llltapp

but, lets not forget that there are some real quacks out there and some nurses we wouldn't want to touch our dog. Those of us who are "in the field" get paranoid sometimes when it comes to our loved ones

when I was a lot heavier than I am now, thank GOD lol, I bent over at work and split my pants from orifice to elbow LOL. thank God the ER has scrubs lol

I have gotten married twice before starting a new job LOL. As long as you let them know in the interview, it shouldn't be a problem. Usually it sparks a great conversation and you bond with the interviewer. GET a job, have fun, and get married! Congratulations!

do what you are passionate about. money isn't everything :)

I never wear makeup. My husband hates it :). You know, the old "you look beautiful natural baby" LOL

Their beef should be with the ordering physician, not you. TYPICAL . Make the nurse the fall guy

bottom line: only YOU can define what will make YOU happy. If you have fundamental traditional needs for the roles in your relationship, then by all means, find someone that feels the same way. Don't expect to change him. Don't expect to motivate him. Do your thing, you are young! I think respecting your partner is a MUST for a successful relationship. If you perceive that he has a lack of ambition, inability to provide, etc, you don't respect him and that will destroy your relationship in the future.

Nursing is what we DO, not who we ARE :)

if you have done everything they asked , then take a deep breathe and be honest. :)

Now this is a funny thread . What about men who want to marry female doctors.... boy we are ASSUMING aren't we ? lol If anyone goes into nursing to marry a doc, man are you going to be disappointed lol.

I'm biased, I love the ER. Things I love: great teamwork, variety, fast pace, HUMOR, playing detective, seeing the babies and kids (ones that are so cute, but not really sick :), great doctor-nurse relationships, learning something new every day. not so great things: seeing sick or abused children/babies, drunk chunks :), drug seeking sandwich seekers (although if they are pleasant they can be a fun way to turf the STEMI coming in to my buddy who has the next room down lol) Just make SURE you get a good orientation and they are supportive of new grads. Our team is the BEST :). We love to teach and we love to learn. That's the kind of place you want to be.

when you are in high anxiety, you don't retain information. While being nervous is normal, take some deep breaths and TRY to relax. They are not going to let you kill someone :) as long as you keep asking questions and being a pain in their orifice. As for the nurse that was huffing and puffing, stop giving report, smile at her, and ask her how she would prefer that she receive report....... as if huffing and puffing are going to make matters better lol Keep on showing up, things WILL get better. And eat, sleep, and do SOMETHING to take your mind off work when you are off. Know that we have all been there. You are not alone.

yep. the most important thing to know is what you don't know

I'm sitting here laughing so hard at the OP and others. I WAS that ED nurse in the ICU with my 17 year old son who was literally on the edge of death for a week. The first time I went to the unit, I told the nurse (who recognized me as a nurse), yes, I am a nurse, I work ED, but I don't know CRAP about ICU, and I know LESS THAN CRAP when my son is involved so please talk to me like a 2 year old :). Of course I knew more than I thought I did, but, the nurses were great. Wonder what they said behind my back LOL

Sometimes wish I didn't do discharge vitals LOL JUST KIDDING

example: Dx: potential for altered skin integrity r/t imobility as evidenced by pt inability to turn and transfer Goal: pt will not show develop any stage 1 pressure areas for the next month Goal: pt will not have any skin tears within the next month Interventions: apply moisture barrier to buttocks, and perineal area BID and with each episode of incontinence, pt will be repositioned every two hours, heels will be floated while in bed/ podus boots while in bed, transfers will be blah blah blah you get the picture Evaluation: skin integrity will be observed and documented by CNA/RN daily, full skin assessments will be completed by primary nurse weekly this is A ROUGH example. Haven't written a care plan in YEARS!!!! LOL

sounds like a GREAT plan to me :)

by the way, everyone goes through this at first. There have been veins I could have crawled into and set up a tent in that I have missed LOL. The more anxiety you have the more difficult the task will be. Relax and learn to laugh at yourself too :)

Sometimes, the best that a superb nurse can muster is charting "pt observed awake, alert, alive" and stayed that way until the end of shift LOL and sometimes, that's all you can do. you are NOT superhuman. Take a deep breathe and do the next right thing :)

FYI: females hemaglobin and hematocrit being lower than males has nothing to do with menstruation. They are always "normally" lower than males before, during, and after mentruation in their lifespan. Think about it, postmenopausal women still have lower than men. Also why polycythemia (elevated h &h ) is a side effect of taking testosterone :) Good luck!

And if you have someone with DKA, make SURE they have that high potassium level before you start dumping them with insulin. Because Insulin puts potassium back INTO the cell and lowers the serum K level. Keep monitoring that potassium level as you bring the sugar down, or you can make them hypOkalemic :)

Like previous posts have said you find someone to give you the 411. Whether its another nurse, charge nurse, house supervisor, clinical nurse specialist, nurse educator, or call the ICU or ED and ask for someone to talk to. And yes, in a PINCH, you can certainly call the doctor :) I know I'm gonna get laughed at for that one, but who better to ask what the most important assessments and treatment. Don't forget to look for the careplan as well. No matter what the disease process, you are responsible for the ABC's, etc. Internet is a great source as well as PDA's or blackberry apps :)

1. how about her airway and risk for aspiration? 2. her skin may be intact now but she has SEVERE potential for impaired skin integrity (what are you going to do for assessment and prevention of that?) 3. how about potential for muscle atrophy related to imobility and interventions for that? GOOD start on your brain storming.

medscape nursing online (free) is a must have :) Great info on there that will help you now and in the future.

see if you can't go down to the ER and work along with a paramedic. call the er manager, or talk to your house supervisor one day. we get lots of good "practice patients" down there :)