RelleyRN

When I finished nursing school I was so unbelievably excited. For the past 3-4 years I have had a new job every 6 months trying to find my "niche". I felt like I didn't get enough pt interaction in outpt. For the past three months I have been working 7p-7a on a med surg floor and I am MISERABLE. I cry before going to work and also most nights during when I find out I'm picking up a patient and getting an admission when I haven't even assessed all the ones I have yet. I do nothing but catch up on sleep on my days off and cannot sleep at night no matter what I take. My fiancé said he's been doing everything, he feels unappreciated , & he hasn't seen me smile in months. I need to find a new job but it isn't easy with my resume and also I'm an ADN nurse that recently started working on BSN. I just want to find a career in nursing that makes me happy, I'm starting to think it isn't possible. Has anyone been in a similar situation and found something pt oriented but less physically/mentally/emotionally draining?

The patient did not receive any benzos, opiates, or antipsychotic in the ED. RR & sa02 were wnl

Hi all thanks for your responses. The background is the patient developed SOB after dialysis at a SNF. Admit dx COPD/CHF exac. He was on tele, sinus brady in the high 50s throughout the night. During the sternal rub it was reading vtach but unsure that was accurate. It was his arms and fingers that were contracted. The physician was notified but by the time he got to the floor the pt was waking to verbal stimuli, although his speech initially was unintelligible. He questioned possible seizures. I'm wondering if NMS was starting DT pts renal failure.

I was working on a med surg unit and rec'd an admission through the ED. I was told the patient was alert and oriented. When the patient came to me he was agitated, confused, combative, refusing care, and disoriented. The physician ordered IV haldol 1mg q20. I gave it twice a couple hours apart. When I came in an hour later to give medal, the patient was contracted and not responding to sternal rubs for about 5min, all VS completely normal. Has this ever happened to anyone? The patient was fine, but now that I'm researching I'm seeing several things about Haldol not approved for IV use. I'm a new med surg nurse (background pedi and oncology), but my preceptor and other nurses did not flinch when I mentioned the order. I also noticed the bottle today said for IM use only.