cowboy up

Arriving early is always a positive in my book. It says that you will be punctual and that you take this job seriouslyArriving late for a interview sends a horrible message. You probably impressed them good job

Continuing to monitor is unnecessary it's kind of stating the obvious

It is a hard transition. I used to wake up at noon and freak out because half the day was gone. In time your body will adjust but keep an eye open for any openings so you can get back to the sunlight!

Somebody gave you some wrong info on LTC. Working in a nursing home may not be very sexy or popular but it can be an extremely fulfilling and rewarding experience because you are caring for people who need it the most. One of the highlights of my Mondays is going onto my assigned unit and being told by residents that they missed you. LTC nursing isn't for everyone but it is not the place where bad nurses wind up because they couldn't cut it in a hospital. Try it you might like it

I'm sorry that happened to you. I wonder, is your facility due for its state inspection? The heads tend to get a tad nervous when they're expecting state anytime and you'll get this over reacting behavior. It sounds like the QA has so.e responsibility in this situation because the order wasn't discontinued properly. I don't think you did anything that warrants a suspension I wish you well

EMR LPN is right there always seems to be a CNA like that. You should talk to her privately and tell her that her snarky attitude needs to stop and if it doesn't WRITE HER UP!!!! You have many more important things to do at work than worry about someone like that.

Absolutely you check for injuries first and if they are complaining of head or neck pain they are not moving until I've spoken to a doctor or I get a c collar around their neck.

When it comes to working with your CNAS, I've found it helpful if you treat them as peers and with respect. Also I think it's important for a nurse to thank their co workers at the end of the shift. A good CNA is like a good sergeant in the army if you have one treasure that person because they can be rare.

Move on as soon as possible and don't worry about giving notice after the way they've messed you over. Hope your next job experience is better

Oh yes! You are not alone and you shouldn't pay their juvenile behavior a second thought. One could make the suggestion that these people get off their butts and do what you've done instead of moaning about someone else doing something with their life

NOCS is great shift to get your feet wet. It's quieter your residents are in bed and your med passes usually aren't that bad. Use this time to get your bearings and work thru your new grad nerves. I spent my first two years on NOCS and it helped a lot. Good luck

You'll get the hang of it. Give it a week and you will have a pretty good grasp on your residents and you'll have your routine down. Those residents are lucky to have you. Keep your head up

In the future you need to speak to someone a staffing coordinator, a unit manager,an ADON but you need to speak to someone if you're calling off. NEVER JUST LEAVE A MESSAGE AND THINK THATS ALL YOU HAVE TO DO. Be proactive and take responsibility for your own job. Learn from this and don't ever lea v e your future in a cell phone message

I had been working in a methadone clinic for two years and the clinics executive director was the biggest ******* I've ever met. Basically it was two long years of verbal abuse and I had reached the point when it just became unbearable. I went to the clinic o w nears and told the I had reached the end of my rope. The owners t s liked to me off site and told me they would take care of it. The next day that man spent the first two hours of the shift saying I. A loud voice what going to do to me for reporting him.Then he got a female co worker to tell the owners that I acted inappropriately toward her.The next thing I knew I was given the resign or we fire you option.

I worked with a nurse who called off for an entire week because she said her mother died. Everyone felt terrible we got her a condolence card and we're going to give it to her when she came back.So it was a bit of a shock when this nurses mother CAME TO THE FACILITY LOOKING FOR HER A COUPLE OF DAYS LATER!!! But you know what was the best part? That nurse c s me back the next week without knowing that her very alive mother visited us a few days before. Needless to say she no longer had a job

As a new grad you have to pay your dues I spent two years on NOCS out of school before I landed a daylight gig I never really got the hang of sleeping during the day but keep your eyes and ears open you never know when a d a flight opportunity will present itself. Hang in there you'll be fine

Asking about nurse to patient ratios is a good starting point and I would definitely ask how long your orientation period would be. I have worked in facilities where I was given a cart on day one with no orientation at all. Just follow your instincts and you'll be fine

It sounds to me like your rational was good. Dementia residents have ups and downs like this quite frequently in my experience. Say you called the doc, he/she would probably have ordered labs and the outcome wouldn't have been different. 88 years with dementia and she falls asleep and dies quietly not the worst way to go when you think about it. You have a kind heart and you care about your patients never lose that. It's what makes you a great nurse

Absolutely do it. You will learn very early on if nursing is your true calling by working as a CNA There is no romance in that job it's necessary down and dirty work that is also incredibly fulfilling and rewarding. In my opinion the best nurses are ones who worked as CNA's

You nailed it.

You kind of get a sense for the patients that have the potential for causing that kind of trouble. If you come across one make sure there is always someone with you when you interact with them and document every negative threateningthing they says to you. Make sure your unit supervisor is aware of this patient.Your best defense is documenting and having a witness who can reinforce your side of the story. It's a shame you have to go through this. There always seems to be that one patient who loves to cause problems. Keep your head up

Nobody ever talks about the second victim when there is a med error,that victim is the nurse who made it. I've bee. In yourvpostition myself and nothing is more terrifying than a med error. You showed courage and integrity for owning up to your mistakes but it's clear the powers that be want you out and I think you would be better off by resigning. On your next interview be proactive and get it all out front and accept responsibility for what happened.

First of all,when you are finishing a nurses note no matter how much space is available on the page CROSS OUT THE REST OF THE PAGE!!!Then you initial under the time of your entry so there is no doubt about the time. As for the nurse that altered a legal document ALTERED A LEGAL DOCUMENT, the further you can get from him/her the better because that nurse is going to go down in flames eventually. It's disgusting that a nurse like that still has their license.The name of the game is cover your own butt.You did the right thing in reporting it and don't for a second think you did anything wrong.

This brings back memories of my own clinical days! My group had a instructor very similar to what you've described but not quite as extreme. It took one of the physicians saying something to the program director before something was done. Unfortunately it was too late for two of my classmates who quit the program because they couldn't take the abuse anymore and their complaints to the director weren't taken seriously. I think you should pass on what you've seen to the program director. At least you will have a clear conscience and who knows? You might keep a potentially good nurse from quitting

I remember those days well. You are lucky to have that Cna and the ones who help her. The point i want to make is that too often these CNa classes gloss over the truly important things. For example. If a resident is febrile and her vitals are off that is something that should be communicated to the nurse immediatly not written down upon the vitals clipboard so it can be seen later. These cna students need to be taught how to react when a situation like this is discovered by them and unfortunatly they often arent taught those things. They just regurtitate facts that they study in their class materials because that is all the instructor requires