jam2007

jam2007

cardiac rehab, medical/tele, psychiatric

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All Content by jam2007

  1. nurse manager was rude to me

    I can't take it any more. I've posted previously about certain co-workers throwing me under the bus, but today my NM was particularly ******. The phone was ringing and because I didn't pick it up, she looked at me with disgust and said "you know, you...
  2. Free water restriction

    Can anyone explain to me? I had a pt with hyponatremia (not sure which type), she had apparently been taking laxatives and drinking a ton of water..and we put on a free water restriction. I am not understaning why they can have other fluids which con...
  3. I have been at my first hospital job for 8 months and it has become apparent that nurses I work with run to the nurse manager "tattling" on eachother (either real or perceived wrong doings) rather than approaching the intended victim. I always was of...
  4. stressed..other nursing options??

    I agree with your words of wisdom. In my case, I have been looking and sending out resumes without any luck. Unfortunately I only have one year experience in M/S and the job market, as we all know, kinda stinks right now!
  5. stressed..other nursing options??

    It's comforting to know I am not alone with the feelings of anxiety and dread about making it through another shift..but it is also disheartening to know that so many of us who wanted to be nurses are now questioning that choice. I work on a busy tel...
  6. I have the same question..but the monkey wrench is making it to rounds at 10AM with the expectation that all meds are passed and assessments are done. HA HA! Any other suggestions to address that. (I listen to report, verify abn. labs,test results, o...
  7. BP meds and parameters

    I usually see beta blockers with parameters...I know BB lowers BP and you don't want to bottom pt out, but there are other meds that can do the same (i.e. lasix) and it's nursing judgement. Are there other cardiac meds that one would anticipate the M...
  8. nurse manager was rude to me

    Thanks all for your humor! Definitely had to vent...don't want to have things build up and say something I'd regret at work.
  9. clamping NGT

    Yeah, it stinks...I do have co-workers I trust, but they aren't always on. I am looking for something else, but most places have hiring freezes. Thank goodness for allnurses!
  10. clamping NGT

    One of the patients has an NGT and I overheard it needed to be clamped..didn't want to ask and I searched my fundamentals book to no avail. Anyone have a clue?
  11. clamping NGT

    Unfortunately, asking questions is a sign of weakness on my floor...I've posted abut it before so I won't go on ad naseum, but I work with nurses who have thrown me under the bus, so I have to be careful who I ask what, so I am not perceived as not h...
  12. Before you took an early leave did you explain that it was too much walking for you? I work on a floor where the lay out is awful; when some of the nurses got pregnant the charge nurse made sure they had patients that were close to each other. I wou...
  13. I need to buff up my critical thinking skills..I know some of this will come with time, as I am exposed to different diagnoses, labs, etc. I know it isn't one of my strong areas and I was wondering if there are any books and/or websites that offer c...
  14. On verge of nervous breakdown

    Isn't it ironic, don't you think... that we are in a "healing" profession that takes it's toll on our bodies and psyche? There should be some sort of nursing support group with weekly meetings for our profession. I take care of myself, eat healthy, g...
  15. need help in developing critical thinking

    Interesting observation. I have to agree..during rounds I have heard some of the nurses spouting verbatim what they were told in hand-off like it was their original thought. I am not the most confident..even when I know I am right; I know I need to w...
  16. need help in developing critical thinking

    I am a new RN on a busy medical/tele floor where I see many different diagnosis. It is a high acuity floor and not alot of "walkie-talkies" I am trying to fit the pieces together...for example, if someone has Afib..I need to make sure they are on an ...
  17. I am having a hard time pulling everything together. I work on a medical/telemetry floor and I find that when I get report in the morning or give report during rounds, I am not doing as well as I should in picking up pertinent information. For exampl...
  18. Do you round on your patients every one hour?

    I work on a busy tele floor with 4-5 high acuity patients. It comes down to Press Ganey and pt satisfaction. It is an unrealistic expectation and I would love to see management (when was the last time they were on the floor anyway) implement this in ...
  19. Rehab. nurses please. Need help.

    I worked on a cardiopulmonary floor at a rehab with tele patients s/p CABG, cardiac caths, etc. Maybe it depends on the facility.
  20. I have no other choice!!!

    I would suggest calling HR (or the nurse recruiter) directly and asking your pertinent questions. If you have to leave a message, be sure to add "I know you are very busy, so if I don't hear from you by next week, I will try you again" or something a...
  21. I have to agree. The economy is going to take some time to rebound and I believe that the nursing shortage was based on projections regarding age of retirement and the average length of employment (there is a high burn-out rate, especially with new n...
  22. Do Nurses Eat Their Young?

    Have to say I agree with this sentiment. I am also a new nurse and have noticed the same. It seems as though this is a profession where you are expected to "know it all"..I was spoken to for asking a colleague a question and was referred to our 200 p...
  23. I'm also in MA and work outside of Boston. No layoffs, but staff has been mandated to stay home, including managment. For those of us that work 12 hours, if the census is low at change of shift, it's not uncommon to be asked to take "first-off" eithe...
  24. Just my 2 cents as you didn't mention the interviewing process at your new job..but what I've learned (after landing not so hot jobs) is to bring a list of questions with me to my interview. You mentioned the reasons the job isn't a great fit..so whe...
  25. I work on a medical/tele floor and we meet w/the Hospitalists and caseworkers in the morning to discuss patients. I am new at this and some of the issues I do mention are: any changes overnight, abnormal labs, DC plan, IV fluids, anticoags. I am tryi...