JB2007

JB2007 ASN, RN

LTC, Med-SURG,STICU

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All Content by JB2007

  1. Advice

    I am considering changing jobs. I currently work in an outpatient setting that is very fast paced and stressful at times. Most of the stress is due to the culture of the facility not due to the work. Because of this I have neen suffering from a lot o...
  2. I have not been active on here for some time but I need some good advice. 3 years ago I was terminated from a nursing position. It was a very small hopital and there was a lot of bullying from management on down. I lasted a few months and I was sudde...
  3. I am a RN with over nine years of experience. The past 4 years of which has been in the Surgical, Trauma, Neuro, ICU. I am divorced and my youngest child recently graduated high school. I am about to be an empty nester. I am seriously considering tra...
  4. Dr. placing added stress on nursing staff

    It is the same around this area as well. The admitting Dr puts orders in for the consult and it is the nurses job to call the consulting Dr. The admitting Dr usually does not even talk to the Dr that he wants consulted so the nurse better know why th...
  5. RN total patient care...

    I work in the ICU so I only have 2 patients. We do total care on our unit and I love it. I usually plan the baths around the assessment times and I can get a good look at the skin. Do my wound care at that time as well. One of the many reasons I want...
  6. No rapid response for a DNR?

    DNR does not do not treat. The doctor was wrong and the nurse did tjeright thing.
  7. Float Pool Nurses

    When I was in the float pool I would let who ever was in charge of my assignment know that I was taking my break before I went to my second assigned unit. I knew once I got to that unit for my last 4 hours there was no way there was going to be time ...
  8. What would you have done?

    I would have done just what you did. The pts pain was not out of control and I would say that the loading dose was not needed at that time. I would start at the 1 mg dose and increase up to the 4 mg dose as needed. The loading dose is not always need...
  9. How to say no when someone asks for your stethoscope?

    I am sorry but I was getting ready to go in and assess my patient in another room. I am sure there is one at the nurses station that you can borrow.
  10. Have you ever lost it with a patient?

    Oh yes I have lost it with not only a patient but with family members as well. They need to be told and I was doing the telling. Why on earth do people have to act like idiots is beyond me but they do.
  11. Loners?

    I am not a very social person myself and I did fine in nursing school. Graduated with high honor to boot. I made one or two close like minded friends and we studied together. It is better not to get involved in all the drama that goes on. In additio...
  12. New Grad interested in Trauma

    Sorry to be a downer here, but personally I would start out on a good med-surg unit first. Being a new grad is very stressful and you have ALOT to learn. I have been a nurse for 5 years now and I only recently took a position on a surgical trauma ICU...
  13. Rejection Galore

    I would be thinking of moving if it was a possiblity at all. There are hospitals in Northeast Indiana that will hire new grads and the cost of living is less than NYC. In addition, it is close enough to NY that you could go visit family and friends w...
  14. It is lots and lots of paperwork. More than the hospital from what I found. You do not have time to sit and chat with the residents. When I worked LTC there was some residents that the only time I saw them was when I was giving them their morning med...
  15. Are any of you loyal?

    I am another person who is only as loyal to my employer as they are to me. I have seen how loyal most places are and I will watch out for myself. I go in, I do my best, and then I leave. If they expect more than I am being compensated for or they are...
  16. Methotrexate??

    I feel so bad for the pt and for you. That would be one of the most difficult situations to be in. However, you did nothing wrong and there was really nothing else you could have done. Do not beat yourself up over this.
  17. Am I ever going to get this?

    Yes you will eventually get it. You have been doing this for only 3 months now, so be kind to youself. Nursing school only gives you the basics and you are expected to fill in the rest throughout the course of your nursing career. You are not suppose...
  18. Do you shower right after your shift?

    Yes, I take a shower when I get home. I stink and I know it after working all night long.
  19. Like the the other posters stated hitting, spitting, and all the rest will really get my blood boiling (except the confused pts). I am nobody's punching bag. The other thing that will have me counting down the mins until I get rid of a pt is a self e...
  20. going from a hospital to a nursing home

    Personally I would try to go back to a hospital if at all possible. Going to a nursing home is not easing back into nursing. There was many times that I had multiple full code residents that were nearly as sick as the pts that I have at the hospital....
  21. Did I Do Something Wrong?

    I usually do not take my patient's BP before giving diuretics. The only reason I would is if there was a reason too. You did nothing wrong as far as I could tell. It was just one of those things that happen.
  22. HIPAA Violation-Jane Doe

    Just paranoid people going overboard like they do oh so often anymore. Don't they realize how easy it is to click on the wrong name.
  23. Where I work they rotate who they call off. They always call off the PRN and then they go by the longest downstaffed date of the full and part time employees. The employees can request to be put on the list to be called 1st if they want the day off a...
  24. Stupidest comlaint of the night award...

    Are you serious? These are the moments that I get the strong urge to smack someone upside the head!
  25. how to be invisible in nursing

    There is no way to avoid all of the cattiness. It is just there to some extent at every job I have ever had. You can avoid most of it by ignoring the gossip. My method is just walking away when my co-workers start talking about other co-workers. I am...