Oceanpacific

I had been a nurse for only a few months when I made a serious med error. I was working night shift and had a young diabetic woman who had been hypoglycemic during the night and I had received orders on 2 occasions that shift to give amps of D50 which I gave. Before I left to go home, I did my final med pass and that was to give several patients their morning insulin. For some unknown reason, I went ahead and gave the hypoglycemic patient her morning insulin as ordered. Then I went home and slept for a few hours and I woke up in a sweat. I could see myself giving that poor patient her insulin and I was sure she was dead. I immediately called my unit and the attending to report my error. They said the patient was fine, but that they had been perplexed about her continued hypoglycemia. My shame was so horrible that I knew I could never show my face there again. I had the wonderful fortune of having the physician and my nurse manager calling me to ask me to come back and to share some mistakes they had made. Now, 33 years later, I am still at it and making that horrible mistake made me a better nurse.

Well I'm with the OP on this one. If I pay extra for overnight delivery then I expect overnight delivery. I pay for Amazon Prime and it is great to know I will receive the item in 2 days. No one is going pay overnight shipping if the company doesn't "process" the item quickly enough to ensure prompt delivery. Is it relevant to question the OP about why she ordered overnight delivery? Frankly, she could have been smoking crack when she placed the order, but it has nothing to do with the issue of providing overnight delivery.

I was in udder shock.

One of my guilty pleasures....the joke that ends with, "Rectum? Damn near killed 'em."

Web sight. Everyone has a burden to bare. Bare down. He was bear naked. His sister was unbareable. None of us could bare it any longer.

I recently read about someone who was a "roll model." Do you think it is one of those fake food displays that dietary use? Muffin top? Also there/their and your/you're are common slippery slopes. A patient wrote that she had "high pertention"

This makes no sense to me. I keep nitrile gloves at home and use them often when cleaning. There is no reason what they can't be placed in household trash.

Then I would think that your pregnancy wasn't a factor. It can take a while to find a position as a new grad. If you can afford it financially I agree with others that it is best to have your baby first. Congrats on the baby and completing nursing school.

Truly you should just say no. You can still participate is the social aspect of eating together, but eat what is best for you. If they are considerate, they will support you. If they are inconsiderate, I wouldn't let them rent any more room in my head.

Well, it may sound lame, but the best you can do in this situation is "create your own weather." Having 36 months till retirement is actually a really short period of time. Congrats on your successful career. You can leave a legacy of integrity. Continuing your work with students is a great way to share your knowledge. Focus on something you do have control over and that management won't sabotage. Something like revamping a broken clinical process can be rewarding and attainable. The cool thing is that 36 months will go by so quickly and...just think how much fun you can have when you are 2 days away from retirement and can yell from the rooftops whatever your truth is.

Lots of hospitals are into Lean as an improvement model and use the 5 s concept. Here are five 5S phases stolen from Wikipedia. They can be translated from the Japanese as "sort", "straighten", "shine", "standardise", and "sustain". Other translations are possible. Long story short.....have you ever met someone who not only has their tools on pegboards, but there is the painted outline for the tool and you can immediately visualize what is missing? Well nurses have applied this to all sorts of hospital applications from organizing code carts to designing patient rooms. Usually it is pretty easy to think of a process or area on your unit that is frequently missing items you need to do your work.

Well, any federal employee is subject to random drug testing so that is a huge number of nurses. I haven't been asked to come in for random testing in the 12 years I have been in the system. It is definitely on my mind and makes me walk the straight and narrow. I do take meds which would show on a urine drug screen, but I have valid prescriptions and a prescriber who knows I am a nurse. It might sound silly, but the only illicit drug I ever used was pot and only a few times over 30 years ago! When I retire in 8 years I might just grow myself one plant and check it out without fear. I flew home for Christmas one year and after the 6 hour flight and a 5 hour drive, my back was killing me. My Mom offered me a pain med she had been unable to tolerate , but I didn't take any because I could be in trouble having a drug in my urine that was not prescribed to me. One of my co-workers got called in for random drug testing. She had 2 hours to report for the test and her clinic was a 45 minute drive from the testing site. So, I take the random testing thing pretty seriously.

You know, I have to disagree. My Dad is 80 and fell overboard into icy waters last year and he had a prolonged period of time in the water before he was rescued. During his rewarming at the ED in his rural community, he arrested and was successfully resuscitated then transferred to the trauma service of a larger hospital. His nurse there was phenomenal! About 5 am she was giving him some meds and my Dad asked if he was going to see her again before she went home. She said "Yes, you will see me again, I say goodbye to all of my patients before I leave and, for you, there's going to be a hug." True to her word she came in at 7 am and told him it had been a pleasure to be his nurse and she gave him a hug. Poor boundaries? Maybe, but if I am ever sick, I would be thrilled to have such a talented nurse. My Dad still talks about her and cherishes the Get Well card that she and the whole night crew mailed to him.

Well, it could go down in a few different ways Doctor to Patient: We are going to transfer you to Shady Elms Nursing Home later today Mr. Smith. It is really crucial that we get you into a therapeutic range on your Coumadin...... Patient: Hey Nurse! What to hell happened to my other pack of cigarettes? All I got left is mentholated and those make me gag. Nurse: I hate menthols too! The last time I smoked menthols, I was at that dive bar down on Hamilton Street. Oh crap, what's it called? Patient: The Hanky Panky. God, I'm there all the time. I thought I knew your face from somewhere. Nurse: Well I got so sick there after smoking menthols last week that I was puking in the parking lot. Doctor: [ storms out of the room in great haste. He is purple with rage] Or this scenario: Doctor to Patient: We're going to be transferring you to Shady Elms Nursing Home later today. It's going to be important.... Patient: Hey Nurse, Ain't no way in hell I'm going to Shady Elms. I was there 2 years ago and that place is a disgusting dump. Tell Dr. Moron here that he take Shady Elms and shove it. I bet you wouldn't send a dog there, right? Nurse: Actually, Shady Elms was completely renovated last year and all the rooms are private now. And we always hear great reports from patients about the nursing care there. Patient: A private room? Maybe I'll go there a few days and see if I like it. Doctor: [ Storms out of the room in great haste. He is purple with rage.]

Frankly you could just surrender your nursing license and wash your hands of them. If you aren't seeking a license, they have no jurisdiction in the matter.