transkat

Depending on the school and the teacher micro and AP2 can be crazy difficult. If I were you I would do AP2 and chem together and then try to take micro in the summer. If you really wanna finish them all in one semester I'd see if I could take chem online. To me online classes are a little easier and you can do them on your own time so it wouldn't interfere AS MUCH with micro and AP2. Hope this helps! GOOD LUCK!!! p.s. If you didnt get an A in AP1 I wouldn't attempt doing all these in the same semester.

I work med/surg full time in a hospital and pick up PRN and float to different units in a LTC facility. The time it takes to pass meds varies considerably depending on which unit I work and also, whether or not the aids working are experienced with the residents on the unit. There is also a variance in the hours I have to stay over which increases if there are a large number of medicare patients due to the required amount of charting (each includes an assessment and full set of vitals). If there is a new admit, transfer or a resident that is having a difficult day/night I will more than likely be staying past my scheduled time. I have had days where everything is complete and I leave after giving report. There have also been shifts that I was unable to do any charting and charted for six hours past my scheduled time to leave. I sometimes feel very inadequate when working in LTC. I think computerizing a list for each hall with resident's room#, name, pills whole or crushed, Medicare?, 02, G-tube/feeding, Accucheck/Insulin etc. would really help. Also, I think it is a good idea to go in room order--noting the resident's that need to be bumped up to the top of the list. This is a tough job. The more I get to know the residents the less I stress about things that aren't done yet. I'm learning (after about six weeks) how to prioritize meds. Some meds timing is more important than others. Hang in there.

wooh -- I think you're right. If not FB then it would be cell phones or magazines. It's really about work ethic . . . and that's not an easy fix. God grant me the serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference.

I work as a staff nurse (36 regular hours) on a med/surg unit and volunteer to pick-up prn 12h shifts from time to time. Yesterday when I picked up my assignment sheet for a prn shift I noticed that I was given the extra admission and one of the larger teams of patients. I didn't think twice about it at the time. I like to stay busy and didn't complain. My first admit was at 7:30 and my second at 9:30. One of the four other patients needed 2u PRBC to be transfused, 2 IV antibiotics to hang, tube feeds started and dressing changes. (All orders were written on the previous shift. There were no supplies or pumps in the room.) I worked as fast and efficiently as I could. When I would pass the nurses station I noticed no less than 3 people at a time (a mix of RNs and CNAs) using the computers for FB and other non-work related sites. I did "interrupt" my assistant several times for patient assistance. By around 2:30 I was caught up on passing meds. and treatments and began to chart. A liver patient started with bleeding problems. I placed a call to the doc and received several stat orders that would require much of my time to carry out. I talked to the charge nurse (also a FB user) and asked if anyone was available to pick-up a device that was needed from another unit. She got up and walked away from the area and said I could send one of the CNAs. I "interrupted" an RN's facebook time to ask for assistance. She said one of her patient's was receiving blood and declined to help. I then asked the RN beside her (also on FB) and she agreed to help. All orders were carried out by 6:30 and all patients were in good condition. I sat down to gather my thoughts to give report and realized I was exhausted. (I made the mistake of slipping off my shoes and my feet were so sore and swollen I could barely get them back on.) By 7:30 I was the only one still on the floor from my shift. It would take me an additional 1.5h to complete charting and paper work after report. I received a call the next day from my manager asking if I would pick up another shift. I declined. Patient care is jeopardized when the staff chooses to use computers for personal business. My concern is that even new graduates (May '09) feel a sense of entitlement to computer play time at work. My thought . . . if an employee logs into FB or uploads to FB from their cell while on the clock . . . it should be viewed as their resignation. Harsh? I don't think so. Nursing is serious business where people are entrusting their lives to us. I wouldn't want to tell a family member that I'm sorry their loved one passed while I was updating my status in FB.

I'm so glad to hear your husband is better now. You both have been through alot! I'm sure the ER doc will take a harder look at the next transplant patient before sending him/her home.

Full admit to transplant unit. Were LFP tests within normal limits? If he was vomiting -- his antirejection meds may not have been at therapeutic levels. Hgb. 7.8 -- treat with 2 units prbcs . . . . Hyponatremia (Na I'm really sorry if they sent him home.

My manager recently changed a posted schedule and placed a note in my mail box to notify me of the change. The manager knew that I was not going to back for 7 days. When I returned I found the note and explained to my manager in a written note that I was scheduled for surgery on the date that she added me. There was no apology given and to add insult to injury she said that I should have requested off for that date. This was a schedule that was already posted before I planned the surgery date. The games we play.

I want to serve on the jury I just don't want to face repercussions for being absent from work.

I want to serve on the jury I just don't want to face repercussions from my nurse manager for being absent from work.

I recently received a jury summons. Although my hospital will pay me for the days I will be fulfulling my civic duty, my nurse mgr. strongly encouraged me to write a financial hardship letter requesting to be excused. I am a 7p-7a nurse and have worked on the unit for over a year. I suggested that if it was a hardship on the department that perhaps she could write a letter to explain why my absence would create a hardship. It was suggested that people get out of this all the time and that it would be easier if I would write a letter. This is a large hospital with a large pool of nurses. I want to serve but fear possible repercussions. Does anyone have any experience with this issue?