psmithlove

I've worked on mmsu at my local hospital for almost 5 months now and I've had 2 patients complain about me. The first was a family member who wanted me to change a dsg on their father that I didn't see an order for. This family member also claimed I was going to put NS in the pt eyes. Which I was going to give them artificial tears but I ended up not doing that. My supervisor just explained to me to follow up on things I say.. Even though I do. Then recently I had someone with back pain who got dilaudid x2 in er and refused pain meds bc the pain was under control. At 430am.. She said they were wearing off. She had allergies to asa and the only med for pain was toradol so she couldn't take it. Couldn't get the order until 5 am for dilaudid. When the Dr called back. Then the accudose and the computers weren't working so I couldn't get it out. I kept calling pharmacy and IT. But it didn't get figured out till day shift. Anyway the pt said she was in pain all night and no one cared. Then I got another call from my manager saying the pt said at 430 someone laughed at her when she was in pain but it wasn't me. My manager wanted to know if I knew who it was.. Really?? No nurse would do that. My manager just said she can't tell her she's a liar. I'm just worried I'm going to get too many complaints and loose my job. Any advice.. On changing jobs? Is patient complaints common? I know hospitals go on pt satisfaction so I'm really worried..

Well a supervisor followed me and said I did a good job. I Didn't fall behind but I almost gave Tylenol to someone who was npo for a MRI. So i heard about that. Which I admit is my fault but my shift was almost over and ugh. She kept c/o pain even with getting dilaudid every 3 hrs. Stupid me. And some family member complained about me because I didn't see a order for a dsg change and they claimed I never followed up on seeing if the pt could get one or not from a wk ago. Starting to think thats why someone followed me around. I'm over working at this hospital. She pretty much said she would continue watching me. I'm applying to another nursing home. BTW I can't go in early to look at my pt load BC they don't figure it out until 10 min before my shift starts.. Or I would. I have wanted to in the past.

So I'm not really a new grad. Passed my boards in October. 2013. But until 3 months ago I worked at a SNF. Now I work on a med surg floor at a local hospital in my small town. Well first of all I only trained for 1 month before I was on my own. 3 wks in and my nurse manager calls and says other staff says I really struggle with my pt load but my charting is better than all the nurses. So a supervisor is going to follow me for two days n report back to her with how I'm doing. She said a lot of new nurses need more guidance.. Should I be worried? I admit I struggle at times with 4-5 pt. I get behind and I have to catch up on charting. Meds are on time if I have no admissions. I had been getting behind because I look up all the orders on all my pts before I start assessments. So I stopped doing that.. At times I can't answer call lights because I'm in another room so other nurses help me out. Sometimes I feel like I'm not smart enough to work at a hospital because maybe I don't understand why they are having a certain test done ect. I feel like a failure and I'm sure this means I'll probably be getting terminated. Sorry I just needed to vent.

Thanks! I feel better a little uneasy but I'm not even out of orientation yet. But the pt is being discharged today so that makes me feel better. I'm getting another preceptor also! My old one told me not to follow up on prn meds unless they are pain meds and I told my supervisor that and she was not too happy obviously.

After working ltc for a yr after getting my rn. I was excited to get a position on the med surg floor at my local hospital but last night scared me so bad. I don't think I can go back. I'm still getting oriented but a pt c/o diarrhea, abdominal pain and a HA. I got my trainer and the pt started to c/o chest pain. Took vitals n bp was 100/55. Asked if we should give nitro prn and she said yes. After 5 min she has no pain after emesis. Preceptor says pt is overreacting and isn't having chest pain so no EKG is needed. 6 hrs later pt takes o2 off after getting levaquin ivpb and is sob with 02 sat in 70s n sbp drops from 94 to 82. Dr called n sent to ICU. Preceptor claimed she didn't know pt had chest pain and I was working on my own. I get a call from supervisor asking me about this plus I forgot to chart chest pain. Only diarrhea n preceptor charted emesis. My supervisor said I was unsafe for giving nitro with low bp but my preceptor said it was fine n pt was faking mi. I don't know! I feel like I should quit acute nursing. I guess I just needed to vent but I'm probably going back to ltc job. supervisor said no one is in trouble n she's not pointing fingers but I need to come in to fix charting ..

I was told to do a blood draw last night at work. I have done two other blood draws before this one. I got a flash of blood but no blood in vial, the two other times. However, this time I got blood in vial but, only 1/2 an inch. I tried twice and I got the same result. The lab took the vials b/c they only needed 1 ml but am I doing something wrong? I'm thinking about taking phlebotomy classes.

But would too much tubing being left out from the pump that goes to the iv site/pt cause blood reflux?

Hmm.. i don't really think the tubing was backwards bc the pump only let's u lock the tubing into place one way. It won't lock into place if the tubing is upside down I tried doing that when I was trained. But that's the only logical answer why blood reflux occurred but I really don't think it was backwards ugh

yes I flushed it at the beginning of the shift, flushed easily with blood return. Then, I hung the bag later and it flushed with blood return again. I work at a nursing home btw, so I cant really answer these questions. I had to send the pt out but she returned later and the night nurse hung the bag.. and everything went fine. Its a nursing home so they don't have the best pumps, I just feel like the worst nurse right now. I've hung antibiotics before and this has never happened.. The emt thought her bp was high but her bp was 130/70, but I've read that blood reflux can happen if the bag isnt high enough.. idk

Hi I'm a new nurse and sorry didn't know where to post this either! But I had a pt with a picc line and a iv antibiotic was ordered so I primed n hung the bag. Everything seemed fine so I left the room n 10 min later the pump is going off n there is dried clotted blood in half the line. The picc wouldn't flush anymore.. so what did I do wrong?

Thanks!!! And.. the PVT def. works because I checked the Ohio State Board of Nursing website and its official! I currently have a active RN license in Ohio!! WoooHooo!!!!!!! IDK how I did so well since my computer shut off after 75 Q but I beat the NCLEX!! Thank you Mark Klimek and everyone who prayed for me!! God is good. God is so good this afternoon!!!!

my main question is does the PVT really work as in.. does anyone know of another person who failed the nclex but got the good pop up on Pearson? My computer shut off at 75 Q and feel like I failed. The only thing that is keeping me hopeful is the PVT and I'm starting to doubt it . So, if anyone could leave feedback of any kind of that would be great!