newRN611

So i just graduated with a BSN degree in 2011. I am on my last 3 months of orientation. However, I was not able to find a job until 6 months later at a rehab hospital. Because it has been 6 month and I have a really short term memory, I feel like I forgot almost everything I learned in school. When patients asked me questions or when I am in a situation that involves critical thinking, such as looking for sign and symptoms, i feel so lost and stupid. I should know these things because I learned it. I feel so overwhelmed. i cant seem to get my information together, my preceptor told me that my reports sounds a little choppy when I have to give a report to a doctor. And the doctors get frustrated at me because they have to repeat themselves. Im a little quite and shy as well therefore it makes nursing a harder for me. I'm starting to question rather I am fit to be a nurse. I come home feeling really sad and disappointed in myself. I need some advice. =(

So I am a new graduate nurse and I can across a situation where I didnt know what to do. I had a patient who has Type 1 Diabetes and was on an insulin pump most of he/she life. But now that he/she is temp. off the insulin pump bc of some health situation say a transplant, he/she still continues to eat whatever he/she wants. He/she sugar level is sky rocking to the 200s. Even though he/she knows this, he/she still wants to eat graham crackers and just ask us nurses to cover it with the insulin pen. What do I say to him, I told him he should lay off the sugar but he just brings up that he/she can eat what he/she wants and has been doing this since 13yrs old and does not want to stop what hes used to be doing. I am not familiar how the insulin pump works, so I can really explain how insulin pen and the pump differs. Can someone give me some advice.

So I am a new graduate nurse and I can across a situation where I didnt know what to do. I had a patient who has Type 1 Diabetes and was on an insulin pump most of he/she life. But now that he/she is temp. off the insulin pump bc of some health situation, he/she still continues to eat whatever he/she wants. He/she sugar level is sky rocking to the 200s. Even though he/she knows this, he/she still wants to eat graham crackers and just ask us nurses to cover it with the insulin pen. What do I say to him, I told him he should lay off the sugar but he just brings up that he/she can eat what he/she wants and has been doing this since 13yrs old and does not want to stop what hes used to be doing. I am not familiar how the insulin pump works, so I can really explain how insulin pen and the pump differs. Can someone give me some advice.