nadia562002

could we forego all of that female stuff we must subject ourselves too??? For that time of the year and month, I would rather be a man. Guys only have to drop their drawers every 5 years for a rectal and prostate exam I believe.

OK. This info is too easily obtained online these days through the department of health. I think the agency involved should be held responsible too for not varifying the information. There is just no excuse.

I hate nursing diagnosis. THe outcomes and goals in those books are just plain stupid and down right lofty. It seems to me that these statements are rather judgemental and or reaching to make more work for the nurse. But I must admit that after all is said and done, these nursing diagnosis serve a purpose in the real world aside from the outright pain they inflict on the nursing student.

And then you get that patient who does not fit with report at all. THat has happened to me at least a couple of times. You just have to go with what you see before you.

Thanks for all your advice. So far, I have one job offer on the table and expecting 2 more responses in the next few days. As a point of clarification, I was having some difficulties at work and decided that it would be best to resign from my position.

University of Washington Medical Center has self scheduling on most units or all. I am not certain if its on all. I know that we have a NICU anyway. Its a terrific place to work. The other NICU's in the area are at Evergreen hospital in kirkland and overlake. There are others too in this area.

I worked in an assisted living facility as a nurses aid while I was a student nurse. I found that this facility liked to hang onto to their private pay clients for as long as they could even though that client really belonged in a SNF. If a client is medicaid, guess what?? They get the boot if they need added care.

I recently resigned my position in a hospital and now considering a job in LTC. I have one year of experience on a step down tele floor. I am wondering if taking a job in LTC would be to my disadvantage. WIll this decision arbitrarily make it harder to return to the hospital in the future?

I recently resigned from a position on a very busy cardio-thoracic floor due to some problems. I learned a great deal and had a great experience on this floor. I am now in the job market again and wondering what I should say at my first interview on TUes when the interviewer asks me why I left this job. Do I tell him or her honestly why I left and risk not getting the job because I was honest? Or do I gloss over it and say that I wanted to work in another venue like long term care or home care? I know that honesty is the best policy but it seems you lose when it comes to impressing hiring officials. ANy advice would be greatly appreciated.

One of those things I had to mentally prepare myself for before I chose to become a nurse was the potential for death. I know that someone will inevitably die on my watch. We all deal with sick people on a daily basis. On some units, this event happens more often. On other units like the step down cardiovascular and thoracic unit I work on, our people usually go home to live out the rest of their lives. But unfortunately, the guy who seems like he is doing well may die next week in the ICU from something we could not have stopped. Yesterday, I found out that 2 more patients died whom I had taken care of at some point during their time on my unit. This brings the count up to 6 people that I know of since beginning work in early August. I have not been there when someone passes on but I am sure that day will come soon enough. On my unit, many of our patients come back to us to spend weeks or months with us. A person cannot help but get attached to some degree with each patient. So, please share your personal experiences about these losses and how you felt about them.

I am a little confused. I had a patient this week who was diagnosed with a case of infectious herpes located on the face and over the body. Apparently it is being shed through the lungs as well. At first, everyone had to wear a regular paper mask, gown, and gloves when entering her room. Then an ID doc came through and declared the precautions were unneeded. For the next 8 hours of my shift, I followed standard precautions with this patient. At midnight, another ID doc came through and declared that everyone is return to the previous precautions. Then this particular doc does not use the precautions there after???? Anyways, I followed which ever precautions were in force at the moment. So, if this patient has a basic case of shingles which as we all know is caused by self innoculation, what is with all the precautions? Granted I am not pregnant and had chicken pox, whats with the precautions? Are the precautions just for my other patients or is there really a chance I could have been exposed when the precautions were down for those 8 hours of working with this patient?

Your issues with the hospital sound somewhat similar to a situation I had at an interview. I traveled over 2 hours to get there and I am left waiting for at least a half hour because a couple of my classmates were interviewing too. The excuse was that they wanted to show the 3 of us around at the same time. ANyways, to the interview. There were 3 people interviewing me at the same time plus the recruiter copying my resume for the others in the same room. They all had their pagers and cell phones ringing during the interview. No sooner would a person ask me a question, and something would go off. This tends to get distracting after about the 3rd call in 10 minutes. I found this to be rude and inappropriate on their part. They finally decided after a month that they were not interested in hiring me. I did not want them anyway after this fiasco called an interview. Anyways, there are so many other hospitals out there that will treat you right. Dont settle till you find the right place with the right job. I ended up with everything I wanted and more at the hospital where I have been working since late July. Goodluck in your endevors.

I had one of those patients recently who seems to think that being a nurse is to be a place where you stop along the way toward becoming a doctor. Of course he does not understand the concept that I chose to become a nurse and not a doctor. Doctors and nurses work together but we have separate philosophies. I tried to tell him that more money does not equal a better job but he does not get it. hmmm.....I am not less because I chose to become a nurse or that I dont want to become a doctor.

Dont do it. Its not good for you or anyone. I dont care how short staffed they are. There should be plenty of other far more qualified nurses around, like other parts of the hospital and other towns. Just dont let them talk you into it.

I had my first code on Oct 25,2003 at 0930. My patient was scheduled to be discharged this day and was taken off tele and her IV "fell out" during the night. SHe had been complaining of neasea so I got oral reglan for her. No more then 2 minutes after giving her oral reglan, she complained of lightheadedness and stars in front of her eyes. A few minutes later, she passed out on me. The code light was pulled and rush of people ran to the room. We started CPR for about a minute. She has been fine since then with complaints of rib pain. Admitting diagnosis was exacerbation of CHF. We do not know why this happened but theory is that she had vagal response causing her to pass out. Boy does this all change your relationship really quick with a patient and their family. I was just another nurse in one moment and became a hero in the next. This is one of those days that I realize that I really am a nurse now. Its just amazing what a little training can do.

OK. I have a few more weeks left of orientation. I know that we do not get everything we need in school to succeed. Much of this takes practice. You dont magically come out 100% proficient at the other end. Well, I had my first "day from hell" this week. THe patient is 20 years old and has mommy coddling him every step of the way. I mean over the top coddling. The kid had tubes coming out everywhere. When it was time to get him up and into a chair, he starts whining at me "you should have thought about that before you let me move". It seems that he thinks I am not a good nurse because I am not 100% efficient with each piece of equipement. Having a boat load of tubes takes practice when trying to move a person about the room. It sounds like he told his dad that I was not an RN because dad, the orthopedic surgeon by the way, asked who was the RN when both my preceptor and I walked into the room. I passed the NCLEX and I graduated from a pretty darn good BSN program. I do my job the best I can and am still learning. Its just that there are times when patients test my patience. On day 2 of dealing with this kid, one of the other nurses said to me "it must be going better with him if you are smiling". My response to her was "no, this is a day I am working on my grace and patience". There are those times when you just have to grit your teeth and get through the day.:chair:

I am a new RN working in cardiothoracic nursing at a hospital so I do not work office nursing. But I do play that rather uncomfortable and dreaded patient role from time to time. A few days ago, I went in to meet my new doc. Of course I met the MA first. She took the vitals and history. I found myself translating everything for her so she would understand. It seems to me that MA's also play a vital role but the final word should always come from the nurse. On a side note, I found this doc and the MA to be very respectful of my oppinions regarding my healthcare. Its just kind of nice to have someone to respect me as a nurse who is educated about my own plan of care. Heaven knows, I have had some bad experinces with other docs over the last 6 months.

I had the PBDS assessment too. I think it was a great way to identify strengths and weaknesses without telling you that you are a total idiot for wanting to be a nurse at this hospital. Of course I placed with the "majority of new grads" whatever that really means. Several weeks after it was done, a nurse educator followed up with me and worked through everything I missed as well as provided feedback to my preceptor about what we need to work on together. The questions I missed were either problems I had not seen yet or did not know policy on yet.

I am getting ready to start work on July 28th. For the first week of work, I will sit in a classroom going over payroll signup, benefits, blood-borne pathogens, etc. etc. I was just wondering what I am supposed to wear? I wont be going near the floor for at least a week as far as I know. Should I wear casual clothes just nice clothes or should I wear scrubs?

I got a man but sometimes I think I would prefer a doc because he at least has the salary to go with the hours away from home. I am heading for a major teaching hospital soon and it would be nice to catch a resident just so long as he is not younger then me. No Doogie Houser's for me.

I just finished my rotation at a small community hospital. We have both long term care patients and acute hospital patients. As a student nurse at the end of my nursing educatiion, I was put in charge of all the acute patients. (Thats usually 2-3 patients) From time to time, I would be asked to give a med or care for some of the long term care patients. THis did not bother me at all. There are times when you should refer people to the appropriate nurse for accurate information but otherwise why not help out? After all, this is a service industry.

I am about to graduate from a BSN program. During my med-surg rotation about half way through the program, my instructor evaluated each of her students to see where they would do well in for those extra rotations to places besides general med-surg floors. She felt very comfortable sending me to the CICU because she saw that I had the qualities to do well there. Aside from that, she and all my other clinical instructors were available when I ever I needed them. The students work under the instructors license. The instructor also verifies that each student is capable of doing certain tasks before they are ever allowed to run free. I always felt comfortable asking questions of the nurses for what ever I needed. THere were several nurses who seemed to disappear though when they found they had a student. THat was a little nerve wracking to say the least.

I had my first experience at 19 as I was joining the military. I got an old fart who knew what he was doing at least. I had my share of anxiety over and still do. I had a bad experience a couple years later with a student PA who could not find the cervix. She asked if it would be ok if she had another doc come in to find it. That doc happened to be a coworker so I said absolutely not. I have decided since then that I do not care the sex of the doc doing it. Its a matter of knowing how to do it right without too much searching. Last year I went to another new doc. He must have thought I was about to run like hell out of that office the way I looked. At the age of 28, I still think they are the worst thing a girl can be subjected to. But I do it only because I should and patients expect the nurse to do it too when the nurse tells them that they should. We have to live by example even in this. We nurses make bad patients anyways.