nursing twin

I think that would be an okay answer. I have made errors so unfortunately know from the hard way. you notify the doctor...depending on the med given depends what you would watch for...example blood pressure med you would recheck BP. Let the patient know and apologize...most times patients are pretty forgiving when you explain the situation and are honest with them. Fill out an incident report so that you and others can learn from the error and figure ways to prevent it from reoccuring. Let the charge nurse know. I think in a interview they are probably wanting to here that you would report it and have the patients best interest in mind.

Paricalcitiol,renagel and tums with meals. Renal vitamins- don't have the fat soluble vitamins which can become toxic when not excreted by kidneys... antirejection drugs-combo of immunosuppressants, antiviral. Kidney transplants usually get Tacrolimus, Neoral, Sirolimus, methylprednisone, prednisone, Cellcept (mycophenolate). Darbepoetin. When the pt goes to dialysis you hold oral meds but can give pain meds...they will filter out through dialysis. I like working on the renal/urology floor at my hospital. I learn how to do peritoneal dialysis manual or with cyclor(automatic machine). It's a challenging floor. hope that helps these are from a list given to me during orietation.

I always feels anxiety before going into work. I've been working on my floor since october a week away now form being off orientation. I just want to do the best job that I can. I feel like a seasoned nurse would do a better job than me. It's hard having feelings of anxiety before going into work. I think it's normal for new nurses. I just take it a day at a time and want to give hospital nursing a year and see how I am. I usually take tylenol PM to help me go to sleep at night b/c combination of anxiety and having trouble going to sleep. I need my sleep!!

Hi everyone, I too have made many mistakes and I like to hear about other experiences so that I don't feel alone in feeling overwhelmed. I have pulled out the wrong amount of syringes for a drug order...the order read 24 and I pulled 29 by mistake, didn't give it b/c it was caught by preceptor. I tried to set an antibiotic to be given too fast...realized I was setting bag by the mg dosage and not the volume. tried to hand a wrong bag of fluids. I gave wrong meds to a pt...a BP med that was meant for her neighbor. I gave meds too early...gave 2100 at 1800...printed out my med sheet and got really busy and did all the right checks except didn't look at time!! Tried to give benadryl to wrong pt b/c couldn't remember who was going for cardiac cath. Tried flushing central line with smaller syringe...too much pressure for this line. No problems from this though. I've learned that you can never check too much. I always do triple checks no matter how sure I am that I am giving the right meds. I write down orders as I go and double check with the computer. I always check how fast to give something and compatability with anything running with fluids. I ask a lot of questions if I'm not sure. It will bite you in the bum if you don't. I make papers with check boxes so that I'm not forgetting what I didn't want to forget. I still feel anxious every day I go to work....it's getting better but I still know I need to be vigilant about what I'm doing. This job is not for the faint of heart....I feel like it's a lot of responsibilty with pay not compensating for that. a year from now I hope that I'll have learned from everything and this will make us all better nurses. I know that I'm human and make mistakes...so it has made me safer which is a good thing.

thanks for responding. I know people make mistakes but apparently I have made enough to have a meeting about why and how to fix them. I have thinking and thinking about it since alst night and have realized I need to up my vigilance with checking. I honestly though I was doing a good job...but apparently didn't double check that order. I have been letting my preceptor be a check which I shouldn't have done. I should have checked in the med room another time before her. I'm going to stick through with this because I really want it. I have one month to prove that I can be a safe nurse. Every day I need to remember the mistakes and never not take the time to check myself!! not a bad lesson just one I'd rather figure out on my own.

Hi I've been in orientation for about 1 1/2 months now. I felt like I was improving until I was called into a meeting today. I had a really weird order for 24 vials of methadone. The vials were all banded so I pulled them out thinking I had 24 when I pulled 29 by accident. The mistake was caught but I should have been more careful!! I've made mistakes as to other things as well. once I thought a drip rate was faster than it should have been. I don't know if this is normal for orientees to make mistakes or should I really consider working at a nursing home where things are slower paced and the drugs change little. I like working in a hospital where learning is constant and I feel like I'm doing what I was taught to do. I have had a hard year with nursing and finding my career path. I just need to feel accomplished and successful at this point. Does anyone have any advice for me?? I think I will stick out orientation at this point and see how I feel towards the end. I really think at this point in my career if I don't succeed at something...that nursing was the wrong field for me. I really enjoy making connections with people andhelping them... please advice??

a good pair of nursing shoes!! a pair of Danskos will set you back around 100$ at least...but all those hours on her feet she will thank you for a good set of shoes. my feet hurt less and my back is less sore after a 12 hr shift. A good drug reference guide.. Davis's Drug Guide for Nurses (Davis's Drug Guide for Nurses)(10th Edition) (Turtleback). about 30$ used online. She'll definately need this during clinicals and in her career to reference. a well thought out gift for a nurse....Priceless!

I started out as a CNA and really hated it at first. I was uncomfortable and my back was sore for days b/c the facility did not have good lifting equipment. I ended up sticking it out and staying with it and I have no idea what was the turning point for me. Now as a nurse I can appreciate what CNA's do and can help them if they need help. I worked in the OR for 6 months and I can tell you that there was only 1 person that was incontinent during surgery b/c of his cancer. Maybe this is a possiblity for you. There are some areas of nursing where you don't have to wipe bums. Not everybody fits the image of "the ideal nurse"....I know some nurses in the OR that picked the career for convenience and still don't know if they like it out of all careers. Nobody tells you this right off b/c it makes them look bad. Try to find out why you like this in the first place. There are other areas besides the ICU to get training to be a CRNA. Applicants are required to have a minimum of one year's experience as a registered nurse in a critical care area (specifically ICU, CCU, SICU, MICU, NICU) prior to applying to the program. The Perianesthetic Care Unit (PACU) and the Emergency (ER) will be considered on a case by case basis.

I was recently in a new grad orientation in the OR. They really had a great supportive atmosphere. We met with all new grads in a meeting to discuss how the week went. If we had issues their office doors were always open. Problems were discussed without blame. I think it's really hard to talk about issues as a new grad. You don't know if it's you or not because everythings so new. We also had preceptors that really wanted to precept. We had a paid breakfast with preceptors and another with DON. The leaders were really attentive and stopped by each day even just to say hi. In the lunch room when I knew little people, somebody would always welcome me and say "sit with me". I think orientation needs to be personalized somewhat so that new grads feel that they are important to the hospital and you. It's hard enough to start nursing but there is a scary social environment to adjust as well. When you feel happier...the nursing is just a little less intimidating when you feel supported.

in my hospital there is blue-oxygen, green-nitrous oxide, don't know what black is.

Hi there, I think the better route would be to go to nursing school. Since you have a Bachelor's you could get accepted into the accelerated programs that are around 15 months. A surgical tech goes to school for 6 months and then 6 months of clinical time. They earn substantially less than the RN in the OR...15$ in our hospital vs. 21$ for an RN. Some nurses can scrub quite a bit if they like but mainly they are circulators in the room.

Hi there, I don't know if this will help but I'm in the same boat as you. I just quit my job yestarday in the Operating Room because it was too stressfull for me. I had to know every area of the OR like cardiac, general, vascular, orthopedics and neuro. It was highly technical and I felt that if I got off orientation I would be unsafe. Rather than risk my license and be unhappy I decided to leave. I think if you do what makes you happy things will work out. I think that if you like mental health than what could it hurt?? If you really hate what you are doing how will you feel a year from now? I think many people will tell you to stick it out...but I'm in the boat that you only live once and make decisions based on yourself. I'm looking into a floor nursing position b/c I really missed having patient interaction.

thanks:) I am at the point where I really need to hear this!! I've been given a list of goals to accomplish by next week to correct the mistakes that I've been making. It basically outlines what I have trouble with and that I need to be passed off on those things. They are basics but getting the whole flow is my problem. I'm with new preceptors that sometimes are sticklers! they want things done their way...and I've realized now that as long as I get what needs to be done than well I'm still doing my job. I can't rush at this point because it's not helping me at all. I'm going to collect myself and take this as good criticism because I want to do my job well also. I was just sitting during the meeting and thinking....I have my license and there are always other areas. But I think that I need to give this my honest too goodness try! I'll never know what I could be missing out on and I will always think of what could have been.

Hi everyone, just getting to the end of my internship and am having trouble feeling ready for everything. I have made mistakes nearly every day and the procedures are constantly new to me. I just started general surgery rotation and I'm finding it difficult. I'm trying to become more prepared and honestly want to know how many other new nurses have felt this way? Everyone I ask says they are fine and there's always someone to ask for help. I'm still having problems with hearing everything... I swear OR nurses have super sonic hearing! hopefully someone can give me advice because I'm really wondering if the OR is meant for me. thanks

It's great advice to start out as a CNA. If you know you want to work at a certain hospital this will get your foot in the door. Even if there is not a position posted, some of the people I graduated with have got jobs at Maine Med this way. My sister in Mass who just graduated with me is having a harder time finding a job b/c she went to school in Maine. It's not easy in either state if you have no experience. Knowing people, clinical instructors, etc. helped me get my job and I felt so lucky to be where I wanted to be. good luck