Viviana

Sit tight. Some of those contracts can get really expensive. I had a classmate who wound up on one.

The complaints leveled by her staff led me to think of bullying. It has been my observation that some charge nurses belittle/demean the floor nurses they are supervising, and they may not even realize they are doing it. I'm just encouraging the OP to stop and consider if she is doing that.

YES, it is. Read this article from Nurse.com. Please let me know if you need more of an evidence base: https://www.nurse.com/blog/2017/08/23/how-to-recognize-and-prevent-bullying-in-nursing/

Are you bullying people? That's what it sounds like to me, and "rolling your eyes" is an action associated with bullying. Think about it from this perspective and see if you could have been seen as bullying people. I think that you have 30 days before they write you up formally. If they do, I would just look for another job.

Honestly, I feel that the patients in wards were more satisfied. They could see that you were working, and I've even had a patient tell me "no, I'm fine, go help that guy". He was referring to a guy across the room who was in respiratory distress and the other nurses were managing it. The patients in a ward, in my experience, were more concerned about each other, and because they could see the nurses at all times, they were more confident of the nurses.

You are not going to believe this, but I admitted a PHYSICIAN once with a suspected pseudoaneurysm at a cath site, and HE was worse! This idiot had his wife literally *spoon feeding* him. He made me page the vascular surgeon 3 separate times. The last time I called the vascular surgeon, he screamed at me "DO NOT CALL ME ABOUT THIS PATIENT AGAIN! He has a hematoma! It's not that serious!" I said "Doctor, I'm sorry. He's making me page you". He replied "I know.", and hung up on me. Honestlly, I think that was the last time I cried in a health care setting. I was ready to strangle that patient. I still can't look him in the eye. I started looking for a non hospital job the next day. I was so over it.

Hey Amethya, You should have someone who is your direct supervisor to ask advice of before you give a second dose of medication. Don't get nervous and get pressured into giving a second dose until you have contacted your supervisor to ask for guidance. That's what he or she is there for. Another option is to call in a second person by prearrangement to witness you dosing the patient. Talk to the secretary or the principal and ask who could come in to witness the patient being dosed. This is just a difficult patient, and you need additional skills to manage her. Until you can learn those skills, get a witness, get a pitcher from the dollar store and don't let the patient leave without swallowing, or get lunch cups of applesauce to open a capsule into. Please don't hesitate to inbox me if you need additional help. Hang in there!

This is precisely what I came here to say.

Sure is. I was prepared to quit my job when they suddenly decided that we had to switch to 8 hour shifts for December and January, so I'll stay for now. As nurses gain experience and become more valuable to their facilities, they also start to age and are less able to work 12/13/14 hours a day. This leads to a drain of experienced staff to medical organizations who have 8 hour posts available.

My oldest daughter, who is in nursing school now, was one of these children. She caught head lice repeatedly, but her younger sister never caught it, though they slept in the same bed. It was incredibly expensive to keep treating her and the house, washing everything at the laundromat again and again. I cut her hair in a bob, hoping that would help, but it didn't. I began treating my children for head lice with Nix on the day before school started. I did this because of the residual effect of the Nix and this is what worked. Later when I graduated from nursing school and worked in public health, I learned to use an oil based hair dressing or spray, and this worked well for my patients. I have no idea why.

Amethya, What is an AP? You may want to consider buying lunch cups of Applesauce, put a spoonful of applesauce in a medication cup, then open the capsule into the applesauce and administer with a spoon. Never, ever allow medication to leave your administration area. It should be swallowed, and a buccal check done to assure that the med has not been cheeked or placed under the tongue.

You should always be sure to chart each and every time you page a doctor, as a CYA move.

And people wonder why there is a nursing shortage... Some people are not good teachers, and they know this about themselves. You wouldn't want them teaching a new person. However, I think that people who are will to precept should be paid for their time. If your facility is not paying preceptors, that could be part of the problem.

Veegee, this is a very old thread, but I do hope you get this reply to your question about the best way to remove a tegaderm without causing a skin tear in elderly patients. The best way to do this is to pull the dressing laterally first, which causes it to release, then just pull it off. When you pull it to the side, it will unstick slowly, but it will come loose without damage. Good luck!

You have to finish, or they'll give you a bad reference. It's as simple as that. Viv