ksparks

See my up updated situ by looking up the tag "ok this is BS"

Nurse of 12 yrs Rentering acute care after being in LTC 7 yrs and having severe anxiety. My preceptor was being so critical and never gave me any positive reinforcement. So after 6 weeks of feeling defeated I asked to be with someone else( I should have done it sooner but was trying not to make waves and give them a bad impression.) Anyway the 2nd preceptor I was only with for 5 shift gave me a positive review and the released me on the floor on my own. Been on my own 3 weeks now and have had severe anxiety bordering panic attacks this is a very busy step down unit and I'm a little rusty but my brain knows I can handle this but my body doesn't. I can't control the anxiety. I need up calling out Monday due to it. I met with my manager because I reached out to her about my anxiety and was thinking maybe the training wheels came off too early and I may need a bit more training. Well her response was I'm not hearing from anyone that you aren't doing a good job, from what I see it's a confidence problem so I'm extending your 90 fay probationary period another 30 days and if I miss one more day I'll be fired !!! My first absence was for a resp. Infec. Which I had a fever and they forbid anyone to come with a fever and the anxiety absence made that my second. I'm trying everything I can I made a new pt psych appt but I made it 4 weeks ago and it's over a week away. My primary gave me xanax but it's not helping. I think it sucks that I'm being punished and not assisted. What do u think?

Ok so I have been out of rhe hospital doing LTC for 7 years and finally got back in the door and was hired on a Medical Stepdown unit. I was on orientation 8 weeks, my preceptor was very critical, never had anything positive to say. I finally requested a different preceptor when it was getting close to me being on my own. The second preceptor had very little criticism and they signed off on me being by myself. I've had terrible anxiety since I started I've been on my own 5 shifts and they were horrible. Most of my orientation they were choosing the easier patients for me to care for. So now I get no shield at all. It's been horrible. I'm so scared all the time. I feel like I'm tasking and not able to critically think. Plus getting used to computer charting is hard. So yesterday I emailed my manager telling her my concerns. I said my anxiety was awful and I felt like I needed more training. She said more orientation won't help anxiety. I felt so inadequate and not sure what to ask for. I don't want to lose my job but maybe this floor is too much. The only problem is that there is a policy of no transfer for a year. I don't feel safe caring for these patients! How should I handle myself in the meeting with my manager monday? Should I tell her how I really feel without holding back anything? I don't want to be known as a problem person but I know as soon as I sit down with her I'm gonna cry...hard.

It's a medical stepdown unit

Ok so I had a pt go into AFIB in the middle of my shift. Hr was 12- 148. They had no previous history and was a DNR. I contacted the doctor and he told me to give 5mg lopressor IVP and start po Cardizem 30mg Q6 hrs.this did not change anything. I tried to page the doctor several times but he never clled back. The pt was asymptomatic. SBP was 105. Even before the tx. My charge nurse said I couldn't leave the patient ticking along at 130 and counseled me about not having g asked for a gtt or a cardiology consult. This was the pt primary MD so he knows the pt and I figured the dr knows what he wants so who am I to suggest anything. I wasnt that concerned as the pt was atable. Should I have been more concerned? Should I have done more. I documented that he never responded.

I started working at the hospital after being out of acute care for 7 years. I haven't done 12 hr shifts on a long time. I'm having trouble doing my 3. It's really 12.5 hrs plus an hour of driving to and from work. The. They have me attending all these new employee classes which they add on before or after work. I'm sorry! I don't think I should have to attend a 2 hr class on top of working 12 hrs. I think if they want you to attend class they should schedule you for 8 hrs plus the class! My manager told me my request was not reasonable. What do u guys think?

I have been out of the hospital setting for 7 yrs and truly missed it. I have been unsatisfied with jobs I have had since I left. I recently started on a step-down unit and I have discovered I have lost all of my confidence. I think I was more confident as a new grad. I have so much pre-work anxiety. I begin feeling sick the night prior to being scheduled. I get so worked up and sick to my stomach. I dont know how to get my confidence back!! I had a horrible time on orientation and now been on my own for 4 shifts. I know in my head I'm doing ok. My manager seems satisfied but I feel like a fraud. This unit is much more fast paced than the floors I worked on years ago, and so much had changed. I'm learning g computer charting which I have no experience. I've set up a psych appt but it's weeks away. I'm becoming depressed and soooo anxious I don't know what to do. I can't transfer for a year!!

I practice as a nurse in NC and I have chronic pain along with several other medical problems and I have been given such a hard time by my employer about taking pain medication. The last employer said I wasnt allowed to take it less than 4 hrs before my shift and not during my 12 hr shift. I was subjected to frequent drug test during and after my shifts all because i disclosed to employee health upon hire of my medical issues and list of scripts. The Nurse practice act of NC doesnt address it. The only thing i have found is that it states a nurse cannot work if they are intoxicated or not able to perform. I have been taking pain meds for years and I have no side effects on them now, my body is used to it. I found its much harder to perform in pain. I might cut corners because i hurt and the pain is distracting. Anyway. I know that medical cannabis is used in CA and wondered how employers react to nurses that use it. Is there anything in the Nurse Practice act of CA that addresses it. Of course im not going to go into work blazing high or anything but if its not allowed on work days can they use it on days off because as far as i know there is no test that can tell how long ago you used it.