MomaNurse

I agree that it was probably because the patient seemed to be responding well to treatment and then spiked a fever that the doc was upset. Early intervention could get control without too much trauma to the patient. But it's something to discuss with...

After receiving the MD order, you write the interim or telephone order, then you "order" or call the imaging company or lab to come do it. You're right the nurse never says "oops, belly ache without a bm in 5days let's get a KUB" and then has it done...

I'm pretty sure your employer would have told you if dad gave a reason, much less one that was sensational! I wouldn't obsess over it. Tend your wounds and don't let it effect your next case. Good luck!

I was thinking palliatist, but pulmonologist makes so much more sense! First, look for a new job. But do it before baby comes-- just trust me on this! Next, it's not unusual for an anxiety patients signs to go wacko while titrating off haldol. Two ...

Actually Jade, you're absolutely right! (I must be off my game lately.) Once is one time too many! There are hotlines or she could make a police report. As OP struggled with, it would not have been overreacting to just call first. No matter how you v...

Whatever the nurse's motives, nobody deserves to have the door shut on them. It's just plain rude, especially when the nurse started out by ignoring an outgoing introduction. I'm sorry you're up against such resistance. It is hard to have a student w...

I'm with you on this! You did the right thing. You tried to keep what happened in the classroom in the classroom by talking to the teachers first. They did the wrong thing. You had no choice but to go up the chain of command. Now they have it in writ...

That's great! Often I find those roll into permanent positions. I hope you have good luck with it!

Maybe you could run your SBAR by a colleague before you call so you have confidence to stand your ground with the docs with this reaction. I agree that this should be reported up the chain. It's unprofessional, neglectful and abusive at best. Managem...

You should keep looking until you secure a position. I think it would be ok to call the recruiter in a few more days and ask if there's anything you could do to help that paperwork come along any faster. But maybe that's just me. Good luck!

I just answered you older post, but wished I'd seen this first. There is a reason why you can't get a job in acute care before doing some time in LTC first. You need to learn how to run 30 patient's comprehensive care on a daily basis first. All the ...

Death by cookie! Love it!

Yes it's unfair that you're not focusing on all areas of nursing more thoroughly. Especially when this population is living forever these days! I remember crying everyday after work with a friend I graduated with. I felt bamboozled and almost embarra...

Congratulations!!

Off topic: sunnychris CUTEST baby!! Now that that's out of the way, I agree with glycerine82. Maybe your are just stressed. It could also be something else. You might want to go to your doc. If everything checks out ok, consider getting off of nights...

I understand your frustration, but viva is speakin my language! Steppenwolf and corona? Ummm yeah! You will have to set some rules with your younger patients. Boundaries that you will not let them get away with pushing. You are responsible for upwar...

Until you find another job, you will have to do some tightening up. Get more time off. Don't fall into working 12 or 16 hours just to get more days off during the week. When you go to work, arrive a little early. Go through the med cart, treatment ca...

When your patient is going down, do not forget the basics. Hungry, thirsty, tired, constipated, retaining urine or in pain stimulate some impossibly wild behaviors. Most times you don't have to dig deep to get to the answer. And volunteer for projec...

Not the padded floor mats that are used to prevent injury from falling out if bed. Black or dark colored mats like a rug that are used in hospitals or facilities. An advanced dementia patient prone to wandering will likely perceive dark color as a vo...

Ask your Portuguese staff for advice. What are they saying to her? How are they soothing her? Can you learn some basics in Portuguese? Make a book with some translated words and phrases. Put basic pictures in like a communication board.

I have a work phone. But when you're at the bedside and it's not going well, a little pandora goes a long way! I look things up for patient care. Once a case manager called and was talking about equipment. I got online at the bedside with the patient...

If there's an area where the patient could come to harm, put down a black mat. For example that isolation room or stairwell door. The wanderer will perceive it as a hole in the floor and won't cross it.

You should look for another job. She's taking advantage and won't stop because you will always pick up. The DON/ADON should be a team. I would be careful not to put your foot down too hard til you get hired elsewhere. I think your DON could play some...

Piddle? Nocturia. Another argument for mandatory catherization at work. I do the same even in the day. If I keep this up, my kidneys won't work at all! Now I have to go see a man about a horse...

I'm sure you are exhausted! It's been a while, but I used to write one sentence translation for each paragraph read in those horrible, dry ego driven texts. I would write each sentence in a notebook and when I went to study for tests I would just rea...