Animal3

I am in the process of doing research to find guidelines for NG tube placement in preemies but I am realizing there is really not much literature out there...How do you determine placement and does your unit use evidence based practice to support the way it is verified...thanks!

Mustlovepoodles....I am fine on time management but I do have a hard time saying no to non-urgent requests. I seriously think patients and families come up with the craziest requests and I have a hard time saying no or explaining to them that their being ridiculous in a polite manner. I do believe the reason breaks are not taken is due to management and the fact we are always being floated to other floors to help cover them. Lately I have been floated half way through my shift which as you can imagine makes the shift very difficult and stressful. I am starting to think I would fit in more in a clinic or a true per diem position.

Lol thanks Rnperdiem, I find that to be true as well. What did you move to after working the floor?

I find it so funny that nurses preach self care blah blah but during a eight hour shift I can barely eat, sit down or let alone use the restroom. Why do we put up with this kind of work environment?! I love taking care of patients but this type of environment is burning me out and makes me want to leave the bedside for good. Anyone else feel like this?

I agree with the above. I was a corpsman and it is hard to gain a commission once enlisted they make you wait till it would be time to reenlist. I would work as an RN and finish online.

Why not use a condom cath?

I was rarely anxious in psych because the acuity was doable. I work on a ortho/neuro floor and we get a variety of medical patients. Because there is so many things that need to be done during the shift I feel like I am going to overlook something I shouldn't have or make a mistake. I also have anxiety due to my schedule. I am per diem and I have asked to not work nights due to the change in sleep and pregnancy but she doesn't listen to me and still continues to schedule on nights randomly when she needs coverage. For example I worked nights last night and I am expected to turn around tomorrow and work two day shifts in a row! So anxiety compounded by not feeling respected really makes me want to find something different before the baby gets here.

Medicine is not an option right now due to pregnancy. I swear it has gotten worse the farther along I become in my pregnancy. I just want to do everything perfect and I would never want to harm someone. I feel like some nurses who have been doing this the same amount of time as me are way more laid back and they don't seem to overthink things like I do. Sometimes I wonder if this was the correct career for me.

I have been a nurse for a year and some change. I started out in psych and recently switched to med-surg 5 months ago. I go home every shift and worry about every little detail of my shift. Is this normal and will it go away? I just feel like sometimes I can't step back to take in everything and that I am too task oriented. Any suggestions?

Just checked and it states I need 400 hrs in a 4 yr period. I am in NH BTW. Anyone know of any options from home that would be possible with a newborn?

I thought I had to work 400 hrs in a 2 year period?

I am 20 wks pregnant and I currently work Med-surg. Once the baby is here I want to stay at home but don't want my licence to become inactive. Is there anything I can do from home??

Hi, I have been a nurse for a little over a yr now and I am curious is it okTo give a patient their test results? I work med/surg and I had a pt ask about their repeat chest X-ray to see if their pneumonia was clearing and I read them the overall impression from the radiologist..being a new nurse I am laying here in bed agonizing over my busy day and wondering if this was ok to do? I told them it appeared slightly improved but the dr. Would talk with them further about it when they came in...what do you think was this ok? I feel like it gives them a piece of mind and the pt already had anxiety so I didn't want to add to it. Any thoughts???

Thanks all I was just curious if this was OK, I will continue to pull a secondary out of the med room when I a primary hooked up as a secondary, Thanks for all who understood what I was asking!

Sorry guess I didn't explain it correctly there is a primary line and the one to piggy back is on is a primary line set as well they connect primary to primary basically at the correct place

Sometimes they come from pacu like this or another nurse sets it up... I always use secondary I was just curious if it works the same?

Can a primary tubing be used as a secondary? I have seen this done before by experienced nurses and don't know if this is correct? I guess if I look at iterate common sense, they are both tubing and are both hooked up above the smart pump it's just using the primary line tubing is longer anyone follow me? Just curious what's correct practice

Catch22 I work on a med-surg floor and can NOT stand the ETOH withdrawal patients who demand IV dilaudid very 2 hours for their extreme pain. Why would a dr. even write that order?

As a new grad I just want to thank all of the more experienced nurses who have answered my dumb questions, pointed me in the right direction and have just been plain nice to me! I feel lucky to have had such a great experience as a new grad. My preceptor is one of the most amazing nurses I have ever met and she is so patient with me and I hope to be like her one of these days. I know no one is actually going to know I wrote this but I just wanted to share my gratitude. And yes I tell my preceptor how lucky I am all the time!!

Risk for infection d/t the foley

Jeck I was just curious on what the position entailed...I really want to get into the VA system but there are no openings in my area for an RN

Thanks!

Thanks so much, I will try some of the suggested techniques:yeah:

Thanks, I have made the mistake of mixing meds in an ice cream cup and then they only accept a spoon full and then you are stuck with the rest not knowing exactly what they got in them....I have started to search for new jobs but I haven't even been there a year. I really want to stick it out at least a yr.

Geriatric Psych has got to be one of the most frustrating floors to work on sometimes. I love the geriatric population and seeing them get better but in the mean time its a challenge. Can anyone give me tips on how to get pt's to accept medications? That seems to take up the bulk of my time, constantly re approaching. I am a new grad and I feel so overwhelmed sometimes and just need some encouragement and some pointers! Thanks