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Just-floored's Latest Activity

  1. Just-floored

    I'm starting to feel like I'm dying on the inside

    Ok, if you have only been working since October then I really think you need to give it time. There is always something to be done and not enough time no matter what floor or population you work with. Unfortunately it is the nature of the beast. At 2 months in you have so much growth in front of you, but it is often hard to see it at the point you are now in your nursing career. Your preceptor thinks you are doing great, try to focus on that and give it a year. Keep a journal and write down something after every shift about what you learned, a positive comment from a patient or co-worker or something that you improved up or struggle with. In a few months read back and I bet you will be amazed at how much you have learned. Where you are now is normal and I would be worried if you felt you hand a great handle on your job right now. Hang in there. I felt the same way for much of the first year or two! It did get better, much better! I wish I had some time management tips for you but that is still my area of struggle 6 years in.
  2. Just-floored

    Bully CNA, not sure how to fix this

    So this definitely needs to be addressed. First if she isn't getting her tasks done and you are writing up a list make sure you also write up one for yourself and then you can document what isn't getting done. If it is most of what you are asking on a daily basis then you at least have documentation. Also document any comments putting you down or questioning your competence, most especially if it is something residents or their family can hear. This looks poorly on her and also on the facility to have it occuring. I would also make sure to set a time that you, your manager and the CNA can sit down together and discuss the situation. If I were you I would take the initiative to bring it up first with your manager and maybe have a discussion. Pre-empt her so I doesn't look like you are just trying to CYA but the person willing to take the first step. Finally if you hear her putting you down to another co-worker I would just go right up and insert myself in the conversation. Kill her with kindness and ask what upset her so much she felt she needed to vent to others instead of talking to you. Let her know you are always available to discuss the situation and that you only want the best for your patients. Don't say anything that can be taken badly by the witness, even if you really want to. I think that the best way to deal with a bully is head on. If she has a reputation for this behavior before others will see how professionally you are dealing with it. Hang in there.
  3. Just-floored

    Nurses 'Eat their Young?!'

    I am a preceptor quite frequently and also still remember what it felt like to be new. It is hard. When I first started precepting I did my best to make it so my orientees did not feel the discomfort I did because I was hoping to make the process easier. What I started to discover was I did them a disservice by trying to smooth the path too much. It is far better to to watch them struggle a bit when I am there to catch any big misses than to suddenly find themselves on their own and just realize how much of their slack I was picking up. It is not something I enjoy watching, believe me but I think sometimes it is necessary. If you get a preceptor that has a different style that what you need have honest conversations with your manager. That all being said there are some difficult people in any field and I'm sure there are in nursing too. Just do your best to avoid them or win them over. I had one co-worker that I had a hard time with. She was a scrub tech and super intimidating and gruff. I always felt like she was coming down on me. One day when we worked together I just went up to her and said that I'm new, not much experience in the OR and please let me know if I need to be doing anything differently I would really appreciate it. There was a whole new dynamic in the room after that. She really tried to educate rather than just yell out orders. I thanked her as we were leaving the OR. I have used that with anyone new I work with now. If it is something new to me I let them know. I think is softens the environment most of the time. Good Luck!
  4. Just-floored

    How do I become stronger clinically?

    Every time I come across something new I research it. For me it helps to understand the pathophysiology of a condition because it will point you in the direction of what really is important to assess for. It is also super helpful I have found to go to the physician and just ask questions. Typically I would let them know what I am already looking for or assessing for but then add I haven't had to many patients with this condition is there anything else you think I should be on the lookout for.
  5. Just-floored

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    The nurse who administered it did not even document it. Hard for the system to have checks and balances when the system is bypassed.
  6. Just-floored

    Scared.....No Nursing?

    That is a starting place then. Any time I need to call the physician and notify them of something I will do an assessment, run through what could be causing the problem and be ready to answer their questions. Think of the nursing process it all starts with assessment!
  7. Just-floored

    Too old for OB?

    I'm almost 50 too and feel that some days I run circles around the younger nurses. Give it a shot, you won't know til you try.
  8. Just-floored

    Mag for pre-e pt

    Mag Level Q 6, PIH panel Q12-24, Assess Vitals, lungs, reflexes, urinary output edema q 2 and patient is usually on strict I/O.
  9. Just-floored

    OB Education??

    We have done an emergent C-section drill along with the ones you have mentioned. I would also suggest maybe reviewing hypertensive crisis, cord prolapse and uterine rupture.
  10. Just-floored

    Advice please

    First of all given yourself a break and realize that this has nothing to do with being a good nurse or not. You need some training and that is to be expected if you have never needed the skills before. I would suggest you talk to your manager and see if you can get the training you need. I would also hope that you can find someone on your unit to be a mentor for you. It sounds as if you need a safe person to run questions and issues by. It may be embarrassing to ask for help but it must be done in order to move forward. In nursing school we were frequently reminded to get comfortable being uncomfortable. Don't let embarrassment derail you or stop you from providing the very best for your patients. You both deserve the best. I think that it may be premature for you to look for another position. If you were to get another job you would likely have new skills to learn for that one too.
  11. Just-floored

    What Does A Graduate Nurse Do?

    I totally agree with others who say to take the NCLEX right away. You get out of the flow of NCLEX type questions. We were strongly encourage to take it right away and my school had a 98-100% pass rate first time.
  12. Just-floored

    Almost to the 1yr mark.....

    Yeah one year survived and it sounds like you are doing great and have made some good self-care choices to help prevent some soul sucking. If you work a 12 hour day you will feel tired by the end no matter what you are doing I think. I get home eat dinner in bed and then fall asleep. The one piece of advice I have is to ignore what others think about your specialty. You know how important your role is and so do your patients. I work L&D and postpartum and I sometimes get tired of the "oh you must have so much fun." Actually it is really hard and stressful work. I have the grey hair to prove it. Some days are amazing and others heartbreaking but no matter what is going on it is a ton of work.
  13. Just-floored

    Feeling lost in my career...need advice!

    Well if it was me and I was planning on returning to school I would want to stay in the mellow predictable job if it works. That being said could you just try out a mother baby unit as a per diem. You could get an idea if the unit would be a good fit with your lifestyle and future plans and not give up the security of your regular job until you knew for sure. Good luck with whatever path you choose.
  14. Just-floored

    need advice: new RN with doubts

    I really love working Thanksgiving also. We usually celebrate it at home a week before or after. It is great because the grocery store isn't a mad house when the shopping needs to get done. The holiday is for spending time with family and friends, not necessarily about the specific date on the calendar.
  15. Just-floored

    How do you get through the first weeks on your own?

    Xanex! It is super hard the first year or so. Find someone you trust to ask questions when they arise. On my unit we all bounce ideas off each other and it is great for learning. I hope you are in a supportive environment. I was told by a mentor of mine to reflect on every shift and write down something you learned, had difficulty with or effected you in some way. After a few months read through your thoughts and you will be surprised about how far you've come.
  16. Just-floored

    Preparing for RN program

    Honestly I would use this time to relax because there will be very little of that going on once school starts. Maybe get your house super clean if that is your thing. Maybe get your freezer stocked up with quick and easy meals. Other than that take some time to enjoy your family. Good luck to you.

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