albsRN 896 Views
Joined: Apr 19, '12;
Posts: 11 (45% Liked)
; Likes: 5
First I visit my patients and assess/chart in the room. If they need any prn meds, I get them before moving on to the next pt.
I start my 2100 meds around 2030. I save the diabetics for last or after the accuchecks have resulted, in case I need to give insulin with the meds.
Then I do any dressing changes/treatments.
Make sure they're tucked in and comfy.
I'm usually finished by 2130.
Schools offer education, not jobs. It is up to the individual prospective student to do the research and make a choice s/he can live with about a major. If schools were legally required to close or reduce departments if the graduates couldn't easily find jobs in their field when they graduated, there wouldn't be a single college or university in the country that still had a fine arts or philosophy department, and the entire country would be poorer for that.
It is very easy to reduce or close a nursing school, and very hard to start one up or significantly increase the capacity of an existing program. If a bunch of programs were reduced or shut down now, we really would be in serious trouble the next time an actual shortage came along. College students are, with few exceptions, adults. IMO, the burden is on them to make a smart choice for themselves about higher education; it's not the responsibility of the school.
Been there, done that as a preceptee. Now, as a preceptor, I sympathize with the my preceptees.
My advice to them is generally along the lines of...."Working with different preceptors, you'll be told many different ways to do things. You'll be told no, don't do it that way, do it this way. My way may very well NOT be the best way. As a preceptee, it's probably best to nod your head and say "OK, thanks." and do it that certain preceptor's way when you're working with them. This is the case, UNLESS you feel that it poses a risk to the patient, then raise concerns with upper levels (including the educator)."
My advice is that you shouldn't make waves. You will bounce from preceptor to preceptor. Learn what you can from each one, until you can develop your own "style" of doing things once you're on your own. Only if you get pulled into a meeting with your educator (regarding your pitiful dangerous incompetence as a newbie who should OBVIOUSLY know better) should you broach the subject of preceptor ping-pong.
No, it's not perfect, but it is what it is.
You learn something new everyday. That sure does sound like a roller coaster of emotions. When you are working in LTC/SNF you are always lifting someone up who can be rather heavy, it's no big deal to be on one of those machines. I'm not liking the sound of some of your classmates being dishonest. Since you are writing this and speaking of what has happened I think will make you a better nurse someday.
I had a elementary school patient I was admitting. One of the questions we ask is if there were any dietary concerns they wanted the hospital to be aware of like if they were a vegetarian. The kid thought very intently and responded, "Ummm we're omnivores"
My son was 5 1/2 and needed tube feedings overnight to improve his nutrition post liver transplant. The nurse came to the room with all the supplies to drop an NG and then explained what she was going to do in very simple terms. When she was done she offered him a choice - she could put the NG in and leave it in, or she could put it in overnight and take it out in the morning... with the understanding that he'd have another one droppped the next night. He chose door #2. So she popped in the NG. When she was done, he looked at me with puppy-dog eyes and said, "Is it okay if I change my mind?"
Another time, when he was three and on chemotherapy, he came down with chicken pox despite the timely administration of VZiG. He was a real chatterbox and has never met a stranger. After he was discharged from a week-long stay for antiviral therapy, we went back to the oncology clinic for his next treatment. One of the other moms he knew well from Ronald McDonald House asked him what was new. "Betty," says he, "I had the chicken fox and I almost died!" His voice was just dripping with melodrama...
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