-
Circumcision at change of shift?
Do you work at my hospital? We have a doc that loves to come right at shift change to to do circs. They just call us on the phone and say, I'll be there in 10 minutes please set all my babies up for circs. Then we have to scramble around and get them ready. Some of them come like they said, but we had one doc one time call and have us set his kids up for circs and finally showed up an hour later. We have a designated room for the circs so the nurse that took all the kids down and had to wait is now behind on what she needed to do plus them kids being placed on the boards. I think the nurse said she bundled them up so they wouldn't get cold and loosened the straps some. But I thought that was just way toooooo long to wait. I would have been calling him and telling him to get there now because the babies were waiting.
-
Hesi :(
If you have any kind of NCLEX CDs that have questions you can answer. My class had to do the ATI testing all the way through and then they sprung the HESI on us for our final test. But doing all those practice test for the ATI I think help me get ready for the HESI. Just practice answering question. Think the questions out, remember there could be two right answer but you have to think about which one might the the more right answer.
-
Passing out in the OR....
I passed out in a Vets office. Yes my poor doggy had a boil on his back and the vet had to drain it. Needless to say I was feeling faint and wanted to go sit in the chair but my mother stopped me and told me I needed to help hold the dog. I looked at her and said "I fixing too................................" and hit the floor. Woke up soon after with the Vet over me and with muffled ears heard him say "Just lay still" In my head I was at home in my bed, and was fixing to let out a scream when I saw my dog looking at me from over the examming room table and my mom holding my feet up in the air. It all then came flooding back to me what happened. So when I was in the OR and felt it happening again I let the OR nurse know and she got me out of their before I hit the floor. After a few minutes rest and bathroom break I went back in and finished watching the surgery. It was a 4 hour surgery.
-
I cant take nursing anymore
I don't think even the managers can change the process. We now have a Manager over our unit manager, and she is not even a nurse. I believe she was a speech pathologist or something like that, and she is the one now telling us how to do our jobs. That we must stay to our grids. But the grid in the nursery is just not right. I just want to say. So Ms. So and So if we have 10 NICU babies you are telling me 2 nurses can handle it. NO. Our nursery is a mixed nursery. We do both NICU babies and well babies. The other night we had 2 NICU babies, 3 Intermidate babies (V/S q 3 hrs with feedings) and 3 well babies, and only 2 nurses, they said we didn't have enough even to have a PCT come and help. So the other nurse said she would take the 2 NICU babies and another INTER baby since it was staying in the nursery since its mom had gone home, then I had the other 5 and anyone else that might come in the door. And it never fails the nights like this none of the moms keep their babies, they send them all back, and then you have to have the one breastfeeding mom that wants you to suffle the baby back and forth from the nursery to their room in for their 20 minute feedings and then they send them back expecting you to keep the screaming kid who is hungry, but we can't give them a pacifier or bottle to calm them. So needless to say after about 30 minutes I take them right back to their moms. They hold them for 30 minutes and then call wanting you to come back and get them. And then the process starts all over again. They get back to the nursery and start screaming again. Don't get me wrong, I breastfed all 3 of my kids. But they also stayed in the room with me at all times. And if I could not have gotten them satisfied with a breastfeeding session they would have had a bottle to follow up. I would not have expected the nurses to take care of my screaming fussy baby.
-
Proper notice
If your life is in danger, get out immediately. Explain to your manager and on any future job resumes you need to put why you left in such an abrupt manner. If it is not life threatening then you need to try and work out your two weeks. Had a friend that turned in two weeks notice (we worked nights and didn't know the manager was out of town the first week) and she told her future employer the date she could start. Well when the manager came back my friend only had a week until she started the new job. And the manager refused to let it go in effect when she turned it in, instead it was when she found out. So it was in her file that she left less then two weeks notice, and the employer who already had hired her did not let her come to work since she did not give proper notice to her prior employer.
-
Stress related near breakdown
I've been in this situation before where I was just so stressed out, burned out and didn't care if I got in my car and pulled out in front of a eighteen wheeler or not. The best thing for me was to switch jobs. I found a less stressful enviroment, some antidepressants and became myself again. I can't believe at times that I have been a nurse for 17 1/2 years. Never figured if I went back to school it would be for nursing but it was, and I have been an RN now for 2 years (was LPN before that). There still are times I would like to get out of nursing but I have to have a job. I now work in a nursery, it does get stressful at times but I work through it. Hope you get to feeling better.
-
Article Contest - Transcultural Nursing Experiences
When will we know who the winners are this time Brian. Thanks.
-
Hypoglycemia In The Newborn
Our unit checks every baby that is admitted with a heel stick Accu check. We have had several babies since I've started working here that the mother didn't have any diabetes gestational or otherwise that would not hold their sugar up and we ended up putting them on IV D10w until we could get them controlled.
-
Pumping breast milk at work
I work 12 hour shifts and pumped until my ds was 13 months old and I weaned her. I usually pumped twice a shift with a Medela double breast pump. I could usually pump about 15 minutes. My co-workers were encouraging and would usually ask if we were real busy and knew I hadn't pumped yet "Aren't you going to pump?" So yes it can be done. With my first DS I worked at a place where my co-workers were horrible about it but I still managed to pump for a year. It was a clinic and I worked 8 hrs, I only pumped once a day and luckly she was at a daycare right next door so I would go feed her on my lunch break.
-
Refusal of Brain Death exam??
Sounds like this poor family just don't want to hear the truth that their loved one is gone. So many people see the heart still beating and still believe that they are alive, even when told that their is no brain activity. Prays go out to this family, and maybe soon they will come to the realization that it is time to let their loved one go.
-
Writing RX as a nurse
I know when I worked at a Dr.s office she would have me write out for refills of patients meds when they came in for their office visit, but she was the one to check it and sign her name at the bottom NOT ME.
-
for adminstrators
We are told this Active listening is the most important factor in determining a patient's overall evaluation of an inpatient hospital experience. Patients rate highly clinicians who listen to them carefully. In a nationwide survey conducted by NRC Picker, patients identified good communication skills as one of the most desirable characteristics of a caregiver. Active listening involves focusing on the patient's or family members' words, tone, body language, emotion and behavior. There are also other factors that directly help in the development of a healing and nurturing relationship with a patient and their family. Caring, respect, and empathy are vital aspects of relationship building. Active and non-judgmental listening shows respect. There are certain research-based listening techniques that are proven to work in clinical situations: Positioning oneself at an eye level that is lower than the patient's, sitting down, and the use of silence to allow time for the patient to express their thoughts thoroughly. My thing is WHEN DO WE HAVE TIME TOO. Yes I would love to sit and talk with my patients, find out what I could do to make them feel better. Or to help my patients learn to breastfeed, but with four to five babies, and with four BFeeders who all need help at the same time, you just can't do it. You are rushed, you have other patients to see and check on. So you rush in get the child latched on the best you can say "see that's how you do it, if you need any help call me." and then rush back out of the room to the next mom. And I love since it is night shift that the nurse to patient ratio is so much higher. So at times we have even less time to sit and actively listen to our patients.
-
Vent from the patient's side of the aisle
I agree with everyone, get yourself to a neurologist pronto and find out what this thing is or is not. ((((((((((((((((((((((((((((((((NightCrawler)))))))))))))))))))))))))))))))
-
Things people say coming out of anaesthetic
I had an arguement with the nurse afterwards. She kept telling me to wake up and I kept telling her "No I just got to sleep". Needless to say I like my sleep no matter how I get it. I was not a happy camper to rise and shine.
-
Why is potassium scored?
This is what I found on the drugs.com on K-Dur Do not crush, chew, break, or suck on an extended-release tablet or capsule. Swallow the pill whole. Breaking or crushing the pill may cause too much of the drug to be released at one time. Sucking on a potassium tablet can irritate your mouth or throat. Take K-Dur with food or just after a meal. Micro-K Take Micro-K with meals and with a full glass of water or some other liquid. Tell your doctor if you have difficulty swallowing Micro-K. You may sprinkle the contents of the capsule onto a spoonful of soft food. Capsules and tablets should not be crushed, chewed, or sucked. If you need to crush it you may need to see if you can order the Powder exp: Gen-K or Klor-con those can be placed in liquid to take