adra

Hello everyone, I am having an issue I hope my fellow nurses can help me enlighten. I am a beginner in my nursing practice and have been working night shift on a busy intermediate intensive care floor for less than a year now. A few days ago, I have been asked to give metropolol IVPB to a pt with a terminal dx recently switched to comfort care. The problem? No cardiac monitoring, no blood pressure monitoring (part of comfort care measure). Our protocol for med administration do require cardiac monitoring for such a med, yet MD was not understanding that. After much discussion, IVPB was switched to metropolol iv push which I administer with MD at the bedside while monitoring BP. Eventually we had to switch back pt to DNR/DNI and not comfort measures anymore because family was not aware of what comfort measures really meant and wanted IVPB metropolol to be administered. This happened at night time with a covering MD. The day after, primary team came to complain to charge nx regarding the fact I refused to give med as initially ordered and that as a result, the code was changed. I guess my question is first: what would you have done? In your unit do you have pt with comfort care order set? Do you give med other than med supposed to alleviate symptoms? FYI: at time of administration, BP and HR were within normal range, rational per MD to give med was to prevent recurrence of SVT that occur the night before while pt was on cardiac monitoring..) Thank you for your input :-)

Hello everyone, I hope you can help me fellow nurses. My husband and I will be working both 12 hours shift. He is dayshift, 3 times a week, and I will be nightshift (at least for a few months, this is a new position for me), 3 nights a week. We both gonna work every other weekend. I will have the option to pick my weekend that I want to work but I need to give a answer soon. We are arguing about what would be the best schedule for us and our 5 months old baby. Hiring someone is not an option. So 2 things: work opposite (which I want to do) or work same days (meaning him day and me night) so we get our days off together. That seems a nice idea except for the fact that he does not seem to care if I don't sleep before going to work!! According to him, people that work for example 2 nights in a row don't sleep the day of their first night so my first night will not be a problem. For example, he goes to work on a saturday, I care for our baby then drop her off for an hour or two at my sister's then go work night. Then come back home care for my daughter and work sunday night, then I can rest on Monday. That seems crazy to me. I need at least 4 or 5 hours of sleep. My baby is not a big nap taker, a hour max 3 times a day. No way i can feel rested with that type of sleep! I would love to get some input. Night nurse do you sleep before going to work on your first day? Do you have a husband that works 12 hours as well? How do you do with kids? Thank you so much!

Thank you for your insight!! can't wait to start in september. I have never been so scared and so excited at the same time.

I got into Hayward too! I'm all in for the FB group

I asked for Hayward as well

GPA 4 TEAS 90 Good luck to you for next year!

I would say about 6 thousands a year

Just got an email from CSUEB Nursing: I'm in !!!!!!!!!!!!! I'm so happy, can't wait to hear from you guys, Good luck to everyone,

Congratulations and thank you for your advice ;-)

i got my answer through my external email adress

:nurse:Just got accepted at SFSU for spring 2012 but easy bay is still my first choice. The wait is killing me. Good luck to everyone :-)

I just got an email and I am accepted for Spring 2012. Do any of you know how the school of nursing decide who will start in Fall or Spring? I have a class still pending (quarter system , I just finished the class last week) Could it be it?

I definitely agree with mangopeach. You gotta take A&P again. Nursing schools are such impacted programs so they are usually taking student with the highest GPA. So the higher, the better... Go for it and good luck to you!

Hi everyone , I am applying to San Jose State University, San Francisco State as well as Hayward for Fall 2011. Good luck to all of you...

Congratulations to you and best of luck:) It's true that having the possibility to share experiences and learn from others through this website does indeed make a huge difference. I going to apply soon to SFSU and CSUEB for fall 2011 and hope to get in the first try...