dorselm

dorselm specializes in Med/Surg < 1yr.

Latest Activity

1. Going from Med/Surg to LTC thinking is hard

   dorselm replied to dorselm's topic in Geriatric

   Thanks to all who responded I see that everything that was done in the hospital could have been done in house. I'm learning to put all of the pieces together.

2. Going from Med/Surg to LTC thinking is hard

   dorselm posted a topic in Geriatric

   I worked in acute care for 5 yrs, then I come to Ltc and find that's it's a totally different nursing world that's gonna take some getting used to. Recently I was caring for an 86 yrs old man. The day before the CNA was preparing to shower him and ...

3. 1st LTC Job! Am I suppose to hate it?

   dorselm replied to YesImVictorious's topic in Geriatric

   I know just how the OP feels. Though I have experience as a nurse, LTC nursing is new to me and it sucks. At the facility in which I work there is only one vitals machine for the whole 5 floors. They're constantly over staffed. Some nurses get...

4. Is it normal to train someone after being on the floor for 4 days?

   dorselm posted a topic in Geriatric

   I recently went from 5 years of med surg to being an LTC nurse working on a skilled floor. I was told that I would have 5 DAYS of orientation which turned out to be 3. I quickly went on this site and found that that is not uncommon (I had 6 wk of o...

5. Procedures to brush up on

   dorselm replied to zerooooo's topic in Med-Surg

   Also, you want to study lab values, you must know what is abnormal because you will need to notify the MD to get orders to correct imbalances. You should try to arrive 1/2 hr early to check the labs, vitals, to see what orders still need to be compl...

6. Racial Refusals In Nursing

   dorselm replied to TheCommuter's topic in Relations

   I had a patient who had Alzheimer's disease. She was as sweet as pie while I was giving her some applesauce with her meds. She said can I please have some more and thank you. When I had to turn her to change her dressing, she called me the N word ...

7. Regain employment

   dorselm posted a topic in Career Support

   Last month, I posted mistakes I made while being overwhelmed with charge nurse duties and staff nurse duties. I ended up being terminated. I think the punishment was way harsh (I thought I would have been suspended for a few days) but I can respect...

8. Learning from my mistakes

   dorselm replied to dorselm's topic in General Nursing

   Yup the doctor ordered the stress test and the bb but I got yelled at for giving it. Thanks for the comment.

9. Learning from my mistakes

   dorselm replied to dorselm's topic in General Nursing

10. Learning from my mistakes

    dorselm replied to dorselm's topic in General Nursing

    Absolutely Sally I will do just what you said thanks for the feedback.

11. Learning from my mistakes

    dorselm replied to dorselm's topic in General Nursing

    I had 5 patients to care for the night I gave the betablocker. I was doing q1hr pressures on her and Q1hr blood sugars on another patient and straight catching a patient and I was charge nurse. The night of the blood sugar incident there was no ex...

12. Learning from my mistakes

    dorselm posted a topic in General Nursing

    Recently I made some very stupid mistakes. I had a patient who was admitted for hypoglycemia. When he came to our floor his blood glucose level was 94. Later he was ordered 30units of lantus. I was supposed to scan the patient, scan the meds and ...

13. Performance Review Gone Wrong!

    dorselm replied to dorselm's topic in General Nursing

    Thanks for the responses unfortunately I work for a major corporation and if I wanted to switch positions the hiring manager would have access to my performance review so I'll just do like you all have said and work on making my review more positive ...

14. Performance Review Gone Wrong!

    dorselm posted a topic in General Nursing

    Hello all, I need help on this subject. Recently, I received my performance review. It was the worst review I ever received. I sat down with my unit director and we went over the topics. She couldn't tell me why many of the negative comments were...

15. New Grad Nurse on Medical Floor

    dorselm replied to NoDakRN's topic in Med-Surg

    I have been where you are and truth be told, I'm still there but it's getting a little better. I work nights on a 28 bed unit and I get no less than 8 pts every night. I have 6months experience now but I still feel like I'm running around like a ma...