Sorry, I haven't been online for awhile. Moved out and started full time all on the same day. I really like my new job, but like most nursing jobs I feel as though I am on a treadmill. My cell phone bill is out of sight, and my husband (soon to be my ex) is complaining about that bill and the gas bill. Once I get these straightened out and can learn to balance my time better, I hope things are easier. I find myself to be one of the idiots driving with cell phones ( although I try to limit this to emergencies and crisises. Every patient is a challenge- from ALS to CA to ES Renal and ES Dementia. The psychosocial component is immense and the knowledge base must be solid, which I feel I lack sometimes, but one can always find another nurse to ask. Being out of the office, it may take a few days to solve. Of course if it is pressing, I call right away. My cell phone is $250! I see ES Cardiac or CHF alot. The driving distance between pts can be up to 90 minutes and the on call is draining. I do love the autonomy and on a good day, I am done a little early, I can go home- but I run the risk of my beeper going off, so I try not to go far. I can go to a park to chart- but before anyone thinks this is too much, it is few and far between-most often I am anwsering phone calls and getting orders late, on my own cell phone and my own time. All in all, though, it is better than being on my feet all day.
One of the hardest parts is dealing with families, who have the last say when it comes to care- from medications to dressing changes. There is alot of noncompliance and a lot of educating needs- from end of life care 101 to palliative nutrition and med administration.
Thanks for thinking of me, all of you.