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Toaster2k18

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  1. Hi all, Just want advice/direction. So I have been in my part time position for about 6 months now new graduate. I didn't think I would enjoy it but I really do. Since I am part time, they can cancel my shifts based on patients in the unit. The unit I am in doesn't have full time positions often and barely anyone leaves. I am unionized and based on the agreement, the manager has to put the job posting for a week and interview etc internally based on seniority. However, this did not happen and I found out that the nurse who is in residency program got the full time position. I am quite certain I have more seniority over the nurse. My dilemma is, I want the full time position for stability and have a routine but at the same time I don't want to have a sour relationship with the nurse. I don't think it's her fault. I am not sure what to do...
  2. Thank you all for the input. I'll definitely be more aware of these situation moving forward.
  3. I am in surgical unit. I had a pt, drowsy. Diabetic. Vascular patient. Second day dialysis. She supposed to be receving d5w-0.9% nacl IV at low rate, very low urine output. NPO. There was a sliding scale insulin that specifically said to give with meals but shes NPO. I decided not to give any even though the sliding scale says I should. Blood sugar was hovering around 4-5 mmol throughout the day. When I called the endocrinologist, they got mad because I held it. What could I have done something different? Am I in the wrong?
  4. If a family member of a palliative care patient asks that they are concerned with opoid addiction for the patient, how do you respond?
  5. Thanks! I just finished my 5 week medicine rotation. It was brutal. I don't think it is for me. I am mentally drained and defeated.
  6. Thank you for your tips. May I know how your experience was in a medicine/surgical unit if you worked in those unit? I'll definitely be asking questions and all that.
  7. Hello, I am a new grad RN, will be starting this 12 week mentorship program in nursing resource team (float, but told mostly in medicine, surgery unit). I will be preceptored for 12 weeks. I am excited but VERY anxious and scared. I have never worked in a medicine floor before, my clinicals were mostly in palliative and rehab unit so I am very sure the learning curve will be big. Any tips for a new grad? Like on organization, time management, dos and don'ts before I start my position in a month? TIA
  8. Hello, I am LPN worked primarily in nursing home and vaccination clinic. I am on my last year for BSN degree. I have preceptored clinicals in Oncology unit right now. I never had full patient load in my previous years and this year my preceptor gave me 4 patients at nights, normal for a charge nurse to have. All I can say is, I am exhausted, mentally and physically. I have been feeling this way since last year but I managed to get through. I dread going to placement. I feel incompetent because my physical assessments are not good, I forget x and y. I don’t know how they realistic expect me to do full head to toe assessment on 4 patients within x amount of timeframe. I feel like every shift I am taking a step back rather than improving. I feel horrible. My preceptor is supportive but darn, I am disappointing her. Just need encouragement or support… I know this is my last year but holy hell, I don’t know how much I got left in me. I don’t even know if I want to do bedside.
  9. Thank you!! Thanks y’all! It’s surprising how many people are afraid of needles. It’s an eye opening! I had a few incidents after the first one and I did not panic one bit! I asked firefighters to get me a wheelchair/mat just incase and rolled him in to a private toom,gave the client juice and asked him to take off mask so its easier to breathe and took the clients’ vitals and everything was OK. I would say that I am getting better at it!
  10. Thanks all for the encouragement. I will definitely look at this as a learning opportunity.
  11. I graduated a year ago and have been working in long-term care. I have been working in COVID immunization clinic for a few weeks now. Yesterday was my first rotation to after care area, where clients sit for 15 minutes after vaccination. I had a client who began to experience fainting. He had clammy skin, shortness of breath and eye balls rolling. Good thing I noticed the client for help otherwise he would have fell down from chair. I was in shock myself. I didn’t know what to do besides asking for help to get a mat so he can lay down. My heart was beating so fast. I didn’t think of doing other interventions. Others came to help and took over. I feel so incompetent. I did learn something and if next time it happens I will know what to do. But man, I am embarrassed. The firefighter was asking the client what’s his name and checking his level of consciousness. But me, I just froze completely. Does anyone have similar experience or is it just me?
  12. Hm, that is very odd. Either they are changing it for fall 2021 or its old outline. I know some of my class mates know people mohawk who are following the same cirrculum as the link I posted in previous post. You may want to call them to confirm. The sept 2021 courses havent been posted yet at mcmaster website... I would call them to confirm or email.
  13. Yes! Do what is best for you. Not everyone will like PBL.
  14. Congrats! Many of my classmates are working full time or part time. I would say first year was quite stressful at times because there are some weeks where you had assignments due either in same week or back to back. Yep! All lectures and classes were done through zoom. Overall, working part time is doable. I am not sure about full time, though there are people who are currently doing it in addition to taking care of their children.

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