neutrophil

It. Is a difficult part of nursing. However if one thinks of the condition of the patient and their limited abilities comparing to who they were in their productive life it is relatively easy to understand that a nurse is one that is an extension of their wants and needs. Not just any one can be a nurse.

Wonderful questions and answers. Suppose you are a registry nurse working in a snf, you don't have a clue about the patient. I don't hold diuretics especially if they are on potassium. I hold other BP meds if systolic is under 100. Put on the MAR why and endorce it.

Very hard to say. This is one reason why many don't hire new grads. It depends on your knowledge and experience and staffing needs.

I think one difference in theories is one is addressing the sphincster and the other is addressing the smooth muscle and reflex. I think both are adequate because they address both voluntary and involuntary muscles.

I found this question on the web and see it is three years old. I think it's a great question. A physician recently ordered to bladder train then DC, when I brought this up to the dsd he said that you have to DC then bladder train. Different from the order.

In a perfect world there is perfect nursing, in am imperfect world there is priorities and common sense that comes with experience. If you are the shadow you might see both of these that are necessary but not necessarily by the book, thus the apprehension.

MBARN, 100% agree, my goodness, briefs, diapers, depends, pullups, or just a simple chucks. Anyway. Overkill.

It is very hard. I tend to agree that, this is a job that is not for everyone, so not everyone can do it. It can't be outsourced. I know about roughly 40% of the nurses have two jobs. It is because when there was a shortage they were called and they took the jobs and got used to the money and working those long hours. I myself have a full time and part time job. If all these two job nurses would have only one job, it would be easier for others. But it will come back again. As I stated earlier, nursing is not for everyone. If you don't have the heart for it. The money will not matter. Make sure you are doing it for the right reasons.

Well, I love your planning and your ambition. I worked for a couple of years in the ICU as a tech partner/CNA, and built strong rapport with nurses and doctors. I knew the nurses and their backgrounds, I felt comfortable working with them because they knew how to handle things there. In the ICU, things happen really quick. If you don't have that much experience, then for the sake of the patients, wait till you do. Rapid response teams that go to med surge, as you might know, are ICU nurses, in many cases. As far as I am concerned ICU nurses are the cream of the crop. So you don't go from new grad to cream of the crop. Best of luck.

Hiccups is just the diaphragm having spasms. I don't think vicodin or fantanyl are causing that. As far as the SQ, I don't see a problem with it, if the pt has ascites then maybe the arms or the thighs might be a better place. N/V, oh my goodness, sleeping on the wrong side of the bed could cause that, so to speak. In anycase, I would inform the physician and let him/her get the ball rolling, labs, kub, what ever they might order and get to the bottom of this. Diagnosing is always a good thing to do, in order to give the right advice and to make recommendations to the doc, but inform the MD. That would be my call.

Well, I guess you are a new nurse, hehe. No problem we all start somewhere. I was a registry CNA, I learned more being in registry than anywhere else, it was also more demanding. Registries are companies that have a contract with agencies whether acute or LTC. You put your availability with your registry and they will call you as needed. The better you are, the more they will call you. Agencies will ask for you if they like you. I have been asked to hire with different hospitals, ICU, med surge. I didn't take those jobs because I had my agenda in place. But it is a great way to network, to learn and to offer your best. It is very demanding, you often find yourself in uncharted territory and have to ad lib, you find helpful nurses and you find nurses that should be flipping hamburgers. In any case. It is a wonderful experience. I do not, however, recommend it for a new nurse. You really have to know your stuff. Good luck.

Well, I posted it here before, that I told a patient when he addressed the DON, calling her "nurse." I told him in front of her, "don't you you know that CNA's are the real nurses? They are just pill pushers and bureaucrats." I am a nurse now, and so thankful for good CNA's, but gotta say, I wish I could really just dump some bad ones that think that nurses are their aides. Anyway!!! Pat on the back to those good CNA's.

All I can say is wow!!!

This question is very good. The problem with answering this question is that, what happened to this patient is a life changing experience that could have ended his life. So from this point on, his life will never be the same. He could have died. So in this case. Upper management, need to be the buffer. They need to get into damage control and be very good at it. The nurses that are doing the step by step patient care, should be expected to do the best nursing job they can. But should not need to be part of that over the top damage control, customer service, that can actually take away from proper patient care. The problem is that, nurses can see this, but the patient and family point of view is different. It is one unit and that unit needs to do what is necessary in the eyes of the patient. Very difficult. There are other cases, where the patient and family have nothing over and above what other patients have. It never fails to amaze me that people are being treated and cared for by professionals, that if it wasn't for these professionals, they might die, or be more negatively affected, and yet they treat their nurses horribly. Have you noticed that some nationalities, treat you like you are special and your profession is to be respected. Some of this is cultural. We, in the USA, have taught people that if they are paying money, they can demand what they want, reasonable or not. In assisted living, residents are supposed to be helped to be as independent as possible and their privacy is essential. Which means encouraging them to do more for themselves, and only call if it is essential. Many complain that not enough is being done for them. In LTC's, their freedom has been taken away. So the only thing that they have control of, is expecting medication at a certain time, how good or bad the food tastes, even to the point of saying, "no, I don't want a shower today." I say, give them what they want, but don't cripple them and don't cripple your effectiveness to help all of the patients, due to a primadonna. Special treatment should depend more on acuity than capriciousness.

Here in the San Diego area, there are some hospitals that are competing. So they want BSN's, it makes them look better. Magnet? By all means, some people say it is nurses cutting nurses throats. Magnet certification is given by "American nurses credentialing center." It is supposed to give nurses a higher voice in the hospitals, and therefore a higher education can make them better equipt to communicate in a more standard plane, in an interdisciplinary role. California nurses association and Massachusetts nursing association have argued that, magnet is primarily a hospital promotion tool. I tend to agree. Acquired knowledge is necessary, but in the nursing arena, alot of the BSN, acquired knowledge, will not compensate for the intuition learned from experience of either a BSN or an ADN. I think alot of it depends on your personal situation. Money, time...If you want to be an RN and ADN, is what is available for you now, go for it, don't look back, the future is yours!!!