k3immigrant

I think so too that you overreacted. when we use these machines like bp, pulse ox etc, we should not solely rely on that, we should also look at the pt.as long as they are not in distress, no significant increase in heart rate from baseline.checking the pulse oximetry in the same arm where bp is taken is okay as long as you wait a while to check reading after the bp cuff is deflated.

i think that it's not the system that was not working good in that scenario that was pointed out, i think it was more of communication between the physician, the nurse in charge of the pt or the charge nurse.since the patient was going bad, wouldn't the nurse in charge or the charge nurse if the nurse in charge is busy speak with the physician so you'll know what he ordered & almost always when a patient is going bad, stat & now orders are expected. i also think that getting mad or yelling isn't going to take anybody in a better place but rather will make other people feel bad.i worked with people who yell or be rude to other unit staff & i always feel bad because i think as nurses, we should be professional in dealing with situations because if we start getting mad, we stop being logical.i'm not saying that i don't get upset at work because i do but i always try to say it nicely & go by the golden rule, "do unto others what you would want others to do unto you".just my two cents....

i was just wondering...where was your preceptor when you were taking report? when i precept new nurses/new hire nurses, i always take report with them so at least i can catch whatever is missed or i can ask questions so the orientee will learn what/how to ask questions next time.

atta girl!!!go for it...whatever & however you were treated before, use that to push yourself & improve as a nurse.

my gosh :smackingf:smackingf she is dangerous....can it be that she is intoxicated or worse, she is not sure of what she is suppose to do & as a defense mechanism acted that way.

My mother in law was in a nursing home, she actually died there. whenever I go visit her, i can't help but admire all the people that works there.I guess you need to have a big heart to work in LTC facility. I work in a critical care floor & i've tried working in a rehab facility w/ 10 patients & i quit after 2 weeks.

i was teary eyed after reading the story of lewis.it made me angry because i felt the nursing profession failed this bright boy. as i was reading through the article, there were lots of signals, like when the boy was complaining of abdominal pain, auscultate & palpate the tummy would be the first things to assess & due to persistence of pain, somebody could have suggested a KUB to a resident, or when the heart rate was going up & pt appearing pale, a CBC. also, the fact that toradol is an NSAID, a daily or frequent CBC/hemogram should have been done & monitored. i don't want to judge the people that took care of this boy, i just hope this will be an opportunity for us all to learn to listen to patients & not be judgemental, as i always tell my patients to be proactive with their care as nobody knows their body than themselves.

i take a bath before going to work & bath & scrub as soon as i come home.i have kids at home & there's no way i want them to get any traces of the bacteria/viruses that are from the hospital.i don't mix my work shoes w/ the rest of our shoes either.

before i even came to this country, i know that my PPD is positive because i had 2 shots of the BCG vaccine coming from a third world country.when i got pregnant, the dr's office did the routine & one of them is a PPD & i did inform them that i had the BCG & i know that my skin test will turn out positive.they did not listen to me & prescribed INH just because I have no documentation that i had BCG & that my PPD is positive.i went to another doctor that ordered an xray that came out negative.then i was told that i need not take the INH.now i value my yellow card that documents that i have a positive PPD so whenever i apply, i show them my documentation & i am sent right away for an x ray.it's true that a positive PPD does not mean you have the disease - it just means that your body was exposed to it through exposure to a person w/ active TB or vaccine.

higher BP at least greater that SBP of 140 for ischemic stroke is indicated for as mentioned better perfusion but for hemorrhagic stroke, it's the opposite, you want a lower BP. Thorazine is not just an antipsychotic, it's used for treatment of hiccups in adults and also nausea.

the previous thread is right, don't even think about taking it just yet.if you want to just be familiar with it, try the internet like randy larson's site.for BLS, try the one in St Rose for a minimal fee or if you want, another place is the Academy of Career Enhancement in Karen Ave.

actually i am in the same boat as you are right now. i relocated in las vegas almost two years ago for the wrong reasons. the company sucks. i was told that there was a CNA but i was not told that there was only one CNA for 20 patients where RN's does all vitals, have to do at least 2 baths & most of the day answer ny own call lite as the CNA is sometimes nowhere to be found or with another pt & this is a step down unit. though i hate the workplace, i made friends w/ some nurses on the same unit that's helping me to be sane & make it till July - then we move back to California for good!!!! i would say, at this point if you think you can handle paying back what the company spent to relocate you then look for another job but if you think the amount is too much, then you've got no choice but to stay - live w/ it, accept the situation or probabll talk to your manager & address your issues - you never know it might help.

sorry, i guess we are talking about patients going off the floor to smoke & now nurses too......anyways let me just say... probably with you, you are responsible enough to look at the clock & take 3 ten minute breaks. my co workers gets their 2 fifteen minute breaks for their morning & afternoon break & a 30 minute break AND on top of that gets their smoking breaks. i have nothing against people smoking but nurses/staff who does not smoke should not have to suffer covering for people who smoke then later in the day will be bugging their co-workers to help them because they are behind.it just does not make sense to me.

Whenever my patient asks me if he can go down & smoke, i always go through the litany of the blah blah blah risks of leaving the unit. I also explain that if they insist in going down to smoke, they are taking the risk & i get our form & have the patient sign a waiver that if anything happens to him while he is not on the floor, he is taking the risk & the responsibility & waiving the hospital & it's employees for any liability. I don't smoke so probably i am biased in saying that patients are not suppose to be allowed to smoke. first, it might be due to the smoking why they are in the hospital in the first place. I always HATE it whenever my co workers ask me to "watch" over their patients while they go down to smoke, then after several trips downstairs for a cigarette, they'll bug me to help them because they are behind. DUH! i have no problems covering people for lunch but cigarette break, forget it because it is not a "legal" break anyway.

what i learned in my 4 years of nursing, DO NOT trust anybody especially if you are going to put your signature/initials on it. if somebody or a charge nurse tells you that she got an order, do not do anything until you see a written order on the chart or probably write the order itself & have that person sign a T.O./R.B. order or better yet, get the chart yourself & open it infront of that person that got the report & let her write it right there.