JacelRN

I'm actually talking about myself! I just came home from an exhausting Med-Surg day. I forgot to tape report on one of my patients (that's how tired I am) and I forgot to give 2, 7am meds. And to top it off, I had to call and tell about the meds to the same nurse who stopped me from leaving about the report. She had all three of my patients I messed up on! Argghh :imbar For some reason, this nurse knows exactly how to look at me or talk to me to make me feel like a toddler at her feet. She's never outright rude or mean, but she just acts superior. I can never do any good by her. I guess I just needed to get this off my chest and vent to others before I fell into my pillow. Some of you must have experienced this type of shift and coworker, unfortunately. It just makes you feel like the worse nurse in the world. :angryfire What I keep telling myself however is all the good I did this shift. I sat with a scared and lonely patient and prayed, gave her reassurance and just listened. I explained a surgery to another patient and gave her details on the time for surgery so she could call her concerned family asap. I cleaned my other patient's incontinence despite being bit and swung at. I attempted an IV stick for an MRI at shift change when they called out of the blue and said "Oh yeah can you get an IV in him?" And I fnished my night by giving a complete bed bath to my little lady going to HDU and fed her breakfast. Thanks for the virtual ear, JacelRN

Hello everyone, I have started orienting in my hospice unit and I have to tell you, I'm loving my new job so far. I love what I can do for a patient and for a family during the dying process and it seems I have a certain insight into this, don't ask me how, it just came with the transition. I take it as a sign of making the right move. Plus, I listen well to those experienced nurses around me and soak up all the info possible. My question is regarding SL Roxanol. I was warned by my preceptor on the subject of teaching how morphine decreases respirations. For those of you who have dealt with this, what are some suggestions you can give me to steer clear of the idea of the morphine "killing" their loved one? I understand this is an education area and I just need to know the best way to approach/explain it. Are there certain phrases you have used that have been successful? Easing respirations, helping them relax, etc? Thanks again for your weath of knowledge, JacelRN

This is my first post in this section and I am a new nurse on a Dialysis/Urology/Renal floor. This is something I would like some better knowledge about and other than researching it in books, can someone give me a basic understanding of what exactly the Bruit and Thrills assessment is composed of? I understand it is an auscultation, but is there an abnormality other than absence of sound? Any information would be greatly appreciated.

Hello everyone, I'm sure this topic has been dragged through the dirt several times, but I needed to know from those of you who may have decided to switch to night shift. My situation is this. I am a new grad, about 3 weeks out of orientation. I helped cover a night shift last week. Despite the terrible strain it put on my sleep schedule, I liked it. After recouperating, I'm still doing so even today as you can see from my post time, I feel that it may suit me better than days. My most recent day shift after this night shift I worked was horrible. Doctors throwing demands my way, interruptions to my organization, etc. I felt so out of whack I wanted to leave the floor crying and never come back. I realize I'm a new grad and this is my time to learn, but perhaps I could learn more smoothly on nights. Can anyone give me any thoughts or advice on what they believe night shift could do for me? Thank you and have a great day, JacelRN