anurselpn

Starting on a cardiology unit. Post op and pre op cardiac patients. I'm wondering what are key objectives I should have for this unit. What do I NEED TO KNOW before I start. I was told to research cardiac testing. I will have ECG training, which I partially have. I've been a nurse for 12 years. I've worked mostly in medicine. The first unit was a heart and stroke step down unit. I worked in a small rural hospital in which I wore many hats from nurse, desk nurse, clinic, er. I took some time off during covid due to depression. I now work in rehab. I'll be starting a new job in medicine and at the same time starting on a cardiology floor. I would like some advice on whatvto know before I start on the unit. I now how 10 days to prep since my daughter tested positive for covid. Thanks in advance for all your suggestions.

I'm looking to get some advice. I recently accepted a new position in the hospital where I work. I was a nurse/ desk clerk and accepted a position as nurse/ ambulatory care. The manager in acu (ambulatory care) told me I could keep the clerk position and do acu as there are only 4 shifts in ACU every 6 weeks. She also told me they wouldnt put my old job up right away, but the job was posted within a week of me accepting the position. After 9 shifts, 8 of those being orientation in 2 months I decided this acu job was not for me. On top of that the hospital had just hired a new nurse/ clerk. My manager ( different from acu dept) said I could probably return to my old job. Unfortunately after speaking with other managers she told me I would have to wait for a new job posting. She did tell me she wanted to see what the chief nursing officer would say first. Although the chief nursing officer is off sick. I went to my Union rep. The union rep stated that I had passed my 30 days. I felt that I should had a meeting at 30 days to see where I stood, although Union states its my responsibility to have said something and not managements responsibility. I'm not sure if I can grieve this. I'm not sure where I stand and what I should do from here. Can I win? Can anyone help me.

I need some advice. The hospital i work in is still a bit old school compared to what I'm used to. I was working in a new hospital with an automatic dispensing unit for meds. Now at at my new job its all paper based and I'm still getting used to it. I just got back from lunch and the health care aid told me that my patient wanted something for pain. My med cart was gone to the pharmacy. I went with another nurse to look at the order I quickly looked at the prn and I saw 2 mg hydromorph subcu. I didn't have any in the cart. Went back to the med room got a vial from another nurse. Wrote it in the narc book (took 1 vial 6 left). I got my 1 ml of 2mg ready. I thought about it and his regular dose po is 0.5 mg. As I was leaving the med room my cart was being returned so I double checked the order and it said 0.5mg so I corrected my syringe according, forgot to get my waste witnessed. Gave my patient the correct dose. I had written on mu report sheet 2 mg given without thinking and charted this. I couldn't sleep all night thinking about this so the next morning I amended my note saying I actually gave 0.5mg but when I went to the narc book someone had written over my 6 vials left to 7 and there wasn't any room to write that I wasted, plus no one saw me waste. I feel terrible and its bugging me so much. I know what i did was wrong, lesson learned. I don't know what to do now though.