All Content by rita359
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3 months in and feeling incompetent
You are only 3 months into the real world of nursing. Give yourself time and learn something every day. If you don't know the answer at least know where to look for the answer. It will all begin falling into place. As far as abts go your job isn't to order the abt only to know what it does and side effects. Also need to know results of cultures and sensitivities and if the abt ordered is effective against the bug you are fighting. Besides that, do your best to practice the way you were taught.
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I've been a nurse since.....(fill in the blank)
I"m retired now but was a nurse when white was the only uniform color, dresses were the only uniform and caps were mandatory. That was way before AIDS and lap surgeries.
- Nursing: Then and Now
- Nursing: Then and Now
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Financial Independence And Nursing
Being able to support oneself is one thing. Being able to retire at 45 or 50 is a totally different thing. I believe many nurses support themselves and children on a nurses salary and have a reasonable lifestyle. As for being able to retire early, I think that is a pipe dream for anyone. This is speaking from experience as I am 65. Who knows how many years you have to support yourself in retirement. If you live to be 95 and have to support yourself for 50 years it should be obvious that would be an impossible thing. I currently know many people who are nearly 95 and your life expectancy will be even longer. Sounds good to retire early until you look at those possibilities.
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Does Everyone Actually Hate Nurses?
Was in nursing for 45 years. Nowadays there are sooooo many opportunities once you have your RN. I don't think family and friends can appreciate the opportunities that degree can open up for you. If nursing is what you want go for it.
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In Dire Need of Advice / Help.
All jobs have their ups and downs. Utilization review, office nurse, informatics. You have nursing home experience so admission coordinators something to do with care planning. Put your resume out there. See what pops up. Every job can be stressful in its own way but not all jobs, even in nursing, have peoples lives at stake.
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this is why people still think there's a nursing shortage!
Totally disagree with your mom. And this from an old person. Nursing was apparently what your mother wanted to do and is good at but your brother is apparently good at languages. Why try to make him go into something he might hate. My husbands father picked medicine out for my husband, accounting for one brother. My husband is a pharmacist and very good at his job but feels less than related to self esteem because of his father's expectations. His brother wanted to be a journalist. We can't live anyones life for them. As long as they have considered their career choice and it is reasonable and not illegal we should support them in their choices.
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1st time dui... Any advice will help..
Just go figure that if boards of nursing took everyones license for every dui charge employers would have a MUCH harder time staffing than they now do. Not saying it is good to have dui but looks like you are doing what they want you to do and you apparently have an attorney looking out for you so try not to worry too much. This too will pass.
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Nursing Needs To Get Back In The Hospitals
I don't think the comment has much to do with nurses education but more with those educators being away from the bedside for so long they have little clue what the low guy on the totem pole(bedside nurse) actually now goes through. I can think of many things I know how very educated nurses say how I should do things and all the theory behind why they might say it but some of those things would require me only having a couple patients when sometime you have 7 high acuity patients. So you continually feel guilty for not doing things "right" when, in fact, you are just trying to keep your head above water. It is no longer possible for 2 nurses and one lpn to care for 40 patients like we did when I got out of school. What those educators remember and what is today possible can be 2 worlds apart.
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Absolutely ridiculous... You can keep your 4 hours
If you don't have a union you have to either live with it the way it is or opt out possibly of a job. Most states are at will states and employers can let you go anytime. Since the advent of budget time(cancelling scheduled time related to low census) this is a reality in nursing. Look at your facilities policies related to budget time before you do anything. If they were following policy and you want your job you will just have to suck it up.
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Dealing with Death...
Many deaths behind me. Hardest ones are the ones no one expected to die now(otherwise healthy person who codes, came to hospital for some simple procedure and doesn't make it). Others you adapt to. Death is a fact. Don't know anybody 200yrs old. Experienced a lot of death when I worked nursing home. As you have to go on with your day you can't let it linger. Coming from a religious background I find I can take a few seconds and pray a simple prayer used at funerals etc. Eternal rest grant to him/her Oh Lord and let Your perpetual light shine on him/ her. May he/she rest in peace. Amen. Then I'm ready to go on.
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New nurse feeling incompetent
Three weeks in nursing is no time at all. Don't be so hard on yourself. It takes awhile to get it all down and then it changes so you always have to learn. Regarding the med, was it a new order or was it a med the patient had been on for awhile? Does he take it at home? Yes to the last two means I'd give it and make note to myself to see how this drug fits in for this patient. Yes to the first means I'd figure it out before I gave the med.
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Rapid Response vs Code Blue?
If your patient is still responding but is deteriorating call a rapid response (thank God for them because back in the day you had no option except to call the doctor which was generally someone on call who had no clue about the patient). If the patient is unresponsive and you can't find a pulse call a code. ICU head nurse says it is easier to downgrade from a code to a rapid response than it is to ungrade to a code. If you think you need help get it one way or the other.
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Is it really necessary to learn to read an ekg? anyone really use it?
We have 3 med surg floors that have tele. Pretty soon all our units will probably have tele. I think it will be time well spent though it is a skill you have to use to get good at.
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Got first nursing job but can't afford loan payments
Sounds like it is time for some professional advise from Suze Ormon or somebody like her. Options seem to be 1. get a second or third job 2. cut expenses to the very minimun 3. cook at home (eating out is expensive) 4. no gifts to others because you can't afford it. You would be surprised what you can do without or get by with that is cheaper. Furnish your apartment from yard sales or swap meets. Know that those loans in forebearance are only INCREASING as time left in forebearance increases. That is an option that isn't an option if you want to get out of debt.
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Edematous after 3 shifts???
Definitely let pcp know. Most healthy people will not have these kinds of problems. Pregnant maybe.
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Is your Hospital requiring a copy of your diploma or transcripts?
45 years after graduating and the school closed couple of years after we graduated. Hope the hospital corp that took the hospital over still has that information. Likely in some dusty old file nobody can find anymore.
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Retirement in the nursing field.
Interesting topic as I am currently 64. Have been healthy all my life and still am. Take no meds. Glasses to correct my vision. Husband is retired. Don't feel like retiring yet. Not the most computer literate but am getting better. Hope to go on for awhile before I throw in the towel. Evaluations have been good so why should I quit?
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Haven't found my "place" in nursing.
You need to read SO many threads on here about SO many new grads who can't even pay to get a job much less a hospital job. Yes, as a new graduate you have a lot to learn. Maybe you thought you knew a lot when you graduated but you are just now learning how much you still have to learn. Giving up at a few months will not get you there. If you step down to some other less demanding environment you will never have the nerve to step back up.
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Do you take your work wherever you go?
No germaphobe here. When I think of the ways people live, some in this country and almost all in less developed societies, who don't die from the millions of germs they come in contact with I figure our immune systems must take care of most of the germs. There will be some that might get us but we may live for 80 years without that happening. I'm not into worrying for 80 years.
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LPN Volunteering at Senior Center- Need Advice
Sorry, but I don't think you are asking the right people. I think you need to look at your states nurse practice act or consult an attorney familiar with the ins and out of this kind of situation. I would also look at my professional liability insurance. With that information you can make a decision.
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Thinking about Leaving Nursing
Sounds like you have never really had a job that allowed you to develope the skills you need. You have not been in an environment where you can learn the multiple skills nurses need to function. Nursing is a wide open field with many avenues. Since you are working with a pediatric(I asume) pt maybe go to a childrens hospital and apply. You would need a good long orientation period but if you let your skills and knowledge base to continue to rust it will get worse and worse. There used to be refresher courses offered for nurses returning to nursing after an extended period of time. I know you haven't actually been out of nursing but in the environment in which you have been working skills have gotten rusty. Maybe look into that.
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Co-complainers. Is anything good enough?
As long as the slackards are allowed to get by with being slackards that is exactly what they will do. I don't know how long you have been a nurse but it doesn't make sense for you to be doing their work and yours. Pick your battles but you DO have battles you have to fight. There is NO reason the institution should pay them if they refuse to do the job they were hired to do. You will have to have documentation, so begin keeping a log to back up what your problems with them are. They ARE NOT hired to be on facebook or to read books or sleep. These are things managers should deal with if you make them aware of it. Maybe you need to warn these people before you actually go to administration but if they don't shape up when they have been warned then do what you have to do. It may be good to talk to other nurses there and do it together. Getting into what our culture does not teach young people about work would fill volumes. Some of us were taught at home from an early age what was expected of us as young people and carried it into our adult work life. I have heard that some young people only see themselves as growing up to be on the "dole". Maybe that is what these people want. Somebody should show them the door.
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my first NG tube insertion
If patient has false teeth, have them take the top plate out. The hard surface seems to increase the resistance you find in the nasopharynx.