enfermeratobe

New nurse here I noticed that sometimes nurses on my unit get so busy that they turn off the IV fluids on the pump but the tubing is still attached to the patient. I get it we're busy. I just disconnect. However does this cause any harm to the line? Also how is it that no fluids are infusing once it's off does it clamp automatically in the pump? Thanks sorry if it seems like a dumb question just being new to the profession you worry about everything

Hello everyone I am a new grad working in a labor and delievery unit in a small hospital. On this unit we do everything from antepartum , observation , deliever, c section, post partum. The nurses do it all. My husband is in the military and has gotten orders to do a military schooling for 6 months. Should I stay back and gain the 8 months experience in this setting?(8 months because he won't leave until October) Would it help me to gain future employment in labor and delievery? Or would I be wasting my time. Most people are telling me that I would need a year to even be considered somewhere else I don't know how true this is. Anyways if previous or current nurses can let me know if this would benefit me please let me know. I also have a year of experience in a pediatric office as an LPN. Thank you

Hello everyone new RN here graduated in May passed the nclex the first time in June. I am extremely excited and proud of my accomplishments but so nervous to start my new job. Some background information is I was an LPN for a year in a pediatric office while finishing RN school. I got into the RN program just 6 months after graduating LPN school. I had a terrible experience in this pediatric office. The woman there were horrible to me and very caddy. They would often make remarks about my weight behind my back calling me a fat whale and a fat a**. They would talk about how slow I am giving vaccines and just "slow in general". They would belittle me in front of providers. One example is I one time cleaned six rooms and forgot a cheerio in a bun the nurse came back after lunch grabbed the cheerio showed it to everyone In the office and "couldn't believe I did that and didn't pay attention" even though I cleaned all the rooms so they could go to lunch. We once got a new peice of equipment that everyone was formally trained on while I was in class, when I asked to be trained they just told me you watched the YouTube video on it you should be fine. I eventually got formal training after speaking with a provider about this incident. They got more nasty to me after I got into RN school and couldn't work full time hours. Anyways I left that toxic environment my last semester of nursing school and got hired for a small hospital here for their labor and delievery unit. This is my dream job. As I have to go in tommorrow to do new hire paperwork I am terrified! Terrified I will be belittled again and will be made to feel small stupid and incompetent it's taking everything in me to not deny the position and just not work as a nurse again. I am even more nervous that this is a specialty unit and don't want to look incompetent and dumb. Any advice to gain my confidence back and how to deal with nurse bullies? Thank you for listening!

Hello everyone I am here to ask for advice. I will be an RN graduate in seven weeks omg can't believe those words are true! I have a hospital in my town that is offering a meet and greet with nurse managers from different departments for the new graduate nurse program. Nurse managers from each department will be there ... So nerve wrecking my question is how do I stand out? I am an Lpn and have experience working in pediatric clinic for the past year and really would like to try my luck and see if there's anyway I can get one of the two OB positions available. There are so many amazing , smart, and talented applicants that will be there and I want to know what should I wear ? How to stand out? Questions to ask? Tips in general? Anything would be helpful thank you so much!!

Thank you management has been there for almost twenty years so I don't see this changing sadly. I had a feeling that leaving might be what's best for me at this time. I was going to quit anyways for my fourth semester of RN school so I can do well and finish strong so I think I might throw in the towel a few weeks early. Thank you for your help :)

Hello everyone I am having this battle right now with whether or not I should stay at an office that I am working at now. I am a fairly new LPN only been working for about a year and a few months. I have been working in a pediatrics office as far as peds I absolutely love it and enjoy the kids a lot and the providers are very supportive as well. The problem I have is the nursing staff and receptionists are very close have been friends for 5+ years some as much as 10. They are very clicky. The nursing staff treat me poorly this has been since day one really. I cleaned a room once and there was a cheerio in a toy box I missed the nurse yelled for me brought the cheerio out and reprimanded me in front of the whole back office how I missed it and she cant believe it and on and on.They make snide remarks to me all the time, one person told me im not allowed to use her computer and to get out of standing near her spot and move further to the right and started grabbing my stuff and flinging it to the other side, I am in RN school as well and work part time so it is hard for me to be there every day they make comments how I cant work more even though I do almost all the Saturdays and close Friday evenings and Thursdays to make up for my absence. They humiliate me in front of the nursing staff and providers in the back if I miss something or forget a paper they will yell it out and keep talking about it and make me feel so small. Recently I was told a nurse would say in my absense that i am a "slow a**, Fat and a fat whale". I had a cousin who passed during the summer early 20 in a horrific car accident and I was working full time and still came to work and try to keep it together. I texted the manager and asked her if I can go home after lunch since I was very upset and grieving and tearful and the response was that only leaves us with two nurses and two aids no sympathy no help I was very upset. The nursing staff always have get togethers and post on fb and I'm never invited they do not greet me when I walk in for a shift and only speak to me really if it regards me covering shifts for them. They never ask how school is going how I'm doing or even how wedding planning is coming along as I just got engaged. When I started school they just became even more mean.I dont know how much more of this I can take the list goes on and on. I feel like I can try and tough it out until I graduate RN school or maybe count my losses and cut some negativity out of my life. They can never keep nurses and the turnover is very high except for the original ones I mentioned which know I think I know why. What should I do? I try to be respectful and nice but there is only so much I can do. I always take shifts when possible, come in so they can go to their doctors appointments and always stay late and close im not perfect no one is but I just want some respect and a friend. Ps I have no one to really talk to as we are military and moved far from home and I am still trying to make friends I can trust 😔

Hello everyone I have clinical tomorrow and I am a bit confused on a medication I am suppose to be giving. I need to give solumedrol 1,000mg in a 250 ml. D5 bag with an adapter vial. I have no primary running that I can see based on the patient chart. Would I just hang this with a primary IV line? I would think normally I would give this piggyback however I dont see a current primary line running. . Thank you everyone!

Hello everyone I need advice on how to perked my psycho motor skills in clinical. I know the steps of what in doing and what needs to be done but I just turn to mush and stumble and kind of a fumble mess when giving meds. This is my third semester and I am an Lpn allready. My instructor keeps saying psycho motor schools is what I need to improve on. How can I do this? I feel so discouraged and embaressed about myself for some reason this has always been an issue for me. I tend to describe myself as more "book smart" than "skill smart". I also have anxiety disorder which doesn't help. Thank you!

I geuss my biggest things is sometimes I get confused on how set ups should go like if I have a primary running and I need to know whether to give something piggy back or disconnect it completely and give in two different lines or I was looking up things about y ports as well.i understand we always check for comparability with the med and whatever is running and we flush and assess iv lines before administering the meds but how do we know whether something I so Inc on as a piggy back or I need complete new line.

Hello everyone third semester nursing student here. I was an Lpn first and then transferred into this program second semester. In Lpn school we never went over iv how to use them set them up nothing like that. Students learned how to use them first semester a large overview. I had to learn as I go and never got a formal lecture.My clinical instructor wants us to know them perfectly or we can possibly get a clinical fail. And my instructor intimidates me so asking for help usually backfires on me. Yes I have practiced in the lab , yes I have looked up some material on it but not having a formal long lecture on the overview of it kills me. Does anyone know any good YouTube videos reading material anything to help? I passed my competencies and understand the fluids what there used for , how to prime and set up, piggy back infusions , rates and what not but I feel confused when seeing orders and knowing how to set up the iv if primary are running what tubing to use secondary or y ports. Thank you for your help just want clarification!

Thank you I understand the not calling attention to yourself but this is third semester and I have had no issues so far with anything and yes I know distractions in the real world do happen and that I understand but when others get a quiet testing environment with no distractions and I get a hectic one where I can't even read the questions it really irritates me our exams are worth 90% of our grade this semester so it's hard to ignore the fact that this did not ease my stress level to say the least I do have anxiety issues and this did not help unfortunately

Thank you our tests are worth 90% of our grade so it's very frustrating and the fact that students got to see the questions on the exam and then allowed to come back in and finish it just really bug me

We had our first exam about a day ago and we do all our exams online. I got to class and we were told to open up our computers and start the exam more than 1/2 the students exams didn't start or were freezing up mine had started perfectly fine we have a timer for one hour to complete the exam. I started my exam and more and more people couldn't login. People started raising there hands talking to the teacher , whispering to each other and talking the teacher stopped the class and sent the ones who's didn't work outside the classroom. Then came all the noise of people coming out the classroom and coming back in. People in the hall were laughing and talking and talking continued in the room. It finally got quiet for about ten minutes and then students test crashed halfway through the exam they started talking again they then got up and left the classroom to be able to come back in and test later. Meanwhile the clock is still ticking for my test. I finished frustrated annoyed had to read the questions over and over again the students who's didn't work got to take it the next class. I am mad because I didn't do as well as I know I could have due to all the noise and hustle and bustle my other concerns is students got to finish their test after it disconnected halfway through so who is to say that they didn't look up answers while in the hall I also found out that some peoples online test highlighted what could have been the answers. I talked to the teachers about this and it was not talked about and nothing was fixed I am thinking about talking to the dean am I overreacting or do I have a right to be upset? Thank you for listening to me vent

unfortunately our teacher only gives us a certain set of labs I see the WBC is elevated which could indicate infection hgb and hct are low which I assume is from blood loss during surgery if the patient has had surgery electrolytes are off as well which can be due to pouch not processing electrolytes correctly if its inflamed .I was not told whether or not this patient has recently had surgery or if they were a readmit due to complications which leaves me guessing. The nursing dx I feel were appropriate were risk for imbalanced nutrition, risk for depression, risk for dehydration and electrolyte imbalance due to diarrhea I see this is tied closely with ulcerative colitis I just want to make sure the way im reasoning this makes sense. Thanks for your help! :)

Hello everyone I need help with my clinical write up I have a patient with pouchitis which is the first time I've ever heard of this before I am having a hard time finding why my patient has low hgh , rbc, low k , low phosphorous i am looking online and do not see much information about this dx any thing will help thank you