Kaltia

Assert more, a huddle will not solve this assign tasks, like the others said pick who ever is being oblivious at the moment. Direct, don't make it optional. As far as still working the floor just make sure that when you do you follow your own advice and answers lights, you'll have no issues if you do. ive learned to do this myself recently, as I have a CNA whose very problematic. She doesn't enjoy it, but after she lost the first time she tried to buck me on it, she knows better than to challenge. You're going to get some looks the first few times, stick to your guns and insist calmly.

I did end up declining the contract. So far no issues but it was Definetly a lesson in what to check for. I'm grateful it didn't go any farther before I realized the issue.

I'm particularly concerned about the language related to breaking the contract which involves paying back certain undisclosed costs to the company. They tell me it's situational. When I ask for examples and concrete numbers I can't get them. It's not that I have any reason to worry about needing the break the contract but I don't feel comfortable signing to pay for things that I don't know what they are or how much. I can't believe they don't have numbers on what the cost would be. I aced the interview, I really like the sound of this facility but I feel really uncomfortable with the phraseology and they don't seem willing to rewrite it to be more specific. i already had the recruiter read through it with me and most things they're willing to fix but this is the one issue, I'm really stuck on.

Am I being too picky? I was sent my first contract today and was appalled at the language as written. It's so broad, so much legalize and the company isn't giving me straight answers. I'm really alitle concerned are all travel contracts putting all the blame for all things on the nurse?

Perfect all of you!!!!! Great parody of life and. AN

It's not really about route here but the fact that it's not specified. It's not a valid order without a route. Clarify the order, based on what little we know of the patient, I'd guess they'll get more of the med if it goes through the g-tube, however, it probably needs to be switched to a non-sublingal form.

Zofran as first line. it works for alot of people. Pherengan as back up, I find its more it or miss than zofran but for the few that zofran doesn't work for, phenergan usually works beautifully.

Good to know, I was frankly concerned about getting the amount of fluid through the same tubing, but the packaging info does make sense. I went with two sites two lines as the IV pumps I'm working with do not run concurrently. And I frankly didn't know before now that some pumps could. at least I'll know for next time.

If you have sitters often enough even consider this you're doing well Unless it's a 1 to 1, sitters are either family members, friends or hired by family or staff from the facility the patient came from

If you had an order for two IV fluids that are compatible and it state that both IV fluids are to be run not just one or the other and they are to be run concurrently, would you consider that two mean two separate lines or would you think you could piggyback them together? My view point is it's two sites, two lines but I've run into some confusion about it so I'm curious for other opinions

Actually what confuses me here is how the op ask for opinions on a "ethical dilema" and then states they don't care, never had any doubts about it in the first place. 95% percent of patients tend to like their pain meds too much, not a big hairy deal. It doesn't sound like you actually saw too much one way or the other, so I'd just play ignorant, while reminding the patient that smoking of any kind is not allowed due to fire risk.

Suspected abuse doesn't mean that he doesn't have feelings for his family. Especially with a child I'd be worried about him blaming himself for the family getting into trouble. Very complicated issues here and not something you can deal with, he needs social services child psych eval ect. I would not try and discuss anything with him related to the abuse, especially with young children, it's very hard to question without influencing them and is far better left to a professional. Not to mention the legal issues esp if he needs to testify. or the fact that it may not be abuse. If he talks to you be supportive listener only. Distract and entertainer like you would for any other kid. Worse thing you can do is tip-toe around like oh no there's something wrong

I might hold 1 dose and see if the behavior changed but after that definetly call the doc . It sounds like your charge just wasn't willing to call for whatever reason ie she's already called this guy 3 times during the night ect. But regardless this order need clarifying . And also remember the patient can refuse if they're alert and oriented

I'd tell him I wasn't aware that the elderly health risk to Patients on ativan were so severe that the risk of them breaking a limb or smashing their head open when climbing out of bed didn't take priority. then I'd add sweetly, "According to the report I recieved ativan has been working well for this patient, however, if you decided to take him off the ativan, he will need another PRN medication of your choice for agitation." and walk off. Honestly if I listed the number of times that I could have felt belittled by a doctor? Never ever take yelling personally. Usually you just happen to be there.

Research the hospital and location. Find out what's there and about costs. See what there is for activities and such. You will need support and people around you. cThat about what I make staff nursing in a small hospital. Sounds low for travel but could be fun too. Just be aware travelers don't get orientation or much of one. You will be expected hit the ground running regardless of situation. Overall id say go for it just do your research first