TLSpaz

Have you considered just going to nursing school in California? Yes, you would be "starting over" as most your credits will not transfer, but think of it in terms of the money you will NOT have to spend moving back to Florida. Also, consider that repeating content with which you are already familiar will, in itself, give you some relief. Couple that with reasonable accommodations and you may find that success awaits. The only thing standing in your way may be you. I do wish you much success. My journey to becoming a nurse was convoluted and drawn out. I have ADHD but never requested accommodations, not because I'm stoic or anything, but because I didn't ever even think to ask about them.

What "else" would I have done? The only thing I would have done is answer the question.

I am in a union hospital and I am on a negotiating team. I cannot, however, answer your specific question. This issue of BSN premiums is not a battle we have chosen to pursue.

.The Pyxis where I work only requires a 2nd user verification if a narcotic is being wasted.

"Treat the monitor AND the patient" is what I was taught. I recently had an 86 year old female with a heart rate of 32. She was sent over from her PCP's office. Her only complaint was "I just feel really tired."

THIS! Most nights in the ER where I work, the Charge Nurse doubles as the triage nurse after 0100 or 0300 depending on when the last mid-shifter leaves. That leaves two RNs to work the floor. We are a small ER, but we aren't THAT small. We waste a lot of anxiety worrying about what we will do if SHTF.

The highest I've seen was 9.2 and it happened last night; confirmed via ABG with lytes, which resulted at 9.1. Pt presented to triage with profound muscle weakness and a HR of 32; ended up having a trialysis cath inserted and was being admitted to ICU for emergent dialysis as I was leaving this AM.

Yes but with bedside nursing, these troublesome and entitled patients and families. Where they eat," so to speak. It's so dang disheartening to be bending over backwards attending to someone's personal care needs (eg "wiping poop" and acting as a personal valet/ladies maid) while that person in perpetually dissatisfied and disagreeable. As a case manager, I'd wear "civilian clothes" every day and if a pt asked me for a bed pan or an extra pillow, I fully admit, I'd respond with, "I'll tell your primary nurse." I didn't feel this way when I was a new nurse, but I sure as heck do now.

This!!! From UTI to pyelo to full-blown urosepsis...

Actually, laying hands on an A&Ox4 pt against his/her will is battery. Simply making a threat to do so is assault.

OP: I was in very similar circumstances...VERY similar...about 4 years ago. Don't have time to go into it right now and don't want to go into in an open forum, but if you want, I can make contact via PM at a future time. I will tell you this: I resigned and it wasn't a problem for me. In fact, I was rehired by the same healthcare corporation (in a different state) last year. My resignation was tendered in 2011.

This was a violation of her civil and constitutional rights. She was falsely imprisoned without due process.

I am an ER nurse. When I give report, I systematically use SBAR. When I am finished, I always ask, "What else would you like to know?" What irritates the crap out of me is to be interrupted with questions about "skin issues" and code status when I haven't even gotten beyond, "This is an 89 yr old female who came in via EMS tonight from ABC LTC facility with c/c of fever." I have adopted a little scripted answer to those who interrupt me that goes something like this: I ask that you please hold all comments, questions, and applause until the end of the performance. If you insist on interrupting again, I will answer only the questions you specifically ask of me and will divulge no further information or data. Shall we do this my way or yours?"

I am witnessing a substantial incidence of deficient reading comprehension throughout this thread. Given the OP's need to issue multiple clarifications about the subject of "guessing" and other misunderstood points of order, maybe expecting others to READ a chart is much too tall of a order.

duplicate post deleted

I don't work under a doctor. You evidently do not understand that medicine and nursing are two separate disciplines. If I worked under a doctor, I wouldn't need a nursing license.

To answer your question, I think both parties bear some of the responsibility. There are any number of examples I can give here that have racial or ethnic context. There are some that have supervisor vs. subordinate context...male female...etc. but my point is that I think we all have a responsibility to 1) give a good-faith effort to being sensitive and compassionate to others and 2) give others the benefit of the doubt that they aren't being hateful and malicious, as opposed to clumsy or ignorant or careless. As far as the "emotional work" after the fact...well, I can tell you from very recent personal experience that that work can't be done by the offender on the offended's behalf. The offended individual has to make a decision about how she will process and deal with it now that it's water under the bridge. In my case, after I dried my angry tears, I went back and asked the offender if she really meant to be so insensitive and insulting with her statement, given what she knew of my present circumstances. She apologized and conceded that she didn't mean it at all the way it sounded. I choose to believe her and I choose to forgive her.

I chart "attempted to call report." This works because if I can give a report, I will chart that I reported to whoever accepts the pt. (this is in response to a previous post about addressing this issue in the ER without throwing the floor nurse under the bus.)

Why is your work experience not considered just because it was not in the USA? Was the work you did in the other country essentially equivalent to the scope of RN practice here in the States?

I keep one of those Duracell headband lights in my locker for these situations. Keeps my hands free.

SurgiLube dissolves dried blood...keeps you from having to scrub so hard. Coat the wound with a generous amount of lube, let it sit for 5 mins, and then wipe away with little to no elbow grease.

Our SpaceLabs monitors have a venous stasis function that does this for us right from the NIBP monitor with the touch of a button.

Given the fact that the INS has retired their 2008 position paper on the insertion of EJs by nurses, what is the latest and greatest regarding this issue?

I am already a member who pays union dues. I realize that I didn't specify that in my original post. Let me see if being a bit more specific with a question will help to tame some of the contempt. Sending representatives to a conference in Peru on anthropogenic global warming does what, exactly, to get us higher pay, better benefits and fair representation in labor disputes?

Thank you for the links, herring. I will definitely give these a listen. This is my first experience ever working in a place with union representation.