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SleeepyRN 10,970 Views

Joined Oct 26, '11 - from 'Berwyn, IL, US'. Posts: 1,095 (54% Liked) Likes: 1,915

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  • Mar 2

    Commuter hit the nail on the head. Well worded.

  • Feb 19

    Quote from Sam J.
    Funny- I thought physicians decided (by way of orders) what meds to give, and when, and when not. I must be missing something.
    EXACTLY. It drives me nuts when nurses hold lantus instead of taking the time to notify the MD that the patient's BG drops in morning. The prescribers need to know this so they can adjust their treatment plan.

  • Feb 11

    Quote from giftsofgrace
    Good evening ,

    We all have to start somewhere . I am debating on doing the LPN or the RN program . The LPN will get me into a hospital , I believe . Then off to an RN degree if God allows . Stay blessed as you are but never stop climbing for the sky . I want to work in a children's hospital . I am trying to figure out how to make college affordable or free .
    I respect that you do what you need to do and you do it well .
    I know this poster meant well but, I disagree. If an LPN likes his/her job and doesnt want to become an RN, that is their prerogative. Remain educated in the most up to date practices/literature, definitely. But it is condescending to LPNs to say that it should only be a stepping stone.

    Oh, and if GrnTea is reading, excuse me. I meant his/her prerogative. Lol. I'm just pickin on ya because of a recent post.

  • Jan 20

    If they have a script for it, I don't think it is any of your business to report it. That being said, if you notice a student during clinical that to your opinion doesn't look as if they are acting safely, you can bring that to the attention of your clinical instructor leaving the medication knowledge out of it. At that point, it us in the instructor's hands ans you did your duty to protect patients.

    I'm hearing judgment on your end of people who take medications. That's great that you are super nurse/mom/student/wife without medication. I personally have a prescription for xanax, and during nursing school I provided my school with a note from my psychiatrist stating that I was safe to work with patients. I wish I didn't have the debilitating performance anxiety I have in new situations. I wish I didn't have to take xanax to keep from having a complete panick attack. I truly am glad that you can wear so many hats and remain very mentally sound. But some of us need help. More than you realize actually. My psychiatrist and PCP tell me they themselves need anxiolytics and ambien sometimes, and that they treat many health care professionals with these types of drugs. Try not to judge.

  • Nov 17 '16

    Congrats on your license! I shouldnt have allowed myself to listen to the negativity that it would take 4+ months. I too got my licence like a week after I submitted the documents. After 25+ applications, I got my first job today!!! I went in to fill out an app and the administrator walked by right then, overhearing what I was applying for, and asked "do you have time for an interview right now" next thing I knew I was in the DONs office being told "Id like you on our team" Im so excited!!! All that worry and anger over the court stuff for no reason. : )

  • Sep 27 '16

    Quote from SuzieVN
    Second shift: Don't have to go to bed at night, don't have to get up in the morning. You have all day to work out, take care of personal business. And? The managers leaves at 5PM, so the pace is relaxed? Heavenly, if single. Hellish, if you are not?
    There are benefits and downfalls to PMs. Im married, so I have an extra downfall. With up to 40 residents of SKILLED Medicare residents, I don't get out before 2:30am. Get home at 3am. Cant unwind from a difficult day of admissions and numerous physician orders (oh yeah, then there is patient care...eye roll). Can't fall asleep til 7am ish (just cant unwind) wake up at 2 pm to do it all over again. Zero time for a personal life, zero time for my husband.

  • Sep 27 '16

    Quote from wyogypsy
    I don't know any two nurses that do things exactly the same, they all find what works the best for them.
    I can't stand it when residents say to me "Nurse so and so does it this way....gives me my meds at 8:15.....always brings my tylenol at bedtime (prn, sigh...of course I'm not going to know.) I could go on and on. The main nurse for one unit just moved out of the country so all the residents are feeling me out. One guy was furious day one because I didn't have his 6pm meds ready for him right after report. "Nurse so and so always gives me my meds at this exact time!" Sure, I'm learning their routine pretty well now, but I want to say "Do I look like nurse so and so? No? Then back off.

  • Sep 27 '16

    Quote from SuzieVN
    Second shift: Don't have to go to bed at night, don't have to get up in the morning. You have all day to work out, take care of personal business. And? The managers leaves at 5PM, so the pace is relaxed? Heavenly, if single. Hellish, if you are not?
    There are benefits and downfalls to PMs. Im married, so I have an extra downfall. With up to 40 residents of SKILLED Medicare residents, I don't get out before 2:30am. Get home at 3am. Cant unwind from a difficult day of admissions and numerous physician orders (oh yeah, then there is patient care...eye roll). Can't fall asleep til 7am ish (just cant unwind) wake up at 2 pm to do it all over again. Zero time for a personal life, zero time for my husband.

  • Sep 27 '16

    Quote from ADDISME
    I have been a nurse for almost a year. 2nd career. I remember a nursing instructor saying it takes a year of full time work to begin feeling like you know what you're doing. I have never worked more than 2 shifts a week other than my initial orientation. I AM SO SLOW at my med pass...STILL. I rarely take a lunch break. Never a regular break. It's very frustrating and I worry that I'll get fired. I go home and think about what I can do differently. I have gotten better but I don't see how I can get it all done. I'm still 8 pts behind before my electronic MAR goes red as in late. I always leave late becuz I do my documentation at the end of shift. I only have 23 pts but they r on a ton of meds that need to be crushed. I waste a lot of time looking at the MAR and punching out the med one at a time. I'm afraid if I do it any other way that I'll commit a med error. I do everything by the book. When I try to delegate simple tasks I get resistance so I end up doing it myself. Often times meds or treatments r missing/out of stock so I have to go hunting. CNAs/therapy taking pts away before I've given them meds. Pts whom want meds at a specific time. I've tried going by room number, by time, by addressing the pts in my immediate vicinity, by giving meds to my pts with the least meds, the most meds, I've even tried getting all the vitals out of way first and I STILL CAN'T GET IT TOGETHER. So frustrating. Today almost all of my pts were on full vital signs! By the time I'm done with my 1st med pass it's 11. Then I start treatments. Then it's the second med pass which isn't too bad. I can't wait to feel good about my job
    Did I take an Ambien and sleep write this? I feel your frustrations to the bone.

  • Aug 5 '16

    Congrats on your license! I shouldnt have allowed myself to listen to the negativity that it would take 4+ months. I too got my licence like a week after I submitted the documents. After 25+ applications, I got my first job today!!! I went in to fill out an app and the administrator walked by right then, overhearing what I was applying for, and asked "do you have time for an interview right now" next thing I knew I was in the DONs office being told "Id like you on our team" Im so excited!!! All that worry and anger over the court stuff for no reason. : )

  • Aug 2 '16

    Quote from WKShadowRN
    "Administration /my lawyer is going to hear about this."

    Picture me, unflappable and unimpressed.
    During shift change for NOCs, figuring out assignments and getting report from multiple nurses, takes a good 45 minutes. Well one night, immediately after I got report, I answered a call light. Immediately this completely A&O x3 pt starting screaming at me about how everyone just ignored him. (No, CNAS start shift at 10pm and we nurses at 11 pm for this very reason.)
    I learned shortly after that that the CNA had answered his call light, he said he needed pain meds, and the CNA explained that the nurses were changing shift and getting report, and that she would let me know. Before she even saw me to tell me, I answered his call light (because he put it back on again.)

    So the screaming about being ignored began, and I tried to say that I just now finished report and I would go get his pain meds. He wasn't even hearing it. He picked up his room phone and whipped it across the room toward me. I was still in the doorway, this all happened so fast.

    He overheard me say that he threw his phone at me because everyone in the hall heard it and immediately started asking what was going on. I was still in the doorway and yes, told the other nurse and 2 CNAs that were in the hall that he had just whipped his phone at me. He missed me by only a few inches. He screamed, wiped everything off his bedside table (food, drinks) screaming that I was a liar, that he did not do throw the phone at me.

    I got his pain med and entered his room with a 2nd person for both safety and liability reasons, as he already claimed I had lied. When we entered the room, he had his CELL PHONE out and was RECORDING me, saying how I was a liar and ignored his call light and on and on.

    Needless to say, I switched patients with another nurse.
    I was SO happy when he got discharged.

    Pffft go ahead and record me. You're making yourself look like the idiot in the recording while I'm providing competent care for you.

  • Aug 1 '16

    Quote from OCNRN63

    I had a nursing instructor do something similar to me in front of a physician after I asked him a question. Boy, was she ever surprised when he turned to her and told her that my question wasn't stupid, and that she was out of line for mocking me. He then turned to me and addressed the question.
    Oooh, I can only imagine how embarrassed your instructor must have felt. I love it. Thanks for sharing.

  • Jul 5 '16

    My nursing program had very specific prerequisites. You coyld have all the certifications in tbe world, but if you didn't have competetive grades in very specific classes, you wouldn't get in.
    Actually, there was a poster on here who graduated from Harvard or Yale or such with a Bachelors and was dumbfoundef that she didn't proceed to get accepted into a community college ASN program.
    Poster: "I graduated from Harvard."
    School: "But did you take these prereqs?"
    Poster: "No."
    School: "Come back when you do."
    Poster: Flabbergasted

  • Jul 5 '16

    My nursing program had very specific prerequisites. You coyld have all the certifications in tbe world, but if you didn't have competetive grades in very specific classes, you wouldn't get in.
    Actually, there was a poster on here who graduated from Harvard or Yale or such with a Bachelors and was dumbfoundef that she didn't proceed to get accepted into a community college ASN program.
    Poster: "I graduated from Harvard."
    School: "But did you take these prereqs?"
    Poster: "No."
    School: "Come back when you do."
    Poster: Flabbergasted

  • Jul 3 '16

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