ctuttasrn

Excellent point....these interesting catch 22 situations tend to arise regularly in healthcare don't they?

Protrend I applaud you for the clinical reasoning demonstrated in your knowing when to ask about scope of practice issues. If you are privately hired by family/patient as a CNA, then you are as accountable to the scope of practice permitted for CNAs in that state as you would be if employed by a healthcare agency/organization. Do check the scope of CNA practice for your state and if you still have questions, call the regulatory body ti seek further clarification. Meds with anticoagulant properties (esp in light of the hemorrhoid) and other meds that the pt may be receiving (eg hemodynamic altering), can factor into the safety of the procedure. Rectal stimulation affects the vagal pathway which can alter heart rate and BP. Each patient has his or her own set of health history and treatment factors to be considered with the administration of any procedure or therapy. Your question has great merit. If you are working for an agency, you can consult with the RN supervisor, who may know the patient clinically and can consult with the pt's physician if necessary.

Hi Felecia, I'll bet HCR Manor Care has SNF jobs for new grads in Florida....check it out!

Actually, now may be a better time than ever before for a male to chosse nursing as a career. One of the diversity-related initiatives in the current gov't administration is to attract more males and Hispanics to the field of nursing. In my experience as a nurse manager over the years I have noted that the addition of male RNs to a predominently female nursing team tempers the dynamics. Moreover some of the highest patient compliments have been directed to the male nurses. Nursing offers plenty of opportunities to continue formal education, advance in numerous specilaties, promotions in both management and clinical tracks in hospitals and non hospital work environments etc. There is a world of potential out there for any nurse who looks for it! Nurses hold the actual solutions sought in the healthcare reform efforts. Go for it!

Go for it! Never too mature! You'll love it if this is what you are called to do. Keep your energy level high and your work ethic to the sky and it'll be all good.

You remember when the use of latex gloves was restricted to dire necessities only...they were too expensive to waste! You remember manually calculating your own cal-factors and checking it with a 2nd nurse to verify before titrating dopamine or dobutrex.