nurselsteele

step back & take a look! it happened, not something we expect! i personally had an epidural & felt everything! not pain but the pressure, what was this mom? gravida? para? i did have a similar situation, gravida 8 para 7- minimal pain, 1 push & i had a baby in my hands, & was telling the mom to push the call bell because she delivered before the doctor could even get into the room........ but i though that was because she had deliverered so many.... haha keep your great memories intact.... it doesnt happen everyday, but it happened to you today!!! great stories to tell you kids!!:redpinkhe

i think we have all gotten to that point before, i have been at my current job 6 yrs, in nursing for 18 yrs, & i find myself becoming the negative nelly some times, along w/ my co-worker who has been at our current job for 8 yrs, people are people & sometimes they suck out loud & its hard not to see or here that they are dropping the ball, and you have to pick it up. so we have adapted our way of thinking, if we come in & our cups are empty, we restock them, and leave a little note on the cart saying: tag your it, its your turn to stock cups after your shift! little suttle hints are sometimes enough to get someones attention.. don't let it get personal... there will always be people that don't work as hard as you do or don't pick up after themselfs after their shifts, they are just who they are,, can you imagine their houses? we actually make jokes about the nurses we have to follow, it helps ease the pain, say"wow jeans house must be a pig stye if she leaves her work station like this", you have to make choices, but remember no matter where you go there is going to be those people, there isnt a place that has all perfect staff members or we would all work there!! good luck!! make the best of a bad situation! keep your area clean, & leave little "tag your it" notes, thats what we do to make fun of a bad situation! works for us!! may or maynot work for you! good luck

Therapeutic INR = 2-4 Generally those who are on Coumadin therapy Everyone else should show below 2- which is normal for non thinning therapy people as far as i know.. Was there a flag on the INR that stated L? More information if you have it would be helpful!!

OB can be a challenge because of its fast paced nature, its emergencies that are not forseen until its critical, its slow paced days when you get shipped to another department to work due to low count, just be patient with the job, keep your fingers cross that you get a great preceptor.!! I had worked in OB/Peds for a few years, had a great teacher, so i didnt struggle, but i saw alot of new nurses struggle due to their preceptor not being a good teacher... If you start to see issues with your preceptor, address them immediately! Don't wait until they get out of control. Congrats on your new position

i have to applaud all the active er nurses, i was once one myself, the number of things to remember is out of this world, (i loved it but they phased out lpn's in the er), i remember the same situation as was described in someones post, we had a gsw to the eye of an 8 yr old & we had a floor doc calling down yelling at us because the bag was up & was dripping w/out a machine? "don't you have units down there", i clearly to this day remember the rn supervisor in the er staying & i quote: "we have plenty of machines down here, but right now we have an 8 yr old w/ a drunk mother & a gsw to his right eye, if you would like to come take care of him we would gladly get your patient who is dehydrated on a iv machine!"..... that was 1996 and i still remember her telling him how it was!!

hang in there girls, a review course is the way to go from what i have heard it preps you on how to take the exam, how to weed out the obvious wrong answers & such! don't give up, you spent alot of money on that education!! just curious, did anyone start as an lpn ? and go on for their rn or just straight to rn school? another positive thing about starting as an lpn you get accustomed to the nclex & experience to help you through the exam! keep your chins up!! good luck!!

I worked up until my water broke -------- i know bullheaded, but I worked on Ped's / Maternity, so i didnt have to go far to deliver! ahahha, it depends on your work tolerance! Complications, etc.. take it month by month...

depending on where you live, lpn's are hired more rapidly than rn's, they are hired in hospitals, prisons, nursing homes, doctors offices, clinics, lab's, so on & so forth. lpn's have very little limitations on their licenses to date. don't rule out lpn school as a basis unless the school your attending doesnt give you credit for your lpn courses. lpn's have a great clinical experience & can venture out into the rn world if they choose, pick whats best for your situation not what the rumor mill tells you. search career builder if you want to know who is hiring lpn's you would be amazed!

i heard the same mumbo jumbo 18 yrs ago, why bother w/ your lpn when you can go on another 2 yrs for your rn, i have been an lpn (and mighty proud of it) for (like i said 18 yrs) and i have went onto more schooling, phlebotomy instructor course, x-ray tech course, iv trauma team course, supervisory course, and state medical instructor course!! i will never regret->ever taking the lpn course & now i make as much money as a starting rn does, maybe more in some places. i have experience with patients & thats whats important about nursing is gaining experience! don't let anyone tell me that i am not an rn so i'm not a nurse, because i have a license and 18 yrs behind me that tell me i am a nurse! good luck kid- and there hasnt been anything "real" posted about phasing out lpn's that i am aware of, back a few years ago they did phase us out of specialty units but rehired alot of lpn's when they realized it was cost prohibative to only have rn's on staff... don't worry kid , life as an lpn is great!! you can always go back if you like, after your making some money!

i have been a nurse for 18 yrs- i have worked in geriatrics, dr's office, surgery assistant, phlebotomy, maternity, er, trauma & ortho. my current job of 6 + yrs & counting i love :redpinkhe because i work in a prison- every day is different! take today- sunday- dec 14th- 0905- basketball injury in the gym, right knee deformity, applied aircast, shipped to er, no fx but tendon & ligament damage:bluecry1:. 1010 seizure patient, unresponsive, back to back seizures x 6- shipped to er, admitted for decreased loc & continued seizures (age 73):uhoh21:, 1415 37 yr old with chest pain, post mi (3mths ago) ekg showed current t wave inversion, classic sx's of mi, shipped to er, admitted to cardiac icu . 2130 female inmate fell from bunk, hit head, altered loc:confused:, vomiting, elevated b/p, shipped to er admitted for head trauma.!! 4 different situations, 4 different areas of nursing!!! :heartbeat i do have a beef w/ my job, i am an assistant supervisor so i am on call twice a month, never fails when i am on-call, staff call's off, this weekend alone- 4 call offs! in nursing you can't find a better field with more action & something different popping up all day long! it's great to be challenged each day! it's rewarding to have the skills to make a difference! :smilecoffeecup::flowersfo

career builder has 54 medical jobs posted on their site for Orange County. So check out that site & dive in , I saw jobs for RN's LPN's CNA's Doctor's, so on & so forth! Good luck in your hunt!

so you are telling me that a work week is 48 hrs mandatory, and days & evenings & 58 per week if you work nights? you don't have any governing body that will stand up for the employees? nursing board? laws about a work week? no mandatory break time? 15 min 1st break 30min lunch 15min 2nd break? none of these things are mandatory? at your facility? i can appreciate the need to finish your work before you leave but there are more than 1 shift & here in the states, if tests didnt get completed than the next shift picks it up! i guess you have a tough situation, if there is no government to back you up, is it like this in the whole area where you work? or just the facility you work in? i am sure there is alot of fighting w/ staff since they are all over worked as you are.. i wish i had answers for you !! but it seems that your facility is run quite a bit different than in the states: our week week is 40 hrs anything over that is overtime pay, we get 15min morning break 30 lunch break 15 min afternoon break, of course if there is an emergency our breaks get cut short.. but we are not denied breaks.. and we get extra pay for working more than 40 hrs... you should see a vacation? do they allow you to take those? you are burning out rapidly & your patient care will be affected without a doubt!! if you can go to another facility where the working conditions arent so harsh i would , if not,, you need to soul search & find out if you can handle this for much longer........... sounds like they are abusing their staff to the breaking point... good luck my friend, its a touch situation.... i hope they pay you well for taking that kind of abuse.. (not that its worth it).... keep in touch if you want to vent

1st question: what is an stna? 2nd question: they hired you as an lpn? right? 3rd question: have you contacted your board of nursing to ask them this question? they would be able to give you the exact guidelines to abandoment as it is detailed in the licensure laws of each state. 4th question: did you report this to the administration of this facility? they hired you for one job & then assign you to another? 5th question: at this point i think the d.o.n. has something out for you & you wouldnt have lasted long there if you had not quit. i have had people leave their jobs in the middle of their shifts, if there is enough staff that remains to care for the individuals than it's not abandoment in my state, but thats a state by state rule as far as i know... look into it with your board of nursing!

hang in there kid, those tests are set up to fail you when you miss so many, you got more questions to answer , so thats a plus!!! you just have to wait until the results come, it doesnt mean you failed if you miss the last question, those tests are set up to scare you , hang on & wait until you get your test results, did it tell you that you failed??? did it tell you the other times that you failed??? be patient ( i know its tough)........ but i k now you can do it!!

i teach infectious disease and we read about 150-250 ppd's each month, according to the health department- redness isnt a positive test, its the size of the induration that is to be measured, over 20mm is considered positive , follow-up w/ a chest xray & inh/b6 therapy........ but we never give chest xrays or medication therapy for "redness"...