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When you come off orientation, you're not expected to know everything. Your charge nurse and resource nurses will expect you to ask questions. If your patient is crashing, they will want to know...

How was the urine output? Did it drop off when the night shift nurse put the cuff on the leg and stopped the pressors?

You have a great opportunity for a fresh start. You should receive some sort of orientation at your next hospital to learn the flow of how things work and how the RNs interact as a team. >She...

http://www.lakesidepress.com/pulmonary/noninvasive/venousCO2.htm

That is a real life "there is a fracture, I need to fix it" story. http://www.youtube.com/watch?v=q0S5EN7-RtI

You can always discuss the worst case scenario for each patient and what your action plan would be.

Any creepy, crawly bugs like scabies or lice. If they're on my patient, I start feeling the bugs crawling all over me, too.

It would have been OK to describe the vent weaning goals to the surgeon or the house medical officer. At best, they could have acknowledged the weaning goals and still given you pain orders. Or,...

Could you have called the surgeon and asked for pain management orders? If not, you could ladder up the medical chain of command. Call the MD house officer, say I've called this MD twice, he's hung...

Good for you! I switched from business to nursing at about your age as well, and am finishing up my 3rd year as a nurse now. Don't regret my decision for a second.

It seems odd to me that you admitted a septic pt without a sepsis protocol in place that would have included PRN pressors with parameters. (Also, no CP protocol?) In any case, I'm new to the ICU...

How high can you put the HOB on a vented pt with a femoral art line?

anon456, I find it helps to write a "countdown" of fluids and put it on the bulletin board where the pt can see it. So, you start out by writing "1200 mls - June 8th 0700" at the beginning of the...

Maybe she set off the bug bomb and inhaled it directly? She has depression - maybe some SI, too.

I was unaware there was a new test plan, so I looked it up! Here are the FAQs: https://www.ncsbn.org/2010_NCLEX_RN_TestPlan_FAQ.pdf

Two more organizations recruiting: http://www.nurseswithpurpose.org/sitepages/pid62.php To apply to work on the USNS Comfort ship (also with a good list of vaccinations to prepare): ...

L8RNN You're right, my personal experience with people with this disorder is very limited. But I will admit my bias and say that my view of the disorder is very colored by my experience. In...

I did home health as an LVN for a while and had a patient who was highly functioning and had Asbergers. She was extremely unempathetic to her caregivers. She was very intelligent in a few areas,...

I peeked in this thread because I had a patient yesterday who is similar to yours. I find the non-compliant dialysis patients to be some of the most challenging on our floor. A couple things you...

Also, if you're giving blood, new pinky-red urine can be a sign of an acute hemolytic reaction. Stop the blood, call the blood bank and the MD.

I was an LVN for a couple years, so some things aren't new. For me, it's definitely time management. Also, you have to meet a lot of people in the hospital environment to get your job done. ...

I am totally in the same boat. 6 weeks of orientation, have spent 2.5 weeks on my own now. People say I look calm on the outside, but I am 8/10 stressed out on the inside. I am on days, there are...

I was one of the lucky ones to get a job before graduation. After I applied for my job, I emailed a couple people who worked for the same hospital to see if they knew any of the hiring managers. ...

I think it's great that you are thinking about this issue and recognizing that it is something you need to work on. Being the kind of nurse you would want for yourself goes hand in hand with being...

When I worked nights, I would pop some benadryl as part of my going-to-bed routine if I had to work the next night. Worked pretty well, and I always felt rested. Also, I never stopped to do...