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RNnewbie2014

RNnewbie2014

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RNnewbie2014's Latest Activity

  1. RNnewbie2014

    A VERY frustrated nurse

    Ironically, just last week we had no techs at all.. No secretary.. NOTHING. We do the same thing. We put our charts together, order IV pumps if needed... Just this past week I had only 5 patient but a patient that was a MESS! Screaming and just acting out bad and we had to ensure they had a sitter. We had 3 patient's on our floor that were 1 on 1's and they took all our staff to do so.. So no techs or secretary.. I miraculously got out by 0845.. We are extremely understaffed on nights.. I cried last week because a nurse yelled at me and said it was ridiculous that I wasn't giving report until 0730.. (ironically this same nurse is one the day shift tends to complain about.. and then had this other nurse.. yeah one that likes to eat the young.. And likes to point out my mistakes every time.. Literally.. Very demeaning towards me.. And that is something I absolutely CANNOT stand.. Yes, direction is admirable because I am new.. But to continually appear to me purposely poking at my mistakes is just not enabling me to learn.. It hurts my character really... I am unfortunately someone that is very gentle, very caring.. I can take constructive criticism just not the kind that is "sassy" in nature.. The day shift does not understand I feel like.. if a patient has pooped purposely on the floor, yes this happened to me.. This is my responsibility to clean up.. I have no tech to delegate it to.. If i am unable to get blood, I have to get another nurse for assistance who also has patient's.. Honestly, I know my time management is lacking.. I feel like I am improving already with taking my computer in the patient's room while assessing.. but staffing is problem.. If another floor needs a sitter at night, our staff gets pulled.. Its insane..
  2. RNnewbie2014

    Any hospital units that DON'T use telemetry?

    My unit does not use telemetry.. We have 4 floors with 33 beds that do though.. Perhaps 5.. If they need telemetry, they are transferred. I don't know how well I would like telemetry either.. One of our biggest floors is 4T.. And there are code blue's a lot.. I am on a med surg floor.. Honestly, I feel like with cardiac monitored patient's, the nurses should have less patient's.. but that is not the case; therefore, I do not think I would want to work on a tele floor in my hospital.. It's always 1 nurse to 7 patients except in critical care areas of course.. And the floors are generally not fully staffed… High turn over rates really.. Esp on the cardiac floors
  3. RNnewbie2014

    Struggling with Clinical

    Gosh I remember how nervous I used to be as a student.. Best tip is to be confident in yourself.. Maybe before you pass medications, go talk to the patient and tell them you are about to give them medications.. Maybe tell them then what you will be giving them and say you will be back with the instructor.. Kind of give you a warm up maybe.. You will get the hang of it I promise! I was the same way in school, now I am a nurse and more assertive than I ever was before nursing school.. Good luck you got this!! Be confident!!
  4. RNnewbie2014

    Is this really worth it?

    I can't believe I made it through it. May of this year will be a year since I have graduated. I feel like it is definitely worth it if you love the patients and love what your role is as a nurse! Nursing itself isn't a bed of roses, but I like it because it is constantly stimulating my mind and making me aware of EVERYTHING. I like having to think like that.. I guess all in all school and working is tough in its own way. I will admit I don't miss spending endless hours of studying but I tell anyone who hasn't graduated learn everything you can now because when you get out, you are responsible for yourself, your license, and keeping a patient medically stable! I work on a floor though, so I don't know what your looking into doing? Floor nursing is insane, but I kinda like the chaos.. Minus me still struggling with time management (been a nurse on my own now for 4 months with 2 months of precepting).. I feel like you will be amazed at how different you will think when you get out of nursing school.. I feel like I would have done so much better in the program if I was a nurse beforehand although that is not possible LOL!
  5. RNnewbie2014

    A VERY frustrated nurse

    I guess in my opinion, I think our specific techs are viewing their job as a task oriented job. I am not saying it isn't but I feel like they don't understand how imperative it is for vital signs to put in in at timely manner or the purpose for outputs to be documented.. They may appear as just tasks to them, but they are evidence of patient well-being.. Especially a JP drain or a new colostomy. If my vital signs aren't in by 2015, I start doing them on my own. I am still going to continue to work on myself every day. I have faith that I will get better. Who knows where I will be in 2 years with time management. Hopefully, in a good place lol I don't plan on being med-surg for too long at least I don't think. I haven't decided. It's hard to think about going from somewhere like that to labor and delivery where the mechanisms of thinking are totally different.
  6. RNnewbie2014

    A VERY frustrated nurse

    Well, the past 5 days I have gotten out a 0830. I felt a like I've done a little better. I am seeing a lady in the hospital about time management and she will be helping me. She thinks I may have ADD because a lot of nurses who have ADD have a hard time with time management. I was caught up pretty good until 0530 when I go to give a patient medications and boom the messed is totally messed up from urine. Not that I care but I had to go get the linens and all that jazz and it took 30 minutes to do it all. The patient was 90 years old. We only have 1 tech now and they only do vital signs and accu checks when they have to take all 33 patients vitals.. So I didn't get done passing meds until 0700. I saved the PEG tube for last. I feel like its the morning meds that get in a bind more than the night time meds. And trust me I do get a lot of my VS if they aren't done by 2030. I like to start on my medicines early if at all possible and of course like 95% of my patients are on BP medicines. I do cluster my care a lot.. One thing I have never given is a lovenox shot early.... I mean if its due at 2300 sure give it at 2200 but I don't give it at 2000. Didn't know that was okay? These patients were pretty good but the weeks before I had some serious doozy patients.. I had a major complainer the past two shifts. Dilaudid q 2 and lap chole with hernia repair. Wanted their soup heated up, wanted a wheel chair, wanted this and that and everything else.. Lol Oh and now see big drama happened.. That 90 year old pt had wet the gown.. Well I had a patient that needed blood so I delegated that task to my tech. I told the tech hey can you please get the pt in la la la a new gown. She said okay.. Well at shift change the family come out there freaking out bc the patient has urinated on themselves (pt wears briefs for incontinence) and saying omg what happened.. My so so said they needed a gown and yall never brought one.. Then the day shift PCC asked me about it and I said i told the tech to get the pt a gown and the pcc was like did you follow up with it? and said no.. and she said you should have.. Anyway now that tech heard about it and was gotten on to about not doing what she was supposed to because she said that she thought the patient only wanted a gown.... I probably should have been more clear but I guess if a 90 year old wants a new gown I don't feel like you flop it down in the room and hope she sees it when she needs it.. Anyway now I look like the bad guy because it looks like I was trying to get her in trouble when my PCC asked about it.. Working with women ga!! My tech is 29 and I am 24 and sometimes I wonder if its an age thing. I ask her questions about BPs and she's like if its critical I am going to let you know.. But I also care if their borderline hypotensive before giving them a BP medication. I don't think they take me seriously
  7. RNnewbie2014

    A VERY frustrated nurse

    Well, it wasn't every day it was wed morning. And the night before I left 2 hours late. I think what takes me longest to chart is on my care plans. I may have 10 care plans to chart on per patient and type it out. I was just really behind on medicines wed morning and it was because of the restraining of the patient. It took an hour with all of us in there. I'm working tonight so here's to a new perspective!! I really am trying I promise yall! Like I said, I have gotten out at 0730 and 0800 before. I had been doing really good and it was like I lost my element for a week. We just don't have much help really. We have a charge nurse who takes 6 patients and no PCCs at night at all. I will keep yall updated on my progress. I want to be great at what I do.
  8. RNnewbie2014

    A VERY frustrated nurse

    See I have never been told a tech could put on a colostomy bag.. I am timid when it comes to delegating.. I have done it but I get sour looks.. Next time, I am going to tell my secretary if she looks at me and tells me a patient wants a blanket or diet coke.. I am going to tell her that If a patient requests items like that and I am currently busy even with my charting, to please take those items to them.. I have told my tech 2 or 3 times to get a patient a sprite and once I saw that is just wasn't going to be done, I just do it to myself rather than hear the call light dinging away
  9. RNnewbie2014

    A VERY frustrated nurse

    And this past week has just been miserable.. Some days with 7 patients I leave at 0730.. BOOM perfect.. Just these past 3 days I have been leaving late because of chaos.. And we chart on EPIC.. The girl who preceptored me was very thorough on charting so I super OCD about getting a green check mark by the patient's name before I leave... Also, I have came on as night shift and none of the medications on the PTA have been reconciled or wrong dosage.... When I go to pass medications and call out what I am giving, uhh no ma'am I don't take that or are you not gonna give me this? So I call the doc to get Geodon ordered for a patient who HAS to take it and get chewed out for calling about reconciliation of medications at 2200.. I really don't care about doing all these things.. It's just I am going to be late if I have to do tons of things like that so I feel like.. Oh well, I guess.. I know over time perhaps it shall get better.. I love taking care of people and I guess being speedy gonzales is not really how I would like for it be but just how it has to be lol
  10. RNnewbie2014

    A VERY frustrated nurse

    I just am saying from my experience that they are... Hence my manager thinks this new nurse hired (very sweet girl, I have no problem with her) has caught on quicker than me with time management yet when I come on the shift.. This nurse missed 3 medications to be exact that were all due on day shift schedule.. Yet because I am staying late and being quite thorough in my opinion, I am getting in trouble with my manager... My manager thinks its absurd I am staying as late as I am and I got in trouble for it...... Thinks I should be catching on by now..
  11. RNnewbie2014

    A VERY frustrated nurse

    Well, I say that they don't care because they leave things for me constantly that in my opinion should have been done prior.. And all the nurses on my unit that report off to me on day shift have been a nurse either as long as I have or little longer not much longer.. Most nurses on my floor are not experienced.. At least on that particular day shift rotation.. I mean I had a patient crying in my pain as soon as I come on and the day shift nurse that reported that pt off to me knew that pt was and KNEW that pain medicine could have been given... That is the sort of stuff that stresses me out.. I guess I just catch on a little slower.. I think I am going to start taking my C.O.W. into the rooms during my assessments to see if that helps. And I usually write out sheets of my medications, labs, diet, iv site and fluids and if they ask for pain medicine frequently, fill it in my medication list on the times.. Sometimes I don't get to do it though if I have multiple patients requesting things as soon as I come on.. And I try to start passing medicines as early as 2030 but my tech sometimes doesn't even have vital signs done therefore I am not going to give a BP medicine without knowing a blood pressure and heart rate..
  12. RNnewbie2014

    A VERY frustrated nurse

    Also, the patient I had to restrain was not oriented to place at all.. Hallucinating etc.... And the seasoned nurse told me you have to start on an IV on a disoriented pt regardless if they want it or not since they aren't in their right mind and don't know what they are saying...
  13. RNnewbie2014

    A VERY frustrated nurse

    This is going to be a serious vent session... Well, needless to say, I got in trouble for staying 4 hours late at work consecutively for the past 3 days due to have terrible nights... I have struggled with time management a lot due to the fact I am new RN and have only been on my own for 4 months now! My vent is... I have 7 patients... We 7 different needs.. Medications.. Pain medicine.. Neurovascular checks.. Neuro checks.. Multiple things going on considering I am on a med surg unit with post surgical patients anywhere from a vascular surgery to an AV fistula being placed... I want to know WHY is it such a big deal for me to stay late? I mean charting is very lengthy! And every shift for the past two weeks, it's always something.. I come on shift and CVP is leaking.. Not to mention its been leaking all day but I am the first person to truly acknowledge the issue.. Tell the on call doctor about it and I have to start peripheral IV of course......... Well also this same patient had colostomy bag come off at the same time! Naturally... So I have to get all the essential things I need for that.. A new bag, some paste, and the donut protection barrier.. So by the time I start an IV and finish that its like 2045.. Not to mention I have another patient who is calling out for cereal... milk.. diet coke every 5 minutes.... And my techs NEVER help or if they do, they act like its annoying to me told what to do?!!! I say please...... The night after I had a patient who became disoriented wondering why?! A seasoned nurse looks and sees that the patient has been off xanax for 2 days now and the pt takes it every day at home... Now this patient is refusing everything.. IV abx and PO meds.. And naturally both IVs that the patient goes bad.... So I end up having to restrain this patient eventually (calling doc of course) not to mention getting kicked twice! It took 5 of us to get the IV in.............. Then the weekend before I had patient with no pedal pulse after a vascular surgery that the day shift nurse got report on from PACU yet when they came up to the floor didn't check pulses.. so I had to call on call doctor.. and the doc wanted me to check pedal pulses every hour times 4 then every 2 hours times 4.. I have 7 patients to take care of.. Can they seriously think I will be caught up on charting??!!!! I am just so frustrated.. I am frustrated at nurses who don't give two craps and walk out ON TIME every time.......... Not happy at all.. I love my job because I love being a nurse but the charting and the way some of the staff is ridiculous.. and I just want to cry because I look so incompetent bc I stay late so much......... I just want some comforting is all..... I just feel like I am just never gonna get it
  14. RNnewbie2014

    IV catheter changes..

    I was just curious because older nurse said something to me about it.. Said your a new grad, what did they teach you in school? He seemed quite appalled that it was not emphasized to change the IV every 96 hours which makes me look like I'm completely incompetent for not knowing this rule!! This person actually changes his IVs every 96 hours..
  15. RNnewbie2014

    IV catheter changes..

    I was asked 2 days ago at my job if my school had stressed changing peripheral IVs every 96 hours.. I do not recall this being emphasized... What is the EBP about this? I mean of course I know if a patient is experiencing infiltration or phlebitis, I am going to change it... But other than that I was JW is there hard evidence that changing a peripheral IV every 96 hours is appropriate?
  16. RNnewbie2014

    PICC line blood draw

    And the only reason why using heparin was a question was because the port wasn't drawing back on the next few days that I had the patient.. Needless to say that was a ROUGH weekend for me ha