Sonjailana

The laws don't matter if your employer won't enforce them or there is a culture of not reporting patients or calling the police.

You enroll in a master's or doctorate level nurse practitioner program. First you practice nursing for a bit so you actually have some first-hand experience, figure out what area of specialty (for NP) appeals to you, and go for it.

Question for you, StefO. Why is EOL care happening so frequently in the ICU? Why aren't we having these discussions far earlier and providing for much better deaths for our patients? When should these conversations start?

Somewhere SUNNNNNNY!

Yes! I went to a school that is nationally ranked in the top five for my specialty, and it has opened several doors for me.

I had some majors issues with my mom too OP. I think the earlier you can address this and set appropriate boundaries, the better off you will be in the long run. It sounds like your mom does not respect you as an adult. See a therapist ASAP. I can't recommend it enough!!

Wow.. so much drama from saying "Back in the day.." NO ageism here, respect your experience, but acuity is NOT the same as it was in the past, and so don't just suck it up and take it OP! It's not worth your mental health!

What kills me here is so many nurses are saying, well, back in the day I had.... Today's med-surg floor is so different! In my 7 years of nursing acuity has soared! Med-surg almost always has tele now and very very sick people. 11 is not safe! Run!!

Yes! I had a pt with this and we de-toxed him. Put him on suboxone and kept him..it did work..but took like 5 days..and it was miserable in the mean time.

Honda Civic..gets 40mpg highway!

Petting the cat Calling my mom to whine (we have an open post work whine policy..it works well) Taking a bath Reading a goood book Drinking a beer Spraying things in the yard with the hose Zumba Reading blogs

We had a two week old nursing assistant training a new nursing assistant the other week...they actually had her assigned two of them! So, I took one away..but talk about blind leading blind..

How did you sleep last night.. What did you think of that game (whomever is local) You picked a good to day to be here (if there is horrible weather..often in Michigan) Did you get breakfast/lunch/dinner.. Oh your flowers/hat/grandchild are soo beautiful... Sometimes, silence is golden. Pt's will just appreciate you being there.

A couple months at best..likely less than that. We usually hydrate these pts pretty aggressively IV wise too.

Just say No. Seriously, if a pt had a peripheral IV, I would NOT push phenergan undiluted. Can you say extravasation? I have no problem telling a pt, "that's fine that the other nurses did it such and such way, I'm doing it this way." Do what's best for the pt, not necessarily what they want. So what if they 'fire' you. It'll be a calmer day afterward :)