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dsaprog

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All Content by dsaprog

  1. In nursing school I had a clinical instructor who called me out for having issues with attendance, not participating in clinical, refusing to take accountability for mistakes, displaying unsafe clinical practices, and the list goes on. When an incident happened at clinical where I gave a pt thin liquid who was on ntl diet, she took it up to chain of directors who said flat out I was not a good fit for nursing and unsafe. It was especially traumatizing because I was in a desperate situation and my parents are immigrants, which raised suspicions that my parents religion or culture made me unable to do certain things in clinicals. I was offended by the assumptions about my parents and being judged. I was kicked out and had to repeat the semester, which I did, because I felt that I made it too far to give up, and I was too afraid to do something else. I spent the rest of nursing school on everyones radar and it was so humiliating to be universally hated and known by everyone for something negative. Now I've been a nurse for a couple years and haven't worked in a hospital and have no experience or confidence to do hospital work. I work in nursing facilities and community health. It's going okay I guess, I just feel like I may have a learning disability and I struggle with some of the issues I had in nursing school. I still feel like I may not be a good fit for nursing based on the opinions of many professors and I worry about being judged that way all the time. I don't know how to deal with my problems and feel confident as a nurse. I feel like I should see a therapist, I just have self esteem issues and don't feel comfortable talking to someone directly.
  2. Is it possible they were making racist jokes to be funny and didn't mean to be racist?
  3. Yes I know to use a different needle I meant to say "needles (plural)" but I don't have anyone to help me because it's street medicine and I am the only nurse out there. I am trying to get more practice and find tips and tricks online for getting into the vein.
  4. I have a new job that requires me to do phlebotomy for the first time ever. Well today I had a patient who needed a phlebotomy and I did everything as I was taught, I see the flash of blood that let me now I found the vein and everything, I started filling tubes. I filled 3 1/2 tubes and everything was going smoothly and then suddenly I stopped getting blood on the 4th tube. I tried to move the needle around and stuck the needle in like 5 other places on the patient's arm and NO BLOOD. At one point I got a tiny amount of blood that came slowly and stopped before it reached the tube. I don't know if perhaps the needle was dislodged and that is why the blood stopped coming. I am pretty sure I held the needle still. I am having trouble understanding how to do this. Should I stick the needle all the way in? I watched tutorial videos on YouTube and some videos show the clinician putting the needle all the way into the arm while others stick the needle about half way in and then retract it slightly. I have been sticking only about 1/4 of the needle in because I don't want to go deep and puncture the wrong thing. I try to poke the needle in at a 30 degree angle and then narrow it to a 15 degree angle as I advance it. I would love some advice on how to do phlebotomy with a butterfly needle because I will be doing it A LOT in my new job and I hate to torture patients for nothing when I fail to get a blood sample.
  5. You want to go back to work after a 6 year hiatus?
  6. I've done 3 interviews and 1 (soon to be 2) unpaid shadow shifts with a job I applied for over a month ago. They are kind of stringing me along with no offer of employment or clear picture of when I would start if I am hired. I really bombed the last interview that I had with them because I was not ready for any of their questions and was unable to give a clear and descriptive answer to most of the questions I was asked. I am afraid of them ultimately rejecting my application and wasting my time. I have been waiting for the past month for this job, and after my next shadow shift, will have spent more than 12 hours on interviewing and shadowing with them.
  7. I am concerned about this. I have not had any of my debt forgiven. Is it because I made too much money last year? Last year I had a $135k gross income as a single person.
  8. When do you plan to retire?
  9. They are super greedy.
  10. I had gone through two rounds of interviews for a job I really wanted. The second interview was yesterday and they told me when I was there that they would let me know today if I got it or not. I haven't heard anything. I waited all day today and nothing. I am so tired of being rejected by everyone and everything. I was just fired from a job I was doing for over a year and I really wanted this other job. What are the chances that I just didn't get it? Why do jobs tell you that they'll get back and then don't? I don't even know where to go from here. I stopped applying for other jobs because I didn't want to do anything but this job.
  11. Tomorrow I have an interview for a street nurse position and the description says I need a DL and insurance. While I do have a license, I don't have a car or insurance. I'm not sure why job description explicitly states that a driver's license and insurance is required, unless they expect me to transport someone or something in a personal vehicle. This role would mean working primarily for patients who don't have housing. I am wondering if anyone has any tips for how I can land this job and what kind of questions I need to be ready for. I am thinking of wearing a face mask and wondering if wearing a mask to a nursing interview is still acceptable in 2024? I'm not worried about Covid, however, I don't want the recruiters to think I'm ugly or that I won't wear a mask on the job to avoid the spread of infection if I don't wear a mask. My current job still expects us to wear masks while at work. If anyone has advice on how to be successful in "street nursing/community health nursing" or what to expect in the interview please let me know. I really want this job.
  12. That's crazy. I worked NOC shift as an RN and can't tell you how many times I've fallen asleep on the job and I'm not the only one. The CNAs sleep every night, sometimes they sleep even better than the patients. I don't know any CNAs who stay up on the NOC shift.
  13. This picture is NOT to scale. The actual vial was obviously much smaller than the photocopy and the warning easier to miss. She intended to pull versed, a sedative medication that could potentially have a paralyzing effect when combined with another substance, or at least it's often administered before a paralytic agent. So many medications have warning labels on them that it's easy to just assume any sedative medication would have a warning about "paralysis" without actually being a paralytic drug on its own. I'm trying to put myself in her shoes and I can kind of see how that label didn't stop her.
  14. She did own her mistake and it was just that. A mistake. Because most people, not only nurses, make silly mistakes that have tragic consequences. No point in ruining her life over it. And this kind of relates to the story... just a couple months ago my friend who's not a nurse accidentally hit on the gas instead of the brakes while driving and ran over a pedestrian and killed him. The widow of the man he struck and killed is trying to sue wrongful death. Just because someone died by accident doesn't mean the killer should be financially ruined imo.
  15. I'm working NOC shifts at a facility I have been at for over a year. I was only recently transferred to NOC shift at a new station and new patients. One of the new patients asked me for a norco pill and I saw his order for norco was discontinued on PCC. I told him and he argued 1 of the orders was discontinued and there was another still active. I didn't see the active order when I looked and I had only a few minutes in my shift. I just left it at that and gave report to AM shift. After I had left, he told management he does not want me to be his nurse at all. He said I was a "****" to him and "couldn't even check a ******* computer". It was really hurtful to hear that because I didn't even think it was a big deal or that he would respond this way. When I tried to give him meds the next day, he was extremely rude and made me start crying, then called DON to stress how he doesn't want me to be his nurse AT ALL. I'm still his nurse because he is in my unit, but a nurse from the other unit has to give him medicine or he won't take it. I know I'm not perfect, and maybe I did make a mistake when I was checking his orders, but I believe that I'm not the worst nurse at the place where I work either. I sort of hate him because he makes me feel so ashamed and embarrassed.
  16. I ghosted a job once in the middle of training because I just realized it wasn't worth it and I didn't know how to explain it to the management. Who knows what's going on with her life. At least she quit before the training so you didn't waste money and time on someone who wasn't going to stay and work.
  17. What kind of job? I don't know if it's right, but I can't say I wouldn't do the same if I were in her position. Could you? I imagine if I lost my license, I would be unlikely to find work that pays at the rate of an RN. Depending on how many speaking gigs she gets for the price of $10k, I'd bet she is making more than she would doing something else.
  18. She lost her career and has to earn back money somehow.
  19. One of my professors in nursing school was anti-vax and participated in a protest against the university's policy to require she be vaccinated. She was in the local news saying she didn't believe the COVID19 vaccine is safe, that it's against her religion, and that it has not been tested for us to be able to know its long term effects. Last I checked she still works there so I am assuming they waived the requirement for her or she finally got vaccinated to keep her job.
  20. I'm an RN and can't find a job outside of nursing homes either.
  21. I graduated in Dec 2020. I didn't get licensed until September 2022 due to 3 NCLEX failures. I have since been working at various nursing homes. I've applied for other nursing positions and have usually been rejected without even an interview. Last week I had an interview for a med surg training program (my only interview ever) and bombed it. It took me a total of 8 years to get the credentials I have with how long I took to graduate with a BSN and then to pass NCLEX. Now it feels wasted. I don't feel like I have what it takes to move up in the nursing profession. As a charge nurse in the SNF, I spend most of the day just giving medications to 30 patients. I have essentially the same job as the LVNs except that I give IV infusions and earn higher pay. I don't think I learned much in nursing school and I did my last 2 semesters of my nursing program 100% online due to the COVID pandemic. I might not have even graduated if not for that pandemic. I'm struggling to find a new direction in the nursing field and an ability to present myself as a strong applicant for new jobs. I think I would most likely benefit from getting into med surg nursing as a starting point because it would be easier than an ICU or ER. I'm located in the SF Bay Area and limited to facilities that are accessible via public transit since I don't drive.

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