KarenMS replied to Nurse Beth's topic in Nurse Beth
I’m an RN and got pulled to do transport for the ER one night. Not exactly what I wanted to do all night, but I took the low stress, low responsibility of being a very well paid transporter for what it was. It was just one shift
We call all the residents by their first names, and the nurses who have been around a while call the attendings by their first names too. I haven’t reached that level of comfort yet with the attendings, but also some of the nurses may have been around when the attendings were residents, and that’s the only way they’ve ever related.
This isn’t a med error; there’s nothing to report. You did a good job critically thinking about the med vs patient condition and brought up a concern to the doc, who agreed with you and then discontinued the order.
This patient more than likely even took Tylenol on their own at home.
KarenMS replied to AlmostThere19's topic in Nurses
We have an IV med administration guide on our hospital intranet that addresses where in the hospital certain meds can be administered (only critical care areas, OR, etc), dosing, rates. It’s very helpful, but when things aren’t addressed, I am a heavy pharmacy caller.
Not judging the mistake, because they happen of course. Just curious how the little girl got more than 210 even if you hadn’t changed the dose. Wouldn’t you just have put 210ml in the bag if that was the intended flush?
Edit: never mind, I’m thinking you must just have a large bag that you fill once a day and it pulls from that? At my Peds facility, we use smaller bags that we refill all day with each feed and flush, so that’s where my head was.
There’s a terrible facility near me, and my hospital often gets patients from them in pretty rough shape. I don’t blame the nurses or aides; I’m pretty sure they’re doing the best with what they’re given to work with. To brand them “uncaring” without ever working with them would be a huge leap.
I consider myself a “good” nurse too but who knows how I’d fare under different circumstances. It’s easy to be good with the right support.
Hopefully once you’ve developed your nursing judgment a little more, you won’t melt down over something like a lapsed nystatin order. It’s sort of over the top to consider this failing your patient, and having that level of anxiety isn’t great for your decision making/patients either.
Starting IVs is a task; I have NO issue with CNAs being trained in that task. I’m an ICU RN and some of my IVs go bad fairly quickly Its the RNs job to assess them and that won’t change.
Its really not that special of a skill that we have to hold on to it for sake of pride or whatever.
KarenMS replied to Ashley012009's topic in Students
Everyone made it seem like math was going to be impossible in nursing school, but it truly was no big deal. They’ll generally show you a few different ways of doing the calculations and you can figure out what works best for you.
The best thing you can do is really concentrate on what you’re trying to do rather than on memorizing formulas, if that makes sense. Meaning, what are you trying to figure out rather than where to plug numbers...
So, 1.) I don’t really believe this person got their BSN, worked as a med-surg nurse for 3 years plus home health and then graduated medical school by 26, despite the “graduated earlier” story.
2.) I’ve never seen any nurses be actually be mean to new residents, ever. We know they’re going to be there for years; we want to make friends.
For the record, questioning orders isn’t the same as being mean.