txnursetrb26

Talk to the administration at your school and let them know it goes against your license and ethics to see this happen and not take action. See if they have any constructive ways to help improve the issue. After all, isn't they were to go on and get in an accident, that would be considered neglect on all professionals that were aware and allowed the situation to occur.

I started as a GN in IMU/Tele. Our max ratio is 5:1, but we limit the patient:nurse ratio for certain gtts (cardene, insulin, etc). Still here, kicking 1.5 years later, and it's been an amazing experience. We get 18 hour post op CABG and AVRs, stroke, MI, ETOH, falls, trauma, gi bleed, pretty much everything PP said. Every now and then a suicidal pt too. It's a very interesting mish mash of pts. Never a dull night for me and always an opportunity to learn still. One thing I hear the seasoned nurses on my floor say a lot is don't freak out because tele called to say your pt had 4 beats of vtac. Assess your pt first before all else. Take notes and try not to ask the same question repeatedly because to some people, that indicates that you aren't retaining the information. But don't do anything you're unsure of either just because you feel like you can't ask. It's a rough but very enlightening few months and I wish you the best!

I agree with some of this being a computer/pharmacy issue. Ex:pt is admitted at 2300, new orders start coming in to give metoprolol 25 q 6. First dose is put on computer for 0245, all other doses are at 45 on the hour. Pt has scheduled pain med at 0300 and antibiotic at 0400. Guess what? One is going to be given early/late because I'm not going back in 15 min later to wake him up for the 15,000th time. Sometimes our pharmacy can be accommodating about changing times on eMAR if it's daily or q24 to suit pts needs, but some of our pharmacists will tell us we have to call the doc in the middle of the night to change the time, even by an hour. Nope not that important, I'll wake them up. Again lol

Check your hospital policy. I work on a tele floor and the hospital has a policy to call if pt has more than 6 beats of VT. However, one time had pt having 2+ minutes of it frequently (going for AICD) and the EP said don't call unless it lasts for over 2 minutes 😱 I was freaked but he was ok.