AnLe ASN, RN

One of our coworkers left our unit after the initial surge died down and became a traveler. Their current year-to-date is double our salary. They have been a nurse for about 3 years. It's making us talk to our Director and HR. Will it change anything...

No joke. We currently have our covid patients split up on multiple floors based on care level. I get 6 tele covid patients, but 3 are total cares. Confused feeders who are incontinent and don't appear to be getting discharged anytime soon. But for co...

I haven't had many patients ask if we're vaccinated, especially in our new growing covid section of the hospital. It's almost confession time, if you do. Most of them are unvaccinated for one reason or another. Less than a handful are vaccinated. ...

Our policy currently states that ED will call to give report. If the nurse does not answer, ED will callback in 10 minutes. If nurse does not answer the 2nd time, charge will take report. Our current problem is the ED trying to send patients up durin...

Same in regards to TPN and patients receiving steroids. Another post mentioned IV insulin and IV glucose for potassium shift.

I owe 15k/35k. It was in college for 10 years total; graduated in 2018. I wasn't sure what I wanted until I joined nursing school and didn't look into programs that could help until late in the game. I'm paying my way for my BSN. Started with 11 loan...

So much this. When dayshift says they're sorry about not getting to a task, it's fine, just tell me what it is and I'll do it. I get it. They talk to many individuals, get stat orders all day, and the patients are awake who call for whatever reason. ...

I don't get mad when that happens. The board can change any moment for balance. Secondly, it helps to get a 2nd pair of eyes on the board, like when people get 2 stroke patients or patients with the same last name and gender, which happens a lot.

I have a coworker who goes in 1.5 hrs before her shift. I'm not sure of she clocks on or not, but she calls the doctor to clarify orders or for anything extra the patient needs. She says she needs to get there early to get out on time. I go on 15-20 ...

I love the crazy mess my work is. Take that as you will. I experience great fulfillment some days and others I get burnout. I've been in medsurg/tele for 2 years now. The staff helps. If you have a supportive staff that you can ask questions or assis...

I work night shift. I put in telemetry orders when applicable for one doctor. Stroke, chest pain, seizure, etc. She has stated if a chest pain patient comes in to do one troponin and an EKG. This doctor tends to put in orders rather late. Other than ...

I wouldn't. Potassium is very irritating to the veins alone. Running them concurrently would definitely make them go bad. Is oral replacement not an option? There is liquid forms for potassium if the tablets are a problem.

I have a few coworkers who are similar. One has had syncope episodes at work causing her to go home early although her bloodwork looked fine. She has also been out for the flu and other ailments. We now remind her to drink water periodically during t...

Don't feel bad for saying no to extra shifts. You are not obligated to say yes. As Rose_Queen said, staffing is management's problem. They can/will figure it out. I always considered how my schedule would look like and how comfortable I was for that...

I work in a medsurg/tele unit in a 39 bed hospital. We're currently understaffed. Charge has to take 6 patients along with the other 5 nurses. We are supposed to have 3 aides, but usually it goes down to 2, sometimes 1. Although, according to our 10 ...

What I found to be helpful for this is jotting down any prn BP medications into my brain sheet and when to give it. Example: hydralazine-SBP>160. It also helps when your patient has high BP and they don't have any PRNs available. Will you always ...

I gave a patient hydralazine 20mg IV push instead of his furosemide 20mg. (I had the hydralazine for a different patient in my pocket.) I did not do my usual routine of labeling bags and storing all patient meds this way. I reported it to my charge, ...

I expressed such feelings to my director when I first started. He said he expects me to have tunnel vision. Just to ensure my patients are safe and to know when something is wrong. If something is wrong, follow the MEWS card we have, tell our charge ...

I had 2 patients assigned to me with ulcers. These people had been in the hospital for more than 2 days and no one had: taken pictures, documented in the chart, or completed the ulcer paperwork we are required to do. I stayed until 9am (I'm night shi...

I've been on my medsurg/tele unit for more than 1 year now here in Texas. I work nights. We always get 6 patients. Sometimes it is frustrating and other times it's an ok night. Our unit frequently needs help, especially if someone gets pulled to PCU ...

It hasn't even been a month since I passed my boards and I'm orientating at a hospital floor I wanted. I am currently stuck though. I had a patient who is to be turned every 2 hours, but they do not want to turn. They are adamant about it. Even re...

All in all, I will go and speak with our director and get their input on a few questions I have; also to see how my performance has been. Thank you for your responses! It has given me more things to think about and get settled with before returning t...

The patient was alert x4. They had cellulitis to the legs and they had received pain medication prior to me going in to turn them. I informed them why turning every 2 hours was important. They were already frustrated with being at the hospital and we...

With the omnicell I frequently used and the meds I obtained during my final semester, I don't recall it having different dosages in the area it indicated. Sure, some meds had different packaging than others, but they were the same dose. I want to say...

Oh ok, I'm sorry. In the hospital I'm at, they're extremely specific. I was very interested in knowing that you were able to administer meds without your instructor or a nurse present. We weren't able to do that in school.