RLJS
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That was my first thought.
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Some very nice EMS size bandage scissors and a new pen
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Document, document, document! Our physician's get the hint fast and discharge the patient fairly fast.
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I eat dinner around 4pm before I go to work; breakfast when I get home from work at 8am; and a healthy snack (yogurt, fruit, nuts) on the run at work because I rarely get a break. I also try to stay hydrated.
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Unfortunately, patient satisfaction scores rank higher than employee satisfaction. I've had patient's decline to let me care for them. It bothered and frustrated me when I was a new nurse until my preceptor told me "you can please some of the people some of the time but not all of the people all of the time so just learn to let it go. It's their loss b/c you're a great nurse." It's usually some petty BS reason why they don't want you as their nurse anyway!
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I've been a nurse for 4 years and that feeling has never gone away. My time management and deligation skills have gotten light years better and It helps me to remember that patience is the calm acceptance that things can happen in a different order than the one I have in mind. Additionally, that I have 12 hours to get it done.
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Apply at a Healthsouth Rehabilitation Hospital. They hire ADN's and will pay for you to get your BSN. You'll build a solid foundation of med surg skills with 5 primary care patients max or 10 patients with a tech. We do IV's, picc line draws/care, trach care, peg tubes, wound care, wound vacs, osteomyelitis care, etc. I'm on my 3rd year there and love it! Learn something new everyday.
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Run don't walk out of there and find another job
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I work at a nationally known, Texas based rehabilitation hospital and our ratio's are 5:1 on primary care with no tech and 8:1 or 10:1 with a tech. Either way, it's brutal with all of the lifting requirements of the job.
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I keep nail clippers attached to my badge b/c I am always breaking my nails popping pill pkgs open and I can't stand going the entire shift with a sharp, broken nail that I could scratch a patient with, so I use the clippers to trim it off. I see nothing wrong with that.
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Speaking from experience, do not give up your dream of becoming a Dr., you will regret it later and resent her for it. Do not add the stress of having a baby into the mix until you have resolved your other marital issues. Stop sending your wife's family money until your wife gets a job. Then, she can send them some but not all of her salary. This is America, not the phillipines. There is no tempo tempo here in these economic times. Unfortunately, it takes two incomes to make it here and she needs to be considerate of that instead of putting all of the burden on you...at least until you have a residency and are earning a salary.
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I had high anxiety when I was. New Grad and sought professional help for it. I take medication for it on the days that I work. On my days off, I try to leave work or thoughts of work totally out of my mind and enjoy my days off, I sleep, eat well, exercise, and generally treat myself well. I try not to second guess myself but rather learn from my mistakes.
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I live 20 minutes away from the hospital and I work 12 hour night shifts. Max for me would be 30-45 minutes away
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Me too. I'm cordial and helpful to everyone but I know who the troublemakers, backstabbers and negative nellies are and I keep my distance. I'm usually too busy anyway. When I'm done with my work, I try to help others, especially my techs. When it's time to do my charting, I usually go to an alcove on my hallway with my WOW for the peace and quiet. I avoid hanging out at the nurses station where the clique and gossip mongers chat. I work nights and we work well as a team...most of the problem children seem to work on the day shift. They are so negative when they come in in the morning that I can't wait to get out of there after report