scrubsandasmile 2,295 Views
Joined Nov 13, '12.
Posts: 44 (25% Liked)
Thank you all for the insight! I appreciate it!
xtclass08- didn't you ever get tired during the shift after doing something so grueling? I feel like I would totally be dragging BUTT by like 3am if I had done something like insanity before I worked!
For night shifters:
I am transitioning to the 7p-7a shift in a couple weeks and I'm trying to figure out when I'll be able to work out! While working 3 12's a week, do you work out just on your off days (4 days a week)? Or do you work out as well on the days you work? Do you work out before or after your shift?
Thanks in advance!
We have our scrubs provided by the hospital, as does L&D, OR/PACU etc., and Cath Lab. The scrubs are dark navy blue (good for hiding blood). These scrubs are laundered by the hospital and we pick them up from separate lockers whenever we run low and store them in lockers on our floors. We have these big metal bins that we put dirty/ used scrubs in after a shift (or if you get blood etc on you).
Personally, I think it works really well- I keep my shoes at work additionally in my locker, so I usually don't feel TOO icky coming home after work.
OP- what would your plans be instead if you dropped out completely? If it is to do anything with nursing, I would stick with it.. you'll be putting yourself even more behind if you drop out of the program. It may seem unfair now, and like you're wasting your time, but maybe this is a good thing! It will give you some extra time with material you admittedly had problems with
Watching the news about the Michael Jackson death trial: PropATHOL instead of Propafol (you would think that Jackson's own family would know how to pronounce the drug that took their loved one from them...)
Or when a patient states "I can only take that... "dilauda" for my pain" (instead of dilaudid)- alrighty then
I got my ATT on the 27th of December, graduated December 15th (but applied for ATT before graduation- transcript was sent by my school immediately following graduation) and took the NCLEX the 11th of January! But we had people that took the NCLEX on the 2nd of January!
I would simply say, "Hi I'm orchids, I'm a pre-nursing student at XYZ college and I am interested in shadowing a nurse in the hospital or possibly volunteering here. Does the hospital do this? If so, could you give me some information about how I would go about that?"
People would literally KILL to be in your position. You would be absolutely NUTS if you didn't take this position, and I really do feel like if you turn it down, you'll kick yourself later.
I think it would be worse to re-warm them too quickly..
OP, I pride myself on my "poker face" and my ability to get things done even with the grossest of patient body fluids, procedures etc., but I have still almost lost it on more than one occasion- a few times in school and one just a few weeks ago.
I had a patient who came in after a home birth and had a 4th degree lac from essentially bladder to anus. It was gnarly looking and she came into the ED to get it repaired. Well I come in to "help" the nurse midwife who was stitching her up, and what happens? During the numbing of the wound- something I've seen tons with other wounds- this girl is writhing in pain r/t the numbing plus her huge perineal lac and I start to feel my face get pale, start to sweat, vision starts to go dimmer...
I excused myself and sat down in the nurses station with a coke for a few minutes. It happens TO EVERYONE! Do not be ashamed!
I think there is also high risk OB & L&D which has many elements from both ER nursing (quick pace, sicker patients, more autonomy) as well as typical OB nursing (ya know, babies, women, all that good stuff). It does take a while and some experience to be able to get into that arena of nursing, and not all hospitals have high risk OB units, so your selection may be limited to larger hospitals!
Hope this helps a little!
Put a fall risk bracelet on them (we also have bright colored non-slip socks that indicate to other interdisciplinary members that they are a fall risk), put bed alarms on if indicated, side rails up x2, call button within reach, as well as instructions given on how to use the call bell and a reminder to the patient that if they want to get up, even to go sit in the chair, go to the restroom etc that they should use their bell to call us for help. Is it fool proof? Absolutely not.
Ok, small boxes are equivalent to 0.04 seconds, one big box (darker lines) have 5 small boxes in them, so they are equal to 0.20 seconds on a strip. Most strips you will get are 6 second strips.
I think it depends on where you are, but I think something valuable to do towards the end of your time is to take someone from admission and everything that comes with it all the way through what needs to be done for the day, as well as managing your other patients with as little help as possible from your preceptor. If you feel like you can manage this well without completely flubbing, I think that is a good indicator that you have really gotten a good grasp on your unit's ebbs and flows.
Also, just reflecting and looking back on the types of patients and diagnoses/ primary problems they have had could be a good way to see anywhere "subject-wise" that you may be lacking on.
Hope this helps!
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