BandEmom

hi everyone, I posted last week that I was worried about losing my job, and sure enough I did lose my job today. My boss said that I was not a safe nurse, and that I needed a refresher course on medication administration. I am a brand new grad, and...

I think it's sad that our ability of practicing sound judgement in the name of caring is stifled by "customer service" in healthcare. It makes it feel no different than selling cars or any other commodity. I think that we are depended on in the lon...

I agree. It sounds like the decision maker in this family is aggressively pushing what they believe to be right. It's hard for us to argue with that, and convince someone that doing something they believe to be helpful can do harm. In this patien...

With four years of experience you should be able to absorb the tricky stuff from the book, like doing dosage conversions, etc. I just passed it in June and I found that the questions really do boil down to things you know from experience and basic n...

I am an on-call nurse for Odyssey. Feel free to PM me if you'd like. I can tell you that under their definition of on-call you do not qualify for overtime unless you have spent more that 40 hours physically with or talking to patients. Is that the...

I work 5 friday till 8 monday. There is a second nurse on during these hours as well. We have a census of 130+, and we are now going to hire a third nurse for the weekend as well. We typically have 2-4 admissions over the weekend and 1-4 deaths. ...

I am currently studying for it. My employer pays a 2000 dollar bonus per year for it which averages out to about a dollar an hour. I have gained alot of knowledge and perspective since I started studying and I would like to be considered for leader...

I struggled with this too as a new grad. I was not happy about working med-surg. But honestly, you need to listen to lots of sick lungs with someone else around to agree with you, before you can confidently assess one out there by yourself where yo...

gt4everpn, I think that people who are on hospice with DNR are really just not still there emotionally. Comfort care is acceptable to them but accepting the full implications of DNR is just out of their comfort zones. Some people and families worry...

I agree. People have asked me the same question, and I have always found that even in the parts of town that I don't like to go to the families I visit are so appreciative to have a nurse help them. We have had a couple of male patients who have ma...

I am new to hospice and I have accepted a weekend on call position. I will be second call backing up an LPN during the daytime and then overnight its just me. What kind of calls typically come in overnight? I'm afraid that I'll think that I should...

we just adopted an electronic recordkeeping system. We call them "WOW", workstation on wheels. /shrug, it works

about a week ago I had a pt who presented pretty lucid, although a poor historian on admit assessment. Several hours later he went into DT's or something because he ripped out his IV, ran down the hall, opened the fire escape and proceeded to urinat...

I work in a 20 bed ICU stepdown unit. Typical census is 12-16. Our staffing ratio is usually 3-4 patients. Sometimes we have no nurses aide, sometimes we have no unit secretary. Sometimes we have neither. On some occasions we have a CNA that is al...

wow I am so sorry you going through this. Unfortunately when someone is in that 90 day orientation phase, they can fire you if they dont like your shirt. I very much doubt that they will report you to the board. The same thing happened to me (you c...

I became pregnant my second term of nursing school. I already had a 2 year old and ended up having to take a term off. I still graduated with honors. I could tell there was some disapproval from the dean, but hey, what could they do? I was alread...

I knew you passed nursesrock! Congrats :)

http://test.nursecredentialing.org/FamilyPsychNP-Test.htm

and I do not think they should exist even in LTC. An LPN would be more appropriate if not another RN. I ran around by myself, with only one CNA for get this- 40 residents! in an alzheimers facility. The only actual training about what the drug cla...

I got home and sat on the couch and got out my kaplan book and told my husband "well, I've got 45 days to study before I can take it again...." I passed :)

I've been out of school for two years and I love nursing but I'm having a really hard time keeping up on a med-surg floor. I thought I loved OB and tried it and that didnt work out well for me. Its hard for me to keep up with the fast pace and more ...

I work in a progressive care unit. Here is the patient's history. 49 yr old woman, obese, sleep apnea, smoker, brand-new onset DM, CHF, depression/anxiety. Admitted for a-flutter and pleural effusion. Xray also showed severe cardiomegaly. Went into...

I am planning to start NP school in January, and I am curious how one starts working as an NP out of school with no experience? Do people just start their own practices, or try to get in with an existing clinic, (for example a private group). My dr...

Thank you everyone for your replies. The weekend was plenty of time to process everything that happened. I do think now that the critical point was when I put her on the NRB. I had the charge with me though, and he wasn't as nervous as I was - tha...

I promise it gets better. I went home crying so many times my first year. Nursing is always tough but that first year is awful for everyone. I worked med/surg for 2 years before switching to cardiac/icu stepdown. I do still have to work med/surg e...