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ns808

ns808

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  1. ns808

    Should I go back to work?

    Hi everyone. Before covid-19 I was working at a laser hair removal clinic as an RN. When we went into lockdown, I was furloughed. My clinic called me about a week ago letting me know they are reopening in June and asked me if I want to come back. I initially said yes, but now I’m not too sure. They have placed new safety measures/protocals however, I’m not too sure if they are even allowed to open. I will be seeing about 10 clients a day which is way less than before. I’ll be spending and having direct contact with clients anywhere from 5 minutes up to 1 hour and 30 minutes (depending on how many areas they want to treat) in a super tiny room. There will be social distancing in the waiting room area but when they come in the room it will be direct contact from there. They reported to me that they have installed proper ventilation system and face masks+shields will be provided etc... I’m not quiet sure if I want to go back since my parents are in their 60s and my husband’s parents in their 70s. My husband isn’t too happy about me going back to work since he’s worried but if I don’t go back I will be terminated. I’ve worked here for 2 and a half years and was happy with the job. Now I’m not quiet sure what to do. Help?
  2. ns808

    Facing a dilemma! Help!?

    I am 26 y.o. I graduated with my ADN in 2017 and got my BSN at a seperate program in May 2018. After graduating from ADN program I found a laser hair removal job and I loved it. I was working there because it was easy, fun job while I was still going to on campus classes for my BSN. Once I got my BSN i became per diem at the hair removal clinic and found a new grad hospital job which I didn't like and left after a month and a half. The pre work anxiety that i would get was wearing me down and I was crying every night before work. I became heavily depressed and it was affecting my work. It became hard to focus. I really like my job at this laser clinic and want to stay here but I don't have at least a yr experience in acute care and I'm afraid once i'm no longer considered a new grad I will have a difficult time finding a job in the future if i happen to change my mind. I want to keep my options open but i'm unable to work at the hospital setting due to my anxiety. What should I do?
  3. I am an orientee at a cardiac interventional unit and I just finished my 3rd week of orientation on the floor. I am a mess. The first 2 weeks I was with different nurses each time, and just this past week I have been assigned to a nurse who I will be with for the rest of my orientation which I have about 8 more weeks left. When it comes to report time I get most things down except for a couple of procedure names where I get lost sometimes. And then it comes time to prioritize and I am all over the place. I am constantly going back and forth because I forgot to take everything in the patient's room with me. And then it comes to calling doctors which I don't know when to call or for what I have to call. Then it's the orders that are so many that i miss things. When it comes to passing meds I'm slow because I check my meds like 3 times. Yesterday my preceptor threw me all 4 patients and I couldn't handle it. I was able to chart the initial assessments but the ones after which i have to do every 4 hours i was not able to and she did those herself. And on top of it we got a discharge and a new admit at 3pm which she did those as well. When it came to report time I didn't remember anything and told the oncoming nurse I'm so sorry I'm all over the place and my preceptor gave the report. I'm a mess, i'm all over the place and I'm trying to find my place but it seems impossible that in 8 weeks i can take care of patients all on my own. I am so scared and lost and want to quit already. My preceptor is great she has my back and all and she teaches me and said i'm good at passing meds and that im safe and that im great at documentation because i'm fast and detailed. But honestly i feel like im drowning. I also feel like my school didn't prep me well enough for this. What do I do? Help!?
  4. On Monday I had a rapid response and I feel so responsible for it I don't want to go back to work. I had an elderly patient who was admitted to rule out sepsis. He came in c/o weakness and experienced chest pain the day before coming in to ED. He had hx of DM, htn, stent placement, hyperlipidemia, and early alzheimer's. When I recieved him in the morning his BP was in the 150s and all his vitals were WNL. He was a/o x4 but the night shift nurse during report said for him he was a/o x1 which could have been due to language barrier. In the morning his sugar was 175 he was due for 20units of lantus, 5 units fixed humelog and 1 unit of sliding scale. I saw him eat his breakfast which was 1 pancake and some fruits. After i gave his 9am meds he seemed fine. Around 11 when i took his vitals it was 110 systolic and everything else seemed to be ok except he was sleeping and seemed a bit short of breath but he was saturating 96 in RA. I asked my preceptor if giving him oxygen would help she said yes lets give him some O2. I gave him 1L of 02 with humidifier to see if it would help and he reported he was breathing better. I rechecked on him 30 min later and again he seemed SOB and still he was saturating at 97 i increased his O2 to 2 units for comfort and he was sleepy at this time but when i woke him and asked him how he feels he said fine. Anyway at 12:30 he was due for 5 units of fixed humelog and 1 unit of sliding scale his fs was 190. I for some reason thought he had eaten his lunch and gave him his insulin. He had refused to eat his lunch. I should have held the insulin but didn't. When I continued to check on him after the insulin administration he seemed sleepy and was jittery and thought maybe he was having anxiety. When my preceptor took him down at 4pm for stress test she noticed he didnt look good so she brought him back up and then reported the charge nurse and unit manager which then they came in and he was lethargic and hard to awake. His fs showed 35 and his bp was in the 80s. 1/2 Dextrose was pushed IV which his blood sugar went up again but began to drop back down so the rest was given. Rapid response was called and he ended up getting transferred to the ICU. Last finger stick was 186. during the rapid response when my charge nurse called his dr the dr said last time the pt came in he ended up at the ICU and he was suspecting the pt was taking something that he was withdrawing from. Now idk what the deal is here and I can't stop blaming myself and want to quit. I wish i had made sure he had his food before giving the 2nd dose of insulin. I feel so incompetent and terrified.
  5. ns808

    Did I cause this rapid response?

    I'm a new grad in my 3rd week of training. I had an elderly patient who was admitted to rule out sepsis. He came in c/o weakness and experienced chest pain the day before coming in to ED. He had hx of DM, htn, stent placement, hyperlipidemia, and early alzheimer's. When I recieved him in the morning his BP was in the 150s and all his vitals were WNL. He was a/o x4 but the night shift nurse during report said for him he was a/o x1 which could have been due to language barrier. In the morning his sugar was 175 he was due for 20units of lantus, 5 units fixed humelog and 1 unit of sliding scale. I saw him eat his breakfast which was 1 pancake and some fruits. After i gave his 9am meds he seemed fine. Around 11 when i took his vitals it was 110 systolic and everything else seemed to be ok except he was sleeping and seemed a bit short of breath but he was saturating 96 in RA. I gave him 1L of 02 with humidifier to see if it would help and he reported he was breathing better. I rechecked on him 30 min later and again he seemed SOB and still he was saturating at 97 i increased his O2 to 2 units for comfort and he was sleepy at this time but when i woke him and asked him how he feels he said fine. Anyway at 12:30 he was due for 5 units of fixed humelog and 1 unit of sliding scale his fs was 190. I for some reason thought he had eaten his lunch and gave him his insulin. He had refused to eat his lunch. I should have held the insulin but didn't. When I continued to check on him after the insulin administration he seemed sleepy and was jittery and thought maybe he was having anxiety. When my preceptor took him down at 4pm for stress test she noticed he didnt look good so she brought him back up and then reported the charge nurse and unit manager which then they came in and he was lethargic and hard to awake. His fs showed 35 and his bp was in the 80s. 1/2 Dextrose was pushed IV which his blood sugar went up again but began to drop back down so the rest was given. Rapid response was called and he ended up getting transferred to the ICU. Last finger stick was 186. during the rapid response when my charge nurse called his dr the dr said last time the pt came in he ended up at the ICU and he was suspecting the pt was taking something that he was withdrawing from. Now idk what the deal is here and I can't stop blaming myself and want to quit. I wish i had made sure he had his food before giving the 2nd dose of insulin. Did this pt end up at ICU due to my actions?
  6. Thank you everyone for your response. I have definetly learned my lesson to communicate better and be more careful! All of your responses are appreciated and makes me feel a bit better!
  7. It was piggy-bag running with NS, therefore the pump did not notify me about the clamped Zosyn.
  8. I started my preceptorship last week on the CICU unit night shift. My nurse and I went to pass meds and she was setting most of the IVs in the pumps and told me if I wanted to hang the Zosyn. I primed it hung it but didn't run it thinking she would do that. We left the room 6hrs later she realized the Zosyn wasn't running because it was still clamped. My patient was getting it for sepsis. I felt devastated and awful and now I am more fearful than ever. She hasn't told anyone about this and said not to worry and that I learned something from it and to be more careful. I am always careful to the point where nurses have told me before that I am too slow at med passes. Idk why I forgot to ask her if she wants me to run it or leave it for her to do that. Failure in communication caused a med error and a serious one at that in my opinion. I had never made a med error in school and I'm sad that it had to happen during my last semester preceptorship. Now I am doubting my abilities and feel extremely fearful. I can't seem to get over this and feel so awful. What if nursing isn't for me and I harm someone when I start working? How do I bounce back from something like this?
  9. I am in my 1st week of clinicals in second semester and don't know medications that well and it makes clinicals that much more scarry...I passed pharm with a B but forgot most of the information. There are certain meds I can tell you what they are for but I don't know the S/E, the peak times and all the nursing implications for each one so I will be depending on my drug guide to retrieve the information before medication admin. How well should a second semester nursing student know meds?
  10. ns808

    Clinical experience?

    What are some things you have been told to improve on by your clinical instructor in nursing school?
  11. I am a month and a half into my 1st semester of nursing school. I have an A or B in my fundamentals class (teacher hasn't posted up our final yet) and a B so far in pharmacology. We have not started passing meds yet. We will start in 2 weeks. I feel like after my pharm tests and quizzes I forget most of the information. This makes me so nervous because I know the info is important for when I am a nurse, however, I am not retaining all of the med info. This makes me doubt my abilities and makes me feel like I won't be able to make a good nurse. I'm afraid I'll make a mistake and possibly harm someone. Is it normal to feel this way in the beginning?
  12. Hi everyone. I took my first fundamentals exam and got an 84%. 75-82% is a C so I barely made a B. The test was on 14 chapters and 98 questions. My teacher sent out the assigned readings in the summer before the program started. I began reading 2 weeks before starting nursing school and had another2 weeks into the program to study. So I studied for this exam for a month and an 84% was not what I was expecting :/. I was wondering what advice do you have on studying for fundamentals? What I did was read every page word for word and took notes. I had an entire notebook of notes. I also did the practice questions at the end of every chapter.
  13. Hi everyone. I need help figuring out how much Levaquin needs to be added to the IV bag. What I came up with is 1mL but since the question states Do NOT round this answer I think I got the wrong answer? My professor isn't giving us the answers until Tuesday but I need to know if I am doing this right or wrong. Levaquin 500mg IV is ordered to be given once daily. You have Levaquin 2000mg in 4mL. You need to add this to mix in IV bag of 250mL of NS. How many mL of Levaquin needs to be added to the IV bag. Do NOT round this answer. D/H x Q Order/ Available x Q (volume of med)
  14. ns808

    Fear of making med error as a nurse?

    @futurelvn2016 You'll make a great nurse! You seem like a caring person and I agree with you that a little fear will keep you on your toes and alert. That can be used to your advantage and not be a negative influence.
  15. ns808

    Fear of making med error as a nurse?

    @RNsRwe We are having dosage calculations test soon so your response definitely helped motivate me. Thank you! :)
  16. ns808

    What are thyroid agents?

    Hi everyone. So I wanted to clear up some confusion here and wanted to know what are thyroid agents? Is it the same as thyroid hormones?
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