20RN06

I was a CNA before becoming an RN. There is a lot of team work and cooperation needed for certain in this field of work. I try to help my CNA's when I can do it myself, i.e. checking VS. But if I'm unable to do so, I delegate. I usually do a followup on the task before it is due, b/c sometimes CNAs get caught up and may forget. At the end, it is our (RNs') responsibility to get the work done, so if the CNA is known to neglect their duties in assisting the nurse as their title says, then there's no other option but to notify the supervisor/management, after of course we confront the actual problem ourselves first. In addition, I think most of the issues stem from a conflict in personality and attitude. But regardless, we all need to take care of the same patient/s come start of shift.

Thanks for the word of advise. Being new to allnurses.com, we cannot expect anything.

I wonder.. if Promethazine is so risky to administer IV in fear of harming the pt, why is it made the way it is? Is there such thing as a prediluted phenergan? Or would that defeat the action of the med? Also, if a pt where given the med undiluted for the first time, would that automatically harm the pt greatly? Or is the harm done through repeated use of the IV med? Thanks.

What else do you think we can add this this list of rights?

I decided to get my ADN first, mostly because I couldn't wait to be an RN. Less than 3 yrs later, I am working among the RNs who have either an ASN or BSN degree and the difference doesn't seem to matter much, exept the pay. At the end, I achieved the title as an RN and I am satisfied.

Are extrapyramidal effects from Phenergan use usually temporary, or permanent? I gave 25mg per MD order to a 77yo F patient, and have been traumatized since w/her reaction to it. This happened 3 days ago and being a new nurse, I wonder if I can handle this career anymore... =S