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"I want him extubated NOW...I dont care if he's not ready"
I hate it when you have family members who think they know better, we had a patient with an NGT hooked up to LWS, but the family member thought that it was too low and was asking to put suction onto high! We don't want the patient's intestines being sucked out with it!!!
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Ever have a blood bag explode?
what on earth?! I have never had that or seen that happen, something must have been wrong with the packaging, that should not happen, should it?
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help!
nu uh! not at my facility, if a patient is starting to get diaphoretic and such, it is good nursing judgment to check that sugar, one of the things the doc will ask me is if I checked the sugar.
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Employee Privacy?
The only thing I had to do at my hospital was the buccal swab for drug testing, and they tested my blood for Hep B antigen, and that was it, I guess each facility is different, but I don't think your triglycerides is their business.
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average age of a new nurse?
Well I began nursing school back when I was 21, but we were military and had gotten sent away, then I had babies, etc. I went back in 2005 and I graduated at the age of 32.
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How much residual is too much?
We always have lots of feeding tubes on our unit, and it has been a long time since school, so I was wondering, when doing your residual checks, how many cc's would cause you to hold feedings? I've always gotten 5 or 10, and that's a given that you make continue, but the other night I had gotten back 30, which led me to wonder, what is the cut off amount?
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Is nursing hereditary?
It could be that a great deal of our personalities stems from relatives. My mother was disgusted when I told her years ago in college that I had decided to become a nurse. These days she doesn't ask me much about my work, but I do have several cousins on my fathers side (who I am told I very much take after) that are all nurses and doctors.
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Supid Question-when do you stay home?
Holy cow! I am sitting here sick and I called in for today, and I feel terrible! Yes I know that i should be here resting, but I feel so much guilt for the floor and for the patients. I do hope they found someone to come in, but I feel just terrible, I guess that's part of being a nurse.
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What should be done about this? Unbelievable backstabbing...
That's awful that you can't trust and depend on your own charge nurse. I would definitely go up the chain of command, and talk to her boss. I hope this gets resolved for you.
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restructuring the hospital into the Hilton
Holy Cow!!! I just wonder how nice that Ethan Allen furniture will look after being puked and defecated on several hundred times! For crying out loud people, there are so many things to spend many on that a healthcare facility actually needs.
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Med Surg NIGHTMARE
It is very overwhelming when you are first starting out, but you will be surprised how much you retain by graduation, and your knowledge continues to build from there. Nursing is continual learning, none of us know everything, you will get there I promise.
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I'm having a panic attack! I need some support!
I have no place to tell you what to do, but since you put out the post and are open for insight, I was just wondering, it seems like you have a hard time saying no to people, especially your parents. Many people suffer from the same affliction, myself included. Eventually you come to realize that it is impossible to make everyone happy, and you are the one ending up miserable. Follow your heart, you are an adult, have your mail sent to you, it is yours, you are not 10 years old and need your mom to open your mail. Apply for student aid, become a nurse, when you graduate, you can work, you can have your grace period for student loan payments, and you will have nurse salary to make the payments. It is your life not theirs, I truly hope things get better for you. Best of luck.:redbeathe
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Hospital or Spa?!!!
Has anyone ever come across a patient like this? Last night I was caring for 7 patients on my med-surg unit that I work on, and I had this lady who was admitted 4 days ago with electrolyte imbalance which has since been resolved and she is now eating a regular diet and is fully hydrated, and it's looking like discharge time pretty soon, who would put on her call light literally every 5-10 minutes, and the secretary at the nurse's station kept flagging the room for a nurse's aide. After awhile I went in there to give my aide a break, and found that each time she wanted someone to put toothpaste on her toothbrush for her or to stay in there and rub her legs for awhile, or to get her more coffee when she is fully capable of doing these things for herself. She is now strong enough for a shower but insists on a bedbath because she quote "doesn't want to get up". I got her up to the commode, and she told me she wanted me to stay with her because she doesn't like to have to call for someone, and she takes a good while on the commode as do my other patients, so I gave her her call button for when she's through. Eventually she came out and said, "I am paying top dollar for this health care, and I don't care that you have other patients, I should be able to get what I need from you when I need it" Meanwhile we had a man across the hall go nonresponsive even to pain stimulus, and had to immediately be transferred to a more critical floor. My job as her nurse is to help her get as independent as physically possible, not to be her servant. This woman is like none I've ever seen before, and really through me for a loop. Can anyone seriously relate to this?
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Praying with your patient
If a patient asks me to pray with them, I am more than happy to oblige, but I do not impose, this is very individualized. Some patients have pastors coming in to pray and family members praying at the bedside, so in this situation I don't feel uncomfortable bringing it up and offering. I have had a patient who did not have many visitors and he was asking me about God and looking through the bible, so in that case the door was open. Like I said, it depends on the patient.:typing
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The "TRUE" Blue Bloater on Oprah
Yes! I saw it yesterday, I just stared in awe. It just goes to show you that you shouldn't self-diagnose and self-medicate, you never know what could happen!