pgrsctrn2be

I recently left a clinic job where the current and previous office managers tried to tell me my job, (I was the only nurse and only 1 doc). Didn't take me long to let them know how things worked. Not only would they tell me what to do for the pts but also who I could approve med refills for without consulting with the doc. I finially after monthes of trying got the doc to write out some standing order for me to use a guides for routine visits and a list of meds that could by authorized for refills depending on last exam of pt,etc.l Pts loved the shorter wait times to be seen and the dear doc loved being able to see more pts in a days time. Of course the office manager wasn't too happy, esp when I booked mark the BON site and often refered her to that when she demanded I do something out of my scope of practice. I hear she is back to bullying the poor soul that replaced me when I left that clinic. I did find out later that now the business office staff is now authorizing med refills, is that legal?

Two years ago I passed with 75 questions thinking I only knew the answers to 2 of the questions, I understand how ya'll feel, Cheer up I'm sure you all passed!

I think stress the careplans less and the verbal interactions with the doctors, and other departments in the hospital setting would have helped me more. Also I would like to see the students teamed with nurses on the floor working a patient load instead of just one or two patients per student. The shock of taking 5-7 or more patients is pretty overwhelming to a new grad. I have the chance to see my clinical intructor often now (working in the same hospital now) and after talking to her last week about this same topic, she is working with the school to try and change her clinical for the fall. Hope this will work out, I really think next years grads will not be as stuned when they go to work if it can be changed.

Spoiled my kids!!!!! No more discount sneakers for those two, name brands shoes like their friends!!! Kind of silly but kids are happy. One teenager and a pre-teen really enjoyed going all out at the mall. But now it's back to the old spending habits and paying bills (yuck!!)

Been in front of the board of nursing several years ago, positive outcome by the way. Any way the advice from the others is in the mark!!! Good eye contact and take your time answering questions, don't volunteer any information only answer the questions. Congrats on the baby!!! All will be fine be sure of this! Mary RN

I just started working in a hospital after 10+ yrs in LTC and 3yrs in clinic and it is hands down much better for me to be in the hospital. When I first became an LPN I thought hospital nursing was not for me... wish I had gone a different route now!!!! Clinic and LTC are great and someone has to do it but its not for me anymore.

I haven't met a nurse with kids yet that does not panic when it is their own kid. I know and admit to turning into a complete idiot when one of my kids is hurt!!!! Good thing DH is able to focus on the problem at hand and take care of things. I can handle the injuries of others with no problem just not my kids.

75 questions in 40 mins, sat in the parking lot 30 mins crying over thinking I failed. Two days later results in and I passed. Three years of school and it all rode on a 40 min period of time hmmmmmmm

Way to go!!!!!!!!!!!!!!!!!!!!!!!! I to thought I would die when the test shut off at 75 Mary RN

Way to go!!!!!!!!!!!!!!!!!!!!!!!! I to thought I would die when the test shut off at 75 Mary RN

Had a job in LTC once as an LPN that sounded very much like the OP described. Me, 3 CNAs on a good night and 65 pts!!!!! Usually only 2 CNAs and sometimes only one. The house supervisor was no help on a busy night, the supplies where in another building and the HS was afraid to go outside in the dark to get things for us to take care of the patients. I was constantly getting jumped for not changing foley's, and dressings, feeding tube bags, etc.... didn't matter that the HS won't get the needed items for the night shift nurses or let us have a key to get them ourselves. Needless to say that job didn't last long (5 weeks) went back to the LTC I had worked at for years with the hard learned lesson that more money wasn't alway worth the risk.

challanging test questions is all in the approach. I personaly questioned the instructor on many questions and always had material to backup myself during the sessions. I didn't always gain my points but I learned to look at the questions from another point of view. Our instructors had no problems in students questioning the test and welcomed the chance to clarify any questions, even in Wal-mart!lol And by the way I got my NCEX results on Friday...... I PASSED!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

I took the nclex today to, had an hour drive home in the pouring rain, cried all the way home. Mine shut off at 75 also and I felt like someone had hit me in the stomach with a 2x4! Mine was mostly proirity and delagation. None of the new formats. I just know I'll be going back.

I'm an emt cardiac tech and an RNA, hoping to drop the A next week after I take boards. Also have been an LPN and CNA. All of that experience, I thought helped me during nursing school and I think that the nurse training has helped to make be a better EMS provider too!

I have recently started a new job and during the orientation process all the new hires are together for many days. So here's my concern, one of the newbies is always discussing her "medication habits". Usually I'm not to worried about what others do but in the healthcare setting I want my co-workers alert at all times (not asking for to much). Well today I noticed she took her medication 3 times in a very short period, and yes she has told us what she takes. (not keeping it secret at all) I spoke to another co-worker about this after work and they are also concerned. Should we go to the supervisor? Being new I really dont' want to rock the boat but I don't want a bad patient outcome either. How do others handle things like this?

One of my classmates had the max 265 and passed!!! HOpe the rest of us can do that. I take mine on the 23rd of June, wish me luck!

How funny this question is asked today!! This week I was on orientation at a peds clinic for 2 days and last night and today have felt like $h!t!!! the N&V!!! We saw so many kids with N/V/D yesterday!!! and strep throat!!! Glad that part of orientation is over!!! This is the second week on a new job after being in school for 3 years full time so i really think my immune system is way down. Before when i was working full tme in LTC I rarely got sick.

My son was 16 monthes when I started LPN school, it was hard to be away from him but with creative planning we made it through! Now he is 15 and I just finished the RN program (also have an 11 yr old girl). Before you start in a program you have to sit down iwht hubby and do some planning for the next couple of years and everyone must understand you will need time for study without the day to day interuptions (sp) that come as part of daily life. You must also plan and stick to taking time for just you and your family. I wish that I had gone to RN program from the beginning instead of waiting so long but at the time it was right for me. I'm sure you will come up the the answer that is right for you. Good Luck with which ever you decid!!

I work in EMS parttime as well as being a nurse. One code that family was present for they excepted the situation well. I was on the ambulance dispatched for difficulty breathing, got on scene to find CPR in progress, with only myself and the driver we had to act quickly and start transport. There was a rather large group of by standers that had started CPR so I picked one and asked him to board the ambulance with us. After we called dispatch for additional help and met them in route to the ED, I found out the gentleman was the patient's brother. I felt really bad for asking him to come on the truck until after the code was called and he came looking for me to tell me thanks and how much easier it was to accept what had happened after seeing how hard we worked to save his brother. Now this same man is running with a local vol. rescue squad. I have also seen the family react in the ED during a code that made it very difficult for the ED staff to perform, you know the screaming and pulling at the staff type of thing. I think each code should be a case by case decision as to if family can be in the room.

8 hr shift vs. 12 hr shift (for the evening nurses out there!!!)

I for one have always liked to work with new nurses. (Was an LPN for 12 yrs, finised RN and waiting to take boards now). Unless like you said only one good vein I would allow the newbie to have a try at it, with the patients okay of course. Our local ER has great nurses that work with the students (nurses and EMS) so that when we are on our own they know we are ready.Now I'm hoping the floor nurses are the same with newbies as I just started my new RNA job this week and have so much to learn! Good luck in the ER!

Been there too! I left LTC because of CNAs with attitude. Where I worked the night crew was so lazy, took breaks way past the time allowed, complained about everything and everyone on the other two shifts. Left long notes to the DON and ADON about everything the charge nurse (me) did or didn't do. Most if the time if my work wasn't finished it was because I was turning and drying the residents instead of pencil pushing (so bad of me). Finally I started keeping a log of everything and documenting each time I made a request of one of the CNAs as well as loging my activities during the shift. Anytime the DON called me into her office I took the log book, didn't take long for things to change. Of course had a whole new crew to train on the shift but things went better for a while. Another theory on the behavior of some CNAs is jealousy (sp). They want your job but not the hassle of going to school to get it.

Having been an LPN for 12 years I take personal offense that "LPN, CNA Just doesn't cut it any more" I started as a CNA, worked my way through LPN school, all so I could provide more for the patients in my care. While giving care to any pt at any level I give 100% and do any thing possible in my current scope for them. I have also worked as a medic and currently a new grad RN. The LPN progran I graduated from is one of the best in the state and the grads from this program are highly respected for their ability to deliver quality care. To those of you that are currently CNAs and LPNs, keep up the great work and I for one respect the you for working as hard as you all do to provide quality care to your patients.

Glad to hear your son is okay and has no hearing loss. Love it when the kids note the "dirty gloves"!! Its hard not to let others know you are a nurse when your kid is in the ED, my two accident prone kids are always saying "can mom do that, she is a nurse too" Little snitches!!! LOL

Drug testing is pretty standard for most health care agencies now. Where I used to work, drug testing on hire and if employee was involved in any accidents while at work also. We also had to have a drug screen before admission to the community college nursing program.