CherylRNBSN 6,195 Views
Joined Mar 30, '12.
Posts: 183 (56% Liked)
Please help me figure this out. What antibiotic is run at 12.5 ml/hr? I have been doing this job for tons of years and have never seen this. I have never run anything at 12.5 ml/hr. Yes, we will titrate morphine drips for example but antibiotics? If it is 50ml of zozyn it is run in 30 minutes. If 100ml of Zozyn, it is run in one hour. Unless it is a specific special antibiotic which the pharmacist will decide upon rate, or if it is some special circumstance, then please tell me what is run at that odd rate?
And this is why a Nurses union is a godsend; they just wouldn't be able to get away with this. When understaffed we can submit an assisgnment against objection form basically stating that should any issues occur, complaints, falls, missed meds and all of the OP issues, you have great backup when they pull this crap.
My name is OnlybyhisgraceRN and I am a job hopper. Sigh. I started working at the age of 14 years old, I've had probably 20 different jobs over the past 10 years. My job history goes as follows:
Age 14- Mcdonald's for a year or so. I gained weight off of big macs, fries, and shakes. So I decided to quit.
Age 15- I worked as a dietary aide in a small community hospital. I left after a year for very stupid reasons.
Age 16- A shoe store. I quit a year later.
Age 17- I worked four different jobs. I worked at best buy for 3 months but was fired for letting a friend use my family discount. Then, I worked at marshalls for 3 weeks and quit due it being super chaotic and dealing with crazy customers. Next, I worked at michaels for 2 days... I honestly don't remember why I quit that job. My fourth job was as a student aid, I quit after 3 months because I became a CNA and wanted to work as such.
Age-18 I worked as a school health aide, and lasted 2.5 years. I loved the job so much that I planned on staying as a nurse. However, everyone stated" No, go get your clinical experience". And so I did. After I received my LPN license I left the school system. In addition to the school job I worked for 2 nursing agencies as a float CNA/Sitter.
Age-20 I worked as a LPN in an ALF. After a year I left, it was a new day on hell every single day.
Age-21 I worked in a LTC, which I loved. I left after a year due to schedule conflict with school and they did not allow PRN.
Age 22- I worked in subacute/LTC facility, another ALF, methadone clinic. The subacute and ALF were hell holes. I loved the Methadone clinic but I was PRN and they never had any hours. I also worked for 2 peds HH agency. I hated it because I felt like an over paid babysitter. My last job for this year was a PRN school nurse job for an agency that I'm currently employed.
Age-23- I worked at a subacute facilty , I quit after three months when I received my RN license to pursue the "almighty" hospital experience. I then got hired into a CVICU. I lasted 7 months there( that is a thread all by itself, literally).
Now I'm 24 years old and I find myself starting another job next week. All I can say is that I'm tired of job hopping. My long term goal is to find my home in nursing and stay there until I retire. Why is that so hard for me to do??? I feel so pathetic.
Hopefully this year will be different, and I'll find my self at the same place by the end of the year.
I think every nurse needs to put themselves into this scenario and have an idea about what they would do before it happens. I won't tell you you were wrong, because the "right" answer is going to vary for every person. However, I would have made them fire me, complete with thorough documentation of the events, including my rebuttal response.
Yes. Twice in my short career my assessment findings reported to the MD have delayed or canceled discharge. I am responsible for confirming the stability of the patient at discharge, so yes, I do an assessment.
Know their mission statement.
Be able to discuss your strengths and weaknesses. (this requires introspection, and you get points for thinking about and giving examples of how you have addressed, or intend to, address, weaknesses.)
Be able to answer how you handled (or would handle) a difficult co-worker or angry patient, family member, or physician.
Be able to answer the question "Why do you want to work here" (sounds like you have that one down cold, but be as specific as possible.)
Smile, shake their hand warmly and firmly, take a deep breath, let your personality shine, and try to demonstrate your enthusiasm, and that you are a TEAM player.
Dress tastefully and appropriately.
Thank them for the opportunity to be interviewed.
Good luck, and know that even if you don't get this position, it is a wonderful opportunity to gain interview skills.
I think the results of the poll are indicative of the following:
The role of nurses as patient advocate. Period. I see that as my number one professional responsibility. We ARE the 24 hr link to the doctor! Pts and family members KNOW this, and I think these results reflect that....it's because of all the wonderful nurses who say "I see your pain is not being managed, let me notify the doc and see what we can do." Or, "You are having a big surgery tomorrow, and will be on narcotics and mostly in bed for a few days. When was your last BM? 4 days ago? Okay, let's get you a laxative today. No need for minor constipation to turn into major discomfort!" Or taking the time and effort to simply make someone more comfortable, by performing thorough oral care on a pt. who is mouth breathing, dehydrated, and dying. By cheerleading! "Great job of ambulating and deep breathing, I know you are in pain, but this is going to speed your recovery!" By educating and comforting family members, telling them what to expect, seeking an early hospice referral, the list goes on and on.
And this poll is very heartening! Despite the fact that we are often over-worked, the public clearly recognizes our role and it's importance in health care delivery.
I find it interesting that psychiatrists get their own distinction from other medical doctors.
Come back in 10 years? Lady I spent 12 years as a Navy Corpsman, the last 10 with the Marines. I was in the first Gulf War in 1990-1991, I served 3 tours in Iraq the second tour was with India Co. 2nd Mar. Div. in the 2004 battle for Fallugah, I also did 2 tours in Afghanistan where I was wounded and subsequently retired early due to injuries. The only reason I am in nursing school is because the nursing gurus do not accept any of my military training. It was either nursing or PA. Due to the loss of some fine motor skills in my hand there are some things I cannot do anymore so I chose nursing. I will guarantee you I could walk into any level 1 trauma ED and getting the same orientation as a new hire nurse nobody would know I never did an L&D clinical rotation.d
Um, this article seems a bit over the top to me. Medical professionals are predatory, smell blood, etc.? I've been a nurse for over twenty years. That is way over the top.
As many other posters have said, the way you precept, and your attitude, your leadership style may be a great match for some orientees.
But not for me.
I don't think anyone needs to be "broken down" in order to reach their full potential.
And it's kind of condescending to think all new nurses need to be petted and coddled, and it is your job to toughen them up and show them how the real world is.
I, and many others, were well equipped with enough innate intelligence that we already possessed some pretty good critical thinking skills before we ever even started nursing school, and also realize we have an intrinsic responsibility for our own professional growth and development.
I look at new grads and nursing students as colleagues. I do not try to intimidate them. I get to know them as a person on some level; i.e., ask them when they are graduating, their future career goals, etc. I respect them, and they respect me. I freely tell them everything I know. I assure them there are no stupid questions. That knowing what one does not know is a cornerstone of safe practice.
Positive, healthy interactions with all coworkers go a long way in making tough shifts bearable, even enjoyable.
Support, teamwork, respect, sharing of knowledge, modeling leadership, and yes, KINDNESS. Despite whatever else is going on in my personal or work life.
So I don't worry about my orientees speaking about their experience with me as a preceptor with other staff.
Dear Wish Me Luck,
STOP! Don't do any such thing as surrender your license! You are clearly weary and depressed, and therefore not thinking with absolute clarity! I know, I've been there myself. Do not make such a big decision in this state.
Trust me on this one: things have a way of working themselves out if you can put one foot in front of the other (baby steps) as previous poster stated, and go with the FLOW.
The hardest battle is with YOURSELF, not the BON. Focus on the biggest battle, if you can win that one, all other issues will work themselves out. Without you surrendering your license.
Love and best wishes,
I am reading a great book about addiction. It's called In the Realm of the Hungry Ghosts by Gabor Mate'.
It is an extremely smart and compassionate book about addiction.
Good luck on your journey, it sounds as if you are well on your way.
I cannot tell you how much I enjoy this site.
It provided me with a way to relate to colleagues as I was searching for a job after being out of the field for 12 yrs.
I am back at work, and AN helped me tremendously as far as the current state of nursing, the interview process, etc.
I have laughed and cried while reading posts.
And I love the fact that I can post a question, and have expert responses within a few hrs. Thanks to all the nurses who post here!
Thank you, and keep up the good work!
I feel your pain. I too am 52. Nurse for 25 years. ED is my specialty. I haven't worked as a nurse in 7 months but I have an interview tomorrow afternoon for an ED position. It really makes me wanna cringe. I got canned 7 months ago over something trivial, something that should have never cost me my job. I had some money saved so I thought I will take some time , do some soul searching and see what I really wanna do with my life. Only thing is my bills don't care if I feel lost in this new, stupid tedium of never ending patients seen in the ED for NUTHIN! Seriously I've seen people come by ambulance because they had a cold, told they have to wait, go out the front door, go across the street and call 911 again to be taken somewhere else. Our tax dollars at work! Not only do we have to care for the patient now we have to feed everyone, get them coffee, say the magic words "I'm here for you" when I'm really thinking get up and get out of here, I'm sicker than you are. Saw a thing on facebook recently, shows a man in a gown with his IV pole and a nurse standing beside him and the caption reads "I see you're here again for acute hypodilaudidism" Yep I'm burned slap up even after an almost 8 month hiatus but I gotta pay bills and have health insurance.
I work on a very busy med-surg floor. Our ratio is 6:1. I punched out at 2040 tonight. And I know I have excellent time mgmt skills.
The ratios are too high! They pile as much on us as they can get away with. We can't eat a 30 minute lunch without getting up to give a pain med or toilet someone (b/c the aid is busy), or receive a pt or send one to OR. While I make sure I get a 15 min brkst break, I NEVER take my other 15 minute break, which I am docked for. I think it is wrong and it is poor management to expect staff to work a 13 or 14 hr shift without their breaks.
How can you take care of 6 high acuity pts safely? You can do it, but you are killing yourself. It leads to BURNOUT. And higher infection rates, higher complication rates, which leads to...higher mortality. And staff turnover.
I had a pt in sickle cell crisis requiring q 2 hr pushes. Two fresh surgeries needing pain mgmt. Two units of blood to hang. Those pts got all my attention, while my others were pretty much ignored.
Our ratios should be no more than 5:1. Preferably, 4:1.
I am in a room trying to hang blood when I see that the IV is leaking, and must be restarted. While I have FOUR pts. calling for pain meds, and the OR wants to come get my other pt....
No human can be three or four places at one time, yet...that is expected of us.
IT SUCKS! What can we, as Professional Nurses, do?
I am very worried about the future of nursing and healthcare. And I would never leave a loved one who was really ill alone on a Med Surg floor. B/c there is no guarantee they will be turned, or fed, or medicated as they SHOULD be. Or that their condition will be monitored as closely as it should.
Not b/c the nurses don't WANT to, but b/c they just can't be two or three or four places at once.
I don't see it changing. And that is why nurses leave the bedside. But I guess as long as their is an endless supply of new nurses willing to take it on, they will continue to demand this.
Good for the bottom line, bad for pts. And bad for nursing.
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