gonzo1 20,702 Views
Joined Jun 8, '05.
Posts: 1,732 (46% Liked)
Depending on your job and work team, nursing can be scary and very hard. I've worked in great places, and horrible places. Thank God I now work in a very nice place. The job can be hard, combative patients, snarky, stupid docs, lots of poop. But nursing has been very good to me overall and I love it. It is incredibly rewarding knowing you have helped people on the worst days of their life. I've even saved a few lives. I love the science, the challenge and the friendships.
I love seeing my skills become better all the time. The ICU I currently work in is the hub of the hospital and we help and monitor the other depts (night shift). Our hospital is not without problems and like most places they don't really listen to our input, but for the most part staffing in our unit is good and my team mates are awesome. I'm very grateful for the chance to be a nurse and help people. Nurse of 15 years, started at 45. It's not to late.
I work in ICU. I have followed nurses that didn't even do the initial assessment on the pt. Don't be that nurse, LOL. Your hospital most likely has a P&P for what has to be charted and how often. Find it and learn from it. Additionally, never, ever double chart. If you have documented anything 1 time, 1 place, do not double chart it anywhere else. That can get you in trouble if you go to court. If where you work wants you to chart in two different places on the same thing, do not do it.
There are many books out there that you can buy to learn what to chart, when and how. There are also many avenues for learning how to chart to appease the legal Gods. There are books, seminars, conferences. Google them. NSO posts cases all the time. Look up how to chart on youtube. In this day and age there are many sources you can use to educate yourself. There are also many great ideas already posted. Do chart that you have done baths, treatments etc. When an antibiotic is done chart, "no adverse reaction." if it applies.
It is true that a lot of nurses get done quick because they aren't charting and doing what they should be, but I don't want to be that nurse, and you don't either. One last idea that I only recent started due to coaching by an "old" nurse. Do everything you can early. If a med is due at 2100, give it at 2000. That kind of stuff.
I've encountered several "challenged" nurses over the years, deformed hands, arms, deaf (with hearing aids). They were all awesome.
Go for it.
OMG, what a treasure trove of great things to do. Thanks
Reading all these makes me once again appreciate what a wonderful group of people nurses are. I am so thankful I'm with you all in this profession.
There's still a lot of "little" ERs that don't have SANEs.
Squeezed endless bags of blood into a trauma pt who still died on the way to OR.
Started bunches of IVs. Swabbed throats for strep cultures.
Lots of EKGs
Told a pt with a concussion they were in the ER after a car accident 400 times. Fortunately, no serious injuries.
Placed a couple foleys
Did a "rape" exam
Held pressure on a bleeding femoral artery until the doc could sew it up
Good question, and I look forward to reading all the replies
In 15 years of nursing I've had many managers. The three that were loved by everyone wore scrubs to work and often helped us with the worst patients. Taking the time to do this with your nurses now that you are their manager will be an invaluable investment in the unit culture and cohesiveness. I've only been "free" charge, never management, but it makes a huge difference if you go back to the trenches once in a while with your nurses.
I didn't even become a nurse until I was 45. Still loving it 15 years later. Do it!!!!!!!
Oh....and I plan on working for a long time.
Our new foley insertion policy requires 2 RN for foley placement. It has something to do with reducing CAUTI rates. No body likes it, but we do it.
True, you should never do anything without an attorney if it's related in any way to your RN license and/or job.
I would be very leery of any job that says' "only on nights". If it's legal why don't they do it on days too?
answer: Too many prying eyes to get away with it.
Run away fast.
I worked ER for about 9 years, then went to ICU and am going on 5 years there. Both are considered "specialties" for good reason. The difference comes into play that in the ER everything is explore and stabilize, while in ICU you are tweaking and doing long term management. Both specialties require nurses to have great critical thinking skills and be able to multitask on a very high level.
In a way ICU is easier because you usually already know what the patients major malfunction is when you get them. In the ER you have to be a detective and try to figure out what the problem is.
Both ER and ICU nurses have to know how to code a patient, give lots of blood, titrate dopamine, fentanyl, and a bunch of other drugs. I do think it's easier to go from ER to ICU because as an ER nurse you learn to just deal with whatever comes through the door. I see a lot of ICU nurses who don't like the uncertainty, and will say, "I'm not ready to take another patient." In the ER we don't have that option. They just keep coming in no matter how busy we are.
Let's stop looking to see who is "better" or what ever, and start to appreciate the importance of each area of nursing. We are all highly trained individuals.
When you're agency and/or travel nurse the charge nurses and managers will go over your charts with a fine tooth comb looking for mistakes. It's just part of the job. I (giggle) always say to myself "they're getting to see how great charting is done"
It is against the law to go and change someone else's charting so the nurse that does that is putting herself up for a big problem.
Sounds like you work in kind of a hard place.
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