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Read the HIPAA policy in the patient's chart. They are not all the same from one institution to another. There are numerous allowances for giving information to others. Also, check for a release of information in the chart to see if the patient's information can be shared with any current providers.

Drug diversion, usually pain pills, will get you fired every time.

Go for it! Nursing is an extremely rewarding profession, both personally, financially, and in the sense of providing stability. No matter what job/profession you chose, you will have challenges like the ones you mentioned above, and you will have to deal with people of all shapes/sizes/quirks/pathologies no matter where you are in life. Do your best in nursing school, work in health care while in school to gain experience, volunteer your time in some area of caring for others, always carry yourself with dignity, be honest, show kindness and respect toward others and avoid gossip at all cost. If you didn't have all your fears, what would you be doing right now? Two years from now? Ten years from now? In two years you will be two years older no matter what. Do you want to be two years older still in your present situation and restrained by uncertainties and fears, or do you want to be two years older with an RN behind your name and a different future ahead of you?

An Exelon Patch is designed to make lots of profit for Novartis, the maker of Exelon.

Have you considered ICU? I've seen a lot of nurses transition from PACU to ICU after PACU burn out. The intensity is nearly the same but the pace is different and you have more continuity of care.

Three things: 1) Let your husband know this, when wifey is happy, everybody's happy. 2) Do the math for your husband. You have to be saving money by not driving to work, i.e., gas, less wear and tear on the car, parking fees, less miles driven = lower insurance costs for your car with some insurance companies, and you may be able to sell one of your cars if it's not needed. 3) As an added bonus, exercise from walking to work is healthy and will have direct health benefits as well as potential health care cost savings later in life due to a healthy life style while young.

It sounds like you have some significant stressors on you right now and need more support than can be given here. Talk with your school's infirmary about counseling services that are available to students.

ER. Fast pace, never boring, challenging but not overwhelming, great team, different patients every shift (except for the frequent flyers)

You never get a second chance to make a first impression. I vote to take the bagels.

I was taught not to document negatives about the patient in the chart because people who perceive that they are being personally attacked may get angry and be more likely to sue. I have had numerous challenges made over the years as to the necessity of doing something. I have found that educating the patient and/or family in an empathetic manner as to the rationale for what is being done goes a long way toward the patient being cooperative, the family being happy, and my being able to get my job done. As for your above situation, wouldn't it be great to have been able to document:

Wow! You are a well-seasoned nurse demonstrating the great organizational skills and time management skills that come with experience.

I am doing a college paper on prenatal care. There are a few questions I have that I was hoping could be answered. Question: How do you follow the progress of a mother-to-be during her pregnancy? Answer: Closely Question: How do you determine a due date? Answer: Customarily, 9 months after conception Question: What common complications will medical professionals consider regarding their patients? Answer: All of the common ones. Question: How do you test for these complications? Answer: With the appropriate test, of course. Question: What lifestyle recommendations are made to ensure the health of baby and mother during the prenatal period? Answer: Adequate food, water, and rest (Three hots and a cot). Question: What are tetratogens and how do they affect mother and baby? Answer: Tetratogens are 4 (tetra) Gaelic poets ("Togens" google it) and mother and baby usually love them, if they're Gaelic. Never, but never, confuse a Tetratogen with a teratogen, it makes the little Gaelic poets very angry to be associated with something that causes birth defects.

Look her square in the eyes and with a smile and in a sing-song voice say, "Thank you, Regina" (that is if her name is not Regina) and then laugh it off with her.

Just a few things off the top of my head that makes a student nurse stand out are being on time, being appropriately attired, being courteous, having the necessary equipment, being interested but not under foot, listening well, asking questions, reading up on a relevant issue and discussing it, and most important ...bringing chocolate, either in pure form or as a major ingredient in something.

Try to find both a PA and NP in your area who will meet with you and and discuss the ins and outs of their field. Offer to treat them to lunch. Also ask if it would be possible to shadow them for a day. I've worked around NP's and PA's and both fields have a lot to offer.

Wow, what a life lesson. It is sure to affect you negatively in the short run, as you just described, but over the long run as you get more jobs and time between you and that event it will have less and less impact. Never lie about it or intentionally mislead people because it will be found out, and then you will have an even bigger problem on your hands when you have been fired from two jobs. Keep applying for CNA jobs, the question of why you were terminated will be asked and you should be honest and plea your case for a new start just as you have here. Be the best CNA possible as you work toward your nursing degree, be socially smart on your job and make connections with people who can give you good references when it comes time to apply for a job as a nurse. Be formulating an outstanding resume that speaks to the honesty and integrity that you possess, do volunteer work, go on a mission trip, get involved in a civic organization, teach CPR, tutor other CNA students. You sound like an honest person, stay that way.

There will always be a need for television producers/editors. If you love what you are doing then stick with it. Keep up to date with the latest developments in your field, either through self study or going to conferences or both. Join an trade or professional association in your field as well. Look at getting a side job at a local technical college to teach a production/editing class so you can really be at the forefront of the latest in your field (someone has to train the new generation of producers/editors). If you are thinking about going into nursing for the economic benefits then you may not get as much personal satisfaction out of the job had you gone into nursing as a calling. As for the poop/vomit/blood, yes, you do get used to it. As for the abuse, I only experienced it while getting my degree (and I reported it) but I've never experienced it in practice. Never, ever, ever tolerate abuse, or it will continue and get worse. Pay your dues with a smile on your face and be quick to thank those who help you. Always remember, there are no perfect jobs (9-5, 100k/yr), but there are good jobs.

I graduated in a tight job market back in the 90s and had to commute 3 hours round trip each day because I wanted an ICU position. The job market turned around in less than a year and my experience allowed me to get a job at the hospital where I originally wanted to work. Have you thought about commuting? I have to say that the traffic in Miami is the worst traffic I have ever encountered so commuting might not be a good option.

Starting a new job is almost always scary. Being away from your family for so long doesn't help matters either. Just a tip on starting a new job, take a fruit basket or baked cookies on your first day at work. Maybe after you've been working there for awhile you can have your family drop by for lunch and that way you will get to see them more.

I hope the day nurse understands the situation and doesn't make a big deal out of it. As for dealing with high maintenance/demanding/needy patients and/or their families, I'll share some advice that works well ...short, frequent face time in their room.

What goes up must come down. In this case, the depolarization of the atria cause the upward deflection of the ECG tracing ("upward slope") and then the tracing returns to baseline (downward slope) when the electrical impulse has been conducted through the atria. Same basic concept with the QRS. See this link for more information about the electrophysiology of the heart: http://webtools.delmarlearning.com/sample_chapters/0766805204_02.pdf

What goes up must come down, in this case the "coming down" is the ECG tracing returning to baseline after the depolarization of the atrial tissue. The initial electrical impulse from atrial tissue causes a deflection in the ECG tracing as the electrical impulse travels from the atria at the SA node toward the AV node (the upward slope of the P wave) after which the tracing returns to baseline (the downward slope of the p wave). Same basic physiology with the other waves. This link may help: http://webtools.delmarlearning.com/sample_chapters/0766805204_02.pdf

Not only do OT's not look stressed, everyone I've ever met had a smile on their face.

Nothing is more effective or quicker than ECT at bringing about remission from a major depressive episode. ECT maintenance treatment is sometimes required to maintain remission. TMS does not have a a good track record for bringing about remission of a major depressive episode (http://www.bcbs.com/blueresources/tec/vols/24/transcranial-magnetic.html). Perhaps your friend needs a new psychiatrist if he is not getting better with his current treatment.