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AlmostThere19 BSN, RN

I recently graduated with my BSN and passed NCLEX! I am so excited to begin my nursing career, and I can't wait to see where this journey takes me.

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AlmostThere19's Latest Activity

  1. AlmostThere19

    Is this rude or is it just me?

    Where I work, techs and other nurses will often come find me while I'm in one patient's room providing care to tell me that another patient needs something. One time I was giving a patient meds and the tech came in and said "the patient in X room wants their meds". I just said "I'm working on it." And the patient I was with said "I'm pulling you away from your work." I just feel like this sort of thing is rude because it makes the patient you're with feel like they're a burden. I can understand if another patient is having an emergency, but to barge into a patient's room just to tell me something trivial like another patient wants me to hurry up with their meds? Thoughts?
  2. AlmostThere19

    "Patient Satisfaction" in the ICU

    I've learned pretty quickly since I started working as a nurse that patient satisfaction is the hospital's #1 priority. As nurses, we are expected to keep patients happy and get them what they want, period - even if it's bad for their health. I have a hard enough time dealing with this in med surg when patients don't understand that you cannot fluff their pillow or get them more ice water right this minute because you're busy dealing with your high fall risk patient who refuses to stay in bed and is determined to wander off the floor. I would love to work in ICU, but I just know that if a family member or pt. is running me crazy about a meal tray that's wrong or some other trivial thing while I'm busy trying to correctly titrate a patient's life-saving drip...I would snap. How do ICU nurses even handle that?
  3. AlmostThere19

    Patients in Med Surg Needing 1:1

    As a new grad I'm hoping for some advice on the best way to handle a tricky situation I encounter a lot at work. I've had quite a few patients lately who honestly needed a 1:1 sitter but didn't have one for some reason. They were elderly fall risk patients - even one was in the hospital d/t fall related injuries. These patients refused to lie/sit on their beds. They refused to sit in chairs with bed alarms - not in their rooms and not even at the nurse's station. They didn't need to use the restroom, be changed/bathed, eat or any other needs because we tried all that. They insisted on continuously trying all shift to wander the unit and leave the unit. On call docs would not prescribe any sedatives or restraints even when this had been going on for hours. Family members were even contacted to see if they could sit with these patients (no luck). House supervisor was aware of these situations but for some reason no sitter was ever brought in for these patients. Shouldn't one have been? Instead I was the "1:1 sitter". How can we as nurses care for 6 or more patients when a single patient requires 100% of our attention all night? I fear for my license and for the safety of my other patients when I am put in a situation like this with a patient.
  4. AlmostThere19

    Are boundaries ok?

    I live an hour away from my job and work 12 hour shifts. That means my work days are already 14 hours. I was asked to come in 2 hours early for a coworker. That would have made my workday 16 hours, which I know is more than I can handle. I told my manager I would not be able to come in. Coworkers are also always asking me to cover their shifts, but I say no because I am already scheduled to work a ton as it is I am a new graduate still adjusting to being a nurse. Is it ok to have these boundaries?
  5. AlmostThere19

    No One Understands

    My family doesn't understand how much being a nurse takes out of me. I have to work tonight, and I've had to spend all day today and yesterday helping my grandmother prepare our family's huge annual Thanksgiving feast. She can't do it herself and I don't see anyone else volunteering to help her. I live with my parents, and I also had to spend a lot of this morning doing all the housework (including cleaning up after 8 cats) because they won't do any of it. Do they not understand I'm going to work tonight to work my tail off until 7am, and I've had no sleep whatsoever today even though normal night shift people sleep all day before heading into work? I know I'm 23 and the youngest in the family, but I can't do everything. This is ridiculous, and I'm just so frustrated.
  6. AlmostThere19

    It's Driving Me Crazy

    The assignments at my job are never made in time to look up patients before the shift starts. Is it like this everywhere? I can't stand going in not feeling prepared.
  7. AlmostThere19

    Something Has to Change

    So true! I've applied to an ER position very close to my house. I want to have a backup plan incase they do let me go at my current job. The worst they can do is say no.
  8. AlmostThere19

    Something Has to Change

    Great advice! I want to stick it out and give myself time, I just hope my managers will give me time!
  9. AlmostThere19

    Something Has to Change

    Thank you for your advice! Your response is one of many on this thread that has encouraged me to stick it out with this job. That's an option but especially to be on my own I would need more experience than I currently have.
  10. AlmostThere19

    Something Has to Change

    It's definitely sad how many patients nurses are expected to care for. And it sounds like you've had a very interesting and diverse career - thanks for giving me some insight into possible options to look into! I'm going to try my best to stick it out and give this job a chance. I feel bad that I'm taking so long to get the hang of it, but I know that's probably common with new grads.
  11. AlmostThere19

    Something Has to Change

    That's very true, I'm definitely going to try my best to stick it out with this job.
  12. AlmostThere19

    Something Has to Change

    I'm a new grad 3 months into my orientation on a med/surg floor. I am feeling very discouraged and defeated. I feel like nursing school taught me NOTHING. I don't like that I can't spend the time I want with each individual patient because we are expected to take so many. We seem to always start out with 5 patients, and then it never fails that we're getting an admit right after we get report and are trying to start assessments and meds. I feel like patients in the hospital don't get enough attention due to understaffing, and I'm having a harder time dealing with that than I thought I would. I'm learning that I'm a horrible multitasker that would do better in a slow-paced environment. I also live over an hour away from my job so I spend at least 2 hours driving to and from work. I think I'd cope better working closer to home. I want to explore nursing jobs outside the hospital setting, but I'm afraid of it looking bad for me to quit this job before I'm even off orientation (even though I'd give my 2 weeks notice). If you're a nurse not working in a hospital, could you tell me what your job is like so I can weigh my options? I've never considered anything besides bedside nursing because I always thought that's where I wanted to be.
  13. AlmostThere19

    Patients & Pet Peeves

    1. Being on your phone and ignoring me when I need to do an assessment or start an IV 2. Trying to walk to the bathroom when hooked to fluids and you don't either get me to unhook them or drag the IV pole with you - then your IV gets ripped out
  14. AlmostThere19

    Feeling So Guilty I Could Cry

    As a new grad nurse, I've only been on my unit for 6 weeks. I've been on night shift, but then the other day I did day shift because my managers wanted me to get more experience with discharges and admissions. This was also only my 2nd time taking 5 patients. As soon as I got on the floor, a patient needed a blood transfusion that I needed to go get from the lab. My preceptor constantly kept telling me to hurry up and give morning meds to my 5 patients so we could go ahead and go down to get the blood. Giving meds took forever because there was a med that wasn't available and I spent forever having to beg pharmacy to send it up. One patient was mad at me because they weren't allowed to sit on the side of the bed without physical therapy. This patient would not take their meds and I ended up having to wait on PT to get there before I gave them. In the middle of med pass a patient's parent came to the nurse's station to tell us about an issue that I needed to call the doctor about. Luckily, my preceptor handled that for me. It was so hectic during the morning that, at the end of the day, I realized I had forgotten a couple of medications for 2 patients. 2 were due in the evening so I let night shift know during report that I had forgotten to give them because I got swamped with a discharge and an admission at the same time right as the meds were due. The other patient had already been discharged so there was nothing I could do about that missing med. I just feel like I completely failed as a nurse and like I made so so many mistakes that day.
  15. AlmostThere19

    Rejected by Patient

    You're right, you can't please everyone. When I first started nursing a few weeks ago, I'd try to quietly sneak into a patient's room so as not to wake them. This resulted in them waking up anyways and being really startled to see me there. So I started announcing myself even if it meant waking them up, but apparently that doesn't work for everyone either.
  16. AlmostThere19

    Rejected by Patient

    I'm kind of bummed because for the first time a patient requested not to have me. I apparently kept the patient up all night by coming in and turning on the lights. I needed to turn on the lights to see what I was doing. But the next time I was supposed to have this patient is when they requested not to have me. I know I shouldn't take it personally, but it really makes me feel like a bad nurse. I also wish people would just tell you if something you were doing was bothering them. Has a patient ever requested not to have you?

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