mfci

Thanks to all who have answered. It helps to know what others are seeing.

Does anyone else think this update (link below) means we might not have to wear masks all of the time? It seems like it to me, but I think there would have been an uproar already if it was. https://www.CDC.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html#anchor_1604360738701

This would seem to violate the "right route" - you are doing something with the aministration that wasn't ordered. It may be harmless or it may not be, but I believe it is outside of our scope of practice. I would advise that you confirm with the MD or pharmacist before you alter the administration of a medication. Do you want to trust your license to your preceptor? The more common practice that I've seen would be to slow down the rate. But I let the doc know when I do that.

I've worked somewhere very similar sounding. I didn't care one way or the other what they said or did, but they eventually started to threaten my job. Be that person that doesn't take that kind of crap. Leave. It's not good for you. Nursing is hard enough on it's own. IMO.

It probably varies by geographical region and hospital, but what I've seen is the more important aspect is how qualified you are for the position versus other applicants.

Having worked in the CVOR, with some minor overlap with the cath lab... I'd say learn to see in the dark, enjoy wearing lead, and practice sucking up to enormous egos... ? OK - trying to be helpful - don't you meet the cath lab doctors and nurses in the CVICU ? Let them know your interest, and ask them how to prepare. If you get one of them that loves to teach, ask them things. Develop a relationship. Do they round on their patients in the CVICU? If so, make sure you are able to give them the information they want in the way that they want it. Show them you are part of their team. If cath lab is like the vascular part of the cvor, then a tight working relationship is the most important part. It's about speed, responsiveness, and the ability to predict the next move. Communication can be subtle. They'll want you to anticipate their needs and preferably have the right catheter, etc. in hand when they ask for it. You may also do conscious sedation (again, not sure, but based on similar procedures in the cvor...). That's not hard to learn - there are a few drugs they use and you just give them and watch vitals.

Are you saying that you look up your mother's records on the EMR? I was under the impression that was illegal.

Maybe Placement Issue should be first on the list?

Encephalopathy. Lots of variants of AMS.

I was in a magnet hospital with a residency program. See my previous comment on why I left nursing.

I had a professional career for almost 20 years before I went to nursing school. I'm not a snowflake or a wimp, and I don't take anything personally at work. I learned that a long time ago. I had wanted to be a nurse for at least 15 years. And I left in just over a year. Some things nursing school had not prepared me for, such as:How completely unprofessional way too many nurses, doctors, and other medical "professionals" act. Sometimes it was just like being in high school or even junior high.How, despite the emphasis on understanding, promoting, respecting and educating people of all sorts in nursing school, too many nurses expect you to be exactly one type of person and learn in one type of way. Generally, the type of person they are who learns like they do.How impossible it is for many new nurses to practice safely (at least for hospital inpatient care) in the amount of time you are given for orientation.How abusive the hospital system is to nurses, refusing to spend money to promote safe practice, safe ratios, etc.How hypocritical the profession is - promoting evidence based care unless it costs more. And how it clamors to be regarded as professional when such incredibly unprofessional behavior is tolerated.How too many nurses are more concerned with doing things their way instead of working as a team towards consistent, safe practice. I didn't mind working 14-15 hour days on orientation. I was lucky during those shifts that I had a preceptor who spent that kind of time and effort teaching me. I didn't mind working nights, holidays, or weekends. I didn't mind that some of the nurses were so nasty to me, because I figure it's their problem and not mine. I loved taking care of patients, and didn't mind when they were varying degrees of a pain to deal with. Either the nasty ones were stressed or they were behaving poorly for no good reason. I wanted the help the first type and I think the others are just part of the job. Humans are what they are. My job was not to judge them, but to help them as best I possibly could. The reason I left is because I had a choice. I had a job to go back to which paid more, where I was treated much better, where I had better health benefits (I was shocked at how poor the health benefits as a nurse were in a big regional hospital), where I'd learn more, where abuse wasn't tolerated, etc. I had been sick of my old career when I quit and went to nursing school, but nursing gave me a whole new appreciation of it. I'm back and happier than I had ever been. I miss nursing. I miss my patients, I miss taking care of people, and I miss the many amazing coworkers that I had. However, I think life is too short to take that kind of abuse (from the hospital and the mean nurses) and I opted out. My mother-in-law (a nurse) told me, about 15 years before I started school, that there wasn't a shortage of nurses. There was a shortage of nurses willing to work, because they job was so crappy. So, I wasn't even surprised by that. But after a year of it, I'd had enough.