Daye

there are a lot of opportunities available in the area of nutrition. however you will need the actual degree ld/rd otherwise your qualifications of rn will not actually be enough in most cases. for instance there is a big demand for ld/rd to work with patients who are going through dialysis.

me personally i would choose the endoscopy for the job preference itself, but because i always wanted to be w/my kiddos i know that i would have to go w/oral surgery. the only way i could be swayed is if the after school program was so above and beyond superior learning/creative and most of all a safe environment it just isn't worth it.

IMO Yes

How long have you been in nursing if I may ask? did you have your initial orientation/residency through St. Francsis? what has the orientation been like at St. Johns?

Ehich college is CSC? Where is itlocated? Doesn't St. Johns have several different locations? and are they all pretty equal as far as working conditions/environment goes? Like for instance what about the smaller facilities in the surrounding areas of Tulsa? TIA

ditto!!!

i try to look at what the pt can become instead of where they are and that helps me, oh i still get really frustrated at times especially when i have devoted so much care, time and emotion into building and rebuilding their motivation to dig deep for strength to help me help themselves. the other perspective i try to remind myself of is that some people are so fragile, i don't mean just health wise but copeing and having a desire to push themselves harder. these types of people just don't seem to have that inner resource, desire or ability to cope and they just go forward hap-hazardly. when it is a young patient with something like diabeties that drinks excessively or blatantly abuses their body; it's affect on me is both infuriating and sad.

That was kinda how I took it too. Probably not a good idea to encourage this type of solution, however I think I get the point...honesty and doing your job and accurate documentation results in firing rather that be warned and instructed hardly encourages anyone to feel to safe.

Me too, I had a little guy just 4-14 & 18" thankfully his lungs were well developed and there was no birth trauma, not all that small, I know when we see the little itty bitty ones, but honestly he looked so so small and tiny next to the normal weight babies in the nursery, can you even imagine? wow.

That was my thought too but I am not an OB/GYN but still!

You are right, it is as individual as every doctor and every patient. Because different types of surgery may require some of their meds be taken or different medical conditions even, it is not one and all reguarding meds before surgery. However usually if they are told to take one or maybe even more of their meds lets say the morning of surgery our facility and doctors want it to be given w/small sip of water. That is standard protocol at our facility, it may not be protocol where you are.... sorry the help is limited. Best of luck to you

Thank you, this experience you had and that I feel blessed to be part of, helps put a lot of things in perspective doesn't it.

So sorry to hear that, what a wonderful way to continue to contribute! people like you doing that make the experienced nurse a great resource, who ever said nurses eat their young, didn't know you.

I Totally agree w/you Prayers, Kaplan, Saunders, a person has already invested a lot into it the little bit of expense to go to boards prepared to pass is just pennies IMO

Anticipate what additional forms the doctor might need ie; lab reqs or other diag. tests and have the forms handy for him if you can tell by the pt c/c. I have become familiar w/the other doctors (back linephone #'s) that he likes to refer pt's to set up appt, for instance we have a lot of referrals to GI, OB/GYN, Endocrinologist, it is repetitive enough to know who he likes. I take a lot of pt questions, requests for Rx refills, test result questions and so forth via e-mail and phone this creates a log for documentation, w/which I can pass along info to my doctor of developments. Call facilities ahead of time to request results if we don't already have them so during pt appt w/the doctor they can go over the results. I do a lot of pt education. Pt that are having a lot of issues and difficulities often I get e-mail's daily or weekly or whatever so I am available and supportive and it help's to get some accountability if the pt ha been given an assignments. If there is some kind of procedure ie; drain tubes dc'd or wound packing or dressing changes I do that or have everything ready to do in the event it might be dc'd. I do a lot of paperwork for FMLA and RN level physicals, Draw labs if they are having them in the office instead of at a lab. Of course there is always a lot of documenting to do, ordering supplies, and a bucket full of tasks. We are always so busy I always have a hugh pile on my desk to take care of, the time just flys by! I love it. I hope you are enjoying yourself working there.

congratulations

hemorrhage is the most important assessment post surgical i would have to say it supercedes pain

Associate Degree Nursing

my thoughts exactally, is it not the nature of a professional to act professional, the likes of him makes the nurses look like idiots with a very poor vocabulary and undignified manner without a bit self respect.

This is a good thought, the most comfortable success you have b/c you just have to be comfortable, can you imagine a itchy wool something ugh, or so thin you freeze your cheechee and then have to p

i cannot support the generalization b/c some of my nicest, most greatful, loving patients have either been medicade or someone who paid for their surgery/medical care with a homemade pie or some token b/c that was the best they could do. my dr would receive the gift as if it were a million dollars, never letting anyone feel they were less deserving than the next patient who might have all the money necessary to cover expenses. he sure has taught me a lot. (funny that a lot of people think a dr can write off loses but they cannot)

((((hugs)))) i so understand what you are going through, at times i wonder what i am doing wrong that i can't even find a spare minute to pee, the demands can be relentless and i use every opportunity i can to put the patient in control of their own needs and help themselves as much as possible but it still isn't enough you did exceptional i'm sure.

thanks for helping me keep my skills w/math i don't deal w/calcs regularly so it's good to see/stimulate my brain = )

Put the dr on speaker phone for fun LOVE IT! Needed a great laugh, got to, thanks

(Be polite to everyone that you come into contact with. I've tossed applications because the applicant was rude to our HR receptionist!):yeahthat: Always be nice to those in any of these positions. Our receptionist has taught me a great deal about this, "see how far that get's you" as their demands get moved to the bottom of the pile.