blackdiamond407

I have been working on an oncology unit for 2 years and I love it. I really love my patients. I do administer chemo but it's maybe once a week or so. I am contemplating a slight change in career - I am considering the move to an infusion center but I...

I received a pt with an order to transfuse if hemoglobin drops below 8. When the blood was drawn for the pt, the hemoglobin was 7.3 so I was preparing to start a blood transfusion when I noted there was no consent for a blood transfusion in the patie...

I worked in sub-acute for 7 months and I have now been in acute care for 2 months. A friend of mine told me I should be more careful when I hold medications and I am a little confused about when to call the doctor and when not to call the doctor. For...

Thank you all for your insightful responses. They are all truly appreciated and have given me a lot to think about. Regarding LTC and acute care, I believe that the rules regarding care are the same but I believe that there are different expectations...

Hello All! Advice desperately needed. I am a nurse of 5 months working in sub-acute care and I still have a lot to learn. I was changing the dressing on a pt's biliary drain the other day. The tubing of the drain is stitched in the skin. When removin...

Thanks! I think you are right. Sometimes an anxious patient can make you anxious, especially if you are still in the learning process. I am quite sure that her tubes were not dislodged as the patient went to the hospital for a procedure and I did not...

Hello All. Seeking advice regarding my job. I have been working over 5 months as a new grad in LTC/sub-acute facility. I work on a cart that has a mix of sub-acute patients, LTC patients, and hospice patients. Most days I love my job. I have about 20...

Violetsmom, I agree with you. In the beginning, I felt that the comment had bad intentions. I thought about it a great deal, though, and figured that if the supervisor really wanted to get me in trouble then he would write me up. I have not been writ...

Ruby, I think this is great input. Walking away from my conversation with my supervisor I felt as if I were being spied on but I agree that it must be normal for new grads to be watched and now that I realize this I feel better about the situation. H...

Thanks. He said that even though the MD was notified, there needed to be a nurse's note stating that the MD was notified. That is the reason as to why I am being watched apparently. I realize the grass is not always greener but I am torn because I h...

Just a quick question regarding insulin administration. I work in a LTC facility. Most patients have two orders for insulin administration: a standing order and a sliding scale order. The standing order for one of our patients is as follows: Give 8 u...

Thank you all for responding. If the BS is close to 60, I would personally call the doctor. Usually on our sliding scale orders it says call MD if sugar is 400. This particular patient has had a poor appetite lately so we typically wait until she has...

Hello, New grad with my first job in LTC. I was offered very generous salary and a full time position. I am to get every other weekend off and full time hours. On weeks that I do not have weekends off, my days off are not in a row. I definitely enjoy...

These are all very good points. Here I Stand, you have some very strong points. My major concern is that I do not want to be a "yes" woman and endanger my patients. The staffing issue at my facility is unfortunate but I am starting to understand that...

Thank you all for the feedback! Mhy, I'm not sure if working a shift and a half is an option but I will definitely ask so that I will know in the future. I think a 13 hour shift would be much more manageable for me. I do want the administration to t...

Hello, I was just wondering if you happen to remember if it took a long time for items to be checked off on your checklist from the board of nursing that did not apply to you. For example, I applied almost a month ago and the item, "refresher course,...

Thank you so much for your opinion! I think I am going to try Kaplan as I have heard a lot of positive things about the program. I also now feel like I have a ballpark as to how long it should take me to receive everything. Thank you so much for shar...

Hello! I am going to be graduating November 26th and my letter from my school will be sent December 18th. I was just wondering, from what I gathered from your post, it took you about 10 days to get your ATT code and you scheduled your test about a we...

O.K. Thank you so much! Have you found anything yet? Or are you still looking?

Helen, do you happen to know if these applicants applied before or after they received their licence? I ask because I will be a new grad in Novemeber. I was planning on applying to these hospitals as they are in my area and I was wondering if I shoul...