lexotaNIL

it depends upon your interest... critical thinking won't base on your area..so many ICU and ER nurses re not very interested in critical thinking. first you need to assess yourself what kind of interest you have.

when I was assigned in ER I had 2 times medication error. dexamethasone for pedia but I gave Dansetron. the other one was I gave the loading dose of plavix for the wrong patient. Good thing both of them are safe. if you were never done any error that is a big lie.. hahaha.

I remembered once I said to our nursing directress ''please when you give us new staff at least give us a competent one''. And I understand how you feel...We cannot escape from that kind of problem, as always. You know that thing called ''burned out syndrome?'' it's real. what more this time. I hope you still have the energy to endure all the struggles inside the unit. God bless you.

refer to ATLS..

In CPR they said you can stop it if you are exhausted, I guess that applies to Nurses too...Nurses need good manpower, a proper ratio when it comes to standard staffing..at least be fair enough. there must be an equal proportion to the nurse-patient ratio in the unit. You cannot expect quality care to a 12 patient inside the ICU from a 5 staff only. The failure of some supervisors is as if there is NO CODE at any moment during the shift, so 5 staff is enough to fight the scenario as if they can forsee what's gonna happen in the entire 12 or 8 hr shift. what can you expect from an exhausted nurse and not paid accordingly? well, it's always between the two, either they will stay or leave. Even heroes have the right to bleed. and it's not easy to be me (nurse)...right?

know that there are always different types of personality in the unit...Just know when to turn on your tough for things like that. regarding the incident, normally yes, there must be an IR. For the tube so long the patient is okay, the RT is calmed and so as the resident, no worries but better careful next time. The quality management is happy to receive an IR., get used to it okay? but that doesn't mean Repeat the same mistake hahaha what I mean is IR is part of being a bedside nurse.

the best experience is first-hand experience whether it is wrong or correct. always give yourself a room for failure because that is where you'll gonna learn much.

I think that is the common issue between ''infection control'' and the entire hospital staff. That is why that job is existing because there is something that you need to control not just the infection transmission itself but also the behavior of the staff. As a Nurse for how many years I am telling you PPE is something that we need to swallow more than our pride. It's a hindrance for us though it is a protection. I will give you an example like when you need to insert a cannula to a patient with difficult vein, to an obese patient and black skin tone.. really it is not something so easy. Sometimes we gotta remove our gloves to palpate the vein. And regarding the mask not all our comfortable wearing it.. It is something that you need to control, The best thing to do is make rounds all the time...really.. because some nurses wore PPE because of infection control's presence...hahaha kinda funny but true.