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Baffled
Lol.....I just asked my husband if he knew the name of his BP medication. He only knew "It starts with an L."Lisinopril! Made him repeat it until he remembered. I will test him on it in one week.
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Forced to resign, need advise
They were going to fire you for not scanning fluids? That seems weird. I forget to scan fluids a lot.......is there more to this story?I would forget about this place and look for another job.
- Murphy's Law of Nursing
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"the future days"
Potassium pills will become smaller so all these little old folks will be able to swallow them!GoLytely will not be a huge gallon jug but a small pill!Ativan 2mg po will be a nursing order so we can give it to anxious family members!
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Clinical Judgement
If the patients blood pressure is normal you don't have to hold the medication. The BP med is keeping the blood pressure normal. The doctor would not want to be called about holding a BP med for a normal pressure.Good job OP for checking with the primary RN. Your teacher seems weird. Our job is not to "sell" the patients into taking their meds in this situation.
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Nurses, Clients and Power
Yiyayiya,This post is two years old. You keep posting how you will refuse all these procedures and how you will take medical personel to court for battery. I hope you don't end up at the hospital where I work. Yes patients do have the right to refuse....but why show up at a hospital and refuse care? Doctors don't order tests and procedures to torture people.
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Is it ok give the patient water when they are having hypertension emergency
Removed my comment...sorry.
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Non-verbal signs of pain
Thank you so much for this post. I work med surge onc and I can't believe how some nurses ignore prn pain medication! When I call them on it its "They were sleeping," or "she does not like the way dilaudid makes her feel" Wake these people up, assess for pain, and do your job for godness sake!!!!!!! If they don't like dilaudid, give or ask for something else!
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Well it happened my first needlestick
It happened to me too. Mine was a insulin needle....I gave the pt her dose and some how that needle ended up in my finger. She was a 19y/o jehovas witness with uncontrolled DM. Thank God. It will be OK. I know I learned to slow down! Hugs!
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Need some encouragement:Stretched thin
Welcome to day shift! The families can really mess up your day. I agree with the posters who said that it will get easier as you keep going. Remember, the only thing you can not pass on to the next shift is your charting.....You can only do what you can do. Try not to stress over it when you leave. I have been working on days for about 6 years and could have written your post too on some days. I recently went to on call....now I tell them when I will be there. I feel 100% better about my job now.
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To quote or not to quote...
Dumb rules/managers like this are the reason I quit my hospital job. I used to quote pts and visitors frequently because like the OP said, it does convey the attitude better than the RNs own words. And it is sometimes necessary to quote visitors. Sometimes they make it impossible for the pt and nurse to have any interaction. Good luck OP...I am still looking for a job I can stand!!!!! LOL, Zofran. PS. Yes, I am broke but happy :)
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Can I bolus this patient? A legal / practice question about sedatives and narcotics
I feel your pain OP. I am not an ICU nurse but I have the same problem with my morphine/dilaudid gtts for comfort care patients. We have the same kind of orders you do......For example they go something like.....Morphine gtt-start at 2mg hour and titrate for comfort up to 20mg hour. The thing is we always have a second order with them for Morphine IV 1-10mg Q1 PRN. So one day, I was setting up a morphine drip for a dying patient. I didn't want the patient to have to wait 1 hour to get her damn morphine dose. I set up the drip and went back to the med room to grab the vial of 5mg/ml morphine. The most experienced nurse yells out---Why are you wasting your time!!!! Watch this!!! She grabed a syringe with a needle and stuck it through the port in the tubing. She drew out 5mg/10 ml morphine. Then she took the needle off and gave it to the patient. We go to chart it and there is NO WAY to chart it. The computer wont LET US. The OP is not a bad nurse practicing way beyond her scope people. She has a COMPUTER problem. Good luck OP. Edited to add---Be careful what you wish for though OP. I am sure if they fix it they will make two nurses come into the room and document that you gave that damn bolus. (or maybe you have to do that with ICU type drips anyway?)
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Things that should be banned in acute care.
Everybody got a bit too upset..... The first thought that came to my mind when I read the title was FAMILY! LOL
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FREEDOM! I Quit my med-surge job!
....thanks everyone. When I spoke with my manager about my concerns, she basically said that I was most likely going through a rough time at home and I was "bringing it to work." She also said, "There are alot of jobs out there for nurses like you who have experience." I guess she is not smart enough to understand.....When you take away a secratery, a transporter, and give the CNA's twice the ammount of patients, and you DONT REPLACE THEM (to save money) there is NO ONE LEFT to do those jobs. Except SUPER RN! Savior of the world!!!! LOL She knows damn well that I am HAPPY at home. I am OVERWORKED when I show up at my job. Her crazy staffing HAS NOTHING to do with my home life!!!! And YAY, I hope there are plenty of jobs for experienced nurses like me. I just wont pick one with an ******* manager who has UNREALISTIC expectations. Ha ha ha..... thanks again people.....You all have helped me open my eyes. I have been on this message board for about 3 years and I thank every single person who has posted anything. It helped me see that I was not alone, that I was not crazy or a bad nurse who has problems with time management. It is the JOB not ME!!!! So THANKS ALLNURSES!!!! You ROCK!!!!!
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FREEDOM! I Quit my med-surge job!
Well, I have never felt better. I finally just said ENOUGH. I realized that I am doing the job of at least 11 people. Yes I am an RN. So WHY and HOW am I expected to be a secratery, transporter, pharmacist, housekeeper, doctor, customer service rep, social worker, case manager, CNA, and waitress. (I could add dietitian, nursing student instructor, and PT/OT) There is NO HUMAN way to play all these roles with a smile and no overtime. Just NO POSSIBLE WAY to do hourly rounding, give report in the rooms, chart in the rooms, and answer the phone and call light at the nurses station. I would like to meet the SUPER NURSE who can physically be in TWO PLACES at once. (and not pee or eat for 8 hours) I am a good nurse. I care that my patients have to wait 30 minutes for pain medication and 6 hours for a post op walk. I care that STAT meds and STAT lab draws sometimes take 2-3 hours to get done. I worry, because as a good nurse I KNOW that some of my patients belong on tele or in ICU. I realize that 90% of my job consists of rounding up the proper people to FORCE them to do their job. I also realize that 99% of my job consists of DOING other peoples jobs because they are "At lunch, on a break, too busy, have too many other patients to see, don't feel well, are pregnant/breast feeding, or are on facebook." If I could go to work, do assments, treatments, medications, catch changes in condition, and chart my findings, I would be the happiest person on earth. I would be a NURSE. No I am not rich. I have to work to help support my family. I finally realized that my mental health and well being comes before the money I make. Yeah....I am going to be broke as hell before I find another job. It is going to suck. I don't care. My husband and children support me 100% I have shelter, food, water, and love in my life. Now I have time to find a job as a NURSE. Or who knows what will happen....... I am free!