marable

This cna is trouble ....Two nurses have already had trouble with her , she has stopped speaking to two of you? Why don't all of the nurses go to talk with the nurse manager about this cna and all of you stick together....Believe me, I have worked with people like this and they are out to cause as much trouble and conflict as they possibly can...Get this resolved sooner than later....

Why would you say that you did not measure the narcotic before giving it to the patient if you measured it? I just do not understand this....I am like the previous commentors, I would shut up and get an attorney even if you think you cannot afford one ....

So agree with you ...I don't mind helping a male nurse but I have worked with male nurses who had the female nurses doing injections, catheterizations , ng tube insertions , etc but NEVER return the favor and more often than not are piled up in an empty room watching tv.....Most of the time we would have 8 or 9 patients a piece and then to have to take care of half of these male nurses patients plus your own is just too much...

If only the male nurses would return the favor...I worked with two male nurses who always needed help with their female patients , even when giving im injections... We not only had to take care of our patients but had to available for their every need when it came to their female patients ....Ask one of them to do a male catheterization , we could forget it....We had a lot of uneeded conflict between the female/male nurses as the male nurses did not offer and showed an attitude when we asked for help with our male patients....

The hospital where I worked had protocols that were used as an order sheet for a patient on an epidural drip , signed by the doctor with any changes that he wanted....When I precepted new nurses my patients were still my responsibility...When I had patients returned from surgery/pacu I assessed my post op patients ...Instructed the new nurse to assess the patient and chart her findings , then , I reviewed what she had charted and signed behind her and possibly made my own note entry if she did not address it...As a nurse there will always be things that present themselves that you are not familiar with ....Follow your hospital protocol ...Ask for help from more experienced nurses ...If the nurses on the unit with you don't have experience then call another unit and ask for help...

I would have stopped the discolored infusion and called pharmacy....I have never seen Vancomycin do that...

Never heard of giving a heparin bolus sq....The policy where I worked was to give the heparin bolus iv push and then follow protocol as to when to draw ptt labs and change heparin drip rates ....

When I worked on a diabetic unit we treated low blood sugars with milk and a half cheese sandwich , cheese crackers or peanut butter and crackers ...Just giving juice raised the blood sugar quickly then the blood sugar bottomed out again that is why is is better to give complex carbs since the blood sugar was 66 there was no need to raise the blood sugar quickly with juice...I would not have given the Humalog insulin to sliding scale with a blood sugar of 66...

Where did the narcotic go that you got out but did not administer? You said that you signed that you gave it but didn't ....You could have errored out the dose that you said you administered but didn't and return the narcotic to the narcotic box....If something happened to the narcotic there should have been a waste form filled out as to what happened to the drug....

The last few years that I worked in an acute care facility I stopped accepting students....They were never on time, I had gotten my report and started assessing my patients and would have to stop to give them a report....Even though the students came in to review their patients charts the day before clinical they were never prepared, most did not know what the medications were for, ie, did not know the difference between a colace or MS Contin.....Their instructors would come in and pile up in the nursing lounge(it was not my job to teach their students clinical)....The students never once helped pass a tray or take a patient a glass of water....Most of the students huddled up in corners (cute girls and handsome male students) flirting and giggling talking about what they were going to do on their next dates....I got to where I could not handle it ....I suggest that a student come in prepared , know what your patients diagnosis is and how to take care of them, look up their medications ....Be ready to answer the staff nurses questions about your patient ....We were told to let the student do procedures like catheterizations yet they had no concept of how to do it ....This is a great story about a student nurse and their instructor I had a male homosexual patient once who had been in a relationship with his lover for nearly 40 years , they had had anal sex for years so this patients orifice was very dilated ....My nurse manager calls me into her office one day and asks me when I was going to call our wound care nurse to look at this man's sacral wound ...I told her that I had been giving that man a complete bed bath and he did not have a bed sore , she said the student and instructor had reported me because I was not providing wound care on this patient .....The next day when the instructor and student came in I took them into that patients room and asked them to show me the decubitus, they searched and searched , low and behold NO DECUBITUS....I then asked them to follow me where I took them into the nurse managers office and had them explain about the so called bed sore that I was not providing wound care for.....Nursing students were exhausting ....I had eight or nine patients that I had to provide total care on each day and then the nursing instructors thought I was going to teach their unprepared students how to be a nurse ....I simply could not do it anymore....Sorry....

In my experience a lot of these angry patients know exactly what they are doing...On the unit I worked on we had an HIV pos . patient who liked to spit on the staff...One day I could tell he was getting ready to spit on me...I told him that he did not want to spit on me as I was not going to be like the other nurses whom he had spat upon before that when he spit on me I was going to clock out and go to the sherriffs office and have a warrant for his arrest made for attempted murder because he was HIV positive....I meant that , I would have gotten an attorney and would have done anything that I possibly could legally....He never spit on me , he knew exactly what he was doing....

If you have no medical experience I would highly suggest that you get all of your prerequsites out of the way BEFORE beginning your RN program ....I was an LPN for 15 years , challenged a couple of years in the RN program that I was in due to my LPN experience ....The RN program was difficult even for me with my LPN experience AND all of my prerequsites out of the way , those students without any medical background , taking their prerequsites along with their RN courses had a very difficult time....

When I first became a nurse one had to have at least two years of med/surg nursing before being considered for speciality units....I still think that this is the way it should be as experience is as valuable in being a nurse as the nursing education processs....

When I worked in critical care where I had to calculate mcgs/ kg I used critical care drug calculation formulas that I had taped to the back of a small calculator at all times....What is the correct answer to this question if 115.6 is incorrect?

You WERE your patients voice and did a great job protecting her.....I heard a chief resident tell a group of his residents this, "don't let me ever hear of you ignoring a nurses concerns , if they tell you that something is wrong with a patient you listen because nurses have great insight and intuition"! Nurses are their patients voice, you did great....The doctor who ignored your concerns owes you an apology, will you ever get it, probably not .....

Patients who brought their home medications into the hospital in a grocery sack from four different pharmacies , prescribed by four different doctors who were clueless about the medications that they took regularly...Finding pill bottles with four different medications inside where they had chewed half of some of them....Having to try to make sense about their medications by calling each pharmacy and having them fax to me what the patient was supposed to be taking as best as they could tell.....One patient carried her medications in an old fashioned train case, packed full of pill bottles , I wanted to run out and never return rather than face this mess.....

By admission assessments do you mean the admission sheet? This is what I did when I had a patient without this sheet filled out , I filled it out myself , if something were to happen to this patient without this admission sheet filled out I think you would leave yourself wide open for some trouble.....I would definitely tell this nurse that she needs to complete her work and that I was going to report missed charting , incomplete admission sheet and the blood that she was wasting to the nurse manager.....This is wrong on so many levels....I don't know if any of you have ever been subpoenaed for a malpractice suit or not, I have had the misfortune as a nurse to be subpoenaed four times.....EVERY name on that chart will receive a subpoena , you will be taken into a huge board room with hospital lawyers, patient lawyers , doctors lawyers , hospital administrators .....They will pick apart every word or punctuation that you have written.....It is mind boggling to experience something like this ....What I am getting at is to ALWAYS protect yourself .....If a nurse is not doing her job , correct what you can by filling out that admission form , etc and tell the nurse manager .... If you are the misfortunate soul who follows a nurse like this to save yourself by doing what she did not do , not only is she going to be subpoenaed everyone else will be to including nurse managers , charge nurses etc....

If you are smart you will learn from this experience , change your attitude , stop using the race card as an excuse , learn to follow the rules and not make excuses for not following them...Nursing is tough , these rules in school are in place to determine how you will perform in the workplace when you become a nurse and weed out the students who make all sorts of excuses for not showing up on time , or at all......So what if you are an excellent student , if you cannot follow the rules what are your instructors supposed to do ? If the other students can make it to clinicals on time why shouldn't you.....Good luck to you , I hope that you will take these suggestions in the manner that they were intended , ie, to help you to understand that you need to change yourself and not expect those around you to change the rules for you.....

If I had to pick up cans on the side of the road to make a living I would leave this place immediately....This is inhumane treatment of the nursing staff....LEAVE!!!

If I had been the nurse giving you the report I would not have minded explaining to you about the ECG , leads, bathing , etc....It is ALWAYS better to ask about something if you are not sure ....Do you go the night before and review your patients ' chart , make a medication list etc?

Learn by your mistakes , sometimes mistakes are the best learning tools ....If you make a mistake(all nurses have made mistakes) , own it , correct it if you can and move foreward but learn from that experience....

I agree memorization is key especially with conversions from mg to gm , gtts to ml , etc....Once you have those down you will be able to calculate dosages easier....I would suggest that during your career that when you do have to calculate a drug that you ALWAYS calculate it twice...I was a nurse for 41 years and I always calculated my drugs twice....Even if something comes up to you calculated by the pharmacist , if you are not familiar with that drug , calculate it again ...In my career I came across several mistakes made by the pharmacist.....In the end , it is on you , not the pharmacist....

Have you memorized your conversions, ie, mg's to gms , gtts to ml , etc.....If you memorize those you will not have as much trouble with your drug calculations.....

I did my patient teaching and felt like my responsibility ended with my last sentence to them....I even told a few of them that my responsibility ended with my instructions , they could benefit from my education and experience or choose not to , their call....Sounds cruel but what else can a nurse do ? It is up to the patient ....

From what I have read the surgery must have been for an ischemic bowel....Poor little girl had been having fecal impactions , ultimately developed multi organ failure ) liver and kidney failure), internal bleeding , DIC ....RIP Jahi....