TexasRN89

I know that holding BP meds depends on several factors such as ordered parameters, patient's status, med class and dosage, patient's VS readings, etc. But when does the DIASTOLIC reading come into play? I've been told that in most situations, BP meds would be held if SBP is

My current company will be merging with a HH company by 2019. We have outpatient therapy at my hospital but no actual outpatient clinics so no outpatient nursing. I've looked into places like Kelsey Seybold and other office/clinic type settings and have applied. I think something like that would be exactly what I'm looking for. Fingers crossed I get a call back!

I've definitely considered case management but all the positions I've seen were for more experienced nurses 3+ years

I considered float pool and prn but I need health benefits and most that I've looked into don't offer them.

Honestly I think it's just my current position. It drains me and makes me rethink my whole life when I go home after every tough day (which is 99% of them). I've been wanting to go back to school but just haven't had the money for tuition because my husband lost his job and finances have been tight.

Do you also work rehab or are you on med-surg? I swear it's what's burning me out. I've only had my license for 15 months and I'm already reconsidering my career

I like my current job on the days I only have 6 patients haha but I don't like the management and the way they do certain things. But I guess that comes with every job, right? I didn't like psych because it was too... Too much drama. Also, they put me on the adolescent unit a lot and I don't particularly like working with children/teens. I like home health but the company I worked for didn't pay well and I paid more in gas than I did on my bills.

I've been working at a rehabilitation hospital for almost a year now. I absolutely hate it. I have for most of the time I've been here. I don't know if bedside nursing isn't my thing or if it's the patient load (usually 8) or if it's just the company I work for. I have, on several occasions, felt like I made a mistake going into nursing period. I've expressed my concerns to my coworkers and they have told me that I just need to find somewhere else that makes me happy. That I'm only feeling this way because of this place and this specialty. I have no idea what specialty I want to switch to, though. I tried psych for a couple of months and didn't like it. I've done home health for a little while but it doesn't pay well. I've been looking on indeed for some ideas and almost everything on there in my area is home health. Someone... Please help me P. S. I'm a fairly new nurse so I don't have enough experience to apply for many of the interesting positions I see available. Plus I only have an ADN. So that definitely doesn't work in my favor either. I'm trying to get things in order to go back to school sometime soon.

When I chart something in a patient's EMR and then go back and click the option to unchart due to an error, will the Uncharted response stay in the patient's medical record? Or will it be erased and show nothing... Like it never happened? Like when the patient gets discharged and their EMR is finalized and closed.

I work in psych and I just started working at a facility about 6 weeks ago. They are going through some major mangement issues and changes (a lot of top dogs are leaving or have already quit). As a result, staffing is so incredibly disorganized and messed up. Several people have picked up extra shifts and then on their days to work, management tells them to go home because they have too many hours. This makes no sense to me whatsoever but then again they act like they have no idea what they're doing! I've spoken to several nurses and found out that they are notorious for putting nurses on units to care for up to 30 patients by themselves. The difference is that they are seasoned nurses with 5-20 years of experience and I'm a new grad and have only been a nurse for 2 months! Yesterday I was left on a unit by myself to care for 20 patients. I wanted and should have invoked safe harbor but I got a supervisor's help for most of the day so it made the workload for me a little lighter and it was manageable for half of the day. I refuse to be put in that situation again. I'm supposed to work again today but I called in this morning. My manager gave me a long speech about how irresponsible it is to call in this close to the time I'm supposed to work and that because of it I'm going to get written up. Yes. I agree. I should have called in earlier and that is irresponsible of me to let them know at the last minute. But in a way, they did it to me yesterday. They didn't let ME know until the last minute that I would be alone on the unit. That I would be short of a nurse. If I don't show up today, the nurse on the unit that I was supposed to work with will have to be alone just like I was yesterday. They didn't care that I was alone. Why do they care that the nurse that'll be there today will be alone? She's been a psych nurse for many years and has been left on a the unit several times before. I talked to her to let her know that I wouldn't be there today and she said she would manage without me if they don't get someone to help. I want to quit because I don't ever want to be put in that situation again and I know for a fact that it will happen again. It might be a stupid question but here it is: would anything happen to me or my license if I were to just quit without a 2 week notice? I'm not quitting and abandoning my patients on the spot like I wanted to yesterday but I had no one to cover for me and stayed. I'm scheduled off for the next couple of days so I'm planning to go up there and do it on one of those days so that I give them plenty of time to get someone to cover my position if need be. Any help would be appreciated!

Of course I read everything that was given or made available to me when I applied for my license and when I signed up with Pearson Vue. I don't recall reading anything about what would happen in a scenario like the one I am in now. I'll try to figure things out myself. Thanks anyway.

I've taken the NCLEX once already and failed. I registered and paid both the BON licensing fee and Pearson Vue exam fee again. I kept rescheduling my exam date because life got in the way and I fell behind on studying. I'm still not ready but my second ATT is about to expire in June. Once it expires, do I have to repay just the BON licensing fee and then just reschedule my exam date with Person Vue or do I have to also repay for the $200 Pearson Vue exam fee too? I can't find any information on the TXBON website, the Pearson Vue website, or the NCSBN website! I don't want to have to just take it and just hope I pass only to have to retake it a THIRD time! BTW: I'm taking the NCLEX RN and I'm in Texas.

I've taken the NCLEX once already and failed. I registered and paid both the BON licensing fee and Pearson Vue exam fee again. I kept rescheduling my exam date because life got in the way and I fell behind on studying. I'm still not ready but my second ATT is about to expire in June. Once it expires, do I have to repay just the BON licensing fee and then just reschedule my exam date with Person Vue or do I have to also repay for the $200 Pearson Vue exam fee too? I can't find any information on the TXBON website, the Pearson Vue website, or the NCSBN website! I don't want to have to just take it and just hope I pass only to have to retake it a THIRD time! BTW: I'm taking the NCLEX RN.