Virgo_RN

Is it within an RN's scope of practice to lance a boil, or to remove an embedded object, such as a piece of glass, from a finger/hand? I have checked my State BON's website, with no luck.

Except in this case, it's more a medication allergy than a food allergy. At any rate, OP, what about the intranasal vaccine. Are you able to take that?

I don't pray. I am an atheist. I agree with both you and your husband. I agree that sometimes, in order to pay the bills, one must do what one must do. On the other hand, I agree that job satisfaction in the long run is crucial. Sometimes, you take what you can get while you keep looking for what you really want.

When I worked cardiac, I only avoided the left arm if it was a fresh implant, simply because the left chest is already tender, and those automatic cuffs can squeeze like the dickens. Probably makes no difference, but I felt better.

I was taught to clamp at 500-600ccs in nursing school, but this not the standard practice in the real world. The rationale was bladder spasms.

You can go back in and do a late entry. Just make sure you document it as such.

Sounds like a really stressful situation. When do you get a day off?

Honey, you have to toughen up. Don't wear your heart on your shirt sleeve. Take criticism as an opportunity to do better. Do not take things personally.

I wouldn't count apple sauce as "free" water or fluid. "Free water/fluid" refers to just plain water/fluid without any solids in it. The key word is "Free".

I'd just tell him it's "against the rules".

Sucks to be a misspellophobe.

The word is "gruDge", not "grunge".

Families like this drive me absolutely buggy. They will not be satisfied until 100% of your attention is focused on their family member. It sounds like you did your best, and too bad if it wasn't good enough for them. At least you didn't have to deal with them the second night! Whoever did, buy them some chocolates and thank them for taking one for the team!

I'm going to agree with your educator and say that this is a legitimate concern. There are no guarantees that 3rd shift will always be "quiet". As a former noc shifter, I know for a fact that people do NOT always sleep all night. As a member of the Team, they may need you to cover a 1st or 2nd shift at some point in time, and you need to be able to cut the mustard. I wouldn't jump to the conclusion that they are trying to get rid of you, but rather, I would presume that they are trying to provide you with opportunities to make yourself an asset to the team. How you choose to respond to this reflects upon your work ethic.

Well, having never gone through anything like your experience, I can say that it is different providing care for someone that you do not share a close personal bond with, as opposed to your child or family member. I would think that because of your experience, that you would be able to empathize with your patients and their family members, which isn't a bad thing. You know what their questions and concerns are likely to be, and can use that knowledge and experience to be a better nurse. It may sound simplistic, but take that experience and turn it into something good for someone else.

You should post this in the "Students" section.

Of course I appreciate them! I used to be one.

Are you a student, pinkpop? You can get direction and assistance with care planning in the "Students" section of this website.

I usually start with "Hello!". I'm not being sarcastic. I'm serious. Just take a deep breath, relax your shoulders, put a smile on your face, walk in the door, and start with "Hello".

In my acute care facility, an immobile patient >350lb gets a bariatric bed, bariatric lift, and requires six staff members for turning. Sounds great in reality, but try to round up six staff members every two hours! Not likely....

Okay, I think I did misunderstand you. It looks like what you actually said was "Well I think they didnt offer to transfer because during my first meeting with the manager I said that I dont see any difference between "making it" on a tele floor or med-surg," Still, not quite sure that was the right thing to say to your manager, but water under the bridge. Keep in mind for next time. It certainly does sound like you were stuck with someone who doesn't have the necessary qualities to be a good preceptor, and that is really too bad. I had about five different preceptors in my ten days' orientation as a brand new LPN on a cardiac interventional/tele floor, then a similar experience upon RN licensure, so I know all about sink or swim. That might be why I come off as a little tough. There are nurses that like to teach and will take you under their wing, and nurses that couldn't mentor their way out of a paper bag, whether due to lack of interest or lack of ability. You will rub up against both of those and everything in between. I hope you know that my criticism is meant to be constructive, and hopefully give you some things to think about to avoid pitfalls in the future.

Yeah, the little smiley face feels a bit condescending. I might not mince words, but my intent is to help. She is free to disregard my opinion if she chooses. That's the beauty of posting on this forum, is that you will receive a lot of opinions, some of which you can use, and some of which you can ignore.

I'm sorry, I am truly not trying to be hard on you. It's just that if I were precepting you, and you kept offering "yeah buts" whenever I tried to give you feedback, and I heard you saying "I think med/surg is harder than this floor", I would be having doubts. You have to be able to take feedback without offering excuses. And by saying med/surg is harder, makes it look like you don't really understand the complexities, the potential complications, and the critical nature of the patient population you are working with in tele. I've said all I'm going to say. I do wish you the best.

A little piece of advice. To me, this looks like a lot of "yeah but". As a new grad, when being offered constructive criticism, I would try to avoid the "yeah but". There is a time and place to stand your ground and defend yourself, and a time and place to just nod and smile. Think about this in your next job. And, whatever floor you are on, do not ever say anything that could be interpreted to mean that you don't think it has the most skilled nurses. By saying that you think med/surg is harder, that's like saying the tele nurses aren't as smart and don't work as hard. It rubs people the wrong way. If you don't care about your job, go ahead and rub people the wrong way. If you want to stick around for a while, I'd suggest you avoid it. You can think it all you want, but I'd never say it.

Never mind.