hp131071

Someone I work with had an accident at work and was sent to the ER. I really want to reach out to them to ask if they are OK, but I was advised not to, because it would violate HIPAA. But would it actually be a violation if I'm just messaging them on facebook? Im not looking up any information on them or speaking with anyone else over it. We are facebook friends.

For lady partsl deliveries we do one head to two on admission, one within the next six hours, and then it goes to q8h until discharge. For sections we do a full head to two on admission, then 30 mins after, then an hour after, then q1h x2, then q2h x3, and q4h until 24 hours postop while assessing spo2 and rr q2h. After 24hrs they go to q8h like the vag mom's .

I'm sorry to hear that. What is it about psych you don't like?

Hey guys! I am a relatively new nurse, I graduated in May of '17 and passed NCLEX in June. I got hired on in mother baby and was just ecstatic! I thought I found my dream job right off the bat... until it wasn't anymore. It was so exciting and new, and I loved the patients and their babies, and the other nurses were so extroverted and talkative. But it has only been a little over a year and I'm already bored. It's such a niche department and every day is more of the same. Some days there is not much to do so we just hang out at the nurses station and a lot of the other nurses just talk... constantly. I used to keep up with the conversations in order to not appear rude or disinterested but honestly the conversations are the same every day. It seems like nothing I'm interested in talking about really interests the other nurses, they would just rather talk about their kids and the tv shows they're currently watching. I want to find a career path with a little more excitement; I thrive on the days when all seems to go wrong at once, it's like in the chaos I can think clearer. Has anyone been through something like what I'm going through? How did you find "the one" in terms of your career?

I am right there with you! When I started on nights, I quickly gained about 20 pounds. I was starving by the end of my shift and made it a habit to get a sausage egg and cheese croissant and a donut from the cafeteria every morning as I left, otherwise I would give in to my cravings and get mcdonalds or taco bell breakfast before going to bed. What has helped me lose about 15 pounds since then is taking advantage of not only my 30 minute unpaid break but the two 15 minute paid breaks that I tended to forget about. I would make sure to eat decently filling meals with lots of protein and try to minimize carbs because those just leave me starving a couple hours later. I eat my third meal between 4 and 6am so that way I'm not hungry when I leave work. I hope this helps! Good luck!

Hi all! I know there is another post about social anxiety but my situation seems quite different so that's why I'm just posting my own. I know that I've had social anxiety since I was a child. I've also struggled with depression as well. All my life I've tried pushing through it but in truth seeking out conversation with my peers is really hard for me because I am so nervous about saying the wrong thing or acting awkward that I tend to well... say the wrong thing or act awkward. Sometimes when it gets too overwhelming for me I can zone out and get into my own world and stop contributing to group conversations, so I can see them seeing me as disinterested. My social anxiety and depression got so bad last year when I first started my nursing career that I gained 20 pounds and even started having thoughts that the world would be better off without me. Needless to say I sought out therapy. So far my depression has mostly lifted but my anxiety is still a major issue with work. I see my therapist every other week but truth be told, some weeks are better than others in terms of my confidence. When I walk into a room only a handful of other nurses will acknowledge me, I always have to say hello first. I put on my best friendly face but it really feels to me at times that everyone I work with dislikes me. I of course know that isn't true because some people do talk to me. I'm a people pleaser so when I believe that a person doesn't have a good impression of me I go out of my way to try to talk to them. I try to strike up conversation with certain people and only get one worded answers and they never ask about me. It's just so hard because I know that I am a good person. When my coworkers gossip I don't engage and I'm helpful whenever I see an opportunity to be. I honestly don't know what to do. Mentally I'm doing so much better than last year, but I fear that because when I first started and had such bad depression and anxiety that even though I'm better now, I've sealed my fate. Should I quit and start with a new slate somewhere else? Is it possible to dig myself out of a social grave?

Hi all! I'm a recent nursing school grad and just finished up orientation a few weeks ago. I was on days for orientation and now I am on nights (1845 to 0715). What I have trouble with is falling asleep at a decent time on my off days. My coworkers told me that on their off days, they go to bed no later than 3am and get up by noon or so. I want that so badly!! Yet I can't seem to fall asleep earlier than 7am every day! I have tried setting an alarm around noon but I just sleep through it or I will turn off the alarm and be so tired and out of it that I immediately fall asleep and sleep until 4 or 5pm, basically wasting my entire day. I have tried melatonin 3 mg and benadryl 50mg to try to fall asleep around 1 or 2am, but they don't seem to affect me anymore. I have tried doubling up the melatonin but I end up feeling sick to my stomach when I wake up. Also, when I do wake up I am groggy for a good 3 or so hours and coffee doesn't seem to help it. None of this is affecting my work thankfully because I feel incredibly alert through my shift. My question is how in the world can I get to sleep at a decent time on my off days and wake up at noon and stay up?

Thank you to all the above commenters! I've had two shifts since my post, and I can say that those days were much better than before. My first day I got to work 30 minutes early and made some report sheets with new placements for what i have to write down through the day and i dont have to start writing things in different places that are hard to remember. and wrote out everything that I have to get done for the day and then I used blue and pink highlighters to distinguish between the mom's with boys and girls. Once I did that, I found that work was much easier to go about. I did also have a couple conversations with people and they were very sympathetic and understood where I'm coming from. And from when I first came onto the unit i was blown away by the amount of support these nurses have for each other. My thing I have to work on now is to not be so hard on myself for being new and to stand up for myself when people say things like I should be further along than what I am. Because in reality when the charge nurse said that, there were several legitimate reasons for me to be behind that I was too embarrassed to say because I thought it would make me look like I'm just making excuses. Overall, I really like this unit and I think it's a great fit for me. I just have to work on not being so hard on myself.

Hello, Allnurses! First of all, thank you for helping me through nursing school. By reading through the many posts here I gained some valuable insight. Now, I'm newly graduated and working on the floor in my hospital's mother baby unit. I have been working in mother baby for a month, and it has been a hard transition to say the least. I feel overwhelmed by the sheer amount of things to get done and to remember! My self confidence is basically zero. It got to the point that over the weekend I walked out of a patient's room who had just called me stupid (I was just offering her pain medicine while she was ticked off about something else), went into the clean utility room, and balled my eyes out. My preceptor came in and basically told me I need thicker skin. What she doesn't get is that I wasn't crying from that patient (although she was the catalyst) I was crying from how much I had been bottling up my emotions all week. I constantly mess up. I make a ton of mistakes. today I forgot a 2 hour check on one of our moms and the charge nurse told me at 4 weeks I should be performing better. Look, I'm not looking for sympathy, and I know I probably sound whiny and naiive. But I don't know who to talk to about this. I am starting to dread coming to work because I can't stop thinking about what am I going to forget to do today? I'm wondering, has everyone here ever been in my spot? Am I cut out to be a nurse? What can I do get better?