FLmed 3,977 Views
Joined: Jul 17, '12;
Posts: 165 (42% Liked)
; Likes: 153
Keep your eye on the prize. Passing your educational program will be something you'll have to do to do a lot of the things you want in your life. Whether he is in your life or not, you still need to pass school.
At this point, you and your BF either understand that and are willing to make it the priority...or you aren't. I know delayed gratification is hard. This too shall pass. Eyes on the prize, dear.
Hmmm...By classifying you as PRN I'm betting they don't have to offer you benefits. What about your hours, can they cut them at any time?
Perhaps it would be a good idea to go to HR and ask for a definition of PRN for your facility and find out what if any benefits you may qualify for.
Thanks for sharing your heart with us. Keep us posted, and continue to apply everywhere!!
Well I guess I can put in my two cents. I do not believe, in any way, that the postings that I have read to this point constitute any unprofessional activity. I have read posts about patients. What may seem like possible identifying information to you isn't. It doesnt appear that you are aware of the scope of this website, hospitals, or healthcare in general. At any given moment, I could tell you a story about my male patient with 13 fingers and a heart of stone. Seems pretty specific, right? Well, its not. I bet there are hundreds of men with 13 fingers and hearts of stone. My point is that the entire soul of the allnurses community seems to be one of helping each other out, treating our colleagues better, and improving our bedisde manners and patient care. We are all, in the end, human. My fear is that without an outlet such as this, we may be much worse off as a profession. So do you know my patient? I don't think so...
You'll be fine!! Good luck!!
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No, I have lots of patients who are physicians, NPs, PAs, nurses, etc. I don't care. When they are in my exam room, they are a patient.
We are understaffed at our hospital. We are frequently getting very high acuity patients that have no business being on a Med-Surg floor as well. I had a patient with a blood sugar of 800 and I was required to check blood sugar every hour. What? Really? I had 5 other patients
that day. How does one juggle this? Needless to say, I got behind on everything. I just keep saying to myself, "I can only do the best that I can do." This patient should have been upgraded to ICU or at least PCU to be on endotool, but there weren't any beds available. The computerized charting can make it easier, but when you're interrupted 13 times while you're just trying to assess your first patient, it's very easy to have holes in your documentation. That's why I stay late to ensure that my documentation was done correctly. If ED calls report, we have 2 minutes to get to the phone. Got written up the other day because I was gowned up in a C Diff patient's room taking care of the code brown without a CNA to be found. I'm okay with cleaning the patient up-- even with the lack of help. I realize the CNAs can't be in 14 different places at one time, just like the RNs can't. I would never leave my patient soiled, and I did what needed to be done. But, to get written up because I didn't answer ED's call. Really?? Annoying. Why can't I just call them back when I'm done cleaning up the patient. I love being a nurse. I really do, and I love my patients (well-- 85% of them). I do not like management. Things have to change. I don't have the time with my patients like I want. I am not sure how much longer I can go on like this, and it's a shame. My hospital will be losing a damn good nurse who genuinely cares about her patients. I really think I would like Med-Surg nursing if the ratios were lower and management had our backs.
A bit off the topic....when I read about the meat in salt solution, my brain superimposed the word "BACON" over the word 'brain.' Yum, bacon.
Sorta impossible if we want to maintain our anonymity (can you see me working at a white board with a paper bag over my head?), but there are a number of people here (e.g., Ashley, Esme, Ruby, me, and others) who hang out on the student fora and are happy to indulge their teaching jones by helping you.
As ever, we don't do your homework for you, but if you say, "I learned this and that, but XYZ just doesn't make sense to me even though I looked up ABC, where am I going wrong?" there are people who will understand how you got to where you are and be able to help set you right. It's what we do for fun.
How much Ativan? How much Dilaudid? How much does the patient weigh? How well are their kidneys functioning? Are they elderly or frail? Are they opioid naive or have they been taking these medications regularly for a significant period of time? What health problems are they currently experiencing?
There is no yes or no answer. Every situation is different.
I was sooo cute before nursing school. Nursing school aged me and I put on 15 pounds. I was determined to lose it after my BSN. Now I'm working full time and in a masters program. I just finished my first semester towards my MSN, and it ended up being too much. I had to drop a few classes. I'm determined to get this 15 pounds off. I was a runner before nursing school, and I'm committed to shutting my pie hole and getting on a treadmill! I'll get my swag back.
The things I love: my patients, educating them, my coworkers on my floor, seeing how my care plan helps in the healing process, labs and pharmacology.
I don't like: management trying to put more patients on you (our ratio is 6, but they often give us 7 on the day shift), management expecting the impossible, management expecting customer satisfaction to be perfect when a nurse just can't be in 10 places at one time, being written up for not taking report in a timely manner from the ED (but you were gowned up taking care of a C-Diff Code Brown with no help from a CNA), being interrupted 12 times while you're just trying to finish one task for your current patient.
There really is a huge difference in what you expect nursing to be when you get out of nursing school. I really do try to make a difference and I'm a very kind person. With that said, I just wish the ratios were lower. I would really love to have the time to holistically treat my patients. I work on a Medical/Surgical/telemetry floor. We also deal with a lot of stroke victims. I like the fast pace! It makes the day fly by. I've already told you how much I love my patients, but I hate having to tell them, "If I can get some time later, I'd love to sit and chat with you more. Right now I have a man who (insert Emergency here -- and it's not a lie)." There's always something that goes wrong. It could be that the pharmacy didn't send up your drugs, a blood glucose is 400, you get a critical lab, somebody wants to leave AMA, somebody falls on you, you get an admit and a discharge at the same time, somebody codes on you, somebody pulls their IV out, a patient who has altered mental status and they are scared (but you can't sit with them-- there's not enough time), a man has a distended bladder and isn't peeing, somebody yells at you because you didn't bring their pain meds on the exact minute that they were due, oh this list could go on and on. I just want more time with the patients!!
Management wants patient satisfaction to go up, well doesn't it make sense to give the nurses less patients? Outcomes for excellent patient satisfaction might actually be attainable. I know job satisfaction could potentially be impacted positively too if we just had more time with each patient.
I'm a very loyal person with a strong work ethic. I've always had glowing reports from prior employers. Since management makes our jobs so hard, it makes meeting their objectives impossible. It really has affected my self esteem. I'm a good nurse, but on paper, I don't always meet their expectations. : (
Nursing is extremely stressful in the acute hospital setting. I heard a fellow nurse say, "I don't know many nurses around here who aren't on an antidepressant or a benzo." Of course there are exceptions to this. I'm not on anything... yet. I don't want to generalize either. I do know plenty of nurses who use other methods for stress reduction. I run and it has worked well for me so far.
Oh, one more thing, I'm going to be working Christmas this year. I have a young son. He's only going to be little once. I went into nursing knowing that I'd have to work holidays, but it still makes me sad.
Just wanted you to know that I read your post. Sending you hugs.
I wouldn't recommend taking these online. Most employers want these to be American Heart Association certifications. Most AHA certifications have a test to pass and also a hands on skills portion. This demonstrates that you can be competent in following the protocols.
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