paradise22

Hartman's fluid replacement

Swatch007:angryfire :angryfire No actually this was not my nursing school homework-You jump to conclusions very quickly-I was asking for comments on the senario not a sermon-I guess you don't have the skills to give useful insight to my senario. How dare you say ""let use see-you speak only for yourself not other brighter nurse's on this site. :angryfire Very closed minded person. Nurse yeah right. Why did you bother to reply? I could have done without your comment. Hillbilly.

Hello there everyone, I need some help with this senario. Miss P has a acute bowel obstruction Currently Nil By Mouth. To have Hartmans Solution 1000mls over 6 hrs-followed by 1000ml dextrose/saline over 8 hrs. 0800 am IV Hartmans started. 1015 am Miss P vomits 200ml 1300 voids 120ml urine 1400hr 850ml drainage from naso-gastric bag is emptied. What would be your nursing actions be with regards to Miss P's fluid balance status.

I have a good chance of a new position in our regional hospital. Right now I worked in a the community (23 beds). I am the only nurse on duty-have a lot of freedom but there is no chance of promotion or post-graduate training-the pay is pretty poor compared to the hospital. This would be a chance to increase my experience. But I am scared of the move-that it will take sometime to settle in and that I might not be up to the same standard as hospital nurses. If I stay at the other place-things will remain the same. What should I do? Take the chance or stay with the familiar. :balloons:

Thank you Goodwitch-very helpful. Cheers for that:cool:

:paw: I need some advice regarding interviews-dealing with nerves-I appear fine until I sit down for the interview-everything just goes out the window-my voice becomes shaky-can't remember a thing-My last interview was over the phone (panel of five)-I just lost it-So, that interview has affected my confidence. I reallly want this position, so much.

I really hate my workplace. I love the patients. My don tries to tell me when to check someones blood pressure-the nursing manager points out "those tablets are for high blood pressure". As if I don't know that. I don't even get a friendly hello from these two people. Just recently I reported a fellow nurse to the manager and don. Nothing happened. I am so unhappy working there-It seems other nurses whom do a "crappy" job are valued. I work to very high standards-complete everything properly but that doesn't seem enough. :chair:

Today I spoke with my don regarding concerns about a staff member. Last friday my shift ended as usual at 2300-The next shift leader, myself and a co-worker were seated at a table. A man fell out of his chair and onto the floor. The team leader said "Leave Him". I walked over to the man-checked him for injuries. The next day I saw the incident form. The team leader had logged the incident time wrongly. You could see clearly the true time had been covered over. Also the contents was untrue. Did I do the right thing. Patient safety was my concern and because the time she logged in indicates it happened on my shift. I am afraid she will retaliate physically. I thought during handover with this person that I would have a co-worker present. :balloons:

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