Tooda

Listen to yourself and the concerns that you have voiced. You must think of your licensure and what your expected to do as a prudent nurse. I understand your uneasiness with the physicians personalities especially toward new emplyees. There is nothong wrong with thock skin but there respect of you goes a long way. I would like to share with you an incidentvl had with a doctor that all the nurses were afraid of where l was working at the time. I had a patient that was on coumadin therapy and l had received results of their PT/INR. I had placed a call to this doctor after l reviewed the patient's chart just in case he would ask other questions pertaining to the patient. When the doctor responded to my call l gave him both PT and INR result at which time the doctor called me a moron and hung up. I called him back and asked that he please address me by my name and explain to me what he wanted the patient to receive (coumadin) he then stated that he was pnly interested in the INR result and adked that in the future l give that result. I ended up working with this doctor many years after that with no problem. He did apologize to me and l accepted it with the understanding that he needed me to carry out good nursing care to his patients and in order to do that l needed his cooperation. Always put your lice.nse first and if you feel that things are wrong or poorly done your instinct is probably right to either move on to a more professional setting or stay there and get caught up in a rat race

I think we have to remember that every patient in a bed is not our favorite person. Drug addicted patient's are difficult but as you tried to do was to re-evaluate yourself and approach which is very important in this situation. With drug addiction the doctor should be more mindful with as though it seems the patients drug of choice. I worked in dialysis early in my nursing career and quite a few patients would ask for there pain meds (talwin) which would be given direvtly into the blood port. It seemed as though they would get a rush from the drug then it would be gone. We must realize that this is a very real disease that once a person gets sucked in they have difficulty finding there way out. Being a goid nurse is not to be judgemental of the many issues that you will witness. Nobody knows what is down that dark path for us. I commend you on the soul seatching that you've don't and with time you will get better at if

Medication errors can be fatal. You being a new nurse the 5 rights when giving meds should be fresh. You also have to be mineful when giving meds there should be no distractions, stay focused and double check yourself. I remember working on a med-surg floor years ago and a nurse hung Pitosin on a male patient, she to was a new nurse but clearly should have known that the drug was incorrect and given to women. If you have learned from your mistake it will make you a better nurse

Your experience sounds horrible but common however, to have the taste of poop in your mouth is alarming. Poop taste or breath is indicative of a renal issue (Elevated BUN) wait until you encounter a GI bleed patient a smell like cancer that uou will never forget. In a case like this with flying debri wear a mask

Every state has different regulations. But l have always had a problem with self-administration especially with someone who is deemed responsible for themself. Clear documentation from a doctor who prescribed the meds is needed as well as the mental health status of the person self-medicating. Any changes in meds, dosing etc, calls for another evaluation from the doctor. There has to be requirements based on state regulations, you can always contact your board of nursing fkr further assistance

I worked in this setting for many years and learned a lot. Your assessment skills have to be exceptionally good because your clients are already compromised and with the newer medications that are being used. It really takes a special person to work with a client that has been perhaps placed in a facility early on in there life. Go for it but make sure that you get all you can get from the care/protocal before you consider home care with these clients

I have been in the nursing profession for 32 years. Back then and even now a preceptorship is always helpful to new grads not 5 days. A new nurse has to learn her scope and it is difficult when you get a job in a special area in the field. Long term care murse gives you a somewhat slower pace but you see a lot of things that you can apply to a text book picture. Hospitals are a faster pace and usually being new you are going to feel overwhelmed