Lisa_RN

i was working in home health at the time. i had an 80 ish yr old patient w/ copd and chf. she was having a hard time breathing. i made an emergency visit. her family did not want to go to the hospital just to spend 8 hours and come home. her md told me that if this happen to call and i could give her some iv lazix and a foley. her md was closed that day (go figure). the the on call md ordered a bnp and :idea:i called him back to see if i could also get a co2 level also. he agreed because she was inhaling but not enhaling very well at all. she is a very hard stick. ugh! i got the blood and to the lab i went. well she did have to be hospitalized which i figured anyway. bnp 1809 co2 35 a few days later i was pulled in the nurse mng's office and they fired me :eek:without a clear reason just "it's just not working". what the...? a few more days went by and i was told that the reason was that i did not obey md orders. what order other than lab as per results go to the er. my immediated supervisor has not spoken to me since before i got fired. some how she forgot to tell me to get her to the er before the blood draw. therefore i did not obey the md order(according to her). til this day i have never seen the order. seems to be i took the fall for her not telling me. not to mention i call the md for the co2. he did'nt tell me to just send her to the er. i would say that this was a major backstabbing!! :angryfire

the way i feel is, if it is ordered give it as the order is written. i'm sure everyone has enfountered the frequent flyer. the ppl that no one can find anything wrong. you know all they want are narcotics. they watch the clock and call at exactly 4 or 6 hours for pain meds. you can bank on that. i does sometime can get to you, but the dr. know the patient and he still ordered it. all you can do is give it!

i agree! i usually tell ppl that it is not easy but if you want it that bad you will be fine. i started the 1st couple semesters with b's. that is great for me. slowly i was in the fence. i used to tell eveyone "do you know what they call the student that graduated last in the class?" rn!! i try to encourage ppl! some ppl like to make you feel as if you can't do it. they have a negative attitude. try to ask ppl that are positive and you will get a different answer. good luck, don't pay attention to those kind of ppl!

:thankya:Yes it does! thanks!:thankya:

in dec 2006 i had a total hystorectory. i had a real hard time for months after. i started having severe headaches, mood changes, increased bp, fatique... in may 2007 i was old that my thyroid & t4 was low. i was put on cytomel 25 mg. things were ok for a little while. july 2007 i started having daily headaches. they turned into constent 24/7 headaches. this lasted for 2 months. no one knew why, and didn't suspected the tsh or t4. i went to the neurologiest and she was unsure also. they did some a mri and labs and, suprise, my thyroid was 0.13. i'd say that was low. i have been dx with hypothroidism. we have increased the cytomel to 50mg. i will reckeck my levels again this week.

i am the same way. i haven't been nursing that long but i had been in cardiac/tele, med surg, mommy/baby, and home health. i do believe in being flexable. i would really love to be in the or or er. maybe one day i will get there.

that depends on where you live. i live in a small town. the little hospital here is wage deprived. i travel 30 minutes to a larger hospital and the pay is well, i guess ok. the larger cities surrounding me pay much better. it is not just the different regions of the world it even can hit close to home.

this may sound silly, but what is the difference between asn & adn? :wink2: when i registered they didn't have the option of choosing adn. i am going to start some online classes for my bsn, i don't know it will help me in the long run, but personally, i would feel better it i had it. it will be another accomplishment for me.:mortarboard:

i would absolutly call in for one of my many pets. :1luvu: i would tell them i had to take off for personal reasons. if you have the pto it shouldn't be a problem, of course it depends on the ppl you work with. some ppl can be prunes. :chuckle i love my pets very much. i could not have children. my pets were my children, as crazy as it sounds. we finally adopted a little girl (age 4 1/2). she is our world. never the less i still love my pets!!!!!:paw:

i would love to see more petite pants. the dickies brand seems to be a popular in my hospital. i like different nic naks such as license plates, clip badge holders with things on the clip part like sports teams, smiley faces, crosses and colors. or caps , big face watches w/second hand and different styles of crocs. i am sure there are so many things you can get to help sales. i know the little things i like and i see in the stores arould here. good luck with your venture. i hope it goes well.

i also think it was a nice thing to do. we are there to make our patients feel good medically and in spirit. :wink2: i don't see why a card and cookies is out of context. i worked on a cardiac/tele :redbeathe floor and in home health as well. you do have patients for a while. it's hard not to get mighty close to them. i have also had patient send cards, flowers, leave notes in there room, give us plates of food their love one bring in, and of course a big genuine thank you expressing how nice their stay has been. it makes us feel great.:loveya: it also makes you realize one of the reasons you became a nurse. why not return the favor!!

I actually love wounds and incisions. Some smells can get to you such as a GI Bleed, some BM's, maybe to the pount of gagging for some. I have gagged with some trach's. Sputum if not my friend. LOL It does get better and you learn a few tricks to help.

I have my license in my home state. I live very close to the state line. I would like to have the option of crossing the state line for a job. If anyone can help me I would appreciate it!