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  1. EJBNeuroRN

    Sorry Nurse Recruiters/Nurse Managers!

    i hate to say it, but you are not special and unique when it comes to your nursing credentials. i'mt ired of reading countless posts from people who think because they struggled and overcame insurmountable odds to become a nurse they should be handed a job. it takes a lot of dedication, hard work, studying and perseverance to become a nurse. it's not underwater basket weaving with a bonus nursing license at the end of the day. everyone in every nursing class has different socioeconomic issues, family issues and personal issues that they juggle and sacrifice to be able to study, pass tests, classes and eventually the nclex. kudos to you for sticking with something long enough to pass the classes and the nclex, many have come before you and many will follow, in the exact same manner. my suggestion to you is to stick with the job search, ltc, tcu, home health; apply to everything. try applying in person, look nice and talk to someone at the facility, that way you don't become lost in the online applications. don't expect your dream job. sometimes it's all about right place, right time. it took me 6 months to find a tcu job, i waited tables all through school and up until i got that job. i worked at the tcu a year before i got a job at a hospital. the tcu job still calls me 5 times a week to pick up shifts. they are begging to hire people. it's out there, you just have to keep at it.
  2. EJBNeuroRN

    Oh crap...I can't believe I forgot...

    to turn on the Heparin drip after I did a blood draw on a jugular access site!! Doh!! I did the lab draw at 0600 and when I was sitting in my car on the way home at 0730, I suddenly remembered...and it hit like a brick...s#*! I forgot to turn the IV pump back on. I know, I know heparin is a big deal, I should have remembered to turn it back on. I'm sure someone will reprimand me... I deserve it...and yes, I'm the worst nurse on the planet, please gather your stones and commence the throwing... The patient was DCing home later in the AM and going to switch to oral Coumadin. I thought about calling the AM nurse and letting her know, but I didn't want to interrupt her day for her to say "Um, yeah, I saw you forgot to restart.. (thanks for making me walk all the way to the phone to hear something I already know)" I am wondering what you guys have forgotten to do on your shift and then WHAM! it hits you...what did you forget and what did you do about it.. Please send all negative and berating personal comments to my inbox, just looking for commiseration here.
  3. I'm sorry, if you keep leaving your room to go to the street and buy crack you're going to have to find another place to stay...
  4. EJBNeuroRN

    What are the usual work hours? Also, some questions.

    First of all, you wouldn't be "stuck" with an AA degree. Also, an AA degree does not completely close options for the future. If you get you choose to go the Associate degree in nursing route, you would have many options open to you while working as a nurse and gaining experience in the health care field. The AD would give you a jumping off point for many other health care careers if that is the path you choose. You could continue to get your bachelor's in developmental studies, however how is that going to help you with a career in the health care field? Second of all, scheduling can be very difficult and not always desirable hours. I have found that facilities like to "set" a schedule, and you have to go along with the set schedule, they don't ask you what shifts/days you would like to work. At my last job I worked 7 on and 7 off overnights, some people like it, so don't. I didn't mind it, I had every other week off and never had to use PTO. Now I work a few nights have a day off, work the weekends, have a few days off and so on. I don't mind it either, as a nurse you have to just know that you won't have a "normal" schedule.
  5. EJBNeuroRN

    Pill falls on pt gown...is it safe to give?

    This story is going to gross you guys out.. Six months ago I was working at a SNF on the rehab unit. I was taking care of a guy who was in his mid forties, can't remember why he was in rehab at this point. Anywho, it was night shift and I went into his room with Ambien in a med cup. For some reason, the pill bounced out of the med cup and hit the floor. It took me a minute to realize that the pill was no longer in the med cup and low and behold the little blue pill was on the floor. I picked up the pill and said something along the lines of "Shoot, let me get you a new one, this hit the floor" Patient said, "Are you serious give me the pill, I'll take it." Me: "I really don't think you want to take this, you don't know what's been on that floor." Patient: "Miss, I live with 4 teenage boys, there is nothing on that floor I'm scared of." As he proceeds to take the pill out of my hand and eat it. Yuck. The floor was dry and it didn't have any particles on it, but still yuck.
  6. Yeah he was OK, went for a walk, had some crackers...turned out not to be a big deal.
  7. EJBNeuroRN

    Depressed, or just "Life?"

    I think this is such an interesting topic because depression, altered moods, and chemical imbalances are such a part of our society as of late. It seems that a lot of mood disorders are misdiagnosed, depression is so subjective, and we are living in such an instant gratification, 'me' society. As far as making it more difficult to diagnose depression and mental imbalance, I think it is important to take the whole "pain status" into account in this sort of situation. When someone is in pain we take into account what the person is saying.. "10/10 in your right pinky because of a hangnail...let me get you something for that" (obviously over dramatized) But I think that goes with the same as depression...very subjective. Yes, maybe it can hurt those with chemical imbalances versus mild depression. I have noticed this and am curious to read what others have to say.
  8. EJBNeuroRN

    Nclex dilemma ... PLEASE RESPOND

    Breathe! I'm sure things will work out in your favor and the stress is getting the best of you. Worst case scenario, you have to take it again. Not at big deal. There are countless people on this site who have taken the test more than once. Hang in there, waiting sucks...just remember to breathe. Best of luck :)
  9. I bet he's lonely and needs someone to talk to :)
  10. This is a great discussion! On a side note, I had more flexibility with standing house orders at the LTC center I worked at! Tums 3AM?? Sure!! cough drop? Absolutely! Straight cath and UA for confused older patient with temp? Just give me the flashlight. Hospital on the other hand...no standing house orders..
  11. EJBNeuroRN

    Think Twice Before Becoming a "NURSE"

    I'm annoyed by the title of this thread...why is nurse in quotes? I'm also annoyed by the OP. Not every job is perfect and of course the health system is not perfect. Vent away OP, but just so you know clearly not everyone feels they way you do.
  12. well guys, here's the thing...i'm with netglow and redhead i'm going to try other nursing interventions before i call the md. i think trying some crackers, milk, going for a walk etc and then reassessing the patient is a better plan then going around waking people up. you don't want to get on the phone to the md and have them ask "well, did you try feeding the patient?? um, jeez no i never thought of that... the patient wasn't awake, staring at the ceiling, he was up walking around in his room and when i happen to ask if i could get him anything else that's when he said "yeah, do you have any tums i have really bad heartburn". he was fine with the plan to walk the halls and try some crackers. as nurses we are assessing every situation and at that time this situation did not merit a phone call. kelrn215, our neurosurgeons are usually placed on as an am consult. in house mds take care of the patient's until they are seen...so far i have never seen a neurologist on the floor to admit someone. pmfb-rn, my apologies for misunderstanding. i'm sure we have some great prn otc order sets, however, this particular neurosurgeon on the case does not believe in having lots of prn meds, from what i have heard from other nurses he was lucky to have percocet...
  13. bravo! you guys are all such wonderful nurses and i appreciate all the insightful and well thought out criticism. however, pmfb-rn and sapphire 18, i love you enthusiasm and moxie to call everyone and anyone at all hours of the night. you make some great points, however in some instances i just don’t think it’s feasible. nrsang97, fair is a hard statement make and follow up on. nothing is really ever “fair” grntea: love your posts, cynicism, and words of wisdom. the patient was 43 with great vitals, probably worked out. cervical fusion is a neck surgery to help with pain/other neuro symptoms…actually pretty routine on a neuro floor. as i have said, heartburn is painful and frustrating. and itis unfortunate that the neurosurgeon didn’t anticipate that this would happen. and too bad there an no standing house orders… this last overnight i consulted a few certified neuro nurses on my floor and one of them put it very simply…. “would you want a surgeon opening up your brain if they were woken up the night before to discuss antacids for someone??” redhead_nurse98: i agree, let the damn neurosurgeon sleep so he doesn’t screw up someone's brain in the am.
  14. I'd rather write the order as a telephone order than call the doc in the middle of the night! Has anyone dealt with a neurosurgeon at 3 AM? It's not pretty. Furthermore, since this is turning in to a more serious discussion than originally intended, what are some nursing interventions you all would do in this situation. Instead of fixing with meds what are some other things you would do?
  15. Yes, heartburn can be very frustrating and painful. Unfortunately our facility does not have standing house orders where we can give patients OTC meds when they are needed. The only physician on the case was the neurosurgeon because the patient did not have any other medical issues. I did check with the charge nurse and she said because the surgeons usually have early scheduled surgeries that calling for tums would be inappropriate. Yeah I feel bad for the guy, but I can't reach into my medication stash a pull out some tums for anyone who asks!