MomRN0913 (11,246 Views)
Joined Dec 31, '10.
Posts: 1,195 (48% Liked)
The disturbing part of this thread to me is your logic.
Further discussion is better suited to a wall, I suspect.
Good luck to you.
I freaked out on my first RRT when i floated on the tele floor that went to the ICu. A month later I became an ICU nurse. Codes no longer freak me out.
Everyone gave excellent examples of what it takes to be an ICU nurse. While it is important to be task-oriented, and most are as floor nurses, get the treatments done, the meds done.....you need to put yourself into a prioritizing critical thinking mode. You need ot look at the whole picture and not "I have to give these meds at 10am" and stay focused on that. There may be other things that take precedence over getting those meds in at 10am....
Autonomy, assertiveness, critical thinking and detail-oriented are all very important. being open to learning and accepting that you are not going ot know everything right away, and asking questions when you are not sure are very important. Listening and taking criticism well too is also key.
I worked witht his new-grad who got a good GPA in nursing school, but when you put her with actual patients in the ICU, she was making the worst common sense judgement calls. The worst was she thought she knew it all, so she never asked. Made some pretty stupid and bad mistakes.... She was given many chances and much mentoring between the NM and the critical care educator.... however, she didn't take the criticism well and just got insulted instead. Then she made the big "bye-bye" mistake.
Good luck, ICU is a great place to work if you have the passion for it.
Wow ruby, what an amazing story from start to finish. Definitely brought tears to my eyes.
Depends what state your in, if it is an "at will" state, then you can be fired for any reason (except discrimination, which you would have to prove)
Good luck. I do not believe you should have been fired. It was a med error, your first one, and you should have been remediated.
I'm glad you found a position to get out of HH.
I've been in it for almost a year. A miserable year. Overworked and underpaid. I wanted a work/ life balance, instead I got a work is life situation. I will do anything to get out and have my life back. All weekend all I have done is worried about the paperwork I am behind on. But I decided to give my off time to me and my daughter this weekend.
I appreciate this very straight forward true post about HH.
It's more stressful than nursing school. But the good news is they pay you, instead of you paying them!
I had a situation in nursing school that was sort of sad, understandable and could be seen as inappropriate. I had a male patient during my LTC rotation that started masturbating while I and a female CNA were giving him a shower.
As a man myself, I can empathize with a long-married man who still has sexual feelings, but no intimate contact with his wife, and no privacy in his shared room. I acted as if it was normal and didn't react, but the CNA offered him a wash cloth, and was clearly uncomfortable with it. Personally, the only thing that made this situation mildly inappropriate, was that it made the aide self-conscious. However, I'd hope that if she stays in the business very long, she'll get over it, because I doubt it was the last time she encounters that, as sexuality does not expire just because you age.
Very good response. I would have provided the aide the opportunity to excuse herself if it was safe to do so. Sorry y'all, men masturbate in showers in their homes and LTC is their home.
I'm a new homecare nurse for palliative and hospice. (I have been a nurse for 6 years, just new ot homecare)I had a palliative patient I was seeing with my preceptor. Mainly for pain management (CA patient) was having a difficult time with BM's due to decreased mobility, appetite and pain meds. Had BM's every few days, although small, but not much intake.
Saw patient and patient was feeling better, looked better than he has been. Checked Bowel sounds and they were positive, had BM a few days before and his appetite was improved.
Find out the patient perforated his bowel a few days later and was severely impacted.
It's upsetting me, because he had positive BS and said dulcolax helped. Then, it happened.
I don't know what I'm trying to ask. Can patients have normal bowel sounds with such severe impaction?
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