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zofran 4,971 Views

Joined: May 6, '09; Posts: 105 (66% Liked) ; Likes: 369

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  • Apr 30 '12

    Once I complete the extensive, time consuming, back-breaking dressing change on my MVA patient's lower extremities that took 45 minutes to complete, the orthopedic surgeon is certain to stroll into the room, rip open the dressing, glance at the wound for .5 second, then leave the patient there with the dressing hanging off on the floor for me to completely redo because it is now dirty. Side note: the orthopedic surgeon has not, prior to this moment, been to see this patient in 3 days.

  • Apr 30 '12

    I have my personal one:
    if one single patient will go south and will require Rapid response team or even a code (god forbid) that will be my patient!

  • Apr 30 '12

    Drawing up the Dilaudid in the med room, thinking to myself, "do not throw this away as it needs to be barcode-scanned or they will think I am DIVERTING NARCOTICS AND I WILL LOSE MY LICENSE!!!" as I watch myself chuck the empty Dilaudid syringe into a sharps container.

  • Apr 30 '12

    You just checked the pt. and was told he/she doesn't need anything. You walked out the room, two minutes later your pager went off. That pt just realized there WAS something he/she needed from you. AH~~~

  • Apr 29 '12

    If there is going to be a crisis, it is going to be at shift change.

  • Apr 29 '12

    Quote from enthusiast
    i graduated may 2011 with an associate rn degree from a school with a good reputation. i graduated with honors and did well in clinicals and had always been given positive feedback. i finally got my first bedside nursing opportunity with a hospital that has a new grad program. i have not even been there a month and i am getting feedback from a preceptor that maybe this isn't for me.

    from the beginning, i have been upfront about my this being my first job. i am training on a floor where i won't even be working and it is a busy tele floor. i was not hired for a tale unit.

    i have attempted to engage in conversations regarding the patients i am assigned to so that i keep moving forward. when doctors orders come in i have trouble: reading their writing, knowing how to proceed with patient tests that i have never been exposed to before, etc. there isn't enough time to look up everything on my own and research it then and there. i attempt to initiate discussions and guidance on how to proceed but with no real success - they have said they don't have time to follow me to see where i am going awry and guide every move. it takes a while to go through chart checks and look up unfamiliar medication- after all i am new!

    i am unfamiliar with hospital lingo and flow of chart on floor and there has been inadvertent miscommunication about a variety of things. when i attempt to clarify, i can see the impatience in eyes. i never said i know how to deal with heart pvcs or that i could quickly get a patient ready for testing for a possible pe - i am new!

    the person who hired me seemed happy with my attitude and stated that she could teach me anything, but i haven't seen her since orientation.

    the atmosphere is that instead of rallying to support me, i feel that the preceptors have already considered me a lost cause. i am not progressing fast enough and i will be the first to admit that i have a ways to go - i am new! these preceptors have done this enough before so obviously they have some major input on my future and see some apparent gaps.

    what is a new grad to do - especially an older single parent that put everything on the line and needs to work now. most jobs here want at least a year experience.

    all input welcome - especially ones that have positive alternatives for new grads in a non bedside working capacity - after all they could be right about my abilities.
    just because someone is a preceptor doesn't mean they can teach. i am surprised that you are so independent when this is a new grad program. i suggest that you talk to whomever is running this program, educator, and your boss. tell them of your frustration. if the person who hired you can teach you anything then where is this person. don't come down so hard on yourself when you are swimming against the current. that first job after graduating is tough enough and then not working for almost a year even tougher. to be confronted with preceptor who refuse to teach......makes it almost impossible for you.

    the first year out of school stinks. you are overwhelmed but it does get better. i remember the sinking feeling when patient was in trouble with chest pain i turned to go get the nurse and i realized that i was the nurse. i remember vividly crying in my car on the way home never thinking i'd ever "get it". wanting to quit more times than i could count. it will get better.

    there is a forum first year after graduation. first year after nursing licensure for nurses | nursing students we're here for you to vent and blow off steam or ask any questions. you can pm me if you wish. organization can really help you get your ducks in a row.

    take a look at these brain sheets you may find one to help

    mtp med surg.doc 1 patient float.doc‎
    5 pt. shift.doc‎
    final graduate shift report.doc‎
    horshiftsheet.doc‎
    report sheet.doc‎
    day sheet 2 doc.doc

    critical thinking flow sheet for nursing students
    student clinical report sheet for one patient


    i made some for nursing students and some other an members (daytonite)have made these for others.....adapt them way you want. i hope they help

  • Apr 29 '12

    Quote from mindlor
    Would have been a lot easier for the founding fathers of the USA to capitualte....but they chose to stand up for what they believed.

    It was not easy.

    Many died.

    But the rest is history......
    A pretty idea in theory and great for the founding fathers. Not so much when it comes to feeding kids and paying the mortgage. I don't think this is a realistic idea for the vast vast vast majority of everyday American nurses unless they were planning to switch careers anyways.

  • Apr 28 '12

    I am pretty sure your preceptor will be posting soon with the same first line you posted...just saying.

  • Apr 28 '12

    **VENT VENT VENT VENT **

    5 months into nursing as a RN, not a student.....


    1. Dumb Residents. Yes... they do exist with their idiotic order sets.

    2. Management saying " Staffing will get better- we are working on it"

    3.The PCNA who charts nurse notified re: crazy vitals and they never said a word, so when you check vitals half an hour later, you see a BP of 190/110.
    - same PCNA who wont do a manual check.
    - same who tells the POD #1 pt " 99.1 temp? oh you have an infection.we have to tell the DR"

    4. Family members who come running to the front desk screaming "i need my moms nurse...she was supposed to have gingerale. its been 10 minutes. this is unacceptable"

    5. HCAPS!

    6.Other departments that won't lift a finger, and spend 5 minutes hunting down the nurse for something idiotic like a blanket...

  • Apr 28 '12

    Not a student actually, Full fledged RN at a top US Hospital!

    Maybe I could add ** VENT VENT VENT VENT** at the top of the page so that Holier-than-thou-ers don't bother reading

  • Apr 27 '12

    Meh, probably just annoyed to be getting an admission. Like I am when I get an admit from ED or a transfer from another floor or PACU or one of the ICUs.
    I think part of it though is if you feel like your "lesser" then you're going to feel like you're getting that attitude from the other nurse even if there's really not that vibe going on. I've noticed the more confident that I am with my own skills and knowledge, that it now takes a lot more to offend me than it used to take. I remember when it used to bug me when ICU nurses would expect the kind of report that you can give when you only have two patients from me when I was transferring one of my 6 or 7 or so patients. Now I just say, "don't know" and go on. If they feel "superior," fine. But I'm not going to ever let it make me feel "inferior."

  • Apr 22 '12

    call your malpractice insurance people stat so they can send an atty to look after your interests.
    from one of my resources:

    • think before you speak.
    • ask for time to review any written material before you answer a question, if needed.
    • if you make a mistake, correct it at once and apologize.
    • do not help the opposing attorney by volunteering information. be brief and concise with your answer. if more information is needed you will be asked for it. this requires the attorney to develop additional questions without your assistance.
    • if asked a yes-or-no question, give a yes-or-no answer. do not nod or say, “uh-huh.” however, if in your opinion it cannot be answered with a simple yes or no, say so and ask if the question can be rephrased.
    • wait for the attorney to complete the full question. avoid pregnant-pause traps: these are used so you will be tempted to jump in and complete the question or add additional information.
    • pause slightly before answering any question. this allows your attorney the chance to object to it if needed. if your attorney objects, stop talking, and wait for permission to answer the question.
    • if you do not completely understand or hear a question, politely ask for it to be repeated.
    • if a question is being asked in many parts, politely ask which part you should answer first.
    • the opposing attorney may ask you to make a conclusion by asking, “do you think…?”, “do you imagine…?”, “isn’t it possible…?” respond with, “i don’t know,” or, “i’d rather not guess.” you may be asked to provide an opinion to a specific hypothetical question. your answer can then be, “the answer to this hypothetical question is….”
    • the opposing attorney may ask the same question repeatedly throughout the deposition in an attempt to get a different answer. do not become frustrated; answer the question consistently and calmly.
    • do not be goaded into anger, sarcasm, or humor. should the opposing attorney talk fast, yell, or whisper, remain calm and continue to speak in an even tone. you control the speed of cross-examination. the attorney can ask the question as fast as he wants, but you are allowed to answer the question in your own time before being asked another.

    a final point: attorneys use depositions to evaluate the opposing side’s expert. careful preparation, an appropriate appearance, good listening skills, honesty, objectivity, and a professional demeanor increases your credibility as a nurse.

  • Apr 22 '12

    Quote from VivaLasViejas
    They may ACT like three-year-olds sometimes, but you cannot treat them that way because they are still adults who have lived lives, raised families, worked hard, made tough decisions. They have also been someone's child, someone's spouse, someone's parent, someone's friend; IOW, they have been loved, and that alone makes them worthy of respect. There's no law that says YOU have to love them---you don't even have to like them---but you do have to put up with their humanity, because that is what you are being paid to do.
    I'll have to disagree with you here. If you are in your right mind, then no- you do not get away with pitching tantrums, screaming obscenities, and generally being ridiculous, just because you're an adult. Sorry. I don't get paid to be treated like a dog.

  • Apr 21 '12

    The doctor who admitted the patient should have TOLD THE PATIENT/POA/GUARDIAN why he/she ordered a catheter and why it was indicated. I hate how everything is turfed onto nursing. ahhhhhhhhhhhhhhhhhhh

  • Apr 20 '12

    Quote from zofran
    Potassium pills will become smaller so all these little old folks will be able to swallow them!GoLytely will not be a huge gallon jug but a small pill!Ativan 2mg po will be a nursing order so we can give it to anxious family members!
    I totally agree! I wish I could give the Ativan to certain coworkers as well!!!


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