scoochy

The challenge of working in an ICU is great! I say go for it, and hope you have a positive outcome!

After working in a SNF for two years where the conditions were TOXIC, I had had enough. I gave my 3 week notice, and when I was done, I was so done...compassion fatigue. I have been out of work for four months, and now I feel ready to search for a new job. Money is tight, but I am doing OK. What a relief to be gone from such an unhealthy environment.

Perhaps you could have titrated it in the evening. However, once you did that and say he did well, I would have let him be for the night so as to get a restful sleep. Early mornings in a nursing facility can be harried, to say the least. You would not have been able to closely monitor him if you titrated it @ 6 or 6:30 a.m. The day shift nurse could have done an assessment on him after report was completed, and titrate 02 based on her assessment.

Was the patient being worked up for dysautonomia?

Not in a million years. It isn't like it used to be, to say the least...

Does your state have an Ombudsman for the elderly? In the state where I live, the telephone number for such person is posted @ the reception desk, and on every bulletin board in facilities. Call ASAP. This act of abuse can result in legal consequences.

Great idea, but workers at my place of employment are forever changing their phone #s. Personally, my employer does not have my cell phone #. Call me on my land line; if I chose to work extra, I will answer. Otherwise, the answer is no.

Agree 100% with you, Nascar Nurse!

I agree 100%; I have no problem reminding people they are not at a party, or in a bar; rather they are working in a health care facility that just so happens to be a person's home........

Four miles, door to door. Depending on the number of school buses I encounter, it can take up to 15 minutes. There are no highways involved; it is great! For 26 years, I drove 40 miles/day; depending on traffic, it would take 30 minutes to 1.5 hours to get to work; yuck....I don't miss that commute at all!!

It is not within the scope of nursing practice to arbitrarily make changes in the rate of infusion of TPN or EN.

I envy you; best of luck and hope there are many happy days ahead!

Verbal abuse; a thick skin will be necessary for future encounters with this physician. How about speaking with your immediate supervisor about this issue? Make the supervisor aware of this incident....report it in a timely fashion, before you are reported and falsely accused of some thing or another. This physician sounds like he would have no qualms bad mouthing you to the patient; I have seen it happen, and it wasn't pretty.

Caliotter, You are not alone..........

HOT FLASHES............