clc/rn/wi

I would hate to say you get used to dealing with death and children, but you do. You learn how to cope with your feeling related to it. I have worked ER for the last 7 years and have two young children. In the ER you will laugh and you will cry, it is part of the job and you area person with feelings. Keep in mind you loved er vet medicine. The human ER is much much different than dealing with animals. Keep you options open and explore what to do. You just started school you will have exposure to many different areas.

I would think working in a nursing home where the majority of your residents whom are all older have been on these meds for a long period of time and are otherwise stable. Missing or delaying their meds might be worse. My thought is I would check bp's on someone who had a recent change in there bp meds whether increase or decrease or if a new one was added or d/c'd, and on new admits whom you dont know their baseline. Otherwise any change in condition which would require more of an assessment and a full set of vitals. In my experience with nursing home pt's is most have bp's taken weekly or monthly. Working in a nursing home is not like working on a med/surg floor. Working in a hospital your pt's are acutely ill and have more frequent changes in condition.

Make sure it is Safe. Call 911/EMS Check abc's, apply o2 Check responsiveness Find out history and what happened from bystanders Check for other injuries Check a glucose (if available) My thinking could be poss overdose if he injested something and it broke open. Monitor and support pt until ems arrives.