MissEm

MissEm

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About MissEm

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  1. A Stupid Mistake

    We've all made mistakes; I can't even tell the list of stupid calls I've made because the list is so long. Anyone who says they haven't is a liar, plain and simple. I bet you'll think about it closely next time! Just make sure to learn from it.
  2. IV medication that can not run fast

    Azithromycin hurts if run too fast. Usually slowing the infusion helps a lot!
  3. Pushing metoprolol IV w/o tele..?

    Well, what was the heart rate? How did the patient look? What was their history? If your patient was bradycardic with no high blood pressure, you would've been okay withholding the medicine. As for me, I've given it without tele and monitored the...
  4. Advice, Please?

    I received a call at home today from the House Supervisor. Apparently, a patient complained that I "came into her room, gave her a shot, and just left without saying a word". She is now complaining of weakness in her legs and generally "not feeling...
  5. PCA Question

    I had a patient the other day that transferred to me from another unit. He had a PCA pump. While I was going through his orders, I noticed that a basal rate was ordered, however, there was none programmed in. I called the prior nurse and asked he...
  6. I graduated June 2013 as an RN, started at a LTC facility in March 2014. It's been at least three months, and I still just feel like I make the absolute stupidest mistakes. I'll miswrite orders, totally blank on what medications are given for (only...
  7. Interviewed Today

    My gosh, you rock! I wish I had that. Turns out, they want me to take a floor by myself after five days. My nurse today left and I was alone for a few hours (and wouldn't you know it, a patient coded in which I froze and totally blanked-thank God ...
  8. Interviewed Today

    Luckily for me, we have CMA's who do med pass. I'm responsible for Insulin, Inhalation meds, and Narcotics.
  9. Interviewed Today

    Some background: I passed NCLEX in June 2013 and was hired on as a Private Duty Nurse in August 2013. PDN is not my niche, to say the least. I feel guilty about leaving the family, but I've become so anxious over this case that I'm losing sleep and...
  10. Yes, it is hard to keep the boundaries in place. I strive to maintain a professional atmosphere because I'm too worried about becoming complacent with the patient's care and making mistakes. I don't want any of the horror stories I see here to happ...
  11. New Grad PDN (Advice, please?)

    So, for anyone interested: this case has been going well for me. I really feel that my job is just as fulfilling as the rest of the RNs I graduated with! The wee baby I watch is non vent, stable, and so sweet. Not to tell too much, but I'm there f...
  12. Well, this is my first PDN case, so I guess technically it is the best where I'm concerned! I am in awe of each little improvement my patient makes, from better head control to making new sounds to the decreased incidence of seizures. However, the b...
  13. New Grad PDN (Advice, please?)

    Thanks so much, you cleared a lot up for me! You weren't kidding about it being a culture shock! :)
  14. New Grad PDN (Advice, please?)

    I just started a new job as a pediatric private duty nurse right out of nursing school. So, I'm looking for advice (and maybe reassurance) for the veterans here. There have been a few scheduling problems thus far. I was hired on without a clear s...