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mrf0609

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  1. If the patient had a feeding tube due to aspiration issues, then the po route would have been highly inappropriate and could cause significant issues. Most of the time people who have a feeding tube have one due to their inability to swallow for whatever reason. You do not mention why they had the tube but giving meds po when they have a feeding tube is also wrong. Asking for assistance, when you do not know, is very important and will prevent patient injury. If you do not feel comfortable asking a coworker, ask the charge nurse as that is what they are for.
  2. It would appear that "most nurses" prefer 12 hour shifts and the topic should be left alone...
  3. I am am over 50 nurse and come from the horse world where you work 6-7 days a week and the days are often over 15 hours. Plus you were responsible even if you were not there, making it a 24-7 type of job. Nursing is great and 12 hours is a breeze! The best part is not having any responsibility after giving report. I would definitely not do 8s in any way shape or form. Having 3-4 days off a week is fabulous! I have done both day and night and even though they are different in many ways, I would never do eight hour shifts and have to be there 5 days a week! I have fond that eight hour shifts leave no time for anything else and you are tired all of the time! I would certainly balk if 8 hour shifts became the norm! I also am an older single mom, he is 12 right now, with no family support. I was easily able to find appropriate child care for him with no issues. Childcare is not an excuse in my opinion!
  4. We do get decent compensation, if on the A team, they do not expect you to do it out of the goodness of our hearts. If you work in the hospital there are expectations, weekends, emergencies etc,. If one doesn't like it work somewhere else,
  5. As you live in Florida, and work in a level 2 trauma center, I highly doubt that your arm was "twisted". Your facility has a disaster plan and each employee has an obligation to be on either team A, before and during the storm, and team B, after the storm. The reason you can not leave the facility, in the first place is that during the hurricane the facility is on lock down, NO ONE gets in or out. The second place is to ensure that patients are cared for until team B is able to arrive. If you do not like it, do not work in the hospital, it is one of those things, hospitals are 24/7 and especially during the storm, there need to be nurses. You should have had an option on which shift you want, but if you ignored the request to state your preference, they will place you. If you do not show up you will be fired, they can do that. I totally understand your desire to run from the storm, but you are a nurse working in a hospital in Florida. Hurricanes happen and this is standard protocol. Quit now, and save your fellow employees the negative attitude, or suck it up. I am on the A team, my pets will be alone, I worry about my family, but I work at a hospital in Florida and this happens.
  6. On a few occasions I have had the pleasure of taking care of other nurses from my facility. Most are appreciative but there are a few which appear a bit too keen with the dilauded. Makes you wonder...We had one person who was a horrible patient. He has since passed, he was a sick person, but he was the worst patient I have had.
  7. two of my other favorites fake it till you make it and I can do anything for 12 hours!
  8. There are no big deals....
  9. You have stated repeatedly that you do not like nursing, that it is not a good fit for you. Perhaps pharmacology would be better for you, you can use some of your classes towards it. Nursing is a calling, I believe. If you dislike it before you begin you will most likely never like it. I see too many people get into nursing then hate it, at least you figured it out before you began! Best of luck!
  10. Gifts for what? Leaving? I don't think anything is necessary, perhaps a nice dinner out with close associates would do, but I do not feel that you need to provide anything to anyone. Just my opinion.. Best of luck in your new venture! Michelle
  11. You discussed feeling different due to being black and single. My unit has many different ages and races, we all treat each other with respect and get along, creating a nice environment. Perhaps the difference you feel about yourself is self limiting, creating a barrier due to attitude. It sounds like you are not truly vested in your unit. This may be a very good reason why you are not precepting, a negative attitude can really affect a new person. Just a thought.... Best of luck on your new journey!
  12. Not sure you can actually take the NCLEX without some type of specific schooling, even with past experience in healthcare. Know you can test out of classes, but if I remember correctly, my school had to submit information before I could take it....
  13. A big one for me...asked and axed.... There is no x involved in asking someone something...
  14. No, We do not flush with a 25 ml bag post administration. We also do not prime the line with ns. Medication mixed in the pharmacy is often more than ordered dose, if primed appropriately and the pump is programmed exactly as directed, there is often medication left in the bag. If the first dose of a 100 ml bag is hung at 90 mls instead, due to priming, then all subsequent doses after are programmed as ordered. If the original line is primed with ns, then all doses can be given as ordered. We honestly have no policy at my facility, it is how I was trained.
  15. I was taught that even giving any NS or other fluid, as a primary, without orders is administering without orders. I have a few issues with hanging a separate primary line of NS if the patient does not have fluids ordered. First, fluids need to be changed every 24 hours, most of the times when I see people hang a ns primary with an abx piggybank no one ever changes that fluid every 24 hours. The other issue is that many times the patient does not need additional fluids due to other conditions, kidney failure or chf, they do not need the extra fluids given. Often times I find the night nurses tend to hang the small saline bags so that they can run the fluids, albeit slowly, overnight and not have to deal with mapping the patient. Just my thoughts on it, and what I was taught.

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