BigDog

Trade in your preceptor everyone is different in how they go about our business of nursing,dont worry about the clique thing either,being a male in nursing Ive dealt with situation and in the end no matter what I did or dint do was going to be wrong.Your preceptor is learning too,its 2 different games doing is way easier than showing rookies how to do it and do it right,in the perfect world both win you get a better fit for you and they learn about them as well.Hang in there Aand rookie is a term of affection on my planet

Especially steer clear of that one you will find camped out in the tree in the front yard with duct tape and stick waiting for you,or well thats what happened to me

Simple no nukie where you earn your cookies

Watch your pts even the wide awake ones like Stopnik said they'll quit breathing on you ,air goes in and out blood goes round and round and 02 is good welcome to PACU

Your fine ,unfortunatly you'll see what happens when the newbe doesnt get it,nurse dont eat their young but some leave scars.

5 yr old beat to death by stepdad,only i cared for him 4 12 hour shifts before he passed couldnt help but cry in that room with his mom and grandma wasnt proud of it ,but never forget it .

The newness doesnt last long,hope you enjoy the change best thing I ever did

We stand out with pt and feel the site when injecting test dose.amazingly pts tell us everything feels "fine" while their arm is puffing up.

The sites arent what gets ya its the smells sometimes

That first yr is just the first yr,lots to learn and do 18yrs later still lots to learn and do thats why I love it nevevr the same ol same ol.

My response that gets their attention is "I'm sorry were you about to offend me

the speed and severity of everything is a biggie in 91 my pts were in icu 3 days before they went to pcu now they are home in the 3days,then a pulmonary emboli killed ya dead now we see less.surgery much less invasive anesthetic no so volatile.One thing is the same still no line at the restroom during confrences but now being a guy and RN doesnt get ya tagged with old stereotype.

Big deep breath anxiety only reminds you to be diligent and after 18 yrs in icu cvor there are days I still get anxious now from knowing whats coming instead of reacting to what happened,whjen all else fails remember #! air goes in and out,#2 blood goes round and round #3 02 is good do those three and everything else sorts itself out so to speak.evryday brings a knew challenge thats part of what makes nursing a cool deal allways something coming aroundvthe bend.Hang in there the day comes when you know you can deal with it.good luck.

when all else fails chuck the tech and loof listen feel the pt.Gadgets arent magic. rule #2 when you cant find something on a pt ask the pt they know whats up with themselves. Good luck

I dont think its an infection issue as much as a line patency issue,seems like you get 2-3 lab draws before the line is either occluded or the valve sticks so you can flush easily but get zero blood return.

We dont do many pedi piccs if we do the kid is like 8 y/o we do iit same as adults with sonasite vein location sheath etc.We dont use contrast unless the wire gets hung up.We do use pedi size line without a cuff and at times they do seem to "fall out".Not sure what you mean by directives we dont have a specific protocol for peds picc.We use the same screening form as for adults.

Thankyou for ear and advice I am the first nurse and many of the things you mention Ithought of just wasnt sure if i was sparanoid or what.

Try abducting the leg so when presure is applied your pinning the artery against bone .This tech you know if youve got it or not.

Am I the only one who gets a weird vibe from some of the techs.In previouse rad job chalked it up to people being people.All the techs seem to dispise my existence.New job new people not here long enough for it to be personell.How should I handle it

Everyone starts somewhere why not in OR if someone wants you for dinner they will eat ya anywhere.Good luck

It takes at least a year to "get it " in the O.R. and the educator should know this, if you like me learn by doing somedays you learn alot because nothing goes right but then you know what to do when it doesnt go right.Dont give up just yet talk with the manager and get clear where improvements are needed and focus there.Good luck.

I found some shoes at sears their like dresssy mechanic (Black no worries seeing betadine,blood etc stains)Soles are resistent to evrything so no slippage.They have diehard stamped on the sole cost about 50

Thank you for the articles I practice in a free standing CT/MRI clinic but the info helped prove my point.

Help I seeem to have a foot in my throat. 90 yr old lady and she is deaf as post.As I attempt to administer procardia s.l. in the middle of a 20 bed PACU I yell Lift your head I've got a little tongue for ya, instead of lift your tongue etc. Assoon as I said had to look to see who noticed,of coorifice evryone heard it, but the kicker was the pts response,she says to me OK dear do what ya gotta do.Thats when I burst out laughin she didnt hear anything we said to her.

Helloe all,glad I found this place,as I am the Nurse in a free standing research facility .Looking forward to interactions with other nurses.It is as they say you gotta be one to undrestand sometimes.