azrn22

1 in 14 posts imply that this situation is caused by YOU! What CRAP! Follow your heart and listen to the majority of your peers, make something happen. Make those in your unit see and realize how unfair this training is to you and the unit, or find another place to get the training you need and want..but DON'T let anyone blame you for this.

Just study the NCLEX RN book in the front...it tells you how to read the questions to know what they really want. I studied that the day before and passed with 98 questions. I am a BIG procrastinator. Also, KNOW KNOW KNOW Maslow's heirarchy of needs!!!! Very important. Good Luck.

I don't think the pre-A&P class would be a waste. A&P is very demanding!!!!! Medical terminology was a TREMENDOUS asset to my education, and I strongly encourage you to take it. The nutrition class is 3 1/2 hr long because you will meet only once per week. There will be a lot of reading and you will probably have some case studies to do. Good Luck you can do it...I did it twice (LPN and LPN to Rn) and worked full time and have a family. Trust me- it IS do-able.

{I'm confused. Why are you upset about my post? I work well with others, (nurses, NAs, NTs, secretaries, etc) and I complete my work. Is there something wrong with that?} Nothing wrong with that. I must have mis-interpreted your previous post....it was my mistake not yours.

Well put!

I was a new grad hired into CVICU. Had to go through a 13 week critical care class that made nursing school look like third grade.

We use morphine also. Usually 2mg-8mg depending on Doc. Most are extubated within 4-8 hrs postop and in a chair2-6 hrs post extubation. When they are extubated we give percocet x2 and lose dose morphine for breakthrough pain. We have a 15 bed CVICU and to up to 5 open hearts or thoracotomies per day. It gets pretty hectic at times.

what is it you are really trying to say here???? remember that nursing is about caring for others and that includes fellow nurses. there is no "i" in team.

Try giving your goal a real measurealbe goal. A 93yr old with dementia is probably NOT going to be able to verbalize how to use the lap buddy or call light 50% of the time, let alone the rationale behind using them. Change your goal to something like....pt will become compliant with activity restrictions within one week. That is a general goal but measureable and realistic. Care plans are rough, but once you get the idea of what your insructor wants they are pretty easy. Don't over examine some things, sometimes we can be so close to the tree we can't see the forest! Good luck. Jim

Hang in there. I, too, was in another career in management. I have the same troubles you are having. I am disorganized and stay late, but I am giving great care to my patients. Don't sweat the little things. A winner never quits and a quitter never wins. Good luck.

WONDERFUL!!! Great insight on life in general, and you are very gifted in expressing yourself. This helped me tremendously. thank you Miranda!!! Jim

Hello Tam74, I am having the same problem, although it is better now after 14 months. There are still a few hateful people. I can't figure it out. The big problem remaining now is the anal-obsessive compulsive rn's. One in particular, they call the Ice Princess, is cold to people and patients. She is moody. She is charge a lot and she always finds time to read her gossip mags. She bathes, medicates, charts, sets up scheduling and makes personal phone calls all before the 1/2 way mark in the shift. She is always out of report in 15min max. I am 2hrs charting after report. Anyway, I am trying to say that if I am not as anal as she then I am worthless and lazy. This causes a lot of stress. Good luck.

We don't strip ct's unless doctor says it's ok. One shouldn't strip as the location of the ct is unknown. I wouldn't want to suck a graft out.

I work on a 15 bed CVICU with 2 pct's (cna's with tele certs) a ward clerk with tele cert. and our charge takes the same amount of pt's as the rest of the staff, unless census allows her to take 1pt. We take 2 pt's at most. We have 4 groups of rooms with monitors in the rooms and two monitors outside each group of rooms that display ALL pt's in the unit. All monitors have audible alarms in the rooms and centrally located units alarms. This is nice, because if room 1, which can't be seen by rooms 5-15, has a 10 beat run of VT then EVERYONE knows because of the central alarm and monitors outside all rooms. We work as a team too, so if you're stuck in the middle of tx'ing a pt from the bsc to bed with all the lines and tubes, someone is there to get your back until you can get there.

Lowest I've seen is 1.5. That pt received a lot of kcl but not over safe protocol. The pt lived.