Latest Comments by francine79

francine79 3,128 Views

Joined: Jun 9, '03; Posts: 159 (3% Liked) ; Likes: 65

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    I will have been a nurse for a year in May and I must say that it has gone very well for me. I never experienced the horror stories that I have heard about a person's first year in nursing. However, the last 6 months of my personal life have been extremely stressful. A five and a half year relationship ended with the person I thought I was going to marry(now I thank God that I never did) that left me paying all the bills with one less income. I had this image that once I graduated from nursing school life was going to be awesome and nonstressful. Well, I was wrong. I love my job, I love what I do but I have definitely realized the truth that "you can't give to others if you aren't giving to yourself." The thing I loved about my job was knowing I was helping others and sharing that with my former boyfriend. Now that my life has become so much of what I never wanted I have become so irritable at work and I see that I am not "giving" to my patients what I need to. I'm merely going through the motions. Not to mention I have had some very trying patients and family as of late. I hate this feeling. I dread going to work because I just don't have the energy to give to my patients. I feel drained all the time. For those of you who have experienced being burned out, what have you done to help?

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    I probably saved a patient's life by taking the steps necessary to getting them transferred to the unit when they should have been transferred several hours before, probably even on admit. The patient's condition was completely ignored on the previous shift. I felt pretty good about myself and I felt more confident in my ability to care for my patients as a new grad.

    This is a good thread. It's hard to brag about yourself as a new nurse because many will assume that you think you know everything. Although we need to brag about ourselves in order to build our confidence!

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    [QUOTE=tracey1963]hi
    I'm am just about to start three year training course in england, aand have read these disscussions with intrest. I must admit that the only thing taht is stressing me out is the maths.. the rest I know I will be taught. are there any tips out there please? pleaaseee!!!!![/QUOTE

    So far I haven't had much math to do, our pharmacy is really great about doing all math calculations for us (Even mcg/kg/min rates). The only math I have had to do is for any type of IV push med, although it says on our MAR how many ml's we need to administer. However, I would suggest keeping a notebook of tips to help you, and keep all the formula's you may need for reference in it. A lot of nurses aren't that great with math. When it doubt always check your calculation with another nurse if you can.

  • 61

    I have only been a nurse for a little over a month. And I know one of the biggest fears is having to call the Doctor. So far I have had great success in not having a doctor yell at me (even the one's the other nurses have said aren't very nice) or treat me like I'm stupid. I don't know if it is luck but here are a few tips that have helped me out.

    - Always make a list of the things you need to mention.
    - If calling labs or test results I always look up what the previous one's were in case they ask.
    - If I'm told I have a return call from a doctor I always grab the chart and take it with me in case I need to look something up (& so I can write the order)
    -I try to anticipate what they will order so I can provide them with the right info needed for them to decide what orders they need to make
    - When working nights I always go through all my patient's charts to make sure they have some type of pain medicine ordered or assess if pain is an issue with the patient so that If I need to get an order I can do it at a decent time of night. I have had several patients admitted with chest pain yet not a single pain med was ordered.

    I also work on a floor with tons of different doctors, all of which none of their signature's look like their names. I have started to make a little book with a photocopy of each of the physician's signature and their name for easy reference.

    Hope these tips help!

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    I don't have an exact answer to that. But next time you do something that you aren't sure of or think may harm the patient, you need to tell your clinical instructor right away. Honesty is VERY important in nursing. If you did harm your patient, how is anyone to know what happened without you telling them. Your patient could suffer tremendously because of your lack of informing the appropriate person. If that was a narcotic to be given IM and you accidently injected it into a vein you could cause serious harm. But by being honest and admitting your mistake, you might be able to take the necessary measures to prevent harm. If this were a situation in which you were the nurse and did cause harm and failed to notify someone you lose your license for negligence. Please learn from this experience! No nurse or instructor will be upset that you asked about something you aren't sure of. They are there to help you to learn. They will trust you more when they know you do ask about things you aren't sure of.

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    I think grades are a reflection of how hard you are willing to try to succeed. I just recently was offered a few positions and I feel that my grades definitely played a role in getting these offers. I put on my resume any honors I received (dean's list, president's list, scholarships, etc.) and the unit directors that interviewed me were very impressed with my academic success. Getting through nursing school is hard work. Being able to maintain good grades show that you are serious about becoming a nurse and are willing to put forth tremendous effort to reach that goal. Although grades aren't everything, they certainly help when it comes to getting a job.

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    headings for an introduction and conclusion are not necessary to meet APA standards.

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    It's sad that things like that happen but I think this is where it is important that not only do we as nurses teach our patients, but I feel we also have an obligation to teach the general public. Whether it be through writing letters to the editor, volunteering within our community to teach first aid (where you would learn not to move someone in that situation), or even taking the time to correct inaccurate information from a conversation that you are overhearing. As a nurse, we can help teach the public about helping others through these examples and try to help to prevent these mistakes from happening.

    A good one that I always think of is how the public, and sadly health care professionals too, believe that the flu shot is for the "stomach flu" and discuss how they don't bother to get the flu shot because it "gives them the flu" or it doesn't work, when they are very misinformed as to what the flu shot is. I think a good education campaign on this could help decrease the number of influenza infections.

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    That's not a stupid question! I wouldn't have known the answer to that either.

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    I use EBSCO host, which my college is subscribed too. You might want to check to see if that option is available to you through the college. Most colleges offer this database.

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    Overall, it's going to depend on the exact location in the brain where the stroke has occurred. But, for a basic simple understanding of a stroke, the side of the face affected will be the same as the side of the brain affected.



    Also, stbernardclub.... please explain why you believe her instructor is wrong?

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    Your instructor is right!! This is one that ALOT of people get mixed up. Facial drooping and paralysis occur in the SAME side as the lesion in the brain. This is because the nerves do not cross until at the medulla.Therefore below the medula the opposite side of the body is affected. Alot of people will argue this so I will provide a link to prove it.

    Also, think about it. If the nerves did not cross at the medulla, what side of the body would they control? The same side!
    http://www.strokeassociation.org/presenter.jhtml?identifier=1052

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    ps3114 and SpssSpss like this.

    Here are several that I have found:

    Effective breastfeeding
    Ineffective breastfeeding
    Interrupted breastfeeding
    Disorganized infant behavior or risk for
    Readiness for enhanced organized infant behavior
    Ineffective infant feeding pattern
    Disturbed sleep pattern
    Knowledge deficient--- this is a BIG one because mom/baby is mostly about teaching
    Risk for impaired infant attachment
    Caregiver role strain
    Readiness for enhanced parenting
    Impaired or risk for impaired parenting
    Risk for infection (related to childbirth trauma to tissues or others)
    Risk for consitpation
    Acute pain
    Risk for injury
    Interrupted family processes
    Impaired verbal communication
    Anxiety
    Risk for situational low-self esteem
    Risk for ineffective airway clearance (newborn)
    Risk for imbalanced body temperature (newborn)

    You can also use alot of your normal physiological diagnoses. During our OB class we were taught to really emphasize the teaching and we should be using a lot of knowledge deficient diagnoses. This should help you get a good idea.

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    It is getting to be the time when I have to decide where I want to do my preceptorship. I really want to do it in the ER or in an ICU. However, I am worried because I know to be a nurse in the ER you really need to know your stuff and since I am a student I am worried that I won't meet expectations. I have people tell me I should do it on a med/surg floor so that I can get more experience, but the way I see the preceptorship is to try something you are interested in and do something you may not get a chance to do right out of school. I want it to be more of a learning experience rather than just getting me used to doing med/surg. I will have plenty of that when I graduate.I take my critical care class next semester, so I don't have much of a good idea about providing care for a critical patient.

    I was just wondering from the perspective of a nurse who works in the ER, what are your expectations from someone who preceptors there and do you think it is an appropriate spot for a student? Thanks for your advice.

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    Our college has done the same thing just within the past year. You are given a chance to sign up if you want a mentor and they try to set you up with one who is in the second year program and they ask the 2nd year students to volunteer to be mentors. I think it's a good thing because I know when I was a first year student I had many questions about surviving nursing school.


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