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There should be orders in place from PT so you can safely transfer this patient. Generally a hoyer lift is used and should not be used alone. Who does your supervisor think is going to help you?

So the count was correct when you got there, then when you left you did not count then a whole card of narcs turned up missing? See above^^ and you can also go and get an independent tox screen. Best wishes

When you counted with the off-going nurse was the card there? Did the medtech pour meds in the dining room and you passed them? Big no no if so. How did they "find" narc sign out sheets in the shredder? Is that not the purpose of the shredder? There is so much going on here, hard to help you.

Methadone is a controlled substance. Not sure what state you are in but in CT controlled substances must be wasted with two registered nurses. So now you have a "missing" dose of a controlled substance. This is very much frowned upon. No, your patient cannot witness you wasting anything. Also, she said to go get a drug test that tests for methadone to prove you did not ingest it. Good luck!

Because you were assigned as a sitter, so you did "not need to know". You did not have any medical reason to be in her chart as you were not assigned to care for any of her medical needs. If you truly are in nursing school the fact that you do not know this is very concerning.

All of my tattoos can be covered by short sleeved scrubs. I did that for a reason and your current issue is the reason! Find out your official hospital policy and go with that. I do not think she can override that, can she?

One hour or more back and forth, M-F. Yes, it is worth it to me.

Yes, I have had this issue.This med is very very thick. Make sure it is well mixed before you draw it up, then you have to inject very slowly.

I was orienting there. Red flags all over. I agonized over it for 2 days and realized there was NO WAY I wanted to work under those conditions, so I let them know that. Feel so much better. : )

That is what the DON told me today when I brought up some concerns via TC. Some background: RN 7 years, 5 in school nsg, 2 temping. No med surg background Position available to me: SNF 30 pts, all of them have a certain disease in common, plus a lot of comorbidities. 2nd shift, LPN on til 7p, then I will be alone with 2 CNAs. Is it possible to do a 30 pt med pass in 2 hours? By my calculations, that is 4 minutes a patient. I did half the med pass the other night and it took me 2 hours. Also, CNAs can not do fingersticks here. Charge obviously since I will be the only RN there. Plus any admissions, 911 calls, etc. Is this even possible? I have no issues with doing meds at all. I just do not want to hurt anybody. And fyi, they have zero permanent staff for 2nd and 3rd shift. Huge red flag? I have no idea what to do here. There is more training being offered but my gut instinct is telling me to run far and run fast. On the other hand, if I leave, i will have no job. Help!

Summer day camp or residential camp. Last summer I worked at a camp that cost ~ 400.oo a week to attend. I got to bring my dgd for FREE and they fed us for FREE everyday. And they paid me good money! It was awesome spending that time with her. She would pop into my office now and then, or I could go watch her do whatever she was doing. They had a zipline, a climbing tower, an inground pool, a pond, a water trampoline, etc. It was awesome. I am hoping to go back next summer! : )

If you got an offer from any hospital in CT, good for you! It is taking some people years to find a job here. 30 ish is the average, I believe. It should be doable but the cost of living is extremely high! Also, Yale University offers a grad program if I am not mistaken. (I think I looked at the site recently) Good Luck!

I got fired!

Thanks for the input. I met with my supervisor today and all is well.

I'll keep this short and sweet. The school where I work has a partnership with a major university. They come in and provide extra support with the help of their grad students. This includes social work and nutrition. They recently received monies to work on a special project re: A**D . ( a certain common affliction) They need a certain amount of students, so the very head of their school (s/he has a PHD in their profession) asked me to email our teachers to start to populate the list of whom might best benefit by being included. So stupid me sends out the email. Absolutely NOTHING has been done with the information, yet I have been called into several "meetings" over the past two days getting my butt reamed. I have another "meeting" tomorrow. For the life of me, I can not figure this out. Did I totally screw this up? Please be honest, I am looking for feedback to improve my skills. TIA

I am in the NE and I have the luxury at this time of being a school nurse. When the weather is bad, and school is closed, I stay home. However, it is not my call. If school is open, I go in. I hop in my car and I drive very slowly and that is that. In the past, I have worked in a group home (not as a nurse) where I have stayed over, came in early, stayed late, many times due to the weather. You do what is expected of you, that is all. : )

I feel your pain, I am CT also and it is very difficult to get a nsg job. (09) I was at the point that I wanted to just put on my scrubs, go into a hospital and start working without being hired! I would never do that but that showed how I felt at the time. I found my current job on cr******st. School nurse, love it! Good luck with your journey! Oh and btw, some of my class got jobs at St Fran by networking with each other. IE, one person got a job there and then recommended a friend and so on. Not me tho. : (

Yup, I have heard of it. They do it so all shifts get a somewhat equal amount of showers to do. Some patients like to be up and about early. : )

Why would you do this and how did you do this? Legit question, very curious.

I hear ya, let me tell you! I realize break is almost over but I am still stressed out! I work at two schools, one more than the other. The principal at the not so much school has been emailing other people and cc'ing me about what he claims is my lack of attention to his school. When I called him on it, he said something like no worries, all is well. I forwarded his emails to my supervisor on Friday pm, and left it at that. He will get a nice talking to on Thursday. Either I suck or I don't, can't have it both ways. I swear I think he is jealous! Also today my son totaled his Jeep. (Think it is anyway) Other guy's fault............. waiting for the other ins co to take blame and pony up for a rent a car. i am so done with this year, my mom, her bff and my godmother died earlier this year. Then my sister attempted suicide. I am soooo done. Not sure if I am want to go back to work and fight Goliath or stay here and fight with myself! Rant over. : )

When my dad wad terminally ill with lung CA, he was home. His bed was in the living room, and all family members took turns caring for him. When it was "that time", as told to us by his hospice nurse, all immediate family stayed at his house. We had plenty of oral morphine, as well as several other meds TO KEEP HIM COMFORTABLE. We medicated prn per doctors orders to keep him comfortable. His death was peaceful and PAIN FREE. He went from alert and responsive to the end rather quickly. He died surrounded by the sounds of his wife, kids and grandkids in his own home. Now, my mom on the other hand, died at a LTC facilty. (this is not a bash on LTC so please don't make it so) She did not die a peaceful death. For whatever reason, she was NOT MEDICATED PROPERLY. The staff there would only give her the scheduled meds, (q4hr) we had to beg for prns. She lingered on and on and on. Yes, hospice was involved but they were only making visits, and their hands were tied. I hope you can see the difference in what the PROPER medications can do to ease a dying person's last journey. This is our very last chance to do right by this person, let's hope we get it right.

Craig's List : )

I set the alarm clock on my phone for every med I need to give. It is very annoying. : )

Yes, I do also, and not very well. There was no curriculum, I just had to wing it. Now I have a small amount of go to subjects...............

Shame on that teacher! WTH is wrong with her, trying to place blame like that? There is no way you could have known.............. trust me, someone I am very close to and talk to on a daily basis tried this recently. I didn't have clue. So, yeah, no way..........................