NurseAdida 3,541 Views
Joined: Mar 23, '08;
Posts: 130 (48% Liked)
; Likes: 188
I have been a med/surge nurse for about a year and a half now. Last night was the first time I have been involved in a code where I was the primary nurse. I work 11pm to 7am. I came on shift to 5 stable patients. The one I ended up transferring to ICU was 70 year old POD #3 from a joint surgery. No complications whatsoever, vital signs stable since surgery. At 11pm she was snoozing away resp even, unlabored, no signs of distress at all. I let her continue sleeping then the CNA did vitals at 3am, again they were stable but the patient slept through it. She is diabetic so I checked her blood sugar-80 and would still not wake up, I called rapid response then eventually a code....she was intubated and transferred to ICU. It all happened so fast. I am kicking myself thinking I could have done something differently. I left not even knowing what exactly happened with this patient. It wasn't overdose on meds/narcotics, narcan was given just in case even though she only received 10mg oxycodone all day. The patient had a history of a CVA 4 years ago but the CT after the code showed no bleed. I am just so confused as to what could have happened and what I should have done differently. Any ideas? I am just so torn up over this. feeling responsible, and am praying that the patient pulls through.
Yeah. I can't stand the Florence Nightengale mentality some Nurses and Nursing students have. Yeah, it is nice that you want to help out others, but I don't understand what is so wrong about looking at the Nursing field for its monetary gains...especially in this economy.
It is a very unfortunate situation but the facility has the right to let you go within the first 90 days without even giving you a reason. The good thing is that you have not been actually terminated and I would not even include this experience on a resume.
He knows you are a new nurse and is being a bully plain and simple. With time you will know the nurses and how they like their report. Some nurse are anal about IV site, others about last BM, others about tests and procedures for the day and others about everything...and others are laid back. You will catch on
Are you Nigerian? This is just a random question, no hidden agenda
I hope all goes well for you
Both you and your coworker are right however like your coworker showed you, after you inflate the balloon you have to pull(tag) the catheter back just a little bit to make sure that it's secured in the bladder. That was you really know you are in the bladder. This is very important especially for male clients because they have longer urethra and if you just inflate the balloon and leave it, you may still be in the urethra. That's what I was taught in Nursing school and by my preceptor.
If the hassle you face in dealing with language barriers makes learning a new language less work than the hassle itself, then it might be worth considering. Where I work, we can sign up for different levels of Spanish and Russian classes, we are paid for the time spent in class (with matching funds from the Union) and the class time is taken off of our floor time, so you don't end up working extra hours because of the class. Nobody is required to take a class. About half our CNA's already speak Russian, and most of our Docs already speak Spanish.
MunoRN, what exactly are you suggesting? Am confused Are you suggesting that American nurses sign up for spanish classes??? And who pays for these classes? What about the CNAs and doctors caring for OP's patient? Are they also required to learn spanish?
Nobody is obligated to learn spanish unless your job description states so. Hospitals provide translators for that purpose. I know very few spanish words for instance I know how to ask a patient if they have pain. But don't expect me to take spanish classes to prove that am a good nurse or that I can take good care of my patients!!!
OP's patient was out of line PERIOD! It's not a rquirement for health care professionals to learn spanish, yes it's an added advantage but not a mandate!!!
Yes, you need to learn how to delegate otherwise you will get stuck doing double work. You were busy, you should have walked to your aide and asked her/him to go help Ms. XYZ while you give pain meds to Mr. ABC. Don't be afraid to ask your aides to do their job. I know sometimes it's easier to just do it yourself but CLEARLY you were busy. It's hard but I had to learn.
I wish I could move to upstate ny. My husband is a nyc firefighter so our home is nyc.
I would like to give more details of medical issues with baby, but to be safe the main concern
is his g-tube. baby has no life threatening issues. The mom lives in a beautiful duplex apartment with many bathrooms and many bedrooms in nyc. she knows she is playing the system. she told me this herself. she is on medicaid (idk how!)
But as my agency told me, its not of my concern why she has a nurse.
So I start my day off by preping babys meds(simple meds such as vitamins, prilosec etc)
in syringes PO.
Mom is usually sleeping in her bedroom. She leaves house door open.
Baby is crawling around the house. no baby gates (not even for the stairs), no electrical outlet covers n she leaves all doors open all day. One morning I walked into the aprtment n found baby playing with the toilet water while mom was sleeping!!!!! n i somtimes walk in apartment n find baby on staircase. just hanging out. mom says "baby is too careful to fall". ive told her to get gates n safety stuff. but.....she blows me off.
ok....well anyway. then i take baby, change diaper, clothes , meds n feed breakfast.
then we play games. then i prep gtube feeding n take baby in for nap n run gtube feed.
baby naps 1-2hrs. then change diaper, play n then oral feed. then bathe baby, dress n prep meds to leave by moms bedside to give to baby at night.
sometimes i watch her other kids while she goes out shopping n errands.
I am contemplating on telling my agency that I wont go into work until the mom gets a baby gate n baby proof that home.
The only way I can run is if there is another job to run into. I am stuck because at the end of the day I am getting paid. When and if I ever get a chance to interview for a new job I wonder if they will appreciate my work ethic when I tell them my 7day work week. hmmmmm, maybe they would love to hire me.
CT of the chest r/o PE
LE doppler US r/o DVT
Whatever happened to good old team work? I have been a nurse for 3.5 years and I have learnt to NEVER burn bridges at the work place otherwise you will be stuck alone when you really need your help. Why don't you find out what takes them so long charting and see how you can help???
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