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Violating a Code Status...
I would rather code a DNR, than not code a Full Code. If the world were perfect this would never happen, but nurses are so overloaded this is almost understandable.
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Whats with the scrubs?
I have gone out to Breakfast after a night's work in my scrubs! What's wrong with that, Dear God, isn't there more to worry about?
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Scanning meds, don't make my mistake
Good catch on your part! Now you've learned from that mistake, which is GOOD!!
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Lantus given wrong time
We always give Lantus at HS. This is a long-acting insulin, you did the right thing by reporting this to the Doctor. I don't believe that this should "bottom-out" the patient even though it was 9 hours early. Just in case, monitor the patient closely and inform them to ring for you if they start to feel as if their blood sugar is dropping.
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IV Administration of drugs...KVO vs numerous saline flushes??
We don't keep an IV going at KVO unless it is specifically ordered by the Doctor. We just hang the ABX and flush directly after. I don't know of anyone in my facility that does this...very interesting.
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What is the nurse to patient ratio in your facility?
I work on a 24 bed Med-Surge Floor. The nurse to patient ratio is 1:8 (at the most) for me anyway, I refuse to take anymore than that. Sometimes we get a med nurse if the acuity is high, and we always get an Aide, but most of the time it is an RN and an Aide for 1/2 the floor. I think that this is too much to expect, but there are not a lot of options for work where I live.
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Yelled at by a doctor for the first time....
Doctors have no right to yell at you!! I have never been yelled at (thank God) because I would give it right back or report them to my nurse manager. I am very lucky to work with a great bunch of Docs. Do not take verbal abuse from ANYONE!! Our job is hard enough without an unnecessary stress like that!! Stand up for yourself, and I bet they will think twice before attacking you again!! Be respectful and calm, but be clear that you won't put up with that!!!
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How many new nurses are seriously thinking about quiting?
I wanted to quit the first couple of months too, but I really started to get a comfort level with my job sometime after a year, my job on Med-Surge is definitely rigorous, last night having 8 patients with only an Aide, but after a while it becomes second nature to you. If you're thinking about giving up bedside nursing, please reconsider, we need nurses so bad!! We are working with Legislature to get things changed, a better nurse to patient ratio for one! There is a lot of satisfaction that comes from bedside nursing!! We need good nurses.
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BSN does not mean better... Sometimes education is overrated!
I have my BSN, I did this for myself, as a kind of insurance, in case it would be required someday. I am glad that I earned my BSN, and I do feel that I received a good education and that I am a well-rounded nurse because of it. I too have seen some BSN nurses that do not deserve the title, but as for me I feel that I try to use what I have learned both from school and work experience to provide quality patient care, and always advocate for the most important issue at hand, THE PATIENT!!!! That is what is most important!!!
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"It shouldn't be that hard to be a nurse"
Why should it be that hard? I feel that you should be able to get into a school if the proper prerequisites are met, and let the school decide if you are "smart" enough to become a nurse, there is a lot more to becoming a nurse that just getting into school! The Boards have something to do with it as well.
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Co-worker stole my ID
Unreal! I can't believe that this would happen! I would definitely report this before you are the one to be blamed! Good luck with this!!!!
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Calling in sick??
Wow! I wasn't aware of any of these policies! Good info to keep in mind. I have Sarcoidosis, and I was out of work for 8 months, although I am only a Perdiem nurse at this time, my employer was very understanding. I guess I'm lucky!