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YellowFinchFan

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  1. Hi I just spoke to an advisor today from WGU A coworker told me about the affordibility of the program and I am excited to hear that I could possible have my BSN in one year (I already have a BS in business so transferring credits etc) I am looking for more information or comments from other nurses who are doing this program before I commit to it:confused:.....thanks for any info or encouragement!
  2. I agree....I would never rely on a printed MAR if computerized documentation is being used. Paranoia rules....and I always have the screen up to document the med (to see if it's still an 'available allowed dose') on the computer screen and then give it....to be documented immediately.... I've had residents D/C a med in the few mins it takes me to give it and I have no where to document it! I've had to have them give me a "one dose" order to cover the medication.... We all learn from our mistakes...unfortunately it's usually our best lesson:)!
  3. It never gets easy and it never should. These are moments that are forever in our hearts :redbeathe
  4. :nurse:Thank you for sharing I really learned alot from your post - We have many hispanic patients at my hospital and because of what you shared from your experience I can now somewhat understand the non compliance andobstaclesthat these patients face when they are at home and "non compliant".... I think we need to think "out of the box" when trying to relay such important information for mother and baby's wellbeing..... This is a sad story for all involved
  5. where do you live? there are plenty of jobs for nurses by me:nurse:
  6. I'm crying but inspired by your story. I also am going to print this to read again when I need it - you can be sure your patient will always remember your kindness and professionalism and even your tears at one of life's tragedies.....
  7. I have had countless psych patients in Tele and they are so draining and manipulative. We've had committed patients and those that prob shoudl be committed, we get the Supervisor, Doctors everyone involved - there is no way the nurses and aides can deal with the chaos they create..... We've had them WALK out AMA - we just document it all..... Psych patients are my least favorite ugh:madface:
  8. wow - obviously this nurse has lost her focus if she's letting someone wait hours for a pain med. I would say you should ask to speak to the charge RN if you're waiting that long.... as for the rudeness and no badge/not introducing self - that's so basic I can't imagine anyone at my facility ever doing that.....I would think a letter to the facility after discharge might help you voice your concerns
  9. Yes, just yesterday we hung D10 - patient had blood glucose levels that couldn't be controlled and were constantly bottoming out (30's-40's) so after a few dextrose 50 IVPs we hung D10....(he still was hypoglycemic) Might be a liver/kidney issue....will find out more today .....
  10. One of the BEST MDs I work with was a nurse first - she really "gets it" with her patients, and she's got the greatest bedside manner...no doubt from her nursing background. She seems to be well respected among her peers - It makes no sense to me why she would ever be looked down on .....she's got extra insight in care for her patients and other health care team members:twocents:
  11. when I tell my family/friends about 'highlights' of my day - it makes them grateful that they really "don't have problems' compared to what others face...plus my sister always says her job isn't that bad listening to me!
  12. During the event, I was too busy to chart. I just jotted down vitals. As soon as I got a chance, I sat down to chart. In my notes I wasnt sure exactly what time on the clock I noticed the symptoms, or the exact time that I called MD... I just put the closet time possible. During an emergency situation I jot down the time when I write down the vitals....we use anything (a paper towel is a favorite emerg writing tablet) I always write the times down on vitals , MD in room, etc etc...it's a big help if its not your patient and you're helping the primary nurse who has her hands full.....I've learned to pack my pockets with pens,paper etc...you never know!
  13. I knew a nurse who would clock out and then go back and finish her work....I told her I would NEVER do that - and she shouldn't either. It seemed illegal to me to have someone so intimidated that they would work for "free" - if there is too much work then the mgt needs to look at staffing. Unfortunately mgt is never looking out for the nurses' best interest. The email to self timestamping the probs on a shift is a great idea:twocents:
  14. One of my managers once said to me it's not an equal tradeoff - the nurse can do both her job and the CNAs job(s) but the CNA could never do the nurse's job - so therefore it's double work if the CNA is not pulling their weight and the nurse has to do everything. I work closely with my aides and I tell them at start of shift to get me when they have to wash this patient or that one - because I know they are heavy and I also need to assess or they are swamped too I will do the admission by myself.....we work as a team....I love the aides on my floor - and I treat them with respect. It's a really hard job they have - they are overworked (like the nurses!) and they DON'T get PAID ENOUGH!!!
  15. How do med orders go in at that hospital? Are they written orders from MD or are they direct input via computer (by MD) .... With a CABG scheduled I wouldn't do any guessing - I would call the MD - he may be rude, cranky whatever - but the fact that the patient said he didn't take that drug - and you couldn't find the chart - and it's a CABG - I would've called. I do believe they are being incredibly harsh to you though Good Luck

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