bloatedputti

Sorry, I never saw this question. Yes, know those superficially. I assume you took test already. Just know the main ones of regurge, stenosis and where to listen to on exam. Aortic, pulmonic, triscupid, mitral where to place scope. what s & s see with regurg and stenosis ( edema, JVD,SOB, dyspnea, chest pain...) Did you pass?

YES, YES! Let's dilute all of the estrogen a bit. Tired of all the backstabbing,grudges, nepotism, whining, gossiping, bullying, favoritism. We women behave better when men are around. That's MY opinion.

People come in all types. We can't pick and choose. Here are some deal breakers for me: physical contact, throwing objects, fluids, or spitting, threatening comments by patient or visitors,extreme personality clashes, ethical dilemmas- I feel all of these issues need to be escalated to the charge or management immediately in a calm, professional manner. Usually social work, family, doctor, security.... are called upon to remedy as appropriate. Maybe you can continue to be assigned, maybe not. As a women, I've been complimented or whatever by men my entire career. I just ignore it. If it bothers someone, they can professionally work it out with superiors. Sometimes another colleague may have a better connection with the patient. If the patient is really bad, we usually "take turns" caring for someone. It can be very draining on one person all the time.

I guess its only valuable to one if they 1. found an employee or 2. a job by it. In my case, it opened a whole new world to me in terms of companies, positions, and recruiters. I had 3 solid leads for jobs by being part of Linkedin over traditional sites like Indeed, where I'm thrown into a bin with hundreds of other people, with no human to contact. If you consider nursing a professional business, it can open doors for you. I also network with people now, read articles, and feel more involved than just being a "hospital employee." Recruiters definitely reach out to you for pharma and medical device opportunities. They are polite and ask you to call them, or they ask if you're interested in a certain job, and you can click yes or no. Second, I was able to express my talents and experience far better than any resume could speak to. There are sections where you describe certain things and can really give an employer an idea who you really are. I like this. Gone are the days of walking into HR and chatting.

I'll say something really un PC. Let all of the unemployed, those loving it, getting paid to do so, and retired people do it. Yes, the system doesn't give a darn about working people or those with kids. Come wait all day in a room, only to be cancelled! Come to the courthouse not in your town, but an hour away!...... I can't..

Yes! You are correct. Hemorrhaging of staff is almost universal now!! Managers need to wake up! I've worked 28 years and only seen handful of those that care. So frustrating. They get in their offices and get accustomed to the good life- surfing internet, leaving early, talking about their kids all day.... Does anybody have the answer? Best management I've seen was at UCLA Medical Center. Someone should clone them. Hospitals don't seem to care about the revolving door. No worries! We'll use Travelers and Registry!

It's so sad that I have to agree with most of you all. Speaking up is brave, but it all too often has repercussions. There are lazy managers, unethical leaders, inexperienced leaders..... Nurses are often promoted to these positions without the necessary qualities of a Manager. True too, that the quiet people will be left alone. The change agents are viewed as trouble many times. Throw in a bunch of estrogen (hate to say that) and good luck with making positive change. If any Managers are reading this, listen to your employees. Sit them down, one by one, and ask them, "How are we doing as a unit? Do you have any suggestions? Here's what I appreciate about you..." Loyalty to employees gives it back in volumes to the organization and patients.

Nobody can tell you how to feel or what to do. It doesn't sound like she values you for reasons you may not even be aware of. Hiring people is somewhat of a subjective process because we are human beings. You could (a) finish out your residency because its not a waste of time, then reapply, or (b) finish up and go where you might have a better chance. Start looking near the end. Then if you get another offer AND she accepts you, you have a choice ( assuming there's no contract to stay). Take charge of your future. I've trained countless new grads and seasoned RN's.Drive and intelligence often level the playing field. In other words, some new grads turn out to be better nurses in a short period of time. You're correct. Med Surg irrelevant for NICU. I assume you already understand the hospital infrastructure, now it's time to focus on the medicine and nursing of newborns.

You nailed it! Hope Managers are following this thread. Maybe family should be allowed in the OR too???

Bedside? I guess if you want to listen to a bunch of stories, complaints, questions. The patient and family have all day to do that. Professionals need to speak privately,without editing for the patients sake.OF COURSE we share sensitive info that the patient does not need to hear, but is pertinent to the plan of care. . This family involvement thing has gone too far. They don't need to see their family member coded.Why not let them sit in the OR then too during their loved ones CABG? Or maybe have the doctors do all of their consult talks in their room too? Patients understandably have generally have very little knowledge of medicine. Having them listen to report just creates more problems. I think, time allowing, introducing the next nurse and saying goodbye is very professional.

Total waste of time and taxpayer's money. We don't have to call just once, but 2 attempts! Spoiled people making petty complaints about coffee, the chairs in the waiting room, and the "How dare you make me wait!" mentality. Maybe Americans would like to get their care in a third world country instead?? Complaining about the staff really gets to me. If someone is unsafe that's one thing, but other complaints about a nurse personality... are unwarranted. I still say that if people were accountable, starting with their wallet, we wouldn't have half the problems with healthcare waste and abuse. People need to take responsibility for themselves. Amen.

I like your idea about Nutritionist. Nursing doesn't seem like the ideal match for you. It's ok. There are plenty of other jobs in the world that make a difference in people's lives. Open your mind and heart to other options. Speech Therapy, Occupational therapy. Physical Therapy, to name a few. Social work is very stressful and one should be in tip top mental shape to deal with people's problems.

Guess what. Once a jerk, always a jerk. You will have future problems. Run as fast as you can. They don't deserve you. I've been at this a long time. I can sniff out the bad bosses. There's no point in trying to stick it out, report it, or pretend. I have a saying, " You don't get me", meaning that I value myself and my profession. If I have to compromise. lie, stay quiet when it's serious, I can't work in this environment. Stay true to your set of ethics.

Massive waste of healthcare dollars for terminally ill patients, usually related to family members who cant accept death. Guarantee that if they had to pony up the money, they'd pull the plug.

Welcome to the world of managers who rise through the ranks, but some who aren't meant to be leaders. You've experienced a negative feedback loop, and will now be hesitant to report concerns in the future. There was NO reason the manager needed to open his or her mouth with your name. It could have been dealt with by watching the particular offenders and reminding staff as a whole about breaks. I find this a lot in nursing. Lots of drama, gossiping, and not handling staff complaints professionally and legally in some cases.

Highly doubt a correlation. Ativan 2mg is nothing. Although if the Supe thought it could be the cause, Flumazenil could have easily rule this in or out. Don't beat yourself up. you had NO ill intentions. I've seen it all...... This is not up there in the list of errors. Learn about reversal agents and make a cheatsheet for yourself. We ALL make a medication or nursing error or two in our career. It's to be human.

Set limits. Don't bend over backwards for drug seekers. Don't divert personnel for these people. They suck the system dry. Watch your patients take their pills ( if you didn't). I agree, there should be an alert by his name that 2 nurses witness his narcotic ingestion.

I disagree. If a workplace is unsafe, emotionally intolerable, abusive, harassing,etc. you have the right to leave without notice. We're not in Russia. Bosses have no qualms about firing people at the start of their shift, leaving everybody short. I 've seen this time and time again. It's part of business. Do what's best for you. Managers or HR are not supposed to give subjective information, only dates of employment. This is not to say it doesn't happen. Large, professional places aren't interested in digging up dirt. You can explain why you left in your interviews. It's not a law to give notice. Not everybody does. The burning bridge thing is overrated. If you're good and they're in need, they'll hire you.

Sounds like you used good judgement, but neither you nor the next nurse followed it through. Push push push when lab values or any other assessment is abnormal. The DON is out of line. No question. This may have ruined your relationship. Only you can know. I'd start looking for a "Plan B"

OMG. These are all spot on! People turn into little children when we baby them. They get food, attention, control. They take it too far.Patients also have responsibilities-to cooperate, not be abusive, and follow the rules. Unfortunately, they think that being sick gives them a right to be difficult. Not cooperating with the plan of care is not ok. Taking a nurse's time for petty issues makes my blood boil.

I agree with you. This is however a very complex problem. The system supports it. Illegal drug smuggling and manufacturing, doctors over prescribing, mental illness, crime, abuse,poverty, all of these things can lead to drug abuse. It's up to the physician or pain management team to nip this in the bud. Limits need to be established. They can offer him other non- opioid drugs and sedatives. They usually give an end point and make it clear. the patient usually walks at this point. Will this cure the person of his addiction? maybe and probably not, but it will save the hospital millions of dollars and wasted resources for people such as you described. I agree with one post, don't make yourself crazy over this. its wasted energy.

Let's be cost conscious here. Pens, drips from pharmacy, compounded diluted insulin?? Just use a non safety needle. Not all injections have safety needles. The old saying "don't recap" will work just fine here.

Don't beat yourself up. You did fine. Nobody knows it all. Best practice standards are not all universally used. You would follow your facility policies. Interviewers ask the dumbest questions. "What are your weaknesses? Do you like people?" Come on. All that does is make the candidate feel like a fool, and not act themselves.

Not enough time. Tell them professionally that you are looking forward to the best possible care and high standards for their patients. In order to achieve this as a new graduate, you feel that 3 weeks minimum of preceptoring would be what you need. Any professional place will not disagree to this.

Hilarious! My son does this too! Look it up!