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.

Once I was assisting a fellow day shift nurse pull a line so the tip could be cultured. I was leaving from night shift and just helped out b/c it was my pt earlier. I held the specimen cup and watched her do everything right until she pulled as Fast and as Hard as she could on the line! :no:It was out in a flash. I couldnt even breath or speak. Thought I was gonna SH*T myself. I immedately ran to the patients side and watched her like a hawk while the other nurse finished collecting the tip. I was so scared but I didnt want to say anything in front of the pt. Since then I stay clear of this particular nurse. Her methods scare me.

I say go for it. I worked two jobs while in school. Like you I had all the prereqs out of the way and only had my nursing class and clinicals for four days through the week. After class I would work prn at the hospital from 3-11p or 3-7 p depending on the days. I recommend getting a job as a cna in the hospital on a prn basis. They know you are in school and they are usually pretty flexable to help you out. I would also call the nursing office on days my floor didnt need me but I was available and they were usually able to place me on another floor for that day. I also worked 11p-7a at a nursing home. Because most residents were sleep, in between my 2 hour pt rounds I would break out a book or work on my care plans. It can be done but you have to find flexible jobs. Good Luck!

pts can get UTIs whether or not they have foleys. Most docs will probably go for the foley instead b/c they know that urine on the skin and frequent changes will lead to skin breakdown fast. Which leads me to my next point. What about the patients who come in that are basically here to die and dont get better. If they hadnt been eating and come in with bones purtruding and wasting away, bedsores are almost inevitable. Same goes for UTIs. If pt was incontinent at home and doc didnt order a UA/U micro then when we put the foley in, who is to say it wasnt already festering? Anyway, just my two cents.

I think that the biggest thing that I hate about bedside nursing is that we dont have defined roles. You can just about blame the nurse for ANYTHING that doesnt go right. Lab didnt come and draw that CBC although I did put in the order=MY Fault/My problem. Dietary didnt send an ADA tray when I know I put the order in correctly=My Fault/My problem. Dr.X didnt tell momma that she was getting a new permacath and the family doesnt want her to go or sign for consent=My Fault/My problem. CNA didnt tell me about pts BP @9pm was 86/50 and now its 11p and they are going downhill=My Fault/My problem. Room didnt get mopped this morning=My fault/My problem. Im so flippin sick of having to take responsibility for what every other EMPLOYEE didnt do. I have enough problems just medicating, hanging IVs, giving blood products and doing dressing changes for seven pts. Not to mention the loads of paperwork and fighting off admissions when you are already understaffed. I give myself 3 more years at best then I'm either out of bedside or out of nursing period. Sorry to sound so negative......but this is a reality for me on a daily.

With bills and going back to school I cant really afford to go part time but Im gonna do it anyway. I transferred to a different floor six months ago and I hate my job. I put up with it this long and I just cant take it anymore. I am gonna go part time for the next six months until i can transfer to another unit. I will probably only work 20 hours a week and make up the difference with agency work. Agency pays more so I really wont have to work harder to make up my hours missed from being fulltime. For the sake of my sanity......I am gonna have to go part time and my doctor agrees with me and encourages it. Im starting to have anxiety issues that were not present a year ago. Its just not worth it to stay and go crazy.

To the obese pt...no I wont be getting you out of bed for the first time so you can fall on me...... Also, dont get mad when it takes me 20 minutes to hunt down four other pep strong enough to turn your big azz and put you on the bedpan.(common complaint of 350lbs plus pts.) If you called me for nausea meds(phenergan ofcourse) then no I wont be getting you those snacks you wanted....nauseated pep shouldnt eat graham crackers and peanut butter. To the pts threatening to leave AMA after berating all the staff because we wont cater to your every need .......Dont let the door hit you where the good lord split you....PEACE OUT!! To the irrate patients that scream..."I'll never come to this hospital again"............ You promise? I mean, can I get that in writing? No I wont get your husband a Tylenol and no I wont change your disabled incontinent family members brief.....YOU are my patient and we're not running a 2 for 1 special today.........Thank you, exit left. To all impatient families and patients...yeah I may be big but there isnt really two of me...I cant be in two places at one time. Sit down, shut up, and take a number

I have a real problem with the people who are only in it for the money. I agree that money is important when choosing your career and I think that we should be compensated well for what we do. But if you went to nursing school b/c you wanted to get $30 and hour, travel but you dont think you can actually physically touch and care about another persons feelings, then you shouldnt be a nurse. Thats disguisting to me. I dont want you standing over me while I'm sick and not want to change my brief because you didnt go into nursing to clean. (it comes with the job description) Not everyone has to do it but you shouldnt think you are above it. I know nurses who got into nursing for THE MONEY, who always call for the CNA to clean their patients bc they dont want to clean poop. Meanwhile, while you are waiting on the CNA who has 18 other patients to care for...

I am not a new nurse but recently I started a new job in an area that I don't have a lot of previous experience in. I think what would help to retain new hire nurses is to not treat them like they are a staffing solution while on orientation. I am on orientation and just because I am an experienced nurse I often get left on my own with MY OWN ASSIGNMENT! I will have a "go to" person that has their own assignment. I'm finding this to be very stressful because While I am experienced, I dont always feel comfortable with my pt assignment because of new surroundings, new docs, new ways of getting the job done. I have had this problem before on another job that was just per diem. I was taken off orientation way too early even after expressing my concerns. I quit that job without notice. So my point is, let new nurses get the orientation they need to feel comfortable and maybe they will stay.

I use to be harassed almost daily to come in to help out b/c my unit was understaffed. I was losing my mind and I would bring that frustration with me to work and it would affect how I treated my patients. I also took it out on my family that would call me on my only day off while I was asleep (night shift). You dont want to go there, its horrible. Stop feeling guilty and stop answering the phone. I took my cellphone out of the phone book at work so I could only be reached at home. On my days off I made plans so that I wouldnt be at home to get the message. Or just let it ring and dont listen to the message. You cant solve all the staffing issues. And if you are going in by choice, I have to say to you what I realized for myself....You cant enjoy that money when youre dead, insane, or have no friends/family to spend it with. Good Luck!

I think this is a great idea and I hope it helps.....did the survey