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RobertJo

RobertJo ADN, RN

RN
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  1. I've been beating myself up over this for days and I just want to get someone else's perspective. I apologize in advance for the wordiness I work in a chronic, non acute setting where the patient's come in for treatment 3x/week, the patient's don't see a doctor or NP everyday but at least 1x/week. I was assigned a notoriously difficult patient this week. Threatens to sue on a weekly basis, doesn't trust anyone's RN judgement, has "allergic" reactions to almost everything, and is generally a crab apple. She has a standing order for a large dose of benadryl IVP 75mg per treatment. She complains of the medical tape itching her and our general patient population get's very dry and rough itchy skin as a manifestation of their illness. During treatment she started crying and wailing and begging for more benadryl. I told her I can't give her anymore, because I only have an order for 75mg. Which is already a high dose. I called the on call physician because the patient was in hysterics to see if they would authorize any more. In retrospect I think the patient was just putting on a show in an attempt to get more drugs. The physician wasn't rude or condescending but he basically said he would NEVER give any more then 75mg for something as non life threatening as itching. He was surprised that I would even call to ask. Now i'm a new nurse about a year, I didn't expect him to authorize more but legally I thought I had to call to at least ask the doctor. I'm a nurse, I can't decide what's enough medication for a patient, don't I need a MD or NP to actually say no before I tell the patient no. I called the doctor because if the patient actually does decide to follow up on her weekly threats to sue the clinic, I thought it would be better to have it documented that the patient had a complaint, I performed an intervention by calling the doctor, and the doctor said no. If I hadn't called the doctor and she sued, the doctor could have said well nobody told me the patient was experiencing pain. Was I wrong to call the doctor? I'm second guessing my decision. I try at all times to cover my bases with as much documentation as possible but now does the doctor think I'm an idiot?
  2. RobertJo

    Seeking Advice RN to BSN programs

    You're absolutely right. I started looking into more traditional brick and mortor schools and a lot of them have online programs.
  3. Hi all, I have my ADN and I passed the NCLEX already. I currently work as an outpatient Dialysis nurse as a new grad. Eventually I'd like to go for my DNP but before I get there I need to get my BSN. I'm COMPLETELY overwhelmed by the number of online RN to BSN programs that are being advertised out there. And honestly I don't even no where to start in picking a program. Some of them seem like big scams even the ones accredited by CCNE. I feel really confident in the education I received fron my ADN so I'm not sure how much new information I'm going to learn from the BSN program. So I don't want to invest too much money into it. In my area most hospitals require a BSN so does it matter where I get the degree from? Or is it most important to just have a BSN degree? Even if it is something I'm doing just for completion I don't want a degree from a diploma factory. Western Governor's University Walden Brandman Wilmington University Does anyone have any experience with any of those above mentioned programs? Really I'd appreciate ANY guidance since there are SO many options. Thank you in advance for your time and help!
  4. RobertJo

    Hemodialysis Big Two Benefits

    Hello, I'm considering taking a position as a new one of the two big companies as a new dialysis nurse. I've read lots of older threads about how their benefit package isn't that good. I'm wondering if anybody has a more recent experience and wouldn't mind sharing. I read lots of posts from 2012ish so maybe somebody who has been hired in the past few years could let us know if they have improved their benefits to be more competitive (401K matching, tuition reimbursement, overtime). It would be MUCH appreciated. Thanks
  5. RobertJo

    Aveanna Health

    Wow! I didn't even think of that. Thank you for pointing that out. Are you typically only assigned to one patient or might you have a few?
  6. RobertJo

    ADN jobs Colorado?

    Thanks! The BSN is definitely in my future I was hoping to get hired by a hospital that offered tuition reimbursement for my BSN
  7. RobertJo

    ADN jobs Colorado?

    Thanks! I've started looking into home health companies but I'm still hoping for a hospital position where I can learn and work with a preceptor for at least a little bit before I'm on my own. A nurse residency program would be ideal
  8. RobertJo

    Aveanna Health

    Hello fellow nurses, I am considering accepting a position as a new graduate with a pediatric home health company. Does anyone have any experience working with Aveanna Health? I thought i'd be going straight into a hospital as a new graduate so I can work with a preceptor but this might be an option to explore
  9. RobertJo

    ADN jobs Colorado?

    Hi Nurses, I recently moved to CO ( Denver). I have an active RN license. I'm having trouble finding new grad jobs in the area. Any suggestions on who hires new grads with an ADN? Any help in pointing me in the right direction would be greatly appreciated.
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