RosalindRN

Absolutley could not do the following PEDS..... I hated my peds rotation. Im not gonna beg this kid to take his medicine and I hate dealing with the parents. The only kids I like are those in my family. even some of my friends kids annoy me PSYCh....sorry but all your emotional baggage is too much for me. If I cant give you a pill for it...then I dont wanna fix it (sorry just being myself here) Drug Rehab... Did it for a while and hated pep trying to manipulate every sitauation. They will hustle you for motrin. Crazy!!!

promote a healthy diet.....assess comorbidities in the pt..example are they neutrapenic because the recently had chemo treatment, do they have uncontrolled diabetes. Even treating the anxious patient who is having trouble coping with hospitalization (they tend to pick and mess with incisions). Also monitor vital signs and related labs. I think care plans are great because once you become a nurse these are the things that will rattle around in your head when it comes to knowing how to care for each pt. It gets easier.

overall I like students and I can remember being a student and feeling unappreciated by the nurses on certain units. I also felt like I couldnt be trusted. We also use to bad mouth the nurses over small things they didnt do or how short they were with their patients. Now that I am a nurse I can see how I didnt have all the facts as a student. I got really ****** off at a student for questioning me about medicating a pt before doing a dressing change. I was already mad at the doc because he came in and removed a wound vac off of the patient without any prior notice and just left the wound open and the lady was screaming her head off. I gave her pain meds but it wasnt gonna help her when she was already in pain before he ripped it off and he left her wound exposed. The student got cocky with me and was like" Youre not gonna give her more pain meds". Okay fisrt of all she is a renal pt and if I give a bunch of meds to a 100lb renal pt it will eventually catch up with her and knock her out or worse. And secondly, her pain is important but covering up this gaping wound before she bleeds to death is my main concern right now. I dont mind you asking me questions but I can do without the attitude because I feel like I have been doing the work to make the decisions. Even after you pass the NCLEX and spend the next 5 years working with 7 pts every night for 3 12 hour shifts, I still will not appreciate your cocky attitude. I dont even tolerate that off my own co-workers.

We just started using them a week ago. I hate it and yes you do stand a lot. They actually want us to clean the wheels and wipe down the entire thing everytime we go into a pts room on contact precaustions. Ha! How about I just park it outside the door facing only me. Thats as good as it will get for me. Its a pain in my orifice!

the answer is all of the above except give the medication. You actually as a NURSE do all these things at the same time without even thinking about it. If I get a med that requires me to give 40 tabs, I look back at the order while holding the med. And while Im looking at the ordered dose I am also checking the available dose from pharmacy because MAYBE they only have 1mg tabs (not likely). And I have taken NCLEX classes that say if you get a choice to do one or more of the Right thing, then you go with that answer. This is tricky but if you think about how you practice, you really do these things all at the same time.

Oh man I feel so sorry for you and all the other posters, I am going through the same thing. I work nights on a busy floor, bills, home stress, and just the stress of being in nursing has caused me to have to change my life. I cant sleep, always nervous, mean at work and just have this doom and gloom feeling all the time. So I went to my doctor and she put me on Cymbalta. I was also having shoulder pain and neck pain. So she thinks it will help in both ways b/c Cymbalta helps with chronic pain and anxiety. I also plan to go to a weekender position and if I need to supplement I will get a home health job. Sometimes you just have to think outside the box. Dont kill yourself working on the floors. Also do you have an Employee Assistance Program. They are councelors you can talk to about your problems, just like a psychiatrist. Just some thoughts. Good Luck!!!

Sorry I dont do back rubs. I file it right up there with pep who bend over and want me to wash or wipe some spot they claim to not be able to reach. Not gonna happen. Call me evil or whatever you want. Dont care. Your back hurts, Ill get you some lortab. You want a back rub, call your spa or your husband.

I would give the Metoprolol and hold all the other meds til the am. You can give more meds if needed easier than you can fix a bottomed out BP. I would inform the night shift that you tried to reach the doc but couldnt get him. If the BP goes up or doesnt come down on nights, they can call and get a PRN of clonidine or something like that. I have found it beneficial to have prns available even with pep on a lot of BP meds because they just take the meds and maybe check their bp once a day if that. We check it very often and we need to act on it if its too high. I wouldnt give them all at once because you dont know how it will affect them, seeing that this is a new pt.

my 5 year goal is to stay in cardiac nursing, probably in a Cardiac ICU or cath lab while working on my BSN and NP and on a personal level marry my loving BF and have a kid. my 10 year goal is to be an Adult Nurse Practitioner working with underserved populations and educating in the underserved communities. All while juggling a husband, home, 3 kids and a dog. (Yes I wanna be SuperWoman!)

I say dont do it. Just my opinion. Unless this is the only ICU job available anywhere near you I would pass on it. What if you are terminated? What if you get sick or have to go on disability? For $800 I might think about it if I really wanted the job but $8000 is nothing to sneeze at. Thats a car. Thats a huge chunk of my student loans. Nah, I cant see it. The only way youre getting that kind of money out of me is if you gave me something to begin with, like a sign on bonus. But me pay YOU only because you trained me to staff YOUR unit!!!!! Me thinks not!

The time it takes for you to post this message, you can google.....1)areas of the brain that affect speech 2) stroke 3) strokes and the areas that affect the right side of the body. There is endless help out there even if you dont want to crack open your book. First of all you wouldnt have a question like this in school without first having a reading assignment that covers this specific topic. I was too broke in nursing school to have a computer to ask these questions of nurses. I had to do it the old fashioned way and actually read my assigned lessons and take hand written notes and use a highlighter......Imagine that!

Your assignment didnt sound half bad to me. Atleast you had a cna and a charge nurse. I do the same every night on a tele floor 7 to1 pt ratio, the charge nurse has 6 to 1, a cna is a rare treat, no secretary to answer call bell, and you watch the monitor yourself. Needless to say we have problems when pep brady down and noone is at the desk to hear or see it. Consider yourself blessed. As for the foriegn nurses, just my observation but they are always concentrated on floors that noone else dares to go. I think they recruit them to these areas as if there is no other openings anywhere else where American nurses will hold out for other areas or go to the MD offices. Just my opinion ofcourse.

As a cna in the nursing home I saw alot of gross things. Once as I was doing pt rounds I had a little old lady who was eating what I thought was a candy bar.....by the time I was able to glove and go for her treat she took another delicious bite out of her poo stick.....yum! ...Same job, had another lady that was confused and would get up in the middle of the night to wander and such. She appeared at the nurses station fully dressed with what I thought was chocolate pudding around her mouth. You guessed it. They loved thier pooh. As a nurse took care of a man once that had a rare disease that caused infectious boils only in the sweat glands. He had been there several times to have the boils treated and huge areas of the skin removed. It caused these huge boils filled with (coffee with cream) colored thick pus. We had to dress the areas that popped but this would cause other boils to pop easily......so nasty.

phlegm... young male pt with a hovering mom at bedside 24/7(taking notes :chuckle ) or pt with a spouse thats a know it all doctor

I hate dealing with drug seekers, especially the manipulation that comes with it. Working Telemetry we get the chest pain group who come in positive for coke and marij. Refuse to be npo for a stress test and refuse lab to stick them for enzymes. They just dont want to be found out. The saddest part is that the docs (especially hospitalists) just please the pt and reinforce their behavior. They dont have to put up with it and if they can order dilaudid q1 hour to keep them off their backs then who cares, because they dont have to stay and deal with it. Lately when I have a problem with one of the seekers, I get on the phone with the doc about it. Even if its nothing Im requesting, I just let them know what Im dealing with. (even at 3am) I feel that if I have to sit here and put up with this SH*T then so will you. Sometimes it helps to keep the doc from dragging their heels on the d/c paperwork.