sydneyxmoon

I will tomorrow. She honestly scares the living poop out of me but I will go in to see her tomorrow.

Can anyone recommend a book that I can use for nursing diagnosis? My instructors are completely nailing me for my nursing diagnosis. I am gathering all data from my patients and prioritizing but I'm never right. My instructors are always giving low scores because they don't agree with me or I'm missing the correct interventions or timing is not appropriate. I'm just losing it here...

Exactly what I needed to know!! Thank you!

When setting a nursing diagnosis, I would think that I would want to use the admitting diagnosis to make a nursing diagnosis. But I just read I must assess and gather information first on my patient then create a nursing diagnosis. My patient was admitted to the ER for UTI, confusion, weakness and falls. Her Hx is HTN and COPD. I wanted to use impaired urinary elimination for my nursing diagnosis but from the looks of it, I need to use Maslows or circulation, airway, breathing first. If thats the case, i would use my nursing diagnosis for circulation. Whats driving me nuts is that that is not what she's in the hospital for. Her BP is stable, heart rate is stable, her lung sounds are clear although chest x-ray confirmed right lower lobe infiltrate. When i assisted her to the bedside commode, she had yellow foul smelling cloudy urine with dysuria. Im just really stuck on how to place that information i gathered into a nursing diagnosis. The majority of patients have HTN, so you would think all my nursing diagnosis would be on circulation since thats a priority. It just doesn't make any sense I'm lost!! someone help please I'm going crazy lol

I just feel like flipping burgers will make me feel better at what Im doing than this. I know its childish, everyone wants my job, its part of growing up blah blah but this feeling is horrible!! You have no idea its not some lame nervous feeling oooh im starting my new job its like omg ill rather die than go in....what sucks is that everyone keeps telling me oh this is probably the best place youll ever work at and im like WHAT?! THERES WORSE?! geesus christ...also this place will build my experience but I dont really care anymore home care maybe is for me visiting patients and seeing they are doing ok. But the whole 16 patient thing, passing meds, charting bibles, dealing with all these philipinos is just not me....im trying to keep going at it as much as I possibly can but i feel once day im going to burst.....

So I'm new at this nursing thing and I got a job at a skilled nursing facility. Ive been working there for three months and the last two months I feel like vomiting every time I know I have to go in. I get panic attacks where I start hyperventilating and bust out crying because I don't want to do it. I'm on call and haven't been picking up because I don't want to go in. Once I'm there, I'm there I have to do it. But sometimes in the middle of passing medication I wanna quit, go home or start crying. Although I don't, its really hitting me emotionally, making problems between me and my spouse and my parents are worried about me because i threatened to kill myself because I hate what I do. Is it the fact that maybe my area in nursing is too stressful for me and maybe I should move into home care? I don't know has anyone felt like this before? I'm 22 and this is actually my first real job so...I don't know it really sucks to feel this way. Its like a big nasty hole in my stomach and it messes me up big time!

I am really sad and scared after this. It happened yesterday morning and I looked at the pt. chart and I didn't see anything other than active MRSA. I even asked the pt. if they had any diseases and pt said no, but you never know about these people. This pt. is in there 70's and Im guessing if the pt did have something pt. would have problems right? All this person has is COPD and diabetes. I finished giving insulin when i went to pull up the safety lock is when i stabbed the hell out of my thumb, even broke the needle. All doctor did was draw blood...

Hey guys, I am currently an LVN at a subacute and rehab facility. So far I am not liking it. Very stressful, getting the medication passed on time, charting, dealing with demanding patients and families, etc. and having to put up with some rude philipino and indian nurses. So far they had me look like an idiot, having me do things purposely to get in trouble or just plain rude, pushing me out of the way or grabbing papers out of my hands. Im young and new but unfortunately its like that everywhere, if your not of their race, they dont help or like you. Well maybe not everywhere but definitely the places ive worked at. So, is there anything you guys might know of that i can get into? I know so far that I can get certified as an MDS coordinator or Ive seem some staff developers that are lvns but how do they get there? Its something i went to school for and have to stick with it, but i know i can get something good out of it. I live in california so any help will be appreciated greatly!

Then we are on the same boat, no exp! This facility has patients on rehab, long term, and sub acute. I'm going to be a float nurse so documentation is different with everyone. Some are under medicare which consists of I think assessments every shift, subacute wants only daily blah blah so confusing. Thank god I'm working 7pm-7am since its not so hectic and people aren't busy so they can help! And they better! I don't care if I **** them off my butt is on the line here!

Hello everyone, today is my second orientation day at a subacute here in CA. I am very fortunate that this employer took me in as a new grad. So far they have me following an LVN and a Tx nurse, and they somewhat taught me how to document in addition to med pass and wound Tx. The reason I'm scared is because a lot of what is going on with charting, documenting, taking orders, or whatever an LVN does with exp. I do NOT know! I'm scared they will just throw me out there next week and I will have no clue what I'm suppose to be doing, where I should be looking according to documenting, like I said no exp! All I know what to do in case they do is get report, get your pts. pass your meds and that's it! Ill ask for help but man, this is so confusing!! Has any of you LVN's out there been through this and how did you deal with it? Or any RN's that has helped someone like me before? Any tips, or important questions I should ask? Thanks for your replies!