micstn

Great insight, why I didn't think this way. Thank you very much!

It is a gray area in our hospital, sometimes we admited a patient, dr just ordered DNR by phone, no paper, just claimed patient is DNR

I was told by social worker to remove DNR for a patient because POA said he never told me to place pt on DNR. But actually POA did tell me this by phone, I relayed to dr who ordered DNR/TO. Now next day social worker talked to me and looked at me like I'm a liar. What I could do is i immediately switch patient back to full code and notify Dr. Would this cause any warning or even write up, I think I didn't have a witness with me, POA could take back his words, it makes sense for such an serious document. Thanks for any input and appreciate for any advice. I won't touch any paper DNR related, so complicated, in future I will wait for social worker to deal with it.

Davey, thank a lot for replying and sometimes I was surprised that why I'm slow comparing to young nurses, but I do enjoy working with them and their energy and intelligence inspires me to go gym and Eat healthy and be humorous... LOL

recently, I just found out a little bit worried about myself, whatever you can name..confused or disappointed or curious....I said to myself, why u worried about hanging a drip at the end of your shift though you already double checked the bag two times. While I was hanging that bag, charge nurse knocked the door and asked me to gave a brief report on all of my patients...do u have this patient?... no, it's not my...do u have that patient...he already been discharged. I just want to threw this words to his face..go away..but in front of patient and family, I just answered his stupid questions and allowed his disruption while I was starting a new IV and new drip. After I came back home, this scenario kept floating up and I asked myself, did I hang a right bag? I knew I already checked and scanned. i'm blaming myself why I didn't say something "wait because I don't want to be interrupted.." why I have such a tolerance with interruptions even though I hate that...why I don't know a tactical approach to refuse...I'm damaging myself by being such a stupid confidence to be capable of doing a lot of tasks...should I be conscious of my instinct which sometimes could lead wrong directions though mistakes do exists.... OMG, I need some direction please...

Thanks for your input, that's great information.

Nuguynurse, thanks for you kind words, i know it's true, feeling a little bit screwed up...

Libby, so pleased by your words, but I think the reality is we are living in a working environment that sick patients love to have young and pretty nurses, even I would like to work with younger colleagues, who make a dull workplace alive and vivid,,,

2 years in Tele, 2 years in Rehab, 2 years home health.....Thank you very much for your input...

... middle of 40's, BSN, currently working in tele,thinking about advancing my career for long time, don't like tele much, should go for ICU or nurse practionioner.... if I could get a position in ICU, I won't even think about NP. But when I saw those ICU nurses are so young, I was asking myself-- do you want to embarrass yourself, you are too old...

Thanks Sour Lemon, sometimes I did felt silly to even think about this as a matter.

I'm currently working in tele. The reason I felt upset is that I'm rarely named in our daily report conducted by chart nurse. I worked hard and be polite to patients and helping other nurses and techs. But I can count how many times my name showed in daily report and I had been working here for one year. I knew myself is not very social, and spent a lot of time in doing my job and hate trash talking, and too busy to talk to the charge nurse. I'm feeling it is hard to make friends with my colleagues. But when you see some nurses who have good relationship with charge nurse and their names showed almost every day in report for something I did also, I'm not feeling jealous but unfair. Should I find a new job or trying to change myself in an approach to make charge nurse happy.

MVM2, you are right, thanks a lot on your inspiring input!!!!!

I just have time to sit down to look through copy of my annual evaluation. When supervisor called me in last month(it was my first evaluation of my working life), I listened and didn't argue anything even I thought it was not right because I have to go back to my nursing station to start my shift. Now I'm looking for anther job and will have an interview tomorrow, new job asks me to bring a copy of evaluation of current job. In my evaluation, there are five levels" Never, below satisfactory, satisfactory, above satisfactory, exceeds." Most of items are graded" satisfactory", There is no " exceed." I don't know how to explain to the interviewer tomorrow if they asked me why it is not "exceed".

feeling upset for you having a non-professional coworker like her, avoiding her will make you feel better.

Great point, everybody will be old.

Thanks guys...

Hi, I'm RN, works in home health before. I just started night shift in a nursing home, per the nurse who oriented me, I need to help the CNA changing the patients as part of my routine since there is only 1 CNA. This floor is 28 beds all dementia, I felt confused why changing the patient is a routine for nurse? i can help them out for heavy patients if I have time, but I 'm new to this floor and I have to watch my time to finish my things. Is this an unspoken rule for nursing home? Thanks for any input!

Please help

Hi all experts, a home patient has a pressure sore on outer ankle/external mallelous is the anatomy name, because it is open, I staged it as stage II, but I can see a white part, looks like a bone, so I still doubt about if it is right with stage II. For this particular site, it is skin wraping the bone, if it is open, it will easy to see the bone. It is a small wound, width less than 1 cm, and very little drainage. For this kind wound, what kind of dressing I should use? I feel the calcium alginate is for draining wound, this patient's wound has even no drainage, what I should care for this wound? What dressing is good? THANKSSSSSS!

It is true. I do not want to be a burden of my children neither, but when I turns old, I want to live with them or closeby if we can tolerate each other; but the truth is we rarely can tolerate with each other; if we really live under a ceiling, how we can deal with so much difference between two generations.

I know my position as home care nurse, it's just be there usually once a week, but the rest of week, I expected there would be a family visit, at least once a week, I believe this is not a burden for children. You are right, I don't know much about family dynamic: look at people around me, nobody seems can be perfect as I thought

I know for most peoples' favor, I should put culture in it, but I start wondering why culture always be an excuse for healthcare phenomina, how about economics?

Talk about culture, I have to tell you that my coworker, she is a nurse & American, she won't let her mom go to the nursing home neither

Great points. I doubt about defination of abuse here, is slapping a child abusive? Or occasionally physical punishment for good reason is abusive?