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She called me! It was a MAR issue as in I completed the med rec and stated the pt was on Potassium chl. But the mar from the rehab facility states otherwise. The pt had a 5.2 k+ And the md that admitted her approved the mar without reviewing the labs and ultimately ordered her to start K when already hyperkalemic. The chain goes down to me and the MAR. I've never ever just put in a medication with no proof the pt was on it, and the only thing I can think of was me asking the pt (who had a gcs 15 and a/ox3 -LOC) if she was taking k. Which I always ask if the pt is on Lasix but doesn't show proof of taking potassium chl. the pt is ok and nothing else happened aside from that med error. it came about through a chart audit. they said not to worry but they wee just trying to figure out where it came from and what to tell the auditors. Phew.

Hi everyone! i just was looking for some words of wisdom. I just got a text message from my nurse manager asking me when I could come in because she wanted to speak with me about a patient I had back in December. I'm meeting with her tomorrow after I complete a mandatory skills labs. I have so much anxiety over this. I don't get called in. The last time I was called in was to verify if another nurse had been inappropriate and to be told that I was doing a great job! They even asked me if there was anything they could do to make me happier.... now im being called in on a pt I had in December. I can't imagine for what!?! It was nearly 6 months ago. No med errors, no complaints, nothing! Now this? this kind of stuff stresses me out. Like, just TELL ME! Call me!!! Ugh but now I have to wait. Florida is a right to work state and they can fire you for anything!! I definitely don't think I'm getting fired. But whyyyyy???? our surveys are three months out so all the surveys for that month would have been in by now. I'm at a loss. 😢 Thoughts? she said "issue" so I know it's not good.

Thank you all for your encouragement and ideas!!! I really think working out after work and right before is the way to go. Meal prepping meals that will curb my hunger and keep me away from those deadly delicious treats!!

I like the idea of working at night and while watching tv! That timing seems doable too...

Hello all! Working nightshift and in desperate need of a restart on my body. Over the last few months I have been thoroughly irresponsible with my health. And I should know better. I'm a nurse. In the ER. What in the world is wrong with me? Actually, no. I know what's wrong with me! It's my coworkers! And their damned treats. Ugh. It's my fault. I know that but now, I'm ready to kick start my health again---and scared. I don't want to die because of my lifestyle. Tomorrow begins day one. I am starting a cleanse. And then I plan on continue with the clean eating. I have that planned. What I DONT have planned is the exercise. So first I have to change my logic... I swear up and down that I don't need to work out because I do enough physically at work... But that sounds like an excuse, and this new kickstart im doing, doesn't do excuses. However for the life of me I cannot figure out when to work out. I mean, I have an idea, but really just want input. Currently I work a ridiculous amount. 4-5 shifts Q. 6 day period. Then I do on call SANE. So I need to decrease my days at work. Anyways... This is turning into a mess in my head. Sigh. When do YOU workout nightshifter??

I would have already fired you. Seems like she is offering plenty of grace, since you managed to still be employed after your ridiculous behavior. Plenty of nurses looking for jobs that would be there an hour early if it meant employment. Your behavior is inexcusable. Your professionalism is lacking and yet completely necessary in the field you have chosen to work in. Stop the excuses too, because they are terrible ones....IJS

He would have been epigastric pain with recent hx of n/v with. Notations to where the pain has radiated. EKG in triage Bc we are a chest pain facility and to CYA. A 3, and back to the waiting room. Screw the doctor. You're out in triage and as long as you can stand by what and why you did it, that's what counts.

Your mommy guilt will get worse once you start working as a nurse. I've come to terms with the fact that this is our family dynamic, mommy is a Rn and daddy is a paramedic firefighter. We work holidays. Have ridiculously early days and crazy late nights. Dinner is rarely on the table by 6 and sometimes I sleep the day away after coming home off shift. what do you do? Love them physically when you can. My daughters understand and occasionally need the "this is what we do" talk as a reminder. If this is the profession you choose, you have to swallow the guilt and learn how to incorporate your profession into your every day life. Days off are family days, days working we spent running and sometimes I don't see them to bed at all. I have a 9year old, 6 year old and 8 month old. It stings sometimes but then I remember, I chose this life and I would do it again in a heart beat.

No. You can't eat Mr. abdominal pain.

That was not a seizure.

I don't want a return. My accountant stresses the importance of breaking even!

My allowances add up to 9. I've allowed 2 on my w-4. Hubby has allowed 0. I think we are screwing ourselves... I'm going to adjust to 7. Leave hubbys at 0. Thoughts?

This was soooooo insightful. Thank you!!!!

I have Wednesday Thursday and Friday off because those were the days I was scheduled off.

This is exactly my thought, I don't know enough about it and what I do read it's hard for me to decipher- it's almost a different language all together. I am most definitely going to be getting why my CPA ASAP to become better informed Bc the not knowing of it all stresses me out!!

I'm wondering how many of you all lose 35-45% of your overtime pay to taxes. I'm not exactly tax savvy but I have been learning over the weeks that picking up extra shifts is actually not worth it Bc majority of your overtime pay goes to taxes. I am so angry by this tidbit!! The example I've read is: A nurse makes 20$ an hour and is offered OT, Only after taxes OT Ends up being 18$ an hour not time and a half----another perspective? Three hours goes to taxes. Tell me, how many of you don't even bother with overtime because of this? I know that it also depends on the state you work. I've heard that after 2001$ biweekly taxes eat your pay. Ugh. You can't win!

I live in the south. I work for the AHS. I have 2-3 years experience. My base pay is 22$ + 4$ night differential, + 2$ weekend differential I make about 25.00 an hour on average. Apparently this is common for my experience and it's even less for GN 18$-20$. It is due to go up every year and of course once I have my BSN, as right now I only have my ADN. I was offered a job on Denver, co in the children's ER making 32$. Among a few other perks.... I had to turn it down Bc hubby was weeks away From finishing his schooling. He is now a licensed paramedic. I also want to say, it's important, that we remember to build each other up, not tear each other down. It's important to remember as well that there are many different t things that affect our pay and that it's hard to compare ones wages to another. Unless you were hired on to the same unit, same day, with same experience, and same education, there really won't be much of a comparison. OP, don't let what others say make you feel bad. That's what I originally posted and that's what I stand by.

I think I'm doing good at 22$ base pay with 2-3years experience. *shrugs* What do I know. I don't listen to what others say Bc it can make me feel bad but truthfully I'm doing better than my last job so I'm going in the right direction! And that's what matters!

We all make mistakes. But I'm curious to know what's the thing you've seen a co worker do and NOT get fired for or reprimanded for, or maybe they did. I'll mention a recent event in the ED. We have walkie talkies that CT, security, secretary, pt liaisons, OR, US and ED staff all carry when on shift. That's how we all communicate! The secretary will call out to us when one of our pts that's up for admit has a room ready and usually it'll generally go as follows (example). Call: Nancy, #45, A + O, any issues?" Response: "A + O, no issues" This will come when you're in the middle of doing anything, particular a pts room. everyone with a walkie can hear the convo, anyone that is near the walkie can hear the convo (obviously). Any issues refers to: pt precautions, AMS, dialysis. Things of that nature... So the other night on shift, I'm hearing the typical call out asking the same question. When the called out to nurse responds, "A + O, No issues, HIV positive." [emoji32][emoji47] Whaaaaaaaaattttttttttt I think the entire ER went silent.

I'm sorry it's been so rough! A new place is tough enough without an increased acuity in patients! However to be brief and simple, your last paragraph-the P.s portion is a clear indicator of what you want to do. You basically did a "should I go here or there? Oh btw there I am happy, here I am not"..... Follow your gut. I personally wouldn't quit (assuming the facility is tolerable). It's the nature of the field, sometimes the going gets really rough but you have to keep going. You can't be scared of what you do not know and use it as a stepping stone to be a better nurse. I wouldn't let it destroy me I would let it cultivate me. But that's just me and speaking as someone NOT In your shoes, I can only speak minimally. Best of luck.

Refusing a pre employment drug test is not reportable to the BoN. I have never heard of any of my fellow nurses being drug tested using the hair follicle test for preemployment. It's to expensive most of the time and doesn't point to recent use. I think you will be fine. Generally speaking, it's the typical pre hospital work up. Titers and urine drug screen. also. If by some chance it is a hair follicle test, have them do a urine and they will see that that is neg and a thing of the past. I would t worry.

Lol ahhhh I see!!

I work in the ER and never did med surg. It helps but it's not necessary. That's my opinion. Everyone says MS is where you need to be first to get to where you want to be. I disagree. Not every end goal has the same starting point.

You do what you have to do. this girl was driven to a level that most people could never be. I admire her! That being said I see why you're virtually upset but truthfully there was nothing unethical about it. Unconventional? Yes. But unethical??? No. In a world where there's one job for every 50 nurses she did something different and it worked. Like a previous poster said, moxie. Kudos to her.

Congratulations !