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med surg,stroke

Content by PRETTYODD


    heamoglobin of 6 and pt got iron only

    There is a scenario where pt had hgb of 6 , age 75 male with hx of diabetes and heart bypass surgery done 4 yrs ago. He was just given iron by doctors but after 4 days he still had hgb as 6. His egd and colonoscopy results came negative. Diabetes is managed. I am wondering why iron was hung before blood. Should not he be getting 2 units of blood if he had anemia. Will this kind of anemia treated by diet and meds at home or rehab and we will see difference later. I am confused because in all nursing books, low hgb increases chance of stroke or heart failure. Any input is appreciated

    heamoglobin of 6 and pt got iron only

    pt is not jehovah witness and is 77 yrs old asian guy practicing religion which does not restricts blood.

    Will volunteer work help you get a job?

    Like all replies, I agree too that volunteering helps in getting a job because it also helps employers know about your compassion for serving people. A letter of recommendation from your supervisor at volunteer office goes a long way. All the best :)
  4. Hi, Is it ok to take advanced pharmacology and advanced health assessment course together in a NP program with 3 days 12 hr shift job. I am in a program where both subjects are to be taken as advised by school but I am wondering that will I be able to keep up my grades between A and B. What can be the best plan to study and what kind of testing modes are used ? quizzes or case studies or both. Thanks

    best places to live in fresno, ca

    My sister got a job in Fresno Community hospital. She is looking for some good areas with good elementary and high schools to relocate there. I know about Clovis. Are there any other good areas ?
  6. I was trying to get a job interview for a certain hospital since a year and luckily I have a 1st stage - phone interview next week. I do not care for salary or commute as I adore this hospital work environment. There would be phone interview. I know I can answer all questions but am just nervous like hell. I have 14 months RN experience. What kind of questions the recruiter can ask me with my year experience. Any suggestion is greatly appreciated. I am excited, nervous,happy, scared...
  7. this does not involve any particular person. I am a new grad and have been lucky that I found job for which I keep thanking God every moment. I never thought nursing also involves workplace chaos and bullying. During 1st 6 months I once had a nasty preceptor orienting me who screwed me up completely because she was not comfortable me asking her many questions. I was asked to prove myself and I did with flying colors. So it was all retaliation business. Next, I found that my timesheet has been messed with and the supervisor made an excuse there was some confusion. I just wanted to ask her " how you would feel if your pay is missing ". Now I had to get that sorted out too. After all that, my performance evaluation time is coming near and I am sure the authorities concerned will not give me good eval for something which I did not do but it is due to their disorganization and workplace violence towards me. I am a new grad and they know it is difficult to find job these days. All this is making me frustrated and I cannot stop thinking about job even on my off days and even when I am studying for my BSN classes. Its frustrating as to how I will survive in such place for long

    how to cope with humiliation

    how do you cope with humiliation when called inside manger's office when it is not your fault

    need some advice for working night shift

    I agree with nurse2033 and deangel, Good sleep and routine is very important and at same time because it is night time many nurses like to rest and you would be hearing your name called out several times. Be prepared for real hard work and get tips from veteran CNA's.

    i want to pass my nclex rn

    hurst review is best ! I passed in 1st try with 75 questions. if you cannot afford live review then buy her pathophysiology review book from barnes and noble. it goes through all systems.
  11. I am currently enrolled in 6 hrs of msn school, 3 days/wk RN job and a mother of kindergartner and middle school school child. Sometimes my frustration comes out on my family and I snap at my hubby. He takes it seriously and thinks that by being independent, I am treating her badly. I was housewife for 10 yrs before I joined nursing. Its not like that. I care my family and am aware that due to being busy, I neglect them sometimes. I hate my in-laws and if they come to know that there are now emerging arguments between us, they will make it worse. Both my parents are dead. My siblings liv every far from me. I have to make everyone happy, my kids, my managers, my hubby, my friends. its too much. I do not cry but inside I am crying all the time and pretend to be happy.

    How do you manage your spouses in nursing

    Thank you arigato and others, no, my husband otherwise is helpful with kids and some errands at home but he feels as if after getting added paycheck at home, I am being snooty and want to boss. He has a very decent paying job but this is 1st time that a woman in his family is doing so much stuff at one time. Regarding in-laws , they do not help with anything but add always more to arguments and will always find fault in me only. In their opinion, women's job is to sit at home cook , clean , raise kids ( Which I was doing for 10 yrs ). I think, I will take some days off after thanksgiving and will spend complete week with my family, may be that will help. I want no problems in my marriage as I have little kids. I will try ! wish me luck

    Missing Daytonite

    I read many of her posts and definitely this forum will miss her a lot !
  14. I am a med-surg floor nurse and sometime during last yr I applied for this cardiac tele floor and got a call from them this weekend after 8 mos that the manager wants to interview me. My present job environment sucks but am doing good as job performance goes. I am still shot of 5 mos experience to make it an year at present job. Should I consider taking this job in tele floor with less than an year experience of med-surg. I have ACLS and certification in dysrhythmia course. I am wondering, what if oppurtunity does not knock on my door after this then what ? Economy does not seem good though ! Salary is same in both places.

    Got a call for interview, but had applied 8 months back

    Crusadersfun, This is my 1st job and I am new grad RN. I had applied for this floor when I did not have any job experience, only certifications and license. telemetry would be my second job and this is 15 min less drive from my current job. thanks all for encouraging me.

    New Grad with no experience feels like being discriminated

    Strawberrypie, Don't give up hope and keep trying. Go door to door with your resumes and meet nurse managers. I had a friend who applied to 72 jobs online untill she started going physically on floors and she got a job within a month. Keep trying and somebody will realize your worth. All the best:nurse:

    workplace disorganization, mental torture and bullying

    Thanks for such a good feedback, it is making me feel better now. if you all with so many experiences went through all this then I am nobody. No, I don't want to change facility atleast for next 6 months because my job is no problem for me and it is only supervisor and management who are disorganized and even unsure of what they are doing. Many people told me that nursing world is like this, changing hospitals will not change anything. I have gone through and worse is going on and what more worse can happen. I am surviving this now and will survive this for sometime too. Yes, I will gain experience and will move on after eventually. People say work culture in magnet hospitals is good, I have no idea. is it true ?

    New Grad with no experience feels like being discriminated

    I felt the same way as you are feeling now when I got out of school. I have seen my resumes being tossed in trash pile behind desks in jobfairs. Make a strategy as to how you would apply. Uptill now I have seen people getting jobs only through contacts. Make a concise copy of your resume. Talk to a nurse manager on phone and take time as to you want to meet her and then go and meet her on hospital foor in her office ad hand her your resume. Don't even think of calling HR because HR already knows whom they want to hire from their contacts. Make impression on nurse managers. Hope this helps :)

    can someone review my resume?

    Kissell, you are so lucky all the experienced members are giving you absolutely relevant advice. If possible start your resume with an objective and reduce the length so that person reading it does not looses interest. I know this because my husband hires for multinational firm student interns and he is looking for substantial opening lines.

    I am victim of speaking for myself

    I confronted one manager upon her rudeness and creating hostile environment for me. She started picking on me and collecting brownie points to show to people above her that I did such & such mistakes. The kind of mistakes I did were common ones while charting whcih even 15 yr old nurses do. Otherwise my charting is very detailed and sequential from head to toe. I never had problem with any patient, doctor or my peers but I was differnet that I spoke up for being treated like a piece of garbage. The other manager above her knows me and she supports me completely. She transferred me to another place so I get out of the former manager's hostile environment but I am thinking why I had to pay such a big price for speaking infront of the nasty manager. Is the feeling of power makes people so evil and wicked ? Where is Nightingale and her nursing ideals and virtues ? down the drain or lost in this money minded world.

    I am victim of speaking for myself

    thanks whodatnurse . I think you understood my situation.

    inserting foley, some tips please

    What is best way to preserve sterile field in foley ?

    inserting foley, some tips please

    thanks, so having extra pair of gloves and flashlight helps

    how do u cope with blame game

    I just got off orientation 2 wks back and am scared all the time what if I do this or this wrong. While putting IV's or blood draw I shiver what if it does not happen. I have very supportive team but get nervous by bullies over my head. How do you all cope with blame game in your 1st year of nursing. Sometimes i feel if old nurses look new nurses as threat then why are we hired ? if something happens on floor then by the time it reaches NM office,I am presented as rude nurse and I hear pack of lies about me. Are these nurses nightingales or nightmares ? The other new RN's don't speak and I speak and I get into trouble. So, I dont speak at all ??? The work can be managed but what about the politics around me

    how to keep track of dr orders

    thanks anonymurse and Louis, I think I can do it too. Well, next time I will write on my organization sheet " check chart" at certain time intervals. May be, this can help :)