Sun0408

I don't think it's safe to do it that way. The pt would not get relief as fast as they should nor do you have the time to watch the whole NS L go in to make sure the site is good etc. Also you run the risk of mixing it with other meds, sending the pt to the floor with it still infusing etc. Not good practice.

Are you a RN? Doing that in a 1000cc bag, why? 50cc bag or even a 100cc bag I could see but not 1000. Depends on hospital policy, many have moved away from IVP because of the dangers. Look it up if you haven't already. Thankfully we use more zofran

Hospital policy vary greatly from hospital to hospital. For the safety of your pts and the care you render, you need to get over your fear and ask your preceptor!!! The charge nurse and nurse manager is also good options. Never be too scared to ask

If you can't handle codes, don't do it. Codes don't bother me but the pts that are rotting from inside out, or outside in. Laying in the bed crying, on the vent, pressure to soft to medicate are the problem. Families that want everything done while mom sits in the ICU alone with the most horrific skin, wounds etc. That's the part about ICU that can get to you. One thing I have learned in the years of being a ICU nurse is... There are worse things then death!!

Oh and you will get better with time[emoji6]

Nope, I'm not your wife lol. I'm sitting beside my hubby right now. Trust me, it's the small things that mean the most!!! It cost you nothing to do any of the thins that I listed and trust me, she will see. The stress that is lifted off her is amazing. You guys are a team, no such thing as "women's work or men's work"!! Lavender bubble bath with soothing scented candles are good too!!

Don't buy the koi royal blue scrubs!! They fade so fast. I bought a pair with several other brands and they are almost light blue now

Cook, clean, do the laundry without me having to ask, take out the trash. Ya know, do things around the house so it all doesn't fall on her, if you don't already!!! Nothing better than coming home from work and my honey has the house clean. He does a pretty good job and he usually cooks dinner my first night off after working 3 in a row.

How did the pt respond?? You wrote so much but wrote nothing about how the pt responded. Not saying this lady was not experiencing a true issue, but I've seen some crazy things people do to get attention, drugs or admitted to the ICU. I have also given pts Ativan for resp issues, it does calm them down enough to help ease their breathing efforts. I have also given morphine for the same reason. Sometimes it works, sometimes it doesn't. If she needed to be intubated, she was in the right place. Was the doc right, I have no clue, was he an ass, maybe. The ICU is a tough place to be and you will see lots of suffering if you stay.

This has got to be a troll post!! Just joined, first post and gone. OP if you are real and this did happen shame on you. I had 3 kids small while in nursing school, a husband a dog a cat and 3 yes 3 part time jobs!! The pets were the easiest!!!

CNA's typically work 3 12 hour shifts per week. This leaves plenty of time for nursing school and your home life. The course is very quick. Coders work typically M-F 8a -5p. Plus the 2 semesters and summer internship. How will you attend nursing school? Just something else to think about. I did the "coding" before nursing school. The best it got me was 8.50 an hour working at a doctors office running the front desk. The hours were M-F 9a -6p, closed for lunch.

It's possible your results are on hold. Until the hold is lifted, your BON won't get any results

If they are not giving the whole vial, why are they not wasting it?? Seems like a BON nightmare. Not to mention the issues you already stated. I would pull out what was ordered, waste the remaining if any and use a new syringe each time.

I don't see anyone judging you. Employers do not care why you left. Most don't really care about you at all. Their only concern is are you dependable and can you do the job. In two cases you didn't and left without notice. Doesn't matter why to them. The fact that you left without notice may hurt you and you need to be prepared for that. No one said you can't get a job. Good luck to you!!

We did the pens about 4 years ago and stopped. I miss them but I guess it became to expensive for the hospital to continue. Back to the multi vials for SS. We don't have to have a witness

It really depends on your area. Some areas prefer BSN while others require BSN. I've been a ADN RN for 6+ years and have had no issues finding a job. I work in the ICU also so before someone says well you can only work this area or that area with a ADN... Just putting it out there. I'm working on my BSN now for me, not a requirement.

We do it this way also. Wow OP, this must be expensive and wasteful for the pt and hospital.

That's not right. They should give it to you at least a month before the class. Dang, I was hoping for a true re-cert lol.

Did they not give you a TNCC book? They should. I'm due to take mine again but haven't yet. I didn't think TNCC was a re-cert?? It was my understanding you have to do both days just like if you had never taken it before.

Previous posters hit it on the head!! I love trauma but sometimes it's a very sad place to be. We cant save them all and sometimes we are there for end of life and to help the family memebers left behind. Of course when a new trauma comes in it's exciting and all hands on desk. Trauma is also heart wrenching. Dealing with a teen that is now brain dead after falling off a balcony. A teen now paralyzed from a boating accident. A GSW 20 year old brain dead. Dealing with those pts families is very hard and no amount of care will fix them. The sadness, the tears, seeing hope in their parents eyes as their ICP is climbing higher and higher despite all the meds, sedation and hypothermia. We can't stop it. Even with all the sadness, I love trauma. I love caring for a C1 fx due to a drunk driver not only survive but now walking and back to baseline. I love seeing the ruptured AAA walk back in the unit every year to say thank you!! I love seeing FB posts of a pt that beat the odds after having their pelvis shattered, 12mm brain shift, Trach peg now vacationing on the beach. That is why I still do it and love it!! Sometimes the acuity is high but after the trauma pt is "stable" it becomes routine care and we can have that same pt for months. It's rare we have Them that long but it does happen.

I would rethink leaving the hospital. Short staffing chronically is usually hospital wide. Also, those violent pts you talk about go through the ED first and then the floor after they leave the ICU. You will still be dealing with the same sh$t by either having a higher pt load or more frequent admits into the ED. As a new grad with less than 1 year experience , it would be difficult to manager 3 ICU pts. I left my first ICU job because of that but guess what, the grass isn't always greener.. After 2 years , I went back to the same hospital and unit I left. Just keep it all in mind.

It happens, move forward and get lots of practice [emoji6]. I've seen new grads do the same, not because they didn't want to do it but they lacked confidence and skill. I've done the same thing. My coworkers knew it and wouldn't help unless I stuck the pt first. Now, I'm the one the floors call for IVs.

OP, the fact that you posted so much back information on your IV skills or lack there of makes me think you avoided changing it. It's a skill that takes practice. If a pt complains of pain with a IV it is best to just change it. You blew the pts complains off. She or he probably didn't say anything again because you brushed them off the first time. I know it's hard when you have a ton of other things to do but you just make time and do it. Same thing applies to dressing changes or cleaning pts. It never happens when you have extra time lol.

If I misread you, I'm sorry. Student or new nurse, I would still say the same thing.

I think it's a combo of both. As a student any area will be difficult and there is a lot you don't know and won't know until you experience it first hand. After graduation and you become a nurse you will still feel " dumb" at times. It's a huge learning curve. Add that with the ICU and well you are normal. We all felt that way one time or another or many times. The death of your mother is not helping things. I am so sorry for what you are going through and yes, see someone about that but don't be so hard on yourself. Honor student or not, you are still learning, this will hopefully continue for years to come ( the learning part). Hugs to you