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ICU vs. assist. nurse mgr......
What do you think, fellow nurses? I have been a nurse for >5 years now, and I'm ready for a change. There is an assistant nurse mgr position open on m current floor, but I am not sure if I want to do this or proceed to ICU. I need to learn. I need to change something. Please fellow nurses - give me your feedback! :)
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Needle Stick Injury on HIV+ pt
I am so so sorry you are going through this - you are not at all overreacting. Please know we are all thinking of you - keep us updated. -- Hugs --
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Quirky Habits?
I have to set my clock for a time that "feels right". Strange, I know. . .
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Day/Night with young children at home
The thing of it is that the day/night part of it will be a 70/30 mix. 70% of your preferred shift, and 30% of the less desired (nights). And I've been told that there are enough RNs there that like to work nights, that they will often trade. I trust the source - it has been repeated and repeated - I know the NM personally. Thanks for all of the replies!
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do you skip your lunch break routinely?
All of the time. There are days that I don't eat until 3 or 4pm, and even then it's just a snack.
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Day/Night with young children at home
So I am looking at transferring to another unit at the hospital that will require working day/night. I currently work straight days. I did the swing shift deal when I first started nursing, but I had no kids at the time. (My kids now are 1 & 3) Does anyone out there have encouraging words or advice for me? I would really like to take this new job - it would be a great learning opportunity. Thanks in advance!
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The worst code you've seen?
I was the charge RN one weekend with a patient assignment and an orientee. As charge RN, I was helping out another RN by transferring her patient to another unit to initiate bipap (can't do it on our unit). This patient had some sort of bowel resection, and was currently minimally responsive, febrile, etc. (Next time I will forgo transfer and call rapid response :) ) Fast forward to arrival on new unit: slide patient onto new bed, patient begins to spew froth from mouth. EKG patches slapped on, beat...beat........beat.....................call the code. On another unit. With an orientee, oh my poor orientee. This was a rather large woman, with a wound vac on her large abdominal incision. With each compression the contents of her bowels sprayed out. She transferred shortly thereafter to the ICU, then to the OR (perfed bowel - go figure), and eventually passed away. And to this day I still can't help but wonder.....what if she would have coded in the elevator??
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The worst code you've seen?
This did indeed give me goosebumps - AMAZING.
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The worst code you've seen?
Hello fellow nurses - I have been a nurse now for almost 5 years, and I've seen quite a few codes. So I am wondering: what is the worst code you've seen/been involved in?
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The worst code you've seen?
Hello fellow nurses - I have been a nurse now for almost 5 years, and I've seen quite a few codes. So I am wondering: what is the worst code you've seen/been involved in?
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how long is your commute?
90 miles round trip/50 min-1 hr (depending on parking/traffic)
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DNR - What would you do?
Very ill, 50-some year old man, single, no children, few friends, unable to walk, many, many health strikes against him. This patient is VERY ill, and at one point was DNR. Since this admission, code status has been changed to full code. Patient refused nearly all meds, treatments, and cares today. Begged to die. Wants to die. Wants a DNR status. Patient can be confused at times, although at the time of these statements and conversation with physican and sibling POA, patient is lucid and knows where he is, what month/season it is, etc. Sibling asks pt right out "what do you want to do if you stop breathing - do you want tubes to help you breathe?". Pt states "when it's time to go, it's time to go" and continues to restate "no more treatment" and "let me go". DNR order never gets written. False hope given to family members. My hands are tied. What else can I do for this pt? I continue to reassure him that I am there to make him as comfortable as I can and will do all that I can for him...All the RNs on the floor are frustrated as well. Anyone have a similar experience?
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Need some support
I can relate to how you feel...I started my job in July as a new grad and hated it pretty much from the beginning. I too wanted to quit...I would cry before the shiftand contemplate calling in sick...I started looking around at other hospitals - even went on an interview - but in the end I ended up staying where I started. It turned out that what they say is true - it DOES get better after 6 months! Listen to your gut and your heart - if your heart isn't in it, it's impossible to love the work/patients and do a good job. I just tried to look at every patient as a great new learning experience and did all that I could to make them comfortable and happy w/ their stay. Look at your unit, your patients, and your co-workers - I have some of the greatest nurses working around me that it would have been a mistake to go elsewhere. Best of luck in whatever you decide to do - keep us posted!
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first week of night shift over...
I work a day/night rotation, so I get to see both worlds of nursing. I hear day shifters complaining about night shifters, and visa versa. I just stand back and smile, because I know the world of both! I try to do my double checks and other "night shift" duties during the day, but a quite busy. Day or night, we run our tails off!
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Essentials of Critical Care Orientation via AACN online...
Does this cost anything? Or do you need to become a member of the AACN?