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  1. surferbettycrocker

    I should be the happiest person

    was this broke down feeling related to clinicals and the realization of the responsibility? need more information...imo this profession wreaks havoc on one's personality from the anxiety but some seem to just sail right on through another day..
  2. surferbettycrocker

    Question about Cardizem Drip...

    hmmm i m still stuck on the OP writing about an 8 second pause the patient had...did thisperson get a pacemaker??? or just hang around on a cardizem gtt. we titrate that gtt down pretty fast once in SR or rate controlled and on PO cardizem--soemtimes the gtt comes off before the PO dilt. btw to the post who pushed 24mg of cardizem that seems like a *boatload* of cardizem to push doesnt it? ive seen as high as 18mg and i knew that pressure was gonna bottom out shure nuff it did.
  3. surferbettycrocker

    Hanging dopamine and preventing accidental bolus

    run it on a pump?:confused: sorry id ont work with neonates
  4. surferbettycrocker

    Pronouncing someone with a pacemaker

    kudos to tweedles and a few others who are taking in the whole picture. personally i was just focused on the device durng this thread and thinking =anyone curbside EP service? they program, reprogram, deprogram ,read pacers/crt devices and rarely are ever unable to get the details on a device
  5. surferbettycrocker

    How does cardiac tele compare with med-surg?

    i have to chime in and say for the record 'higher acuity' units can very much be labor intensive. med/surg is 'sometimes' where step downs/tele floors get their business "s/p total hip then went into rapid afib' or some other such procedure then had 'ekg changes' or 'chest pain and + trops' after. or poor grandpa with dementia who has 'history of cardiac dz' cards is a catch all. then you have heavy patient + higher acuity patients and hopefully one who is ready to 'step up' to floor or home not down to the unit.
  6. surferbettycrocker

    NYU or Sloan-Kettering?

    i hear MSK nurses are pretty hard core,,,, you'd learn a ton
  7. surferbettycrocker

    Early burn out

    if i may---i thought i went into nursing eyes wide open. i worked at a nursing tech for many years to see if nursing was for me. then ileft that job b/c i didnt like what i saw nurses putting up with! then i finally took the plunge got my degree. i ahve been at this gig for 4+ years and like another poster said i am "waiting to love my job" mostly i walk around amazed that anyone enjoys floor nursing! i think it is a job akin to torture or indentured servitude. now i feel stuck and i am waiting ot take the leap back out of nursing. to me NO job is worth the stress, the odd hours, the sacrifices, the anxiety attacks and the threat of litigation looming always--NO job. just my :igtsyt:
  8. surferbettycrocker

    Need encouragement, very anxious

    kudos to all the poster on here who are sticking it out and to the poster who said just keep showing up to grind it out for a year. its funny if you look to where most the new grad hiring is doing its on tele or cardiac stepdown floors! crazy isnt it that all that worrying and crying IS TOTALLY NORMAL for a new grad (even old grad like me) especially on a cardiac unit. cardiac nursing is HARD WORK but if you keep at it, you find yourself STILL WORRYING STILL ANXIOUS it keeps you on your toes, but also wears you out hence high turnover, you will find yourself able to think through situations (chest pain, vtach, starting/titrating gtts) that would scare the beejeezus out of most nurses except for actual ICU nurses. the whole thing is not normal! feeling this way and it may even get worse the more you learn the more anxious you may get. and it seems counterintuitive. more time on unit yet i became more worried! but it happens then it plateaus and you may feel alitte more confident but still anxious! nature of the beast. anxiety and cardiac nursing i swear. come here to vent, find nurse friends to vent,, keep showing up, and if it all gets too much you have a right to choose another specialty or career remember that. for now worry and anxiety show me that you care and must have some well tuned critical thinking skills.
  9. surferbettycrocker

    Help! Stuck in my job and hating it

    did i read that right 3 months? im sorry to sound so curt but NURSING IS HARD. and working holidays and weekends is expected. in the hiring process they can tellyou every 3rd weekend but do you have a union contract written in stone? if not then its needs of the unit. getting the experience to be a competent bedside nurse is the hardest work you will ever do professionally. what ever happened to stick it out? at least a year? the grass is not always greener. hospital nursing basicallly sucks save for a few nurses who truly love it (and i only know of them on this board not in real life). why not test yourself to see how adaptable you can be in this role? it is an opportunity to learn alot in m/s and if nothing else practice your assessment skills. in RN and NP programs you get an outline of assessment points. now go practice on different patients! im not sure what np path you chose but i bet if its FNP you will see most of the disease process on medsurg. im not a martyr type and it is your life and happiness but 3 months? really? test yourself try 6 months. then transfer. not to be rude but i would not trust you to be my NP with 3 months of real patient care experience. just sayin' :welcome:
  10. surferbettycrocker

    I hate what's happening to nursing...

    take people who are sick probably CHRONICALLY ill, even frequent flyer with some flare up of a terminal/depressing diagnosis and ask them to give you a brilliant review of customer care. i agree its horse $&IT! i would give everyone negative numbers just for the sake of me being hospitalized! then you tell me what to eat when to eat when not to eat poke me prod me wake me all hours of the night and parade strangers in and out of my room with very little privacy? yea sure you all get gold stars!!! come on! and this quality indicator bs all boils down to nursing NO MATTER what it is always the nurses fault!!
  11. surferbettycrocker

    What to do when.....?

    you know sometimes i wonder if the dying patients hang on by a paper thin thread when family is in the room. i have heard of and witnessed patients actively dyeing who give their last breath just as family stepped out of the room. you never really know. maybe even in the state of dyeing the patient feels a need to hang on for the grieving family. i think you did the best you could with the situation at hand. althoug iw ould not want my loved ones to die alone, i dont think i could sit and listen to a death rattle of a loved one..
  12. surferbettycrocker

    does working with 'ill and infirm' depress you ever?

    thank you lpnwheezy. i know during the course of a day we see things that are really upsetting. it just seems crazy to think about it sometimes that we in healthcare have to normalize things that are very abnormal on a daily basis and how over time that effects a person
  13. fellow rn lpn cna: probably a silly question but do you ever get depressed working around "sick" people (adults, teens, infants, pedi's) for several hours a day many days a week? or guilty that you get to leave the hospital/ltc at end of shift on a holiday and the patients do not? how bout psych nurses are or critical care nurses are you specially prepared or learn from your colleagues? howoften does this cross your mind and how do you deal with it? do you just say to yourself 'at least im here to help', ignore it, cry about it, vent it out, see a counselor or eat a pint of ben n jerry's? just would like to read your thoughts thanks!
  14. surferbettycrocker

    Almost a year in and more scared than before

    i am 4.5 years in and i still feel scared and i dont think i ever will NOT feel scared. maybe its just me, maybe its good to have that healthy dose of fear following you during working hours. i have even heard RN's who have decades of exp say they still have that dose of fear. what jangles my nerves is when you feel like your the only one nervous (although never let em see you sweat) and the other RNs on your unit are cool as cucumbers. i feel like a real fool most days for that. funny i think being more scared must correlate with increasing competency. i have yet to see an ICU RN who is totally laid back and that makes me feel a little better:D
  15. surferbettycrocker

    New nurse...hate my job...don't know what to do

    any chance at all you can switch to days? then get acclimated to days learn as much as you can about ortho and wait till a year to switch departments? heres the silver lining 1.u r not an ortho patient you can leave the hosp when your shift is done 2 nights suck the life out of you but this too shall pass. you may get used to nites it takes a long while, and eventually you can and WILL change shifts jobs. sometimes its nice feeling to leave work when everyone is going to work! 3 even if you hate the area of nursng you work at, you can still learn alot about surgery, recovery pain meds, even physical therapy. as silly as it may sound invest yourself in learning things about the human body and the human condition. hope this helps:nurse::balloons: