jnrsmommy 7,044 Views
Joined: Mar 7, '03;
Posts: 322 (39% Liked)
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Squirting your co-worker with NS flush is amusing on a slow night. Having said co-worker shoot KY jelly more than 10 feet into your thick, curly, long hair is not as much fun.
When I was in school, I worked Fri 10p-6a, sat 2p-6a, sun 2p-6a, then school m-f 0745-1445. I was a single parent of 2 toddlers, and was only able to keep up that pace for a semester. Where I work, the weekend nurses work the baylor program. They work 6a-10p sat and sun, and while it's 32 hours, so long as they work their entire shifts, they get paid for 40 hours. Have plenty of friends that work this and go to school during the week.
SSDD... on a LTC pt that is never happy w/ anyone or anything
We check PT/INRs in the morning at my workplace. We give all Coumadin between 7:00pm and 8:00pm for consistency in the results, and we tend to check the PT/INRs at about 6:00am for the same reason.
I should also mention that we use Coagucheck machines to check our PT/INRs. They look exactly like oversized glucometers, and we basically stick the patient's finger with a lancet, obtain a large drop of blood, transfer the blood onto the testing strip, and wait a few seconds for the result to appear.
I'm a little confused. She developed the reaction shortly after the drip was started. So that means she hadn't received the lasix yet, right???
I used to work 7p-7a 6 days on, 8 days off. I was younger then and I loved it. Think it would kill me now
It's been three days, and I still cannot keep the smile off of my face. I was recently switched shifts and stations at work (working day shift on a LTC unit, whereas I was the night nurse on a rehab unit). I've been on this unit for 2 weeks now, and having just gotten a routine down, now it's time to work on things I think need to be fixed.
Story 1. Have a resident that has been with us for a few weeks now. Family does not come to visit, this resident had no clothes, always went around in 2 gowns. When I got to work that morning, a night shift aide and nurse brought in clothes for this resident (so much so, that we donated to some other people, there was just not enough room to fit it all!) My resident was crying and so grateful, was very moving. And that just started the mood for the day.
Story 2. Have another resident who has not been eating (does get feeding via peg at night). Daughter has been concerned that resident is losing weight, and "can't you do something about it??" The resident is perfectly capable of eating, she just doesn't, says that she's not hungry. I got to sit with her, got her to talk about her favorite foods, was able to get some sent up from the kitchen, and she did eat 25%!! She was shocked that she did that, even stated "I forgot how good that tastes" She didn't eat lunch, but she did drink her supplements (another thing she hasn't done).
Story 3. Have another resident who has been on isolation for a while now (infection in a wound with wound vac). Was talking to an aide, and come to find out, this resident has not been gotten out of bed except for showers and md appts. I had them get her up in her w/c, and brought her out to the common area during activity time. She was like a different woman. Perked up, laughing, interacting with people, and she ate all her lunch (another one that was eating like a bird).
Story 4. (my favorite) Another resident who has been on hospice for some time now (failure to thrive). On around the clock pain medicine. Did talk w/ hospice about getting her pain medicine lowered and see how she would respond to that (had been getting Dilaudid 2mg q3hrs, now have her on 1mg g3hrs). Before she would just sleep all the time, no response to stimuli except moaning when moved. Since the dose has been lowered, she has become more alert and talking some. This day, as soon as I came on shift, I could hear her down the hall talking. She's conversing appropriately, initiating conversation, opening her eyes, not complaining of any pain. I had the aides get her up in her gerichair and sit by the window, and she tolerated it!! She has not been out of bed in over a year, and she was soo happy she could see outside!!
Everything combined brought tears to my eyes. I actually felt like I made a difference in people's lives. Have not felt like that in a loooong time, that I really was starting to question my career choice. I was not happy about being in the LTC part, but I'm starting to think that right now, this just might be where I need to be.
You noted the order, you transcribed it correctly on the MARs, you started the first of the additional 3 IV doses, and the other nurse missed the next dose. No, it is not your error.
If it were me, I would've reapplied it by securing it w/ either a tegaderm or an opsite.
I too am one of those nurses that medicate before shift change, and let the pts know that shift change will be happening at such and such times. I do not interrupt report to medicate. To me, it's no different than if I was in a room w/ another pt, the first one would have to wait until I could get there. If there's an emergency, different story altogether.
My facility works 8hr shifts, Mon-Fri for 6-2 and 2-10, and 10-6 (what I work) is 4 on 2 off (comes out to getting a Sat/Sun off every 6 weeks). It really sucks. Because of the way my schedule fell, when it's my weekend off, that's my short payday (64hrs), I ususally get 72 hrs, rarely 80.
When I worked in the hospital (7p-7a), I self-scheduled. I worked 6 on then had 8 days off.
I graduated from my LVN program in 02 and part of our cirriculum was IV therapy, and we had to be IV certified to graduate. I have worked places with and without IV teams and labs. I currently work in a skilled rehab setting, and I start LOTS of IVs and have drawn blood on pts while waiting for the outside lab to get there.
Something I have found interesting is different labs (that I have encountered) have different orders in which the tubes are drawn. I've always made sure that when dealing w/ a new lab, I find out what their policy is on that.
Thank you so much for your reply.
We had a wonderful co-worker code on us last night. She's in the hospital still unresponsive and on a vent. I've had other coworkers who have passed (both expected and not), but never one where it happened right in front of us and who we worked so hard on.
I've been able to cope when it's been patients, shutting myself out and doing the job at hand has never been a problem. We aren't supposed to have to do that to a co-worker, you know? So I ask, how do you cope?
We don't have an EAP, but I was told they are going to get some chaplains to come in and talk to us.
Not sure about the other states, I'm only speaking for Texas as this is what I encountered. When I moved to Texas and applied for reciprocity, I was given a regular license because I was not considered a resident of Texas nor did I come from a compact state (requirement to receive a compact license). After I renewed my license, then it showed that my license was a compact one.
Best thing is to check the state BONs and see what they say.
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