strugglingnurse

strugglingnurse

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All Content by strugglingnurse

  1. PTSD- Am I alone??

    Im a long time reader who decided to finally post. This site is a major support for me!! I was wondering, are there any nurses out there that struggle with ptsd due to child abuse??? If so, how does that impact your work, and how do you manage your s...
  2. why does hyponatremia cause hyperactive bowel sounds?

    I think the questions is pretty straightforward. Most books list hyperactive bowel sounds as a symptoms of hyponateremia. How does hyponatremia cause this symptom? I wish I knew the answer....
  3. needlestick from hep c and HIV + patient

    not sure about your chances, just read recently that they are very very slim. However, wanted to give you some encouragement and ((((((((((proverbs 16:3))))))))))
  4. The song that best sums up my life is "Pale" by Within Temptation. Its a great song that I found on youtube. I dont have a song that sums up nursing, but the song that summed up nursing school for me was "I believe I can fly" by R. Kelly.
  5. Nurse cannulating and phelbotomy

    In the US, it IS within the scope of all RN's to draw blood and start peripheral IV's. However, as people wrote above, each hospital has its own policy on whether the RN or a tech or IV team nurse draws blood and starts IV's. Where I work I am respon...
  6. INR 11 and no Vitamin K??

    Best is to ask the MD why he is not treating it. Just be respectful. Seems like treating would by the best option, but maybe this pt has had embolic strokes before or some other reason that the MD is scared to reverse with Vit. K. In the mean time, k...
  7. First Night Duty in Labor Room

    Wow, you did a great job!!! I was just wondering, in Nepal you dont need a supervising doctor to be present at delivery? Do you only call them if there are complications? Thanks,
  8. Without Words

    Great story. However, why wasnt interpreter service activated immediately? Im confused.
  9. Sometimes its the little things that make me wanna lose it!!

    What annoys me most is when night shift, who is responsible for routine IV changes on our floor, simply does not even attempt to start a new PIV. Last week, ALL of my patients had expired IV's, and all were really easy sticks. The reason I got for on...
  10. IV tubing....why don't you recap it?

    The answer is simple, too busy to find a cap, or too lazy.
  11. AACN "TRENDS" conference in PA

    Anyone ever attended this conference. They have one coming up in October in Pennsylvania and Im debating whether it will be a good learning experience. Its conducted by AACN and SEPA, the AACN PA chapter. Thanks.
  12. Atarax IV?

    Can atarax be given IV? IV push or Ivpb? I have learned to only give it IM (or PO) and the vial says IM only. What is your experience?? Thanks.
  13. Severe Hypoglycemia before Death?

    DNR does not mean do not treat. It simply means "do not resuscitate"- meaning no CPR and intubation. So if pressures drop- you must treat it appropriately- i.e. fluids, drips... same with glucose. Comfort care measures is different. In this case, I w...
  14. PTSD- Am I alone??

    Thanks for your reply. This provider that Im seeing if out of network so my insurance (HMO) doesnt cover anything. I will look into this law.
  15. PTSD- Am I alone??

    Thanks for your reply. Unfortunately I have tried pastoral counseling before. It was the worst thing I could have done, since I was female and he was male. He realized that I really dont have anyone and took advantage of me big time. Right now Im see...
  16. PTSD- Am I alone??

    I went back today and read all replies to my original post. I have posted on many sites before and have never gotten so many encouraging and supportive response. Thanks everyone! I am so proud to be part of this community of great nurses! Now back to...
  17. AACN Trends conference in PA

    Anyone ever attended this conference. They have one coming up in October in Pennsylvania and Im debating whether it will be a good learning experience. Its conducted by AACN and SEPA. Thanks.
  18. NP Program- acute or primary??

    I really need help with deciding what kind of NP program to apply for. Here is my interest: I would love to graduate and work in cardiology, either in a MD's office or in the hospital such as CCU. Maybe even both. I work as a RN on a surgical ICU and...
  19. NP Program- acute or primary??

    Thanks for your replies! I have spoken to multiple NPs that I work with in critical care. There are some FNPs, Adult acute and Adult primary NPs. All recomended that I get the degree they had;). The primary said that I would be able to get hired in a...
  20. Why is the first year so hard???

    I love my job and employer. However, here's the reason why my first year was sooo hard. Being the newest employee on the floor and not a very outspoken one, all the "difficult" and "unwanted" pt's got dumped on me for days and week with no end. These...
  21. ACLS vs. BLS

    Most jobs require BLS. Some require ACLS. In order to take ACLS you must have completed BLS within the last year or two years I think. So yes, you need both separately. ACLS builds on the principles of BLS. You cant learn ACLS without first being pro...
  22. I Dislike Nursing:

    First of all, I really think you should speak to a professional counselor re: anxiety and suicidal ideation. Second, nursing has sooo much more to it than cleaning poop, vomit... You can do flight nursing, school nursing, health Education, outpatient...
  23. youtube videos relevant to nursing?

    Try http://www.or-live.com/
  24. I this normal orientation pay for HHC??

    I was just offered a FFS position with a Home Health Care agency in my area. I really want the job and this agency has a positive reputation. They pay $50/visit. Here is the problem- I must attend 2 weeks orientation, so I have to take a 2 week vac...
  25. Differences in pain medication

    As per our pain specialist, 1 mg dilaudid= 5mg morpine. (in terms of strength). Fentanyl is the strongest of all narcotics, and therefore is administered in mcg's.