#1ME

If he's repeatedly being a bad reference, I would refrain from jotting him down as one. Don't you have more than one manager? We have two in the night and two in the morning. How about your Nursing Supervisor, can he or she be a reference for you?

BluemorningGlory you obviously don't like this guy, and you'd love to sabotage his nursing goals. CNA and nursing school have BCI's and this guy seems to have gotten through one of them. People like you that cause trouble and back stab others in the program. If I were a nursing school director and you came up to me with that nonsense, I'd put you in your place and keep an eye on you as much as possible. ^^ This. Sounds like you're just being spiteful.

Sounds like she's just jealous. Screw her and her judgements. You do nursing, if that's your desire.

Doesn't matter if it was placed in his NG or he swallowed it. If the NGT is at continous suction the KCL is just going to be sucked back up into the cannister. You would need to clamp the NG tube. ^^ That is a given to me.

My friend failed the first time at 265, but passed the second time at 265. I passed the first time at 80s, wasn't certain whether I passed or not, it was so mind boggling. I guess I'm confused at your question though. If one passes the passing level, they pass.

I'm guessing the PO KCL was administered via the NGT.

I make sure I have all the petinent information I need, prior to calling the doc. I would have the chart with me, patient's medication list, vital signs (if pertinent), and the patient's labs up on the computer already. I am not the one to take verbal abuse from a doc, be it on the phone or in person. I have hung up on a doc for being rude, and have written up a few.

OP, Imo you just described med/surg. We have the same issues, if not more.

I didn't know some facilities did credit checks.

Our clinical instructors handed us a printed list of meds we needed to make drug cards on, the beginning of the semester. Depending on what subject we were going over in class, I'd focus on those.

Oh yeah, love the 12 hour shifts, because you get the 4 days off. I have to admit, sometimes 4 days doesn't seem like enough. I was surprised when I found out in nursing school that we work 12 hour shifts. Most shifts, the 12 hours go by pretty fast. Are you doing some type of report or something? OP is such a random question

I would have to say half of the time is charting/documenting in the computer. Ugh, it takes up so much time, but will come in handy to protect your butt. Shift starts off with a 30 min report. Claim med cart, briefly look at your patients. I prefer to check the charts in the beginning of the shift, just in case the dayshift nurse missed something or made a mistake. I don't know how many times I've come on shift, to find a Now order that was ordered 3 hours prior. Check the lab work, x-ray, etc for results, because one of the worst things to happen, is a patient or family member ask you a question, and you don't know. Check the scheduled medications and vital signs. Fully assess your patients. All this could take 2 hours, it depends. If you start your shift with a discharge and/or admission, that can push you back 3-4 hours, depending on how difficulty the discharge/admission is. Med pass can take between 1-2 hours. Once you give meds, start blood transfusions, do dressing and wound vac changes, insert a foley catheter or NGT, start IVs, you may be able to finally chart by midnight. (night shift perspective) Then you have PRN pain or BP meds to give and the reassessment of those. Not to mention the many MD calls you need to make, or back and forth with pharmacy. Dayshift kills me when they claim nightshift is easy because all the patients sleep. That's bs. Yeah, that dementia patient slept throughout the entire day, guess who is going to require a sitter for the night. That Sundowner's patient that is a fall risk, constantly trying to jump out the bed at night. There are less MDs rounding and less family at night, usually. But, they do still come, and there are still issues. Even if it is a slow night, we are the ones that have to pick up the slack from the previous shift. I could go on and on. Anywho, bottom line, it depends on the assignment/acuity level and organizational skills.

I hate them, hunter green everyday. Not to mention, not flattering at all. Luckily, I recently found some better shaped ones. The others look like a potato sack. I wish we could at least wear whatever color we want, with flowers and what not.

What a douche. I work nights, and some medications have to be physically placed in the med cart, so the only option is to document not given due to unavailable, etc. I don't think it's a reason for her to have written you up. I agree with the others, request a different preceptor. To answer your question, this is not a reason to get fired. Good luck, you can do it!

I began the nursing program when my son was only 7 weeks old. Luckily, he was a good baby, and my mother helped me out a lot. It wasn't hard at all.

Plain and simple, ask the CM what it means. Asking strangers what it means at their facility, is not going to help you.

Feed the cats. In exchange for not being able to feed yourself, because you've lost your career and your license, because you wanted to 'save' a cat.

Well, of course you're going to be confused and lost, reading about clinicals in posts. You haven't learned anything yet because school hasn't started. Save the stressing out for when school starts.

CHF Diabetes HTN Post-op hip replacements Post-op knee replacements Post-op hysterectomys Renal failure TB AFIB Scabies COPD

1. Yes, place them in a High Fowler's position 2. You or Respiratory can perform Chest percussion therapy 3. Instruct the patient how to use an incentive spirometer 4. Provide with oxygen, if needed 5. Orders for breathing treatments 6. Suction and deep suction as needed. 7. Encourage the patient to cough and deep breathe.

I wouldn't do it without an order from the MD. Dieticians can make recommendations all day long, but without an MD order, they mean nothing. You can call the MD to personally inform him of your assessment of the Pt, and the recommendations of the dietician, then clarify an order for the rate.

Technically you did just fine. The vitals were perfectly OK at the time to administer the meds....the caution to me would be that she had already bottomed her pressure and was going to prove to be fragile in this department. The MD was being a jerk. ^^Agree

Documentation is key! Did you chart that you informed the MD on Pt's BP, HR and that he/she ordered to administer the Metoprolol still? Did the MD write down any parameters regarding holding these meds?

Get a back bone! Tell her the truth, you worked hard on it, and don't feel right just giving it away to be copied. If not, she'll be asking for more things through the program. It is sad she had a family member die, but that is no excuse for her to copy your work. Besides, I'm pretty sure ample time was given for the care plan to have been done already. If not, still, say 'no!'

We go by the Ptt at my hospital. We having a protocol that we follow. The rate is determined by the Ptt, meaning we wii decrease/increase depending upon the Ptt results. You should check your policy there, and if you still don't feel comfortable, call the doc and ask if he wants to continue