IMA

I've been working 7 yrs at night shift (7P-7A).You're right,I develop ailments throughout all those years.I just got diagnosed of Type 2,DM,have insomnia,plantar fascitis , overweight,worst chronic low back pain you can imagine.I've been too cautious at work too.A co-nurse betrayed me,the whole time I'm thinking she's a real friend.I can't work on days yet coz I have a 13 yrs old son,I dont have the heart to leave him by himself on summer time or on those days he doesn't have classes at school.My hubby has 08-5PM job,Mon-Frid.Just hang in there,definitely you're not alone.I hope we can pray for each other.

I used to work at Progressive Care Unit,step down unit of ICUfor more than 3 yrs. then trasfer to CV-ICU & been working there for 3yrs & 4 months.We have a bully CV surgeon who screams & yell anytime he feels like doing it.I've been a victim of his tantrums,after those incidence I told my charge nurse I don't want to handle any of his patients anymore,I dont mind taking care of difficult patients as long as he don't scream & yell at me in front of everybody,it's too demeaning & demoralize me.Here's my dilemna now,still refusing to be train for fresh CABG,& pt w/ IABP just bec. I dont want to deal w/ that CV-surgeon. I have this ambivalent feeling ,there just few of us now who dont handle fresh heart,it makes me feel inferior w/ the rest,it just blow my egos,am not happy working at that place anymore,feels sad & inadequate most of the time(just bec I still dont handle fresh heart),having this chronic back pain,series of X-rays had been done from cervical to sacral,everything looks okay,just swollen muscles,now on Flexeril 10 mg daily PRN,went to rheumathologist,does series of lab works,did not find anything wrong w/ me.Is it possible I'm just depressed causing this chronic back pain,been flaring -up again lately been sleeping a lot too,working nights (7P-7A).Found opening at neuro-ICU,neuro-surgeons & neurologist were great,just thinking on moving there for good,I'm willing to be trained & willing to handle fresh craniotomy pts. & the like,even difficult cases.I really dont know on what to decide now.I'm comfortable w/ sets of pt I've been handling at CV-ICU,my manager gave me a good evaluation & reassured me not everybody is for fresh heart,but I have this feeling of discontentment, feel insecure w/ the rest just bec I refused to take care of fresh heart(CABG) & worst I dont have peace of mind,this troubles me,aggravating my insomnia,already taking Lunesta 3 mg,just to have a good sleep.Your insight will be highly appreciated.Thanks.

Am afraid they might know the main reason! You know the politics on the floor,lots of issues.

I moved to a bigger hosp,& he's been preceptin for a month.Am falling for him,he is so smart & intelligent,am so distracted now.When Im off frm work am singing love songs for 4 hrs on my videoke just to ventilate!For goodness sake we're both marrieds & have kid.I don't know whom to confide to,am afraid somebody might spread gossip.What do I need to do,already havin hard time sleepin,gettin restless...

Thanks for your reply.I already called one of our Educator in our hosp. & he told me it depends upon the pt.If he's ambulatory,young,not CHF nor ESRD I can put concurrent,but if the pt is old,lethargic,or hasCHF just let the Piggyback flow by itself.Again.thank you so much for your reply.:)

Guys am I doin' the right thing? Everytime I hang I.V. piggyback,I do it concurrent,w/c means the main I.V. is going on at the same time w/ the piggyback. What if the main IV's rate is 100cc/hr & the IVPB is 100cc/hr.,so my patient receives 200cc/hr of fluid while my piggyback is going on,is it too much for patients IV access ,his vein to tolerate? What if the pt. has CHF? Will it create fluid overload? What's the proper thing to do if you need to hang piggyback? I am confuse now...