nessa1982

Thank you everyone! I just feel I should have mentioned it! I just think I am not used to sending patient's home anymore after being in the ICU!! I was floated to the floor and sent a whole bunch home! I guess it makes me nervous now! I always try to hope that everything will be ok! I guess I just feel like I should mention everything..but really I charted the stool thing..and also charted that I told the patient to notify his primary MD of any diarrhea /watery stool upon discharge ect ect... I agree with you leslie! I saw a pt the other night..nurse charted his temp at 97 ..then 97.4 4 hours later and them PM shift picked him up 4 hours after he was "97" well...per rectal temp and forehead temp he was...get this 89.5?! Ummmm..yeah if something is abnormal you chart it and do something!!! Not just pretend everything is OK!! My chart yesterday for the entire previous shift showed pts pupils 3mm brisk bilat..hello...one eye had surgery and is completelty non reactive!! Fortunately for me pt is alert and told me about his non reactive pupil...guess who would have had to take him to CT had he not been able to tell me that!

Hmmm..it might have conformed to the shape of the container? But it wasnt super loose...it did not smell like C-Diff though...did not look mucousy or have any blood..seemed not loose/soft enough to be C-Diff..pt was on antibiotics...I just wish I mentioned it before I sent him home :(I am still pretty worried!

So I discharged my patient home yesterday...he had a soft stool..I charted it as loose..I know this sounds silly but now Iam worried. Maybe I should have mentioned this to the discharging MD..I should have charted it as soft..now I worry that if the patient does come down with some sort of diarhea that is nosocomial I can be blamed fo rcharting s"loose stool" and not calling the MD...should I be worried? Man..sometimes I feel like I just can't do the right thing in nursing!!

How Dangerous are anesthesia induction gases to unborn children? Right now I am about 6 or so weeks pregnant. I go in for my first OB appiontment tommorow afternoon, but in the mean time I am very worried! I was working in pre op and I started an IV on a child patient in OR while they were using gas to induce them. The OR RN knows I am pregnant and didnt say for me not to be in the room during induction with gas. I guess I just wasnt thinking, I was just trying to help but I should have sayed out of the room during induction. I really hope I have not caused any harm to my baby because of this. I will talk to my OB tommorow but my appointment is not until late afternoon and I am just sitting here all worried! --------------------------------------------------------------------------------

How Dangerous are anesthesia induction gases to unborn children? Right now I am about 6 or so weeks pregnant. I go in for my first OB appiontment tommorow afternoon, but in the mean time I am very worried! I was working in pre op and I started an IV on a child patient while they were using gas to induce them. The OR RN knows I am pregnant and didnt say for me not to be in the room during induction with gas. I guess I just wasnt thinking, I was just trying to help but I should have sayed out of the room during induction. I really hope I have not caused any harm to my baby because of this. I will talk to my OB tommorow but my appointment is not until late afternoon and I am just sitting here all worried!

I know how you feel..sometimes I still feel that way and I have been an RN for 3.5 years now! Sometimes its hard being young and having such a responsible position. Do you like nursing? If you like it, and are interested in it stay. if not run, its hard enough if you actually like it and if you dont like it I would suggest doing something else! BTW I knew I always wanted to go itno health care but when I became an RN at 22 it scared the crap out of me..heck sometimes it still scares the crap out of me..I hope you can make a decision that makes YOU happy not just your family :)

rotating between postpartum and ursery would make sense..but L&D? Are they going to orient you to L&D?

Has anyone ever seen the sclera (the white of the eye) have swelling post op after a phacoemulsicification cataract removal..all the other nurses told me this was fine..normal ect and pt was sent home..but now I am at home..again worried. I wanted to call the MD but was told that this was normal. Why would this occur and is it really normal..I wish I could just go home one day without worrying!!

Seriously! Oh yes Dr. ..so and so.do you want the patient to have pain meds..or go home and be miserable in a few hours? Do you want them to follow up? Are they allowed to walk on that leg?? Wow and preop while he was waiting for the patient to be ready in OR I was chasing him around making him sign his post op dictations and orders from last time...erg..i guess I should have handed him a script pad too! I think next time I will just place one at the desk to remind him to write one..of course thats if he ever gives me one of his pads....erg:banghead:

It was a narcotic..I gave the pharmacist the MDs office # to reach him for his DEA# ect..I usually make sure the MD left and RX but I guess he ran out the door before i could catch him.thank you guys.....now maybe I can sleep :)

I think this depends on your schedule preferences and your families schedule. I personally like workin g the hospital but right now I work in outpatient surgery because of the nice M-F schedule..it pays less than the hospital but my hubby likes seeing me more..personally I liked it better working 3-4 12 hours day shifts per week..it also depends on what..you..like..I would suggest starting in the hospital

Even if it was just a phone order?

I really don't know. But I know how you feel. I used to work Pedi..I loved Pedi until in 2 weeks 2 patients very close to the nursing staff passed away. I guess its just as hard with adults. After that experience though I learned to keep more of a professional distance, but its still hard losing a patient.

I work inat an outpatitent surgery center in PACU. The surgeon usually leaves an RX for pain meds for the patient, but today the MD left without leaving an RX I called the MD and he gave me a phone order to call to the pharmacy. I read back the phone order ect..but I am wondering If I just made a huge mistake..I know I should have told the MD to call in his own order..but I called it in and told the pharmacist to call the MD with any questions and to call the MDs office for his DEA #...did I just make a huge mistake? Is my license at risk? My manager and other RNS in house said it was fine..but I am still worried

But I dont know how to prove its illegal. I think techinically in our religion its a conscience issue. I just feeel very uncomfortable with it. Bascially I don't think I should have to do it. I feel it violates my beliefs but I'm hoping that teling her if I was the OLY one who could I would has not put me in a hole. She bascially said it was part of my job description and that sking another nurse to help me out would be asking him/her to do my job for me. How do I prove I can legally ask someone to do it because of my religios beliefs?