NRNPH

Sore subject. Bedside report. I don't mind it at all. The only time I don't like to do bedside report is for confused patients, dementia, impulsive patients that are fall risks that you finally calmed down and they are in a low stimulation environmen...

Thank you all for the input! I wish my unit could explain and talk to each other in such a supportive and learning way. Its a practice, always things to learn and a different perspective to see.

Quick background - we have certain patients that don't have hospitalist teams to text page because they are patients of MD's who have separate offices within the hospital so we have to call the answering service and speak with whoever is on call. Who...

Even though it is not their attending the NP's and PA's discharge for them and have access to their notes. Its hard to tell when they will round depending on their surgical schedules and when you call in the morning, you get the same NP or the PA eit...

Some background. I've been a Nurse for a little over a year. Work nights. Like many hospitals understaffed and overworked. 6:1 ratios with high acuity patients, sometimes no CNA's or CNA's have half of a high acuity floor, act like a step down ICU wi...

Thank you all for your advice and input thus far! I took a lot of things from each of you and it gave me some peace after must emotional turmoil and questioning morals/ethics. I appreciate the term reality shock. I believe it is what I am going thro...

I like your perspective about burn out. When it comes to fault finding, 95% of my career has been spent fault finding in myself. Questioning what I could have done better and being very self critical. I just have spent the most recent portion of my c...

Thank you for this. You are right, why let one job make me throw away the entire career - burn out. I guess I weirdly hate to admit it and have avoided that as a possibility. The thought that I could really be experiencing burn out after a year is sl...

Obviously there are things we don't share in front of the patient what we don't need to be sharing but I found it odd that during shift change when I felt it was inappropriate to go into a patients room and do a full bed side report who had major sho...

I would love some input and bounce ideas off of anyone who is willing to give any thoughts on what they would have done in my situation. I refused to hang a feeding bag for a patient because of huge concern for infection (we searched the areas in hop...

wait you would serve the soda or you wouldn't?

You had to have PPE to be around the pt. I always remind myself to be more mindful of my PPE pts and their immune systems.

We don't mix it. I believe the dietary unit does. But correct on the rest. I would have preferred to prepare a new bag/tubing. I didn't have one on that shift and I am sure we do.

oh no. I don't know how long its been "uncovered". It could have been during transport. It's made on the first floor then moved and stored on our floor until we end up needing to use it. So I don't know how long it's been "open". If it happened in su...

Half of me wants to say I over thought it but the other half of me said I don't know the condition of the formula regardless of it being non sterile it was open to the environment around it because nothing was covering the opening. I honestly was thi...

i get that but in my head I imagined it as if you left your drink or food uncovered especially in a patient fridge that already has god knows what from nurses in and out of there from patient rooms just open to your food. That's what it is. I saw the...

not worried about the tubing. worried that formula was open to it. just bacteria in general. i know its non sterile but still you wouldn't just leave a can open without a lid on it and then just use it later right?

I can see that point. I know enteric isn't a sterile procedure but if that purple cap just gets connected right to whats going into the patient any bacteria that got on that purple end is going to feed off of all that food moving through the tube.