crystalchen

I totally agree! I am a new grad last year and during my 8 months working in long term care facilities as an NP, there is SO MUCH that they don't teach/never mentioned in NP school. I was a good student, graduated with honor, and several clinical rot...

So I guess last night was full-moon.... no wonder why my pts were all crazy:devil: Don't feel bad if you got crazy pts, too

relax dear, it was fullmoon last night

I think your LTC experience will help you a lot in med/surg.

I was told by experienced RNs that you should do a bedside swallow eval, just ask the pt to drink a sip of water first. If they have to troubles, give them pills, because I have seen pts that was ordered swallow eval but result is not available befor...

In our hospital we have to follow unit policy. In my unit we can only push 7 meds, which is not including dilaudid or phenergan or ativan........ sad.......... Check it with your preceptor, and remember to always ask pharmacy if you have any question...

so I had a pt last night, lab called for his morning labs: BG 17, CO2 8, phrosphate 12.... he was A+O X3, has been SOB for 2 days but the team did not do anything, hx of sleep apnea, was gonna get a CPEP to use at home, and he is a dialysis pt. I am ...

I learn that antibiotic is extremely important for the first 24 hours, and it needs to be given after the labs, right? keep them hydrated.

Thank Xing! I will need to look at the curve again, this always confuse me during school and now. I dont remember his pH, I will go to work tomorrow night and find out more about his labs. I found an interesting graph to explain it: here is shows w...

All of the nurses on my floor take 30 minutes uninterrupted break, it is safe for our patients. I do believe that I need those 30 minutes to get off the floor and do something else. Of course, charge always ask around who wants to take the first the ...

I learn that knowing your resources and don't be afraid to ask stupid questions. Utilize family members, keep them busy if you can, do your teaching with patients, even one sentence, they don't usually ask questions, but they appreciate your teaching...

I think I like both nights and days for different reasons: for nights, there are definitely less interruptions because families are gone, even the most crazy pt will at least sleep a couple of hours, and there are no med students around to ask you wh...

Does charge nurse has patients last night? Did they call to ask if anyone else is ?available to work? I work in emergency - observation and each nurse always just have no more than 5 patients. If someone called sick, charge nurse should either find s...

I suppose she was having diarrhea? If so I would call the team and put a rectal tube in her, which is both good for her skin and for the staff on the floor.... I had a pt before, similarly, refuse to use a lift because she had a bad experience before...

he was admitted for SOB at home, he tried on a cpep mask and was planned to have that machine home this Friday because he always wakes up at night because of SOB and I noticed he had to move from bed to chair and many different positions to sleep dur...

I am glad you experience that in nursing school.... I had my first code yesterday and did my first post mortum care... it was a little scary, and also sad... I could not sleep for 4 hours after went home and then kept dreaming about the whole thing.....

I am thinking about pain management because a fracture is a lot of pain....... effective pain management will also stablize the patient for future interventions.

yes, that was CO2 in his Chem7. What's the differences between CO2 in chem 7 and in ABG? I could not remember his other lab values... They were deciding if he should go to dialysis or ICU first and then decided he should go to ICU. He was actually al...

Dear asdjkl: I can feel your pain and sadness. I am a new nurse, too, and I feel exactly what you are feeling especially about others talking about you even though they don't really know you, judging about you even though they may not have their brai...

Hello dear all: I graduated in June 2009 and have been working full-time in ED - observation for 8 months. I am in FNP school right now part-time and the classes are getting harder and harder. I am thinking about quitting my job so I could concentrat...

Thanks everyone, I think per diem might be the best option here, our hospital requires 16 hrs per month for per diem, and I think I could definitely afford that... I will request this to my manager next week to see if she will approve.

Thank you Softballmama and B, I really appreciated your suggestions. My relationship with management is ok, I should say, they treat me ok for approving my vocations and so on... I think this is the best option for me now. Hope they will allow this r...

Ok I asked this question in general discussion forum, but I think I should ask here again because I am in a FNP program now. I graduated last year in June and have been working in ED-observation room in a large teaching hospital for 8 months. The job...

Dear Softballmama: Your suggestion is exactly what my friend has just suggsted me! Our hospital requires per diem to work at least 16 hours per month, I think I could definitely handle that. and I could earn some extra money if I have extra time... I...

I have read all the replies and I feel like I really need to think about this by myself. My parents are very supportive and they can financially support me. My husband is looking for a job right now so there is no income from him right now. I think I...