joyjan

an RN in a Rehab/LTC.. on DAY SHIFT!! was going nuts on my one-month orientation.. crying... got crazier when I started working by myself... Then my boss turned out to be a monster and bullied me. I became aware of the right way, the hard way... then got into PM shift, float pool after 3-4 months..learned so much stuff.. they started putting me on a floor all by myself and that took me to my limit cuz they're putting me on the psych floor all by myself and I had 911 cases 90% of the time... I did learn a lot but that was traumatic somehow..

So the previous LTC place I worked in, they have a Coumadin sheet that tells the recent dose, the date it was ordered and the next INR date. The MAR was in grid form and we basically put a line on days before and after the date range of when the Coumadin should be given and write INR on the date it is ordered to be drawn. That way, you have a constant reminder of your coumadins and INR draw dates.

the Mindset does depend on your values. Nursing may not pose financial dominance but career stability yes.. you earn the increase with experience and the fact that the knowledge you carry is ahead than most people that don't know about health should make you feel ahead. it about caring and intelligence. Specialization is also a step up. This field has so much to offer, it just takes time.

We talked about this in nursing school. Learned that the approach should be asking them what led them to this idea. In real life it's different. You can't reorient someone in a matter of minutes. It's all about safety, administering the right medication ahead of time, and trying to distract by introducing a new safer stimulus that would not feed into the delusion, while still sticking into reality and attempting to re-focus the pt. It's still a trial and and error up to now for me too.