OCNRN63, RN 52,746 Views
Joined: Aug 27, '10;
Posts: 7,237 (75% Liked)
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I know this is not a very satisfactory answer but I just hit "like" when I like a post. Do I like it when people like my posts? Sure but that's not why I write them. I find this site full of interesting conversation about topics that interest me & enjoy joining in
Med-Surg. YOu'll see a lot of different things, and every patient is going to be different, even if they have the same diagnosis.
I worked for a critical access hospital and we got everything from med-surg/ortho/tele/psych and I learned a lot. No one patient is the same.
I then worked for a teaching hospital on the Onc/Palliative unit (with med-surg overflow) and again, not a single patient was the same, even with same diagnosis.
I have never worked on a unit or in the ED so I can't say what they are like. I'm sure others will chime in. I wish you all the best on your journey. And I hope you find a unit that you are happy on.!
Are we talking about a stocking with a bunch of unwrapped sticky gummy bears just waiting for some one to stick their booglie hand into, feel 'em up and put 'em back for the next guy to finger??
Good thing there is a security camera on the job.
Remember: It's not the crime, it's the cover-up.
Scarier issue is that there is a camera watching the nurses station...
And how many times do doctors dip into goodies left for nurses?
Sounds more like it hit a nerve than the bone.
In my experience, most nurses give the deltoid way too low. It should be only 1-2 inches below the acromium (I do 2 finger widths).
My only suggestion would be getting a co-signer with good credit. Perhaps you have a parent or sibling who would do that for you, otherwise you may have to try and pay as you go.
We are talking about the legal rights of women who pump at work, but what about the legal rights to standard lunch and breaks?
I watch your patients while you pump and you watch mine while I take a break.
It's called teamwork- no resentment
however, it sounds like some of these nurses are taking advantage and not reciprocating.
At that point I think the manager should get involved, because ultimately it is the employers duty to give the nursing mother the time not the staffs responsibility.
Not supporting the traveler's bad behavior but I'll admit to being irritated with a staff member that pumped every two hours for 30-45 minutes each session AND took her 30 minute lunch AND her two 15 minute breaks during her 10 hour shift. You do the math on that one.
You asked for it, you got it. You also failed. Nobody should miss a MAP. Your preceptor knows you are not ready for 2 patients. How can you feel "bored", when you have so much to learn?
My own "duh" moment: being in the trauma bay after an ED thoracotomy and ROSC. I can literally SEE a beating heart. I saw some wackiness on the monitor and asked if we still had pulses. One of the docs reminded me that I could just look at the heart. D'oh! Not used to having that immediate visual confirmation of a pulse.
Let's use a little critical thinking here. If you need a sample of pulmonary sputum for testing, and it now includes gastric contents, is that a valid sample?
I would also question why you would be confiding in a patient's family about financial difficulties.
That situation is definitely outside the bounds of an appropriate professional relationship. Also, there is a danger that someone may accuse the OP of taking advantage of her position as caregiver to a vulnerable patient.
I would avoid this situation like the plague.
Well.... How do we know the pt didn't sign a POLST under duress? How do we know it wasn't forged or altered in some way? How do we know the pt didn't change his mind ten seconds before arresting -- even with a proper POLST?
Generally tattoo artists limit their inking to what a client requests. Considering the Ockham's razor principle, that tattoo's presence is more simply explained by "this man commissioned this tattoo," vs "the tattoo artist drugged the man and acted without consent, having been paid off by a murderous wife who wants to collect his life insurance and move to Fiji with her young Latin lover."
One acting in a feduciary capacity is supposed to make the decisions that to the best of their knowledge is what the PATIENT would want.
I can see "DNR" might be problematic, since it could mean "Daffodils 'N Roses" or "Dine Nightly on Ribs" or could be a loved one's initials strategically placed near the heart. But "do not resuscitate" with a signature? In the absence of other information, that sounds pretty clear.
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