trulyblessed2

Hello everyone. I haven't posted in awhile. I have been a nurse working in dialysis for 3 1/2 years. The clinic where I work is sort of big.We have been short staffed for some time now. We have people in and out. They work a couple of weeks then leave. One person worked about 8 weeks and left. Most of the workers now are transferring to other clinics because we are so short staffed. During change over the clinical manager sits in her office looking at her cell phone on Facebook. She does not come out and help, only if we ask her to cannulate a patient. It is so stressful. This clicnic has the most turnovers I ever seen. Now she has hired techs, but it's like we are still short because they have to get trained. Again it is so stressful. Then to top it off the coworkers talk about each other and tell the clinical manager everything and she talks about them. It's a mess. And the patients know everything that's going on. What a hot mess!

If anyone can answer this please do. Can pregnant people with antibodies go in isolation room with hepatitis B patients?

This is her 3rd pregnancy and 3rd baby shower.

Okay so this is for any body who can answer this There is a nurse who was wanting to go to her baby shower Saturday. We get our schedule at the end of the month. She has been knowing about the baby shower since last month, but did not request to be off. So the month of the baby shower she asks around for someone to change days with her. No one was willing to change days with her or work in her place. So the week of the week of the baby shower she goes to the doctor and requests a week off so she could go to her baby shower. She told a few people at work that she was going to do it. She turned her doctor's excuse in.The manager has to ask the ones who weren't on schedule to work in her place or close for her. She is so inconsiderate of others. By the way, we work every other Saturday and this would be her Saturday to work and next Saturday she is suppose to be off. This is so unfair to others who had already made plans, but had to change their plans. My question is, is this grounds for termination since she planned this?

Thanks everyone

Thanks

I have a couple of questions for Fresenius employees. When do you draw labs? What labs are drawn for new patients? When do you do footchecks? Do you use e cube clinicals to document? When are home meds reviewed? Can't seem to get patients to bring their meds. When do you do access flows? How do you complete care plans?

Hi. I am sort of new to dialysis and I was wondering how to set up a heparin pump on a 2008T or 2008K machine.

Hi I was just wondering does anyone still carry around their nursing school books? I have been a nurse for 5 months now and I feel I need to carry my lab and diagnostic book along with my drug guide book. I feel I need it because the doctor orders tests I have no clue to what it is and also medications I never heard of. Also, I want to be able to answer my patients or family questions. I don't want to ask my co-workers everything. I don't want to carry it around forever, just long enough to get use to the terms.

Okay thanks

I have been working on med-surg floor about two weeks now and was asked to break down patient chart. What does that mean and how do you do it?

I agree

Oh yes now I get a letter in the mail stating I was not selected for the position. Where is the nursing shortage if they don't want to hire anyone?

I had an interview Thursday and one Monday. The interviewer did the same thing to me. I have made up my mind if I don't get a job soon I will go back to teaching. I pretty much think I have wasted 2 1/2 years. The nursing jobs I had I disliked them. I don't think nursing is for me.

Hi I really need help. Are you still available for a pm?

We always hang protonix.

It seems as if experienced nurses forgot they were new nurses. Some act as if they had no problems starting. They act like they knew everything. I want to remind them t times.

I always flush after giving an IVP med.

I feel the same way. I feel nursing school has not prepared me the way I wanted.

I know this is an old thread but we give a lot of these... amphotericin B levophed dopamine insulin drips morphine almost everbody is on pepcid all sorts of antibiotics vancomycin V-fend

Thanks a lot. I will check out the books you suggested.

I have been in orientation almost 4 months. The hospital offer classes such as ACLS and rhythm strip interpretation. I am also spending time on my off days researching stuff I don't understand. I have visited the icufaq.org site and find it very helpful. Thanks. I am in the process of putting together a notebook on labs and diagnostic tests, different drips used in ICU,and stuff like that. Also, any new meds and what questions are pertinent to ask when receiving report.

okay i will start this off... when a patient is hypotensive, give vasopressors, such as dopamine or isotonic fluids. give 5% dextrose or 1/2nss (0.45%) to a patient who has hypernatremia to balance the salt outside the cells. if a patient is already getting at least 40 mg of lasix and is still having problems voiding, recommend the doc to order albumin to help remove the waste. withhold blood pressure medications if patient is receiving dialysis. dialysis lowers blood pressure. less volume, less pressure. withhold insulin before surgery,pt.may bottom out. if a patient has chf, and the doc orders 120 mg lasix, question the order and make sure the patient kidneys are functioning. where would the fluid go if the kidneys aren't working?

hi. i am new to icu and is desperate need of learning things. i have been in the unit for less than a year and it seems as if i am not digesting the material. my preceptor is no help at all. i need help in interpreting labs since this is a crucial part of the patient care, when to call the doc, when to withhold meds, abgs, electrolytes imbalances what should i suggest to the doc, icu skills. anyone up for grab in this? i don't want to have to transfer to another floor because i kind of like it, but i want to go to work loving what i do. i think what is holding me back is knowing the material and being sure of myself.

This is nice. This is wonderful to use on the floor.