pezzy68

Feed a pt Ductogram or Bone marrow aspiration?

First you have to think of what type of experience does she have?Is it the same type on your floor?If it is the same type of nursing then it should be just a mechanics of your floor, certain DR info, etc. The way the floor and work flow goes. You may or may not have to go into much detail as far as the clinical aspects goes, as long as she is able to do it.

OH,LOL....ok.....Uhm ...breast exam 16 g iv OR ngt insertion:yeah:

Diarrahea:confused:

Our new Nurses (new grad or new employee), do not float for 6 months, the cna for 3.Yes we do float, no, we do not get any extra money for it.That is a good idea tho !!!

I feel, that as Nursing has evolved and became more skilled and specific in care etc, Doctors have changed in treatment of nursing staff.When i first started in the medical field as an a nurses assistant in 1986, they seemed to be more demeaning,off handish, as if the nurses were there at there beck and call.Although some still act that way now, it is nothing like that now.The Doctors yelling at,being impatient etc still occurs, but i would not tolerate a Doctor treating me that way.I am def assertive and know i am very educated and a very good nurse.Things will never be perfect, but they have improved...(In my opinion )

I would contact the labor board in your state.If you are truly doing necessary work, they have to pay you.If you are just hanging out, then no.Is it a consistent issue that you have to stay after hours?

I truly do not understand why some people feel nursing is a pit stop or short cut from being a Doctor.Being a nurse is it's own specialty, it has nothing to do with being or not being a Doctor.True, people may go to nursing school first, i think that is great, then they truly can know what pt care,pt education, pt management is.If i wanted to be Doctor, then i would have went to med school, i wanted to be a nurse, so i went to nursing school.It's quite ridiculous to think otherwise.It is quite obvious by this misinformation the persons do not have ANY clue as to what nursing really is about nor what it entails.

From your post, you have absolutely No idea what nursing consists of.It also sounds as if you just want a job that may make you alot of money ,status and prestige.I did not hear you wanted to help people, promote well being, educate or anything related to that.Maybe the medical field is not for you, maybe it is.I do not want to say this isnt for you, but you do need to reassess what you want.Never for one second did i feel i "settled', because i did not, i had thought about being a Doctor early in my career, but decided it was not what i wanted to do.I love the challenge & satisfaction of nursing.Nursing is not like you see on tv,and nursing truly is the backbone of healthcare.If my job consisted of cleaning up poop all day then it would be a piece of cake!!!.Good luck on your quest....

Yikes,,,Lol......Maybe it was a joke????

I worked as Nursing assistant during school.The hospital was very flexible with my hours, it helped ALOT.I was more comfortable with the pt and family members, the flow of the hospital and pt care in general..It also helps you appreciate you assistants, and know what their job entails.I feel ALL nurses should work as a nursing assistant during school, even if just for a few months...

First off, congrats for becoming a nurse AND sticking with it, despite the feelings and problems you have had.In my opinion, from what i read in your post, you are EXACTLY what a nurse is.You are educated, caring,assertive, conscientious.I think , maybe the floor and type of nursing you are in may be not the right place for you.Maybe it is the type of pt's(hard, esp for a new nurse),the unit itself(co workers, managers)If other new nurses have quit, perhaps it is something the unit or management as a whole needs to address.ICU''S can be clickish and hard on new nurses, and employees.I think you should try a different unit, but definitely Not quit nursing.!!When you find the right place for you, it was be awesome for you and even more so for your pt's and coworkers!!Good luck, keep us posted..God bless....

Sometimes, when i am trying to assess pt's mental status, i ask them the day date year etc.There are times when i dont even know myself!!!LolThen i reply, wait yea, today is tues the 9th...Luckily they forget, i can never remember that info.....

All i remember about my cap is it was white and a real pain when i had to wear it during clinicals.I would bend over, hit, the siderail,the curtain, even the pt a couple times,lol.I do remember a stripe on the side corner.I also had a pin, round gold, size of al little bigger than a nickel.I was SO glad i didnt have to wear my cap when i graduated, they had stopped that soon before i graduated...

We a few years back, stopped taping report and used paper report.The majority of us HATED IT.It was very hard to not right a novel when alot of things were going on w/ each pt.It seemed to me a very childish way to try to convey important information.When we switched, it was not due to jacho regs, i am not sure if that is a regulation or not, i do know alot of wierd regs are popping up nowadays, so nothing surprises me.Management changed to try get report through faster.We used to tape on one tape, all nurses, all pt's, you had to listen to all report till it came to your pt's.Since the written report didnt go well as they had hope, we switched to each nurse taping on their team only ,each on their own tape.Instead of the oncoming shift making out teams, the shift already on, makes out the assignment for the next shift.It works out well, even tho alot of thought we would like it.

Wow, that's crazy.I would tell my manager, give her the scoop and call it a day.That is where your responsibility ends.Unless the pt is confused or a 72 hour detention, there is no way you can refuse him to sign out AMA or restrain him.But, do please carry you cam corder with you to work every day..Just in case :):chuckle

Ahhhh, precepting, the best time in the world :).I feel a more hands on approach, is always best.The fact that she shadowed for a few days was great.Now she needs to step it up.Alot of nurses don't realize how everything flows, until they have a full team.Starting her out slowly is good.But do not make it too slow, you are going to be behind her all the way, if she has any questions or concerns, you are there for her.We have the majority of our nurses be precepted taking/handling the team, by week 3 or 4.Of course, they have their preceptor with them.We usually have anywhere from 5-8 pts per nurse.What you need to stress to him/her is that this is the time to learn, be scared, ask questions,take the team w/ the backup (you), so when they get out on their own, they feel ready/confident to do it.The preceptees have to use their orientation time for their best.Many new nurses need help to focus, time manage,help to manage ever changing demands on a sec basiS.You are training them on the floor, not nursing processes, unless, of course, it is a new procedure etc.Sometimes it takes a few days of bad teams, craziness and tears to help them figure it all out.With that being said, you also dont want to make them feel so out of it and out of control, they dont think they can do it.REAL nursing is alot different that what we learned in school.If you are going to a preceptor on a routine basis, see if your manager will send you to a preceptor class, for more tips etc,also a guideline (flexible of course) of where your manager thinks that person should be in their orientation...Good luck!!!

I graduated from Regents College(which is now Excelsior),in 1990.I finished my last half yr thru the program.What alot of people fail to realize is, one has to be be very dedicated and focused to learn in that manner.It may be considered non traditional, but to graduate from the program isn't easy.It takes alot of persistance,studying,and hard work.The way the tests/questions are worded, it really helps you get ready for the nclex.At the time i graduated, some of the educators that wrote test questions for Regents were also writing for the nclex.So , on that note, CONGRATS!!!I know firsthand the difficulty of the school,testing and hard work you put into your degree.Dont ever let yourself feel any different!! (ps, i was already working for a hospital as a nursing assistant during school, but i have never had that fact hinder my job prospects.I worked in home care, management and travel nursing as well.In fact most realized, it does take a more assertive, knowledgeable person to do this)

Lol, i love it.I always like to say to my co workers, well you know this is the Hanoi Hilton.Some of the things people ask for& want is crazzzy.It feels sometimes that people think we are stewardesses in the celebrity VIP section..The supermarket and wal- mart are down the road buddy!!....

This is a touchy subject to say the least.Where i work, we too get pt's who are homeless( we do not have a high homeless rate in our area tho).It seems the majority of the pt's or families expect the hospital(we are a not for profit catholic hospital) to FIX there social situation,i.e., put them up in a hotel,keep them in the hospital even when the acute care isnt needed.I feel we can give them resources on help, where to go,etc, but it is not the hospitals responsibility to fix there situation.Many of the pt's i have seen in this situation are drug/alcohol addicts or non- complaint pts, refusing what treatment/options offered to them.Many of their family members and friends do not want them living with them for various reasons.It is a bad situation all around, but you can only help people so much.

I know many times when you get more patients and feel bogged down , it gets to you.But, you should NEVER make the pt feel that way.The pt should Never know you are so busy and feel you don't have time for them.That comment was horrendous and i can imagine how the poor pt felt .I would have def said something to the nurse after i got the pt situated to her new room, possibly even writing her up.I am glad you brought his topic up, as i am sure it happens more freq than people think, maybe not to that degree tho.It makes us all stop and think, do we give off that vibe to our pt's and or family members?It isn't always just the things we say that leave an impression, it is also our behaviors.....

If you are getting nowhere with the docs and the pt is truly in need, esp a crisis, then you have to go over his head.Always notify the Nursing Supervisor.Once , i called a doc a couple times, he basically blew it off, i called the Nsg Sup, she called the DR , told him if he didn't come in to see the pt, she was going to have to call the Medical Director of our hospital.It is the nurses responsibilities to do what is neccessary for the pt's well being.

The pt load varies depending on the shift.On days we can have from 5-8, 3-11 about the same,midnights usually 6-8.Our hospital uses a staffing grid, NOT based on pt acuity...

Quite a few years back, when the idea of gloves and protective equipment was new, i frequently got that question.What do you think i have something??Now, it is common practise and pt's EXPECT you to wear them.I do not have any pt' ever question it now in this day and age..

So true, you can tell alot about the patient by smells, even before you read anything about them....