Sisukas

The job of some nurses in our hospital is to do Quality Assurance for reimbursement...sounds as is that's what the OP does.

please, please, for the love of pete....spit out your gum!!!!!! if i want to hear snap, crackle and pop in the morning, i'll eat rice krispies. i literally could not continue my day until that was off my chest....

A nursing supervisor pronouncing a DNR patient deceased walked out of the room, shut the door, and told me in her best Munchkin voice, "not only is he truly dead, he's really most indubitably dead".

i blamed one on a dead person once:eek:....turned him on his side to wrap him, and either the pca or mr. gonetogreaterthings let one loose. since mr. g probably wasn't going to be embarrassed, i gave him the credit.

time to get one of your advanced practice nurses or a nurse educator involved. it sounds as if she has some fear/trust issues and i'm afraid that she will go to your point of view, miss something, and kick herself until next year....you need some back up and you need it now. if her facility is like mine, she will not have 30 weeks of orientation in order to get comfortable with 5 patients.

I wasn't implying that the CNA was expected to work off the clock. I was saying that the CNA is working to help the patient, and trying not to say that I didn't care for the attitude I read in that post.

"i beg to differ. even if one is not on the clock and the person in the bathroom was ok, the cna should have at least helped or found other help for the rn. that is why they are called "nursing assistants" to help the nurse. " they are called nursing assistants because they assist the patient, in my opinion. they are not there to assist me and they do not work for me. they work for the patient, as do i.

"It's fun until someone loses an eye. Then...Hey! Free eyeball!"

glad you've made the choice for nursing:yeah: i'm curious about your decision to be a surgical nurse, though. not that i think it's a bad, thing; god love them for doing what they do because that means i don't have to do it. it only took one observation day to confirm that this was not my field. anyway, i'm surprised you aren't looking into peds since you love kids. my advice? choose a field after you've had clinical experience in all of them. it would not be good to commit to one and base your education on it, only to find that you prefer your patients awake and talking to you.

another thought...do you have benefits through your retirement that would allow your wife to work per-diem? my husband carries full insurance through his job, which allows me to work pd, which really raised my salary. and with the shortage, i don't get called off, ever. [color=#483d8b]i supported our family by myself as a new grad, by the way, for almost a year while my husband took time off to recover from his stressful job/commute in yosemite, and not only did we survive, we saved a down payment for a house. it is doable.

yeah, i had warned her....we just underestimated how well that would work. she got the chicken ceasar salad for lunch...one of the few hospital foods that's made to order. i do treat my pcas well; and am very mindful of how their days go. i also make every new nurse that i orient spend a couple days with the pca if she wasn't an extern. i was a cna a while ago, but i haven't forgotten how it is. that's probably why she felt comfortable telling me off in the hall.

well, this was not one of my most shining moments.......my patient had not had a bowel movement for about 6 days, best as i could figure from our i&os and the snf records of from whence he came. being the proactive yet lazy new nurse that i was, i figured he need to get goin' but i didn't feel like calling the md for a laxative. my plan? warm prune juice via g-tube. why not?...we give it p.o. when there's no other options at the moment.... about a half hour later, i'm thinking about going down to the room to see if my plan worked. suddenly i see my pca barreling down the hall with an armful of linen and a really stressed look on her face. i stopped in my tracks, looked at her....she looked at me....and said.. "don't even think about going in that room. don't help me, don't talk to me, don't look at me". somebody please tell me they've done something similar.

Don't assume that not having a bowel movement for 4 weeks is a normal part of pregnancy.

1. when you check the med sheets at night,if a med isn't on the pre-printed sheets, pharmacy isn't aware of the order. if you have to write it, fax it. 2. the chair is not on wheels so you can toodle around the nurses' station. get up off it, walk to the pyxis, and yes, i was using the top of my foot when you ran it over. 3. when you wake up a doc at 2 am for an imodium order, for the love of pete, give the drug. when the doc you woke up comes in to the station hollering at me because you woke him up and then didn't give the med, and requests your phone number so he can wake you up to ask why you didn't give it.....i will give it to him with a smile.

"what's the magic word?"