What gives me a thrill (more like a sign of relief): My ICU patient is upstairs in ICU where she belongs...now on to the charting. What makes my stomach drop to floor in terror: I have 3 sick patients...
Switching from Subacute to acute care is challenging. I know: I did it. I too was a new grad in subacute/rehab for 8 months before switching to m/s. It will get better. You will get more organized and...
ER perspective here: probably about 30% maybe 40% of the patients we send up to the ICU are vented. But, I think the answer is really institution specific and probably specialty ICU specific and how...
I work in in the ER and it seems like the critical patients come in droves. I don't know how it is in ICU. There will be weeks where I have an ICU every other day and then there will be a period of...
You are right about the antipsychotics. I was thinking of some of the antidepressants and increased risk of suicide when people are put on the meds or with dose increases. The rate of suicide in the...
The amount of patients I see each shift depends on the area of the ER I'm working in. I work in a 40+ bed ER (I'm talking main ER, not including fast track rooms, and obs unit). I'm working in the...
Psych units do not take withdrawal patients because they are acutely ill. Where I used to work, the m/s floors could only take people who needed withdrawal assessment scales q4h. If any more frequent...
Speak with your professor. See if she has any advice. You aren't in nursing school to make friends. You are there to learn and develop into a novice nurse who will practice safely. Maybe you just have...
If you can get a job in the hospital - take it. Unless it just does not work for family reason. Sometimes you need the 9-5 with no holidays and sometimes no weekends. Clinics tend to pay less and are...
I really appreciate this series of articles. It gives me perspective on something that is unfortunately all too familiar to women across the country. I am so happy that you "got out." A message to...
Yes, the feelings are normal. Ask your preceptors to point you toward resources to help you build/improve your skills. Also ask for recommendations on which policies you should be reviewing and ask...
My report sheet is a piece of paper taken out of the printer or a paper towel. LOL. Get used to keeping things at the top of your head. I was very overwhelmed at first and I still am at times (been...