rpsychnurse

I'd have to see the patient to give any specific advice, to be honest. That being said- I wouldn't use a 1 1/2" in the deltoid in your situation. I've hit bone with a 1" on a frail elderly man before. Go back to the pharmacy and ask for a smaller ne...

I'm in the same boat as you! Complete introvert here and I feel like 80% of my job makes me uncomfortable because I have to deal with people. I don't have much for advice- I just try to make the most of my alone time on breaks and at home. I also try...

Don't blame your previous company or tell stories about how bad it was. It doesn't matter if it's true- most people won't care unfortunately. If they ask why you left it's enough to say that it wasn't a good fit with your values or something along t...

I haven't been in your position - at all - but I thought I'd chime in because no one else has yet. I have a little baby (9 months old) and I went back to work when she was 6 months old. I think that if you have a lot of support, mostly from your hus...

Med errors are not uncommon and not unexpected. Be honest with your preceptor when you go back so she can help you work to prevent any future errors. What happened to make you think you made an error? Figure out what you can do differently next time!...

As a Registered Psych Nurse in Canada I just want to chime in! If I could go back I wouldn't take the RPN program again. It really limits your future as a nurse and I'm regretting it now. I would go for your RN and then work in psych- you'll have muc...

Our docs will occasionally prescribe PRN antipsychotics without a scheduled dose and I think it can work quite well at times. Talk to your doctor about it- why does he do it? Just because it's a big push to get rid of antipsychotics doesn't mean it's...

You've had one shift. Just one. You should feel overwhelmed! You're not expected to get it yet! But it will come quickly- don't worry! Write down questions you have, ask for help whenever you need it. Watch how the other staff get through the shift- ...

Hey! I've never had a peer interview but I would try not to stress. It sounds to me like you did well in your initial interview- otherwise they wouldn't have scheduled the peer interview! I imagine they will mostly want to see how you communicate w...

I completely understand where Amber was coming from- but I think she should have handled it better. Just hanging up on the other nurse was quite rude. I think she should have explained her situation to the other nurse and told her she would call back...

I set a couple of alarms (just in case- I'm often up by the first one) and have my Keurig auto set for when I wake up so I can make coffee right away! I work exclusively day shift (0645-1500) so I guess I'm just in a pattern by now. I also have a ba...

Are you asking for which medications are given at bedtime AND affect blood sugar at the same time? Depends on whether or not your patient is diabetic! Lantus/other long acting insulins, some sliding scale insulins and oral antidiabetics could all be ...

That sounds like a poorly done admission! Usually we have med orders before the patient even gets to us but if we don't I will get them from the on-call doc. I wouldn't give anything or enter anything without orders, personally.

I would recommend speaking with your manager about your concerns and, if she continues to accuse staff, I would go to her higher ups with the situation. Best of luck.

Regardless of why you left your previous jobs I wouldn't lie about them to future employers. You could omit them from your resume- but if a future employer asks about where you have worked previously I would tell and and just explain that you left as...

RPN checking in! You would not be able to get licenced as an LPN as far as I know. However- you could apply for LPN positions in areas you're qualified to work in (everything except peds and obstetrics), I suppose. I can't imagine you'd have much suc...

I just want to chime in and say that you may be disappointed if you think you won't have to do all of those things in assisted living. The patients aren't as acute, but you have more of them and far less support staff than hospitals. You won't (likel...

We have 50 beds and are staffed quite well, in my opinion. Days: Two LPNs (they split meds/treatments for all residents, one goes home at 12), one charge RN, and 7 HCAs (6 take assignments and one does the baths). Evenings: One LPN and one RN (they ...

I know wood anything in our hospital is frowned upon by IP&C - because of its porous nature I think.

I feel incredibly safe reporting errors/near misses/incidents of any kind. I do work in Canada, however, and I think we have it a bit better here in this way. We have a great online reporting system for incidents affecting patients where you can choo...

You'll become more efficient with time- don't worry! Co-workers faking vitals and blood sugars is very serious. I would report it to your superiors and don't fall into it! It will take a hell of a lot more time to deal with a patient in DKA because ...

I have no experience with agencies but I would recommend applying for jobs in rural areas to increase your chances of a callback. Good luck!

I'm going to agree with charting- it's so time consuming! Also- phone calls and processing orders. We don't have a unit clerk and it's an insane amount of work on top of everything else I have going on. If I could just get rid of the clerical stuff ...

You're completely entitled to your opinion about LTC- but I found it a bit offensive that you said LTC doesn't require critical thinking. I'm not sure where you worked but as a charge nurse in LTC I'm critically thinking all day everyday and - my job...

I don't know if nurse manager means something different where you are located but here a nurse manager takes on significant responsibility. Usually years of experience is required- I'd be very wary of being offered a management position as a new grad...