jones.rn

Yes. But competition can be healthy

HA ha ha, Raindreamer you made my day. That was awesome! I will remember to take the pt's vital signs next time

Flying Scot gets lifetime kudos. :) Very funny.

We had a patient on our med/surg floor for two weeks with "possible lymphoma" well on Tuesday he was put in reverse isolation for "possible tb." So great, all those nurses, aides, and mds were exposed.

Before I give certain medications I take my own blood pressure, pulse, etc. Or if I have someone that "doesn't look right" I take my own vitals since I do not trust all my CNAs. When I was on orientation my preceptor was totally making up blood transfusion vital signs and not even checking on the pt frequently... Oh it burned me up, this was part of a long list of complaints I had against her. I know we are just med/surg/onc but vitals are SO important.

Good luck in nursing school! Thanks for the appreciation. When you're out and working don't forget about your bedpan experience :)

I ask myself that question sometimes when I'm wiping someone's buttocks and and another nurse comes in and says 203 wants pain medicine and 205 is asking when his discharge papers will be ready, oh and your cna is still at lunch. Then I remember that someday my mother is going to be in a hospital and I want someone to clean her, keep her comfortable, and get her out of their asap all with a smile on their face :)

While it may not seem like a big deal to you the instructors may interpret your act as being noncompliant and then they may assume you will not follow other rules. In nursing it's important to follow rules, it saves lives. Our uniforms sucked in school just be glad you get to pick what you wear to work afterwards, well everything but the color in my case.

And if your elderly person is not having good oral intake the D5 is good for them. The rate is high for maintenance unless the person is dehydrated, NPO etc.

South Florida 23.90 as a new RN. Thats when they hired me to work nightshift med surg. But on orientation management decided they wanted me on dayshift so I make a little less.

I know it sucks to hear this: But give it time. It took me eight months to get hired.

I do med/surg oncology hematology on day shift... I rarely sit down or have lunch. It's very busy.

Why is it always the guys with cellulitis?? I have had a couple different patients like this that are so gross and try and hit on me and other nurses. They seem to complain a lot too.... One of my favorite docs on my unit told one complaining pt "This is the ONLY place where you can press a button and have someone at your beck and call." I know that the hospital is not the most comfortable place to be but patients need to realize that they are there to get better and not have a vacation.

HouTX, Is there a way to edit posts?

Thank you HouTX. To the others, the final report came back pt died from ruptured spleen. MD stated that he didn't see it when he was in there before she coded. The patient DID inject something into the port, that something has yet to be determined.

I love when my eldery patient pats my hand, gives me a wink, and tell their family member "I'll be fine, I have a good nurse today"

Whenever I was in school I really wanted to do critical care. I have the drive and the passion for it, I also am quick on my feet. However due to the job market I accepted a position on a med surg floor. It is a crazy busy floor that has provided a lot of experiences for me. But every time I transfer a patient to the unit, have a code, or a rapid response and those ballin ICU nurses roll in to help me out I'm in a complete jealous state No, it's not that bad. But I really want to transfer at some point. If you can get a job working in your desired specialty go for it, you need to LOVE what you do. I still love being a NURSE I am just looking forward to specializing.

Im a pretty new nurse as well and I've figured out that there are some night nurses that want the bare bones report and then they like to look up everything else themselves. It is their practice. I do insist that they hear certain pertinent points. And there is no excuse for her/him being so rude to you... A nonviolent workplace is your right.

Did anyone else just think that this tv show was completely unrealistic? Did anyone find it frustrating to watch? I know I'm nit picking so you can blast me if you loved the show... There were just some major things that bugged me. The slow chest compressions, the turn around time for patients, the untreated tankin bp...the list could go on.. I usually love hospital tv shows but not this one.

Accept a job. Get experience.

So on Wednesday I was called into work 7a-3p. No big deal. I was introduced to my 6 patients by the night nurse. One patient in particular was a 30 y.o sickle cell crisis. So I knew the drill. I gave her my direct phone number, told her to call me if she was in pain and told her that I would do everything I could today to control her pain/nausea. As the morning progressed I was in and out of her room, I reaccessed her infusaport (with supervision from my charge rn), I did her am shift assessment, gave am meds (folic acid and protonix), gave percocet at 0940, and then gave dilaudid at 1015. I was in another room with a patient that had rapidly detiorated ie her fingers were blue and she had circumoral cyanosis and sats were tanking -70%. I had the RT in there and she was not responding to the venti mask at 55%02. So we put her on the rebreather at 100%. During this the student nurse with the sickle cell pt was bugging me and telling me the pt was getting up to bathroom alone (she was completely steady by the way) and was still complaining of pain. I left the poor 02 pt with RT and went next door to assess the sickle cell. She was grabbing her knees and stating pain 10/10. I went back to the other room, called my charge nurse and asked her to call the md. I got a one time order for dilaudid 2mg ivp, I just didn't have time to give it. Meanwhile rt did an abg on the old lady and her p02 was pretty low, but her o2 sat was finally climbing and was 92%. Well I heard overhead "rapid response 3rd floor". I was pretty happy that my charge rn was taking my 02 sat lady seriously and calling the team in. I stepped into the hall to see who was coming and saw another nurse run into my sickle cell room. I thought, Crap. I left this pt with the rt and ran into my other room to see another nurse doing compressions and the students just staring in disbelief. I ran out of the room and grabbed the crash cart, yelled to my charge rn "screw rapid response, call a code blue 314." During the code the first nurse on scene revealed that as she was putting 02 on the pt b/c she was complaining of sob she noticed the client was clutching a syringe and a medicine cup... The nurse looked up to ask what it was and pt's eyes rolled back and she quit breathing...what?! So md says maybe she gave herself an air embolus. The pt was intubated, shocked three times, and we finally got pulse back after the usual narcan, epi, etc. I kept thinking ok she is going to come around soon, we did good. We got into the elevator to transfer to icu. She lost her pulse in the elevator.. icu rn hopped on the bed and started compressions, we booked the bed down the LONG hallway to our ICU, yelling for the gawking bystanders to get out of the way. We continued to code her in the icu for several minutes. After the primary md had decided that it was futile (she was in PEA) he kept telling the student nurses to do compressions until they all had a chance ( I don't think they realized that everyone else had stopped). Then he called time of death..1218 on a 30 yo woman with a young child. Did I miss something? I was interrogated by the police for a LONG time. It was very terrifying. I thought I was going to lose my job or worse my rn. My boss keeps trying to reassure me. But come on, what kind of nurse lets their patient kill themselves?

Kroger, this is how the reimbursement works at our hospital as well. We must attain the always rating to receive pay. And you know that is not going to be easy with most patients attitudes. Freemirini, one would think that a hospital would increase to staff to increase satisfaction. But in my hospital this is sadly not the case. We are still expected to take care of 7 very sick patients, do all the extra "busy work", and get every one pain meds every 2-3 hours

Both of my charge nurses are difficult to understand. One is from Haiti and the other from the Philippines. But you better believe they are the best nurses on our floor. They are incredibly smart and very good with their skills.... Ie they can get IVs in the old dialysis patients on the first try. I have an untold amount of respect for both these ladies. So like another poster said, if we are so upset that American taught nurses are not getting hired perhaps we should step up our programs. I also think we should cut down on the amount of nursing graduates by making entry into school more competitive. Hello? Has anyone ever heard of market over saturation.

It used to be eating Reese's Fastbreak... Now I'm beginning to love running :)

My hospital is obsessed with HCAHPS. Everything they do seems to be focused around it. And believe me, the outcomes are not always good for the nurses. They allow patients to abuse us and the system because they want to be reimbursed. It's craziness.