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purplegal's Latest Activity

  1. My plan is to have a new job by 2018. Maybe I'll get back into cardiac nursing, I've applied to a couple of PCUs. I will work there for a year and then move onto ICU by 2019. I will be an ICU nurse before I turn 30 years old.
  2. purplegal

    I'm Sorry

    There's a good chance that someone else gave that patient coffee eventually and he doesn't even remember that you were supposed to get it to him.
  3. purplegal

    When should a patient Narcotics be destroyed

    I would think destroying them as soon as the patient's body has left the facility or within a few hours would be the best way.
  4. purplegal

    RVN: Registered Veterinary Nurse, what do you think?

    I would say it's probably okay as long as "nurse" is always preceded by "veterinary." I can see your role as being similar to that of a nurse, just for animals. But it's important that people recognize that you work with animals and not people.
  5. purplegal

    Might be let go during orientation? Need advice.

    I am sorry to hear this was the outcome. However, this situation was so similar to mine, it doesn't surprise me. That's great that you made the decision to resign instead of being terminated, as it gave you some control over the situation. I'm glad that you're eligible for rehire, but realistically it may not happen within this organization. Technically, I'm also eligible for rehire in the organization I left, but after over 50 rejections, it hasn't happened. Yes, you're eligible for rehire, but there's a good chance they won't actually do so. But, good luck on your job search. You have 4 years of successful ICU experience, so there will be something out there for you. Best wishes!
  6. purplegal

    First day as an official RN: Reflection

    Sounds like my workday everyday, although with 20 patients versus 8 (at one time I had that number though). I've been at it for 19 months. Sorry to say, but none of the issues you talked about really ever get better. It does sound like you handled the situations well, especially when the patients were unstable and that's the most important part; recognizing who needs attention the most, and that may not be the person who is constantly on the call light (in fact, it rarely is). I agree that in rehab we get a lot of patients who really are not stable enough to be there. Unfortunately this means quite frequently we have to take the time to send them back to a more appropriate level of care. As for forgetting a blood sugar, it happens. It's not really acceptable but I've done it and I think others have done it as well. Sometimes more critical patients demand our attention and the time to get the blood sugar flies by before we get it. Really try to make it a rare occurrence though because you never know when the stable diabetic will become unstable. As for staying hours late for charting, that happens all the time. Sometimes you have to decide which really needs to be charted today and which can be completed on another day. Otherwise you'll never get out of there. I feel like I also get behind for many of the same reasons. I also like to please my patients but some people are not going to be happy no matter what you do, so you just have to leave the room once you realize they don't really have an immediate medical need. I also have to ask for help with skills that I am not proficient in. As a new nurse, it's going to happen so not really a big deal. Better to ask for help and do it properly than assume you know what you're doing and possibly causing patient harm or not doing the task at all. I also feel the need to answer call lights, although a lot of it has to do with the stares visitors and other non-staff members will give you when they perceive you to be ignoring a call light. However I think it's a good idea to keep continuing to answer call lights since it is part of our duties, not just the CNAs. Most documentation can wait. At the same time, if there is a CNA doing nothing and you're charting, they should be answering the lights. Also, it is actually a good thing to do some of the cna work if you're available and they're busy. It's also part of our jobs and the CNAs will appreciate it as well as the patients. Sometimes nurses simply cannot avoid doing CNA work. The amount of charting is daunting but remember that caring for the patient comes first. From what it sounds like, you're doing great. There's not much I would change since yours sounds like a pretty typical day in this type of setting. Good work!
  7. purplegal

    What I've Decided About my Education

    My thought is, if you really don't want or think you need the BSN, don't waste your money. I have a BSN, but it's gotten me nowhere. The position I work I would have only needed an RN license or even an LPN license.
  8. purplegal

    I’m not happy

    I can relate to every word completely. I'm 19 months into my job, and unless I've had like 8 patients, nothing ever gets done on time. I'm on 12 hour shifts on days, and basically if no one dies, you can consider it a "good shift." By the time I get done with my 7-11 am medication pass, it's almost time to start the 2 pm med pass because there are so many distractions in the morning; with therapy, patients are never in their rooms when you need them to be. By the time my 2 pm med pass is done, it's basically time for 4pm meds and supper. Theoretically, I like to get my charting done while patients are eating so I don't have to stay so late, but it almost never works because someone is always needing something and the fall risk patients get up from the lunch table without waiting, so you have to catch them as quick as you can. And 6-7 pm never seems to work for charting because some patients are already wanting their bedtime meds (sure wish I could go to bed at 6 pm!). Basically, what I'm saying is...it's not you. It's the job. These types of positions are basically impossible to do everything exactly right. I can relate to calling off because I didn't want to be at my workplace either. I was always a little sick, but there were probably times I could have worked if I'd pushed myself. I agree to start looking for another job. That's what I'm going to do. I may end up leaving the nursing profession if nothing else comes up, because these types of jobs aren't worth it (especially considering how underpaid we are to do all this work!).
  9. Already sick of this position, but I got yet another rejection today (from three months ago). I cannot work my current position much longer but I don't have much of a choice if no one else will hire me. Unfortunately, leaving nursing altogether may be the ultimate answer.
  10. purplegal

    Fall with injury in ltc

    Hmm, I've never heard of someone being suspended for an unwitnessed fall. Mostly, because, it's impossible to be everywhere at one time, and some people are not going to call for help, no matter how many reminders you give them. Since there is no NEW injury according to family, suspension also seems a little harsh. What might get you is that you left the room knowing that the resident is a fall risk and had an immediate need, even though technically an aide could have met that need. Once you realized that all your aides were already busy, you probably should have just gone back to help the resident right away. Issues regarding food could have waited. Not trying to criticize you, as you yourself know that maybe you didn't prioritize tasks as best as possible. I also try and delegate tasks such as changing a resident...IF an a aide is available. However what I like to do is put on the call light, stay with the resident and start the task. If they come to take over, that's great. But sometimes it's easier to just do the task myself. However since there were no new injuries, I don't know that you necessarily have to worry about losing your license, although I would be nervous too. As far as your job, maybe reach out and explain what you would do to prevent this in the future. If this is your first time, hopefully they will take that into account. Sorry that you are going through this, as you were actively trying to get help for your resident.
  11. purplegal

    Day in the life of a RN

    There are so many meds it's not possible to always know every single one of them right away. But you do need to know which ones to hold for low blood pressure, recognize that you don't need a pain level for atorvastatin even though the MAR requires you chart one upon administration, know which ones are better given with food and which ones to give on an empty stomach, etc. As for illnesses, you don't always need to know exactly what is wrong but you do need to recognize that something is wrong and know who to contact and whether or not the person may require a higher level of care, etc.
  12. purplegal

    Day in the life of a RN

    0700-0730 Get report and count narcotics 0730-0745 Skim over MAR and TAR to plan the day 0745-11 am Morning med pass, getting weights, etc 11-1300Lunch time, blood sugars, insulin, maybe get a start on charting 1300-1400 Treatments such as wound care, bladder scans, charting, get started on 2 pm meds 1400-1600 Afternoon medication pass 1600-1800 Supper, blood sugars, insulin, some evening meds 1800-1900 Charting 1900-1930 Report and count narcs 1930-? Finish up charting, daily assessments, Braden scales, skin assessments, admission assessments
  13. purplegal

    ICU Nurse Boston

    That question is probably best answered by someone associated with your nursing program, such as a professor or counselor. You could maybe even try contacting the hospital you would like to shadow at.
  14. purplegal

    Black Sheep...time to leave?

    As a quiet, reserved person myself, I've definitely experienced the same thing. And it's hurtful. What I found works better for me is figuring out who I can have a conversation with in a smaller group, as I tend to quiet up when the group gets larger. I'm sure there are probably a couple of people who you may enjoy chatting with outside the clique. If that fails, I would just remind myself I'm there to do a good job, not necessarily to become buddies with everyone. If you enjoy your job and you're good at it, it seems silly to leave because a few people are rude or fail to recognize you are a good person to chat with. However if they ignore you to the point that patient safety is affected, that is different.
  15. purplegal

    How late after your shift do you stay at work?

    I am rarely out on time due to the massive amounts of charting. Basically a good night means I leave 30 minutes after my scheduled time to leave. At most, I have stayed 3 hours late for charting. When the next nurse didn't show up, I stayed up to 8 hours late.
  16. purplegal

    Thorough A&P = Skilled/Competent Nurse?

    I would say knowing the basics, like major bones and body organs, and how they work is definitely important. It's hard to care for the human body if you know nothing about it. However, remembering all of the parts of the skull, such as the foremen spinosum or the zygomatic process, may not necessarily be all that relevant. And certainly, knowing all of that doesn't alone make a good nurse.