CTMMaine

@ pennyaline and Hoozdo.

ok..........so i need info on how to get malpractice insurance please.......

Thanks for ur responses. Pt A sats dropped again and they ordered a CT and X-ray on my shift Pt B-got some lasix and is doing fine.

Brief history: 6 weeks orientation a med-surg/tele unit; 2nd week on my own I had 5 pt last night. 2 pts sats dropped at the same time (A-77 and the B=83). A 3rd pt IV infiltrated with vancomycin. i put A on a partial re breather, sats increased to 91; then put her back on N/C; sats dropped to 83; notified Dr. who was mad at me for something i really didn't care abt at the moment. He came, placed pt on venti mask 40% and wanted ABGs, CXR and other labs, mean while sats =84. Paged resp. for BIBAP( who has to drive 45 mins becos we dont have resp during the night shift:madface:). I told the Dr. the sats are still at 84 and he said "WAT SHOULD I DO":madface: Ok i spoke with another nurse and we increased to VEnti 50%. SAts still 84-85. B: partial rebreather,0xygen-100%, then back to N/c- stayed at 91%. Ok 15 mins later -88, gave her albuterol coz she started complaining of SOB-told Dr. and Dr. assessed and said just maintain atlist 89%. OK back to A:respiratory guy here-drawn ABGs, place pt on BIBAP Fouth pt: Family members want Ativan for pt (COMFORT CARE). i asked another nurse to do that and please put new IV on infiltrated. B: Ask respiratory to please assessed B. States B has some crackles and and diminished in bases. Ok he would advise some lasix because of fluid. Ok that i did not tell the Dr. Back to infiltrated- nurse said the IV she put is infiltrated and i ask another nurse to put a new IV and then put warm pack on infitrated site. Ok so now i go home, slept, woke up and decide to read b4 going to work and realize that pt B may be having Pulmonary Edema: her sats dropped; she was having noturia and has ankle edema on left leg which is old but no coughing or pink frothy sputum or sweating but i am still worried becos what if and since the resp. guy told me abt the fluid. All this is so overwhelming. i am going back tonight and really nervous. Thanks for any comment.

same here. Hard a horrible night (last night). 2 pts sats dropped at the same time; IV infiltration with vancomycin running. Talk abt running around like chicken (atleast i got some help). Can't wait to get out of med-surg. FYI: 2nd week off orientation after only six week orientation.

This too shall pass......................

@ Kerric511: :roll

I work at TAMC. Moved to Presque Isle from Worcester coz i could not find any job over there. I am already nervous abt the winter becos i have never really experience winter (lived in worcester for only 3 month, b4 that Texas and California).

just out of curiosity, do u work at TAMC or CARY.

i would not sign a 3 years contract. 1 year contract-yes.I signed a 1 year contract for relocation assistance and sign on bonus in a rural area which i don't really like but willing to stay to get my experience. It is still ur choice. Goodluck.

Thanks for all your comments. Just to clarify: the length of orientation is 6 weeks (today is the last night of orientation) which i was told when i was hired and will get additional weeks if i want more training. Most nurses are leaving because of better pay and moving to bigger cities (rural hospital).

on a med-surg tele unit (orientation is only 6 weeks), my manager called me into her office to discuss my progress. She asked if i felt ok being on my own. I told her i was nervous but happy to have good co-workers/preceptors that i can always ask questions. She said everyone has said nice things abt me and we started discussing abt the new graduates coming in this june. There will be 10 graduates, so i asked her who is going to be there preceptor (since most staffs are leaving and we are always understaffed). She said she will split them between shifts and diff. rotations or 1 nurse can have 2 new graduates :dzed:. She said for example i could also have a graduate rn come to me for questions or i could have one "following me" and if i was ok with that. I was in shock and said something i now regret saying "that is fine with me as long as there is an experience nurse on the unit which we can ask questions". OK did i just agree to be a preceptor or she basically just want me to be a resource for the New graduate??? And if she wants me to be a preceptor, how can i refuse becos i am technically still a new grad. and want to keep my license (since i don't know much myself). I am really nervous abt this because a new grad should not be training another new grad. and i really disappointed at myself for the response i gave her. Thanks for u comments in advance.

first of all, your gpa has nothing to do with getting a job. i graduated dec. 2008 from a bsn program, with a 3.8 gpa, inducted into the sigma theta tau honor society, got my license jan. and finally got a job april. i had to move abt 420 miles from were i live to get a job in a rural area. did i mention i was a cna for 5 years? the economy is a mess right now. the only option for new grads : move to a rural area where there is a shortage.

Scott and White Hospital- Temple Texas TAMC- Presque Maine

JUST like all the PP have said, MOVE. I had to move 420 miles to get a new graduate job (graduated Dec. 2008). I start orientation this Sunday night.