missmiamoore

I am feeling traumatized and numb at the moment. Maybe it is because I am 6.5 weeks pregnant and my hormones are out of control. There was an "incident" at work tonight that threw me right off and has left me feeling disturbed. I am sure it is not...

Very sad. This is why I am hesitant to post on all nurses.com. It is full of bitter people who seem to enjoy being rude and cold to other nurses. This is pathetic and I would never respond to a comment by disregarding it. I am done posting on thi...

I am going in on modified duties, meaning I won't have a patient assignment for two shifts. It really upsets me hearing fellow nurses not supporting others because they themselves have had bad experiences. This is what I call lateral violence. My m...

Hi nurses: I am a Canadian RN that graduated in 2008, from McMaster University Bachelor of Science in Nursing Program. I worked for a couple years in acute care in Ontario. Now, I am trying to gain licensure by way of examination in California. The ...

Thank you Elkpark. This is reassuring to find out :)

I didn't know that UOP offerend nurse practitioner programs. I am in the Lake County area and am interested.

Med aide is such a STRANGE concept to me. I get all territorial and panicky just thinking of someone else pouring and passing my patients their meds. What type of training do these aides have? Do they know how to do the proper assessments and unde...

Oh yes, of course we all do that. It's called reflection. The key is not to drive yourself crazy over these things. What I find helps is I try to think of a positive for everything I have missed. For example, I will think, I should of left a note...

Morphine, Gravol, acetaminophen, Atasol 30, Percocet, oxycodone, Dilaudid, Zofran, Stemetil, Maxeran, Bendadryl, Imovane, and Ativan. I work on a post-surgical floor (majority ortho and GI). We always have to call for abnormal labs (potassium, hemo...

Hi there.. At our institution we follow hip and knee care paths. On day 1-2, we would be assessing for pain and symptom control, hemodynamic status (hemoglobin and potassium levels), urine output, ambulation (should be 2 assists to sob or chair), bo...

Yes, I also feel as if this line would be questionable for harsh agents such as chemo etc. However, drawing blood is also an issue, as we all know that doing so from a peripheral line can potentially collapse the vein and would ultimately damage the...

No way in hell...Would not want any of my co-workers catheterizing me, toileting me, seeing me vulnerable. I don't even like to socialize with these people. I like to keep my work life very professional and that includes not being a patient on my u...

So a scary/strange thing happened today at work. A patient of mine who has chronic edema and very sensitive skin recieved a nasty skin tear under his eye when I was wiping morning mucous out of the corner of his eyes. I didn't put unusual pressure ...

Thank you for your thoughtful replies. Shedding some light on this situation. I personally think this patient is "on his way out" he does not look good and I get that gut feeling, but he has not been deemed a terminal patient. As far as TPN, I am ...

This patient did not eat anything all day. Just kept drinking juice and water. We finally got a Boost into him but only at the end of the day. How do we maximize nutritional status when they don't want to eat anything?

New Grad in Ontario, work FT in acute hospital setting for 27.57 per hour plus benefits/pension.

Hey, just wondering your opinion. I am on Effexor-XR and have a problem with alcohol. I find it hard to resist when I am in social situations and it usually ends up pretty bad. I am feeling kinda weak tonight and am deciding not to go the Christma...

my last year as a nursing student, i pricked myself accidentally with a glucometer needle. this was after i took the guy's blood glucose with it. i checked his PMH in the chart for hiv or related conditions and there was nothing. i never reported ...

I give a lot of IM shots in the vastus lateralis muscle given that the patient is healthy with good muscle bulk and tone. Anyone else do this? Some nurses on the floor where I work were surprised when I told them I use this site. They said they us...

As a new grad, starting IVs is a skill I am just starting to learn. It is basically a hit or miss process where we only have practice if our patient needs one. The past several I have done have all ended without success. However, last night I just...

When I use a facecloth/towel for cleaning up poo off a patient or any other surface, I always dispose of it in the trash, as it is hard to imagine someone putting their face on it again even after laundering.

I also believe Effexor-XR to be a wonder drug. I am currently on 150 mg every morning. I have been able to cut back on my dosage very slowly by alternating doses and counting beads, avoiding brain zaps and other side effects. However, my depressio...

Hi there: I am a new grad working in Ontario Canada. As the title of this post says, I got a whopping deduction on my latest pay check. What I am wondering is when is working overtime not worth it anymore due to taxes and other deductions? It see...

I work with a more seasoned nurse who does this. She works full time on a cardiology floor and works casual (1-2 shifts per week) on a small med/surg floor at a community hospital near her home. She does this to avoid the taxes. However, I am not ...

Hey there: I have been working nights for the past 3 weeks now and I tonight was to be my 9th one. For some reason, when I got home this morning, I could not fall asleep! I was plagued with an anxious stomach and mind and was tossing and turning s...