RockinChick66

I've seen brittle DM pts that go up or down for no apparent reason. It's all just really weird sometimes. Glad I don't have DM.Sounds like your an awesome nurse and stayed on top of things.

8 patients on a step down? I agree with the above post. That is really high! : /

I don't tell my pts that any more. We have been informed by our manager to never talk about Our other pts. I have been guilty of saying it in the past but now I try to anticipate his/her needs. If I have to, I will give pain med 10-15 min early to keep people happy. I am getting burned out tho for sure. I've had some very abusive pts in the last couple weeks Get mad at me because they "didn't feel my dilaudid!". Ooh, this makes me sick to no end!!!

When wwe are short staffed, we get 6 pts on our MS floor. 7-9 is way too many much less 11. I would start looking for a new job. For the sake of your nursing license and the safety of yours pts.

I got stuck the same way, using a subq needle on a really thin person. It went thru his skin and stuck me in the finger. I couldn't believe it!! He was clean but still he was homeless and I just knew he had something even tho his labs were clean. it was very terrifying at first. I turned to the Lord and prayed about it and what a difference it made. You will be in my thoughts and prayers.

I want to say thank you to all the nurses who worked this Holiday and are missing their family while taking care of someOne elses loved one. You all are truly remarkable people! God Bless each and every one of you and many blessings for the Coming New Year!! Love and Peace to all !!!!

I am good at anticipating pt needs and usually have their needs met within 5 minutes or less of them asking....such as pain meds, bathroom asst. ive been told that I help raise pt satisfaction scores.I've been on the pts side so many times so I think that really helps contribute to the empathy I feel for my pts. I'm also the 'go to' person on my floor for help with computer issues from co workers. (:

I don't like giving these meds together. Can place the pt on higher risk for falls. I do what I think is safest. Depends on the pt.

I find your post interesting because I feel like the EMR makes my job much easier.

I got stuck a couple times and Tbh, it didnt bother me at all. Maybe thats because I'm becoming ....

I would def leave out the last sentence about the restaurant. Ive worked in that setting and IMO it does not provide experience in critical thinking. I would close the letter with a thank you for consideration......

Ive got my own opinion but Ive decided to keep it to my self. A haha

I wish I knew. Maybe.... something where I can take my daughter to school and be home in time to go pick her up. Something a little less stressful than what I have now.

If he's a DT patient then he possibly has etoh liver issues/clotting issues, just a thought.

I agree with you on this. Drs do not read our nursing notes. At my hospital, we use Epic EMR and we have a place to put "sticky note" to physician which is just like a post it note on the chart. It is not part of the patients permanent record.I would have addressed why this pt felt he could not void. Also I believe pt teaching is important in this situation and that he should have been instructed that he is 'at risk' for infection by leaving the foley in. In the end, we must follow physicians orders and if the patient refuses in this situation, then I believe it's the responsibility of the nurse to notify the Dr. I have notified my Drs in same situations as this. I don't care if its Christmas Day, that's what they get paid for.