better, but that might be due to my upbringing
Neezy, I feel compelled to respond. My advice is to get out of nursing, take baby steps and find something you love and figure out how to make it a reality. I've been a nurse twice as long as you and I can relate to your struggle. In all honesty, I wish I hadn't made the decision to become a nurse. Don't get me wrong, some parts of my career have been extremely fulfilling, but yes I regretted becoming a nurse almost from the very start. I do my job very well, but I am as burnt out as a crispy critter. This profession has chewed me up and spit me out too many times to count. Sometimes I look at the 'business people' and the 'bean counters' and become jealous. Although I feel honored to take care of my patients, I look at the 'other side' and wish I didn't have the overwhelming stress of people's lives in my hands and that my job didn't feel so...I don't know the word for it. But I am encumbered, I have so many loved ones that are counting on my paycheck and insurance, I can't leave nursing. I don't think I'll ever be able to leave at this stage in my life and I'll be in this profession until I die or retire (whichever comes first). So again my advise is to get out now, before you marry and before you have children that depend solely on you. Although I feel privileged to have met and cared for so many lovely people and that I have had so many unique experiences, I do wish to work without the particular stress, pressure, and BS that comes with the nursing profession.
After some experience on the floor, you will be scheduled to complete the Chemotherapy/Biotherapy certification through ONS. Prior to the certification, you will not be able to administer chemotherapy on your own. You will generally start out with mostly Med/Surg and the easier pre/post chemotherapy patients. Over time you will become more knowledgeable and after getting certified, you will be able to care for the more complex cancer patients and administer the chemotherapy yourself. You will probably deal mostly with Leukemia and Lymphoma patients, with a smattering of Multiple Myeloma. Those tend to be the most common cancers hospitalized for chemotherapy. You will have some cancer patients for months at a time on the floor or those that come frequently for a week or two over a long span of time for several rounds of treatment. This will allow you to really get to know the cancer patient, their families, and their needs very well. You will learn about Nadir and alot about Hematology. You will also tend to give many more blood products and have many more ports/PICCs/Central Lines than the usual floor nurse does.
You are not a failure. You got through nursing school, now you are looking for your niche.
The good news is tbat nursing is very broad, there is so much you can do.
Private duty sounds like it is right up your alley. You have one patient.
Some other possibilities: clinic nurse, psych nurse, public health department, cancer screening.
You will figure this out.
There is not a "floor nurse" personality. Floor nursing is very hard; nursing in general is very hard. Most new nurses are scared ****less coming off of orientation, what you felt was not something new. The learning curve after school is extremely steep. Many new nurses cry, stress, have insomnia, etc., but they persevere. What is it with certain new nurses lately that can't deal and want a 'less stressful' nursing position? Well I've been a nurse for 20 some years and I've never had a low stress nursing position and if there is one, I'm certainly in front of you in line for it. I'm sorry you feel that you may have wasted four years on a degree that will be too stressful for you, but perhaps your story will be a warning for all of those student nurses with stars in their eyes.
I try my very best for my patients, but I remember that I'm only a human. When the crap hits the fan I remind myself of this, because I know whatever happens I have given it my all and done whatever I possibly could. This helps me stay calmer.
I work in psych. I doubt my scrubs are covered in public hazard pathogens. After work, if I need to stop at the store, I stop at the store. Sorry to anyone that gets nauseated at the sight of me in scrubs, but it's really a non-issue to me.
Yes, you will need to take the course.
Am I the only one who just wants to give OP a big ol' hug???
We needed to take the Chemo/Biotherapy course and keep our certification current to administer chemotherapy where I worked. The ONS certification was optional.
The OR is not so willing to train I have found. All require experience but apply anyway! Use keywords in your resume that apply to OR nursing duties and your resume will get picked up!!!
Way back I used to do double weekends; 16 hours on Saturday and 16 hours on Sunday. And even though I was only working 32 hours weekly I made bank because the first 8 hours were straight pay, but the next 4 were time and a half and the last 4 were double time. I don't think any employer does that anymore. It was rough and I would never do it again, especially for straight time.
My opinion is to take the OR job. Davita tends to hire quite alot, but the OR can be very tricky to get into. If you hate the OR, I think you would still be able to try Davita; but if you hated Davita I think it would be hard to get another chance at the OR position. Plus OR experienced nurses are generally quite sot after.
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