hannahmaepunk

Faulty training on CNA's. Faulty certification. Faulty education.

Is nursing for you? Seek validation from yourself, the patients you handled, your preceptors, and your co-workers. See if that helps.

Yeah, fun is the right word to use in defibrillating patients. In filipino movies and tv shows, people who have a flatline ALWAYS receives a shock from the good 'ol nurses. (random thought)

Slow nurses. And nurses who lack confidence. Overly dependent nurses. Cramming nurses. Nurses who doesn't think quickly. Nurses who doesn't have an open mind. --these are the unwanted nurses in the ED

Lazy people+enrollment in whatever class=money. Administrators+school=costs Lazy people failing+enrolling again and again=more money High standards= less people enrolling School - high standards= easier for lazy people to pass School - high standards + lazy people enrolling again and again= money to pay for costs.

Good thing here in my country, RN's need to get BSN first before getting their license. And nurses who are master's degree graduates or still taking their master's, get better pay and better staff positions. I will not comment on the programs that are offered in your state, but hey, even though you only have units taken on your master's, it's only right that you get higher salary and positions. But that's not the case at hand,because your master's degree focuses on NICU and not pyschiatric nursing, so i guess your master's is not really needed by your current workplace/employer. And since you DO have units for NICU specialty MASTER's right now, why can't you get hired by NICU employers? I guess they do have a standard/preference in hiring: BSN + experience in similar setting. It's possible to get BSN easily on your part, because the BS degree would be credited and you would only have to take major subjects. But then again, i don't know the specifics on your state.

People are people. Many people are not nurses. Some do not have proper education on some situations and sometimes they panic and feel like they're going to die. A patient came to us in the ER because of a painful ingrown on his left big toe.no ischemia, no necrosis, just a painful toe. It was sad, because the patient considered it as an emergency. But hey, sometimes some things happen and someday a toe might kill a human being. Lol

Infusing 1liter/hr? That's like fast drip. 1,000mcgtts/min via microset or 333gtts/min via macroset @20 df? Really? Seriously? Hmmm? Theoretically, the insulin would STILL be infusing accordingly if it is theoretically on piggyback with PNSS line. It will never go back up the line. And still, double check the IV rates and actual ml infused. On our institution, insulin drip is always on a separate access line. Lol only 1 IV access line to a human being with lots of veins in the body.

As long as the PNSS is at KVO rate, the insulin drip will infuse accordingly. Just make sure that the insulin piggyback is secure as in some situations, the infusion rate varies because of position. Or check the hourly input and hourly decrease in the IV bag of insulin to make sure you are really infusing at 8ml/hr.

Double-check the scope of the LVN's first. That way you'll really know what's going on out there. The issue is not in the patient assignment, but with the scope of practice among LVN's.

Starting a peripheral line is DIFFICULT and FRUSTRATING at first, and even discouraging if you missed on your first shots! When i was new @ a secondary hospital, i told my preceptor right away, "i just want you to know that i SUCK at starting peripheral lines, and i really need training on this". Few months have passed, and I transformed into a COMPETENT iv starter (except for babies--not really my thing lol). And about your preceptor: he/she is the one who lets you know that you will develop your skills over time, but at the same time thinks of you as a default (or new) trainee, and she looks after you all the time. Just "feel" your preceptor and over time you will consider yourselves as a floor tag team!

I, for one, tend to do medical errors sometimes. I gave an extra dose of amlodipine 5mg after she had been given by last shift's amlodipine. I checked the drug study and max dose is 10mg/day, but still, having given the drug made me feel fear. Lapses happen because of overfatigue or failure to recheck the order, among other things. These happen to everyone, whether to new or experienced nurses. It's just up to us on how to handle the situation.

I don't think two sticks of cigarettes are enough to induce moderate to severe chest pain. There might be an underlying cause. See your doctor.

Here's how you can assess a patient on narcotics and asleep: enter the patients room, check o2 sat if there's pulse ox hooked. Check the depth of respirations and rate, cause that's what you can do to monitor for respiratory depression related to narcotics, and you can do these things without having to wake them up. Even if it goes to court, you can defend this because you ASSESSED the patient even though the patient is asleep.

Non-RN's can do EKG with proper training and they get paid less than RN's, why hire RN's then? Electrocardiogram tracing is a SINGLE diagnostic/nursing procedure, so i guess if you want to spend a whole day doing nothing but EKG's, it's your call.