GonnaBSN
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A key skill in nursing is being able to voice when you need help. And as a new nurse, we are eager to please. But remember that you can't do it all, and when you stop asking questions, and never ask for help -- these are symptoms of a problem!
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It's a good sign that your hospital is wanting to spend the resources to train you well. I would never work anywhere that didn't have an on boarding plan for me
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Agreed! We all make mistakes! Just report, document, and learn from it.
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Chin up!
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The majority of my time is spent reviewing patients' medical records. I gather clinical data and input it to an online portal which runs it thru an algorithm. I also work w/ the quality improvement team to report on trends in the data.
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On questions like this, you can call your hospital pharmacy for a quick response. I think that's the safest way to care for the patient.
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I work as a NSQIP SCR, although I'm brand new to the position. The NSQIP program is brand new at our hospital, and we're in the process of creating the program. I just wanted to follow the string, as I'm eager to connect with other SCRs
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Right, but if you have no idea what they take, how do you determine what's gonna be too much? Just follow VS's?
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I am an attorney who went to nursing school, so I'm "just a nurse" to some people now. Generally these folks hate their job and hate that you went and did something that you wanted to do, rather than stay in something you hate because everyone else expects you to. I cut people like this out of my life. I'm a master level psychologist, got into nursing for more job opportunities. I loved my work before, but it was too hard to find a new job when I needed it- so I had to get into other areas like research. That ultimately led me to nursing. Second career nurses bring a very different perspective to the nursing profession IMO. We know about the corporate world, nonprofits, the healthcare industry, and so on. So we are a bit more thoughtful on the "way it's always been done". I see this as our collective strength. We have power to make really great changes, if we can figure out how to wield it.
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Penni, you are so right with the crazy amount of narcotics! I've already noticed that. Advice/thoughts about managing pain for patients who come in on a baseline of lots of narcotics... Whether or not they tell you it's the case? I get worried about respiratory failure when Im giving so much!
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I meant to say, "it's all about repetition" :)
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I agree, you're normal. You have way too much info in your head to recall things off the cuff sometimes. Part of orientation and our first year is sorting thru all you know and figuring out what is relevant to your setting/patients/unit. For example, I'm on an ortho floor, and the other day my brain print out said my pt has history of CAD. I couldn't remember what that stood for. I knew it was in my brain somewhere, but I just has no idea... So I asked. Yes I got a funny look from my preceptor, but I don't care. Heart diseases are not top of mind on an ortho floor... Sometimes you can't get to the info in your brain because of the context. Dont worry about it. It's all about reporting! I can't tell you how many times I've asked, "what does WBAT mean again?" ... That acronym wouldnt mean a thing to a critical care nurse. (weight bearing as tolerated)
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I cared for a pt this week who had stage III wound ( it was 4cm deep, MRSA positive, and horribly painful!). This pt was documented as "MR" and lived in a group home. According to my pt, the cause of this wound becoming so bad was that a nurse (LPN) who worked at the home "popped" it like a pimple, spreading the infection to the proximal area. Then they delayed treatment for two days -- a doctor advised them to take her to the hospital, but they waited. Is this something that should have been reported as abuse?
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I have an assignment to do an interview w someone who is 75 years or older. It consists of a bunch of reflection questions. Trouble is that I dont know anyone over 75 that fits the criteria ("living well" ie healthy). Is anyone out there willing to take a look at the questions and consider answering them? You can decline any that you are not comfortable answering! Total anonymity of course!