CAnurse2012

CNA or PCT. Seriously, the pt was like 250+ lbs, even though that pt could turn okay but pt has fx legs, I am a small person so I asked CA for help and she was like she can turn ok yet she sat around...chatted while I did not get anything to eat or drink. Or she just hung me the equipments and asked me to do it since I was in the room. I was like doing my job and her job. Here is how things work at my unit...CA gets arrogant because CA is close to charge nurse and CA does not even care when charge nurse asks to help me. And my unit is splitted into groups and I am all by myself since I do not gossip or kiss a**. Or even I have combative pt with 4-pts restraints (strong big 250+ guy) and I asked for help holding pt down to put in a Foley, charge nurse clearly said no while sitting around and chatted. I feel like I need to get out of there before I break my back or get punched.

Hello there, I am a new nurse and I have question regarding delegation. It may sound stupid but when do you delegate to a CA? I do not know if I am demanding...but I saw CAs on our floor sat around and talked while I ran my *** off. Should the job be divided even? Everyone gets pay but while some people have time to sit around and talk while others ran around? Seriously, like today, I ran the whole shift, no food, and charted nothing the whole shift, yes I was the one who put pt on bed pan and all that good stuffs while our CA sat around and chat? Or CA refused to help me to push a patient down for procedure with reason of starting vitals and labs soon? Is it their job to help me? They are busy but I am busy too. And pt needs the procedure done...Only I wish I were big enough to push that bed and 200+ lb pt down by myself.

To my knowledge I have never been written up...so I should not be on the "not eligible for re-hire right?"

Hello there, I am a new nurse who is going to have 1 year experience in few months. My question is when I apply to new job, will I need LOR like I did when I was a brand new nurse? I feel like I will not get a good LOR from my current nurse manager. I am good with my patients but for some reasons, two persons do not "click." I am taking classes and work full time thus I am only available to work 4 days a week at certain days. Are there anyone out there who have the same limit work days? How does it work out for you at work? Thank you all:)

I am working at a unit where staffs do help each other, however staffs are splited into groups and I belong to none of the groups so I have no say in anything. I do not mind of not belonging to a group but I am getting sick of hearing them complaining behind each other's back. Nothing seems to be perfect. I have nurse clearly show disagreement and shook her head on me just because I did not move the bed that she wanted for my patient (Come on, it is just a bed. What is big deal about it?). I have CA literally standing/talking/face-booking and yelled at me when I asked for help. I accidentally put EKG on wrong spot and the tech in middle of nursing station in a loud voice asked me if I know how to put EKG on a patient (Seriously for the first time in my life I felt like I am being bullied...to the point one of the nurses-The only one who ever speak up for me said that it is fixed. there is no need to be like that for that tech to walk away). I have tech informed me about change of rhythm and I questioned it , then tech turned around saying F word when I stood next to that person or talked about it to other people when I sat just across the station. I feel very uncomfortable working on a unit where people expect each other to do things the way they want, if something is not right or not the way they wants, they talk about it behind other person back Is this how most nursing units are?

The higher score the better but what they require is 40 percentile but does not say which one(s) they look at more. Do you by chance what score should I get to be above 40 percentile?

I am having hard time to decide when to take GRE. The lastest I plan to apply is beginning of January. I have two options for myself: 1. Take GRE at the end of November, however I only started to study this week which means I only have 3 more weeks to study. The benefit is if I need to retake, I can retake it at the end of December. I work full time and class on class, but I plan to spend the rest of my time on studying for GRE 2. Take GRE at the end of December and spend almost two months to study. To those who already took GRE, would you please advise me which way I should go for? I know it will cost me more if I need to take it twice and saving money is preferred but not a must. Even if I have to spend more money but end up with a higher score, I will be more than happy too.

The patient that I can not stand or manage are the ones who unwilling to work with you, give you time or tell you what they want but want things to be exact the ways they want it or how the previous nurses did...and everything is your fault no matter it is done by others.

This may be a stupid question, but one of my patients HR showed in the low 20, however 1 of the 5 leads was off. Is it a true heart rate or not?

Don't forget "Princess", or the one who complains of staying an hr late or have not chart anything but sit around and talk or flirt with doctors (Grrr...can not stand those people because those who catch up because they bust their *** are the ones who get new admit.

What hospital is this? Sound pretty interesting for a Step-down

I wonder how other hospitals work...but here is how my hospital works when a patient is admitted from ED or transferred from another department: house supervisor will book a bed and pager will go off. The problem is: Nurse called to give report immediately after the pager went off, floor nurse could not get report immediately and said she would call back in 5 minutes, and after 7 minutes, the other nurse already called back to give report again or call the house supervisor simply the nurse could not get report when he/she called to give report 3 minutes after pager went off. I got really agitated to see something like this happened. Do they really expect floor nurse to sit around and get report? I will not mind to get report but before I get the patient I will like to know the orders and some basic info about this patient. Plus there are times when report stated alert and oriented x 3, well pt is lethargic or pt needs to be in ICU, yet they get to med/surg or PCU and it is harder to have pt transfer from med/surg or PCU to ICU then ED to ICU. I also do not understand why a hospital tolerate the behavior of "You do not get report, I call house supervisor".

The patients I hate the most are the one who say thank you and agree to everything I explain to them but by the time I walk out the room, they talks s*** about me and complain about everything to other nurses (semi-private rooms) or request to have different nurses. Those are manipulative ones and back-stabbers. I can take mean people because I know they are mean. Everyone know it. The back stabbers are the ones who complain about everything yet to people who have not have that patients, they are angels.

I am a new nurse and I had a patient with GI bleed. Patient also has fluid overload problem (pulmonary edema, COPD, and CHF). Patient had to drink golytely for bowel prep for procedure. I was scared to give the patient golytely because it made the patient fluid overload and I had to give patient Laxis, but patient's lungs still sounded horrible. Every time I cleaned the patient, patient de-sat down to low 80 and sustained there for least 2-3 minutes to go back. Due to the patient's history, lot of turning/exertion and lung problem, I feel like it is normal for patient. What do you think? My other question is I understand that it is important for patient to drink golytely to investigate on the GI bleed, but will we not worry the the breathing? I feel like I am on the edge of stat response this patient by giving patient's golytely, fluid overload patient's lungs and lot of turnings and desat. I learned that I should not give a COPD patient oxygen? however can I just increase the oxygen for short time when patient desat and turn it down?