username33

Thank you!

I am a new nurse. I have been working as RN in LTC for 5 months. I try to do my best but I still have fear that I may miss something in pt's assessment or documentation. When I go home after work I still can't help but think over and over about the tasks I completed during my shift. I am just tired of being stressed about it. Is it normal? I got hired by acute care setting and afraid that I am going to check and triple check everything I do. I do NOT have OCD. Any advice? Thanks.

I am a new hire on med-surg floor. I know I need to be alert and monitor many things during my shift. I would like to hear from the seasoned nurses their opinion regarding monitoring patients' status on med-surg floor. What are my top priorities r/t monitoring post-op patients? Thanks!

I am a new grad and I got hired on med-surg floor. I will appreciate any advice regarding that type of job. Thanks!

Thank you everyone for your input!

Thank you, Takeback! The pt had a-fib not v-fib. My mistake. Your explanation helped me understand why docs weren't too concern about the pt's condition. I guess they know that a-fib is not dangerous condition of the heart. I was just thinking that it may be caused by mediastinal shift after left pneumonectomy. How do they rule out that complication? I know it is very rare, but possible in some cases.

5 days after left pneumonectomy patient was transfered from ICU to Med-Surg floor. about 30 min. later he developed tachycardia. HR was running between 130-140 bpm for 24 hours. Next day when the pt received d/c order he suddently went to v-fib. D/c order was canceled and pt stayed overnight. New orders were : cardizem drip, titrate and keep HR under 110 bpm; Amiodaron PO ( I think it was 400 mg BID). My question: is it common when pt. becomes tachycardic after this procedure? Is it dangerous sign? Why is this happen? Thank you!:)

Thanks everyone! I am a new grad and learn something new everyday! Medical field gives us a lot of opportunities to learn. I always ask questions if I am not sure about something. Thanks again for your input!

Hi! What does Advance Nursing Degree means? BSN, MSN, NP? Can the nurse who certified in Med-Surg say that she has advance Nursing degree as well? Thanks!:)

Thank you your post! I am a new grad in a LTC. When I started my job I had 20 residents and was feeling frustrated about my responsibilities over there. It is very fast paced job. I was thinking if it was just me feeling overwhelmed or other new grads were going thru the same experience of being under constant stress as well. I guess there is nothing wrong with me and I am just human being. So, it is just impossible for new grads to perform their job like nurses with 10 years of experience. I deceided to slow down and to prioritize my responsibilities. I hope the things will get better soon. At least I know that it is not only me who has these kind of feelings and emotions while working in LTC. Understanding that others are going thru the same situations at work place gives me a peace......I am just one of them....

I was allowed to take those classes after I took readiness for re-enrollment course and passed all tests with A. They want to be sure that you are safe for clinical rotations.

I know it is very hard to find a nursing program that will allow you to make up those classes. Are you a nurse or MD?

Hi! I would recommend to try Seattle Pacific University.

Sorry, I do not understand why my employee will hold me accountable as CNA in my situation. I hold CNA certificate and I was hired as a CNA. IF I will do RN job there I will go beyond of my scope of practice as CNA. Then I can be accountable for this behavior. I wasn't hired to do CNA job because I have RN license.

Ikeep my job as a CNA at hospital for two reasons. First, the employee has very good medical benefits. Second, I am planning to apply for residency position after I get experience in LTC. I am a new grad. I have been working as a CNA for 5 years at this hospital.

Also, they do not pay me RN salary for doing CNA job and I am in CNA union not in RN union at hospital.

As I mention before I hold active CNA certificate and work as a CNA at hospital. I do not go beyond my scope of practice as a CNA. Why should my employee hold me accountable for RN responsibilities over there? I was hired as CNA not as RN. This things are so confusing to me.

I hold active CNA certificate and active RN license. I am working as a CNA at hospital and as a RN in nursing home. One of the nurses at hospital asked me if it is allowed to work as a CNA and RN as the same time. I don't see why not. I didn't have any problem with it so far. Is it old rule? Thank you!:)

Thank you, Michelle126!

Thank you! I was told that the effect the drug produces is not the same as a half- life. My drug book says that the peak is 1-2 hrs and the duration of clonazepam is unknown. I am wondering if anyone gave Clonazepam PO and how long did EFFECT last?

I am learning benzo and wondering how long will the effect of Clonazepam 1 mg last? If it was taking at noon will you still be drowsy next morning?

Great! Thanks for explanation!

Thank you, Mattmrn2013, for your reply. I have difficulty documenting situations like that one. Could you give me an example of charting. For example, '' Called to pt room at 1200....... and so on....'' Thank you!:)

What are the main symptoms of CVA? How do I know if my pt had CVA or he had some kind of seizure w/o visible manifestations like jerking movements?

Hello! I am a new nurse working in LTC. Today one of my pts had a seizure. I was called to the pt's room by CNA. She stated that pt had jerking movements. I didn't notice any on my arrival. Pt was profusely sweating and non-verbal. This is what I did: -listened lung sounds, - listened heart -checked blood glucose level, even though pt wasn't diabetic _pt had Hx of seizure disorder and was on Dilantin 300mg HS. So I called MD and received the order to drow the blood tomorrow for Dilantin level -documented in nursing notes the pt's situation, assessments and my interventions I am wondering if I missed anything in my assessment? Do I need to check for PERLA? Neuro assessment? What exactly do I need to assess? When I came to the pt's room, he was non-verbal. What shoud I pay attention next time in similar situation? Thank you!:)