jayde_RN

I am happy that others agree with me on this. But it sucks that this has happened to others. Everyone involved in healthcare should be working together to help patients, but I guess that would be a perfect world. But just to update, I haven't found out exactly what happened to him, but I know that he is still not back at the rehab. And today one nurse pointed that out and told me I did good. It feels so good to now that a new nurse can still trust her gut!

I'm with CrufflerJJ on this one. Is this a 'transport only' service, rather than a '911 service'? A lot of the medics who end up doing 'transport only' are frustrated and not happy with their jobs. Sometimes, the 911 service would have them. Like JJ said, "are you refusing transport, or can we get a moveon?" I have another question though. What did you mean by "a look of distress or "oh God" on his face, lol." LOL, or Laughing Out Loud, doesn't seem an appropriate response in such a situation. When my patients have that 'look of distress' I worry for them. Maybe you didn't mean to say here 'lol' ? Actually it was 911, that's what shocked me. It wasn't my pt's condition I was laughing at. The "lol" came from the feeling I had about the post and also the fact that "Oh God" was the best way I could describe the look. I would never laugh about something like that. The reason I went against every other nurse's opinion on even calling the md, and went against what the paramedics thought was because I knew he was a full code, and I didn't want the man to die. Face it, basic CPR only works a fraction of the time, and that is all I can do at me LTC facility (crash cart only has an ambu bag), and I didn't want to the man to die. If it came off as inappropriate, it definitely was not meant to.

Wow! Thanks, I may be new but I know I am not stupid! It's amazing how as a nurse you get that gut feeling and just know, even if you can't quite put your finger on it. I should of asked tham if they could measure CO2, and if not then get that man to the ER! I know next time how to handle them! (hopefully there won't be a next time) He was tx at 2am and when I left at 10am, we still hadn't heard from the ER. When I called to tell them about something I forgot, they said he still wasnt back, at 5pm.I was also thinking how stupid they'd feel is he coded in route. But I have a feeling he wasn't okay, and will find out what happened to him when I get back to work monday night. And for all they know, I did not want to go into LTC. Due to nobody hiring, I opted to go to at least start working on my time managment skills. But as it turns out, I love my pt's! And I am still learning and using critical thinking, obviously! THanks you all!

So the other night I was at work. The power went out earlier that day so we were running off of a half way working generator. Well I go to change my elderly pt's tube feed and noticed he was breathing pretty fast and retracting. Took some vitals BP 114/44, R 42 and labored, pulse 105, and O2sat 97%. He had a wet sounding cough but clear lung sounds. And overall, he just did not look right, he had a look of distress or "oh God" on his face, lol. When I asked him how he was feeling, he looked at me and continued breathing, usually he would respond without hesitation. So of course I call the on call and tell her my assesment, she immediately said send to ER for resp distress. So when the paramedics get there, they take vitals and assess, and look at me like I am stupid and say "his Sat is 98%.". So basically for ten minutes I get to just about argue them down as to why they should take him. They also sounded irritated that he was a full code. There arguements were 1) his vitals were good and lung sounds clear and 2) he has dementia, so how is he supposed to respond to you (***? HELLO! DEMENTIA DOES NOT EQUAL NOT ALERT!). They even asked me to call and ask the Dr's opinion. (HELLO! I CANT CALL YOU WITHOUT CALLING THE DR FIRST!) I had to tell them that I have seen a pt in resp ditress sat-ing great at 99%, and de-sat to 0% within seconds and code right before my eyes, and I did not want to wait and see if it happened with him. The Dr and I wanted him in the ER, at least they can do more than basic CPR (which is all i can do in my ltc facility). So they reluctantly took him. Has anyone had this happen to them? Why? A nurse cannot diagnose just as a paramedic can't, and neither one of us has MD behind our name! Do you think they didn't want to take him bc he was elderly in a nursing home? I mean, they really burned my butt with this!

I believe that's how it probably is. My school has I think a 98-99% NCLEX pass rate(one of the highest in southwest TN), and I think it has something to do with the fact that you have to pass HESI with at least a 950 to be able to take NLCEX. I passed HESI with a 1020, and honestly, I found NCLEX to be pretty easy! But I will agree that HESI seems a little more content based.

Thanks, unfortunately, jobs in my area are limited if you are experienced and practically non-existent if you have none. Now consider this in an area that has 7 nursing schools withina 100 mile radius....COMPETITIVE!!! I've been applying since December and this has been my first and only interview. And trust me, it was not my first choice, but I'm just thankful to finally have a job! And babydust to you!!! I'll send you my personal stash bc after this one I am done! Thanks again!

HI everyone! So after searching for my first RN job since December, I was finally blessed with a job in LTC last week. During orientation, it was made clear that we work in an 'at will state' which means the employer can terminate employment at anytime, and without reason if it falls within the first 90 days of employment. Well, I am almost 14 weeks pregnant, which means by the end of my first 90, I will be about 7 months and most likely HUGE! Oh yeah, did I mention I have NO experience as an RN??? So my question, what do you think the chance of them letting me go is once they figure out I'm pregnant and not fat? Now, I know a company cannot legally terminate an employee for being pregnant, but that would be next to impossible to prove if they decided to X me before the 90 days are up. So should I expect be fired once they realize what's up? Oh and for what it's worth: I plan on taking 4 weeks max when the baby comes (granted it is an uncomplicated ag delivery) and I am a natural born breeder, meaning I may get huge, but I carry my babies well (few aches and pains, little to no waddling, I basically function normally, just with a big belly) so I really don't anticipate any problems being able to perform.

Yes I'm in Tennessee. They are running my background check and want my to start orientation on Tuesday. I could've sworn I heard her say 17. Do you think I should call the guy in HR and verify, or would it be better to wait for him to call me after my background check comes back? Thanks again!

From my experience, it will help you to get a job on that unit or maybe within that particular facility. However, as a december grad who just had their first interview yesterday, I will tell you that it may or may not help you get a job anywhere else. But it may all depend on what area you are in and how competitive it is. I had an intern position in my last year of nursing school and am still having trouble finding a job! Hope that helps!

Hi all! I am a new nurse that has been applying to jobs since december. I had my first interview at a nursing home a few days ago and was conditionally offered the job. Its 7-3 and Monday-Friday, which is a plus for me. The only problem is that I could've sworn she said the pay is $17/hour. My sister who is an LPN told me that that is too low and I shouldn't take the job unless they agree to raise the pay. So what do you think? Would you take the job, or would you ask for different pay? Thanks in advance!

when i graduate (dec 2008) ill be 22, almost 23.