OnlybyHisgraceRN 15,776 Views
Joined Mar 29, '12.
Posts: 755 (52% Liked)
LTC can be very overwhelming, especially for a new grad. One thing that helped me when I was in LTC was having a list of the residents' names and writing down how they took their meds. That is a battle in itself. Some meds need to be crushed, some taken with certain beverages, you will have to know how the resident takes their meds so it will save you time from running back and forth. Ask the previous shift to quickly give you this information.
Make sure your cart is stocked before you start, once again can save you time. Ask your CNAs to get vital signs for you, for your patients that take BP meds. Once again, a time saver.
It will take time to have a routine. Some meds can be grouped together as well. If you have 5 and 7 pm meds give them both at 6, you have an hr. window, use it.
Jot every thing down as you go. Cluster your tasks. It will take time, hang in there.
OP you will be getting flamed, just wanted to warn you. However, I guess I'm going to get flammed too because I LOVE being a christian nurse as well. I don't push my beliefs on my patients. I simply enjoy promoting healing in my patients. Every day I pray for my patients and myself. I pray that God works through me to provide competent and quality care to them.
I've been clinically diagnosed with depression at age 13 and took AD and anti-anxiety meds off and on.
For the most part I was able to cope but working in bedside has exacerbated my sx.
Since starting nursing 6 years ago( CNA,LPN, now new RN) I've finally come to the conclusion that sometimes the stress gets the best of me and makes me feel worse.
After much thought and consideration, I asked my doctor today to restart my medications for depression and anxiety.
Since I have bills and a contract quitting is not an option, therefore I have to do what ever it takes to get me through the day. All I can do now is take one day at a time, until I can retrieve a nursing position out of bedside.
I love nursing with every fiber of my being, but bedside is NOT for me. I don't think I can ever get used to it.
Anyone been through anything similiar?
I'm going to pick on myself for a moment. I have to admit that sometimes I blurt things out without truly thinking about it. Today I said something ( without thinking) to a patient that was purely stupid.
Long story short: My patient had to drink a medication that did not taste so good. She had to drink a whole cup and the only thing I could do to make it bearable was to add a little ice.
Patient: "This taste horrible"
Me: "Just imagine it is a magarita on the rocks"
Patients' husband: " That is not a good idea, since we are both recovering alcoholics"
Me: " Oh you are right...bad idea, never mind.( then I proceed to use more therapeutic interventions)
Needless to say I learned my lesson, never assume anything.
I now except my award for blurting out the most stupid thing ever!
Hey speak for yourself. I've never borrowed medication.
My pt.: "Oh you're a student, how nice. Do you know what you might want to specialize in?"
Me (as a 1st year RN student): "Well, I'm thinking oncology. Med Surg is so depressing!"
My pt.: "Med Surg is depressing?!!!!! What, people suffering from cancer isn't depressing to you?!"
Me: "Um, no, um, I mean, yes. It's just that I keep treating patients who are obese, have COPD from smoking decades, have renal failure from being out of control diabetics, & so on. I'd rather treat others who have a desire to fight to live, which is the case with many Dx with cancer because it strikes many unexpectedly. Many in Med Surg seem not to care about themselves. They let themselves fall apart."
I wanted to go back in time to choose my words more wisely. The worse thing was that she had told me earlier that she misses visiting her best friend who's undergoing chemo. This particular pt. was overweight & suffering from conditions beyond her control. Her very obese daughter was in the room too. I couldn't wait to excuse myself out of the room!
Luckily, I made up for it later by providing her excellent education on her condition. I taught her things she said no one had ever taken the time to explain to her. I was so good, I could hardly believe it! She was very grateful. I just wish her daughter had witnessed that, so I could feel like I saved some face.
This was is more of " mean things nurss say"
A coworker had a difficult patient. The patient was very sassy and sarcastic. The nurse asked the patient if he was in pain. The patient replied " are you in pain"?
The nurse stated: " Yes, I'm in pain but my pain leaves when I go home, yours will always be here"
Its 6:35pm, census is 6 patients on a 16 bed icu.... Just as I'm about to give report, the oncoming nurses states how "quite" the unit is. Before the nurse can even finish her statement my patient who was given transfer orders goes into 40 beats of bigeminy pvcs and is symptomatic.
People please, don't say the q word, especially around a new grad rn ICU nurse....
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