krg8089

I know some pain medications affect BP more than others. I'm a new nurse and trying to gauge when to or not to give certain meds. Can someone guide me on meds like morphine, dilaudid, norco, etc. and how drastically they usually affect BP. Thank you!

Oh dear, you sound just like me! I am also a new RN with an ADN. I graduated in June, took nclex in July and waited till after my wedding in September to find a job. I started my first job on October 2nd. I was soo incredibly overwhelmed. I had 6 days of orientation and then was on my own at a LTC facility. I currently have 34 residents that I take care of in the facility and I am the only nurse in the building so i have no one to run to with questions. I came home some nights and just balled my eyes out and wanted to never go back. I felt so inadequate and so unprepared to be a nurse. About a week after I started working there I found out I was 3 weeks pregnant. The morning sickness and emotions only compounded things, on top of having issues with the pregnancy (I hemorrhaged at work three times!) After finding out I was pregnant I knew I needed to go back every day so I could save money for this baby on the way, plus just to pay the bills! My husband works, but is a part time firefighter and works full time at a factory and we cannot pay all of our bills on his paychecks. There were so many nights that I laid awake all night thinking about things I probably did wrong, or I'd wake up in a panic just because I was so stressed about work. It changed my whole home life. My husband and I have an amazing relationship but I came home stressed and a total wreck everyday. I hated it. I have to say though, each day gets better. I no longer stress like I used to, and I haven't cried about work for a while. I learned that writing down every single question I have, whether or not I feel like its a stupid one, is very helpful. I ask them all to the next shift and I write down the answers! I keep that with me at work and have it to look back at answers too. I'm becoming much more confident with my work. There's definitely more to learn, but I'm making progress. I've always heard you WILL feel like this for the first year of nursing, so I'm sticking it out and praying for this first year to fly by! Good luck to you though! I understand some of that stress that you're talking about, and it isn't fun at all!

My question is about how to go about new orders. I just started my first nursing job in a LTC facility. I graduated a couple months ago. I feel like the paperwork is the hardest part in these first few days! We didn't do any orders or dealing with doctors in nursing school. So when do we need a script from the doctor? When we fax the doctor about needing a specific med/upping a dose and him faxing back with an "ok" do we need a script or just write a telephone order and fax that to pharmacy? When we have a script do we also need to write up a telephone order to send a copy to pharmacy and medical records? Thank you in advance for any help or advice! :)

My question is about how to go about new orders. I just started my first nursing job in a LTC facility. I graduated a couple months ago. I feel like the paperwork is the hardest part in these first few days! We didn't do any orders or dealing with doctors in nursing school. So when do we need a script from the doctor? When we fax the doctor about needing a specific med/upping a dose and him faxing back with an "ok" do we need a script or just write a telephone order and fax that to pharmacy? When we have a script do we also need to write up a telephone order to send a copy to pharmacy and medical records? Thank you in advance for any help or advice! :)

My question is about how to go about new orders. I just started my first nursing job in a LTC facility. I graduated a couple months ago. I feel like the paperwork is the hardest part in these first few days! We didn't do any orders or dealing with doctors in nursing school. So when do we need a script from the doctor? When we fax the doctor about needing a specific med/upping a dose and him faxing back with an "ok" do we need a script or just write a telephone order and fax that to pharmacy? When we have a script do we also need to write up a telephone order to send a copy to pharmacy and medical records? Thank you in advance for any help or advice! :)

Oh ok, so it varies from facility to facility? I will be sure to ask my supervisor tomorrow then! Thanks so much for the input everyone! :)

I am a new grad and just started my first nursing job. I was doing med pass and a patient asked me for a prn pain med that was BID. I told them they had just had it about 5 hours before so they could'nt have it till later and their argument was that they just have an allotment of twice a day, but not necessarily 12 hours apart and that no other nurse waits 12 hours in between doses. What is the correct way to go about that?