MS._Jen_RN

Thanks for the update! You have done a fabulous job. You have set a wounderful example for your daugther. Keep on keepin' on. You can do it.

Today I pulled together the discharge for a patient that was so happy to be able to go home she did a little dance in the bed and said, "OOH, OOH give me a hug!" She works as an "exotic dancer". So, I got to come home and tell my husband that I hugged a stripper today. She had a rough hospital course for a traumatic event and has many issues in her life. I was happy to have made this day a good one for her.

Sterile water meets United States Pharmacopeia standards. Tap water should not be used; it can and often does contain contaminants, including pathogenic microorganisms, pesticides, pharmaceuticals, and heavy metals that might interact with a drug and reduce its bioavailability. How is this dfferent from swollowing medications with tap water (i.e. taking a pill)? And as for not mixing them- as my Mom told me about my carrots and mashed potatoes touching- they are all going to end up in the same place. If you push them in succession, aren't they going to mix in what ever spot the tube is positioned? Gastric motility isn't THAT fast.

The most gracious way, in my mind, would be to suck it up, go in for your shift tomorrow, but tell management before you start that this will be your last shift. Tell them exactly the reasons you've written here and voice your regrets and apologies. To quit right before your shift would be a terrible way to leave people hanging. A no-call/no-show would be even worse. If you could even possibly want a position at this facility in the future as a staff RN or NP (any time in the next 5 or so years anyway) I'd give 2 weeks notice.

It could be a normal healing reaction. Sometimes the incisions, especially those with staples, seem like a small ridge. They sometimes also get a red-brownish color immediatly around the incision. These both tend to fade away in a couple of weeks. But, as others said, keep infection in mind too.

Nover smoked, tree-hugging, bleeding- heart, left of democrat liberal.

Me too Chenoaspirit. 3rd semester, BSN program, 4th year at the university. I was lucky to have a good PCP who recognized what my "real" issue was. (This after a few visits for various symptomatic conplaints all related to the anxiety/depression). Retrospectivly, there had been an issue for some time. I truly believe that his actions that day saved, if not my life, then a trip to the local psych ward.

I'm an ACNP who works with the Orthotrauma/Orthopaedic Surgery team in a level one trauma center. I don not act as the person doing primary consults in the ED/ER but do assist with procedures there from time to time. My main role is to provide care to the patients who are admitted to the inpatinent side of things and assist with inpatient consults. I also help with discharge planning. There are 2 NPs at our hospital who work with the General Surgery/Trauma surgery teams, one with internal medicine, and 2 with palative care. Hope that helps. ~Jen

My former employer had a color-coding. At first I thought it was silly, but I grew to really like it- for many of the reasons stated above. I currrntly work as an NP in a different facility, I wish there were color coding, especially when I need to go to a unit I don't go to often and I don't know the nurses well. We are going to have a magnent visit, (the document has been accepted) and if it were a requirement, I'm sure they would have looked into it. S

I had NUMEROUS problems with the ANCC and the state of Michigan. I graduated in Aug, took the test in Oct, no license until FEB. (Yes, Feb) Basically it took repeated calls, messages and near the end getting a little nasty.

Something to be aware of -I know that you said you are just straight forward and honest. But, I've met some people who thought the same thing about themselves who really came across as contrary and abrasive. I'm not saying that this is necessarily the case for you, just something to think about. Sometimes being "just honest" can be hurtful. Granted, some people are more sensitive than others. I find it helps to force a little pause in myself before I reply and to be especially careful to do this when I'm extra stressed. As others have said, take care of yourself. Good luck, I know feeling anxious and agitated is miserable. Jen

I've seen more than one truly subcut injection leave a hematoma/ecchymosis. The only thing that would lead me to thnk it might have been IM is the location. I'd ask the other nurse about it. You can give subcut in the back of the arm as well.

Do you know a friend or a couple who could use a little help with their bills? Would they rent you a room in their house? One of our friends is renting our guest room and it's great for all of us. He has a cheap place to stay and we have a little extra $. You may want to think about down the road when you are doing clincials and such, you might have to reduce your work hours, so plan ahead. I know lost of people who had/have roomates.

Thanks, I guess that I never thought of the ANCC as a business.

I'm glad you feel better about your decision. You did the right thing. Too many professionals feel bullied into making exceptions that should not be made. As a motorist on the road with those people you examine, I thank you.