nurse12b

I PASSED!!!!:) 4 more to go!

I am almost done with EC and I am really nervous on the rest of the tests. I have 5 theory tests left and the further I get the further it seams away. I'm having problems studying for the Transition to RN test, I have failed this test before and I am afraid of failing it again, its not a clinical test and there are alot of management questions and I HATE those type of questions. My fear is when you fail a test its not like you can just reschedule the test and retake it, the first time you fail it you have to wait 30 days to reschedule and the 2nd time you fail you have to wait 6 MONTHS and the 3rd time you fail you are OUT! So when I failed this test the first time a YEAR ago, it put alot of fears in me that I can't do this and I'm going to fail again! Now here I am again a year later I have paid for the test and when I look at the study material, it looks like a MONSTER staring at me. I guess I just need a swift kick in the butt full of motivation.

Point well taken!

I did complain to the agency about her that morning and she was reported to her facility that Monday morning. I did find out that it was not the first time she was complained about and 3 other nurses also refuse to go back. The nurses that also worked there was notified and they verified what happened that night. Yes, I should have called my agency that night, that was my mistake but I lived thru it. I told the nurses at my full time job that "I will never complain about this place", they laughed and said "it's not always greener on the other side is it". I'm glad that now I know. I actually applied there at one time but did not go to the interview and I am so glad I did not!

Sorry for all the grammar errors in the original post, I posted it without reading it back.

I work agency part time, and one good thing about an agency nurse is that you where you will never go back. So last night I worked a LTC facility and as soon as I got there it was mass confusion to start. Getting report was a joke, getting there and everyone wanting pain meds anda pt that needs a straight cath Q4hrs and I said when the last one was done she said at 3 and of corse it was due at 7 (that is not going to happen) which being a nurse I'm used to that I figure it out once I look at the chart and patient. But this night I had the charge nurse from HELL, she was constantly on my back telling me to hurry up every five min., I was in one room for 40 min try to take care of a new pt and family I come out of the room and she says what are you doing? I said my job and she she well you need to hurry and get you stuff done. I went to get meds and Im at the pixis (which is an old one where you have to count everything and make sure you count which been its in, may I say med error waiting to happen if not already) any while I was getting my meds the phone rings and it's her she says "why are you taking so long at the pixis I can see you in the camera" I told her well you can see I'm getting alot of meds and I"m counting and of course she says hurry up. All night long she was on top of me rushing me. I was getting ready to give protonix and she said have the RN show you how to mix it and I just look at her and said I know how to mix it she said I would rather have someone show you, I walked away in anger and I went and gave the protonix. Then at 9:45p she said "why are you not done with your stuff everyone else is done and you are not" I said good for them, but I'm hurrying as fast as I can and she said it dose not happen that way, you have to hurry and be done with everything and I told her I am going to be safe not rush my way to get done on a time limit. LTC pt's have allot of meds and it takes time and when you have someone on top of everything you do it makes you nervous and try's to get you off track. She was going into my pts room and asking if they had any complaints of their nurse. I even had a pt tell me that he sees weakness in me if I had to have the charge nurse monitor my actions and I he sees nervousness in me. That made me feel so incompetent as a nurse and I have never felt like that ever. Around MN I needed to get the cath in my pt and the charge nurse told me to go ahead and place a indwelling foley in her and I documented it as such, oh and when I placed the cath with no problem she was shocked and of course she checked placement herself and I said "see the urine, its in the right spot" that did not go over well. She told me to go chart that is was late and she did not want me to be there until 10a. AHHHH! I was not the only one she had problems with, there was an agency RN that is normally an ER nurse in a nearby big city, she was doing an IV and he was bleeding a bit and holding pressure charge nurse came and took over and show her how to hold pressure and then she sent her home. it was a really bad night sorry so long, just venting...

Hey all, I am having a hard time studying for the Transition to RN exam. It is not clinical based and Im freaking out. I keep postponing the test a week, and then another and another I was supposed to have done the test tomorrow and I moved it again to next week. I don't want to fail it and have to waist $300 and wait 60 days to retake the test. Can anyone give me any pointers of how to face this test.

I did give it at 44ml/hr, I gave it at the steady rate because that was the Dr's orders. He wanted me to give 1mg/kg/hr once a day for 5 days.

I have a math problem for anyone that can help me. I have a pt that was ordered IVIG and the dose is 1mg/kg/min his wt is 73kg the ordered dose is 29gm in 290ml I need to know ml/hr do I need to run it. I called the pham and he gave me 43ml/hr and of course that is what I went with, but I want to know how he got 43ml/hr. 3 of the nurses on my floor tried to do it and they all came up with differant answers. I know I am way over thinking this prob. Thanks for the help.

Just an update the pt is still alive. The order has been D/C'd since it was taking so long, the family was getting aggravated that the Dr. kept say this it it and everyone would come up to visit him and nothing would happen.

I know it is unbelievable, and I would never believe it myself if it didn't happen. I am off today so I don't know if he passed away or not, I will call my friend that is working in a bit to ask. One thing I can say is that he is a fighter for life. I have made a few phone calls but since it is the weekend no one has called back. I just feel horrible about the whole situation, and this is what happens in America. I did not become a nurse to help kill people! I agree with all of you that hospice is supposed to help the pt to be comfortable until the end, not kill the pt. I am such a new nurse and didn't know if I could do anything because he is hospice. And my charge nurse just told me to use my nursing judgement on giving the medication and it is up to the family. I know I must be careful on how I follow thru with this because I will probably be on my own. Being a real nurse is nothing like nursing school, or being an EMT. I can honestly say that I am afraid!! I keep going over in my head,"did I document enough" most likely I didn't.

Ok, the problem that I have is with Hospice and the rules. I am a LVN at a hospital and I had a pt last night that is on hospice. The Dr. and the family is waiting for the guy to die, so at the start of my shift the Dr. had ordered for the pt to receive Dilaudid 1mg EVERY hr PRN. However I did not feel comfortable giving that much and I told the family that it is PRN and the pt was sleeping and VS were all normal. So I gave 4 doses thru out the 12hrs, so he did not die thru the night. The Dr. got there at 5am and noticed the pt had not died yet, he took the charge nurse aside and told him to have the family step out and smother him with a pillow! He in turn told me what the Dr. said and I about freaked at how he could even say such a thing. Anyway, the Dr. came back at 0700 and ordered Dilaudid 1mg every hr (not prn) and adivan every half an hr until death. Of course the Pharmacy called up to clarify the order and told the on coming nurse that she did not have to give that much and to use her judgement with it. She had the same feeling as I did. This is not right and she also said there was no way she would give that much just to speed up his death, and with 5 other pts there was no way to even keep up with it. So, what can I do or because he is on hospice it is ok to give him lethal doses to speed up his death. P.S I just called to check to see if he had died yet and he is still alive, with good vital signs.

I passed the exit hesi, I made 1012 with a conversion score of 91.58, so excited that it is out of the way. Passing is 800 and our class ave was 804 that really sucks. My friend failed by 1 point a 799. She has one more chance to take it or she has to retake some nursing classes. Which I think that it is unfair that you pass the classes with A's and B's and you fail the HESI and your considered a program failure. I graduate Aug. 12th:yeah:

I agree with Hygiene Queen, out of all the rules this one is stupid. I even think it is illegal, because if something were to happen to one of the residents and a family member knew that there was someone that could have helped them but did not, they open themselves up for a lawsuit. Even bystanders can do CPR and the heimlich. If it was me that is one rule that I would not follow and they would just have to fire me.

wow, trixie333 that is amazing. I was just telling my husband that allot of changes took place in the 70's. I know this nursing school in Ohio that they are still required to wear the old uniform. The changes in the nursing uniform is amazing. Even what nurses do now compared to back then is amazing.