nursinghealth

Not only do you not give Nitro without an order, don't give ANY med without an order. It could be a direct order from the MD or a Medical Directive, but it has to be ordered before it is given. If it's not "ordered", don't give it.

Based on what you learned from the responses in this thread, what do you think you would say? Based on what you learned from the responses in this thread, do you think you would want to hold something in this scenario? If so, what? I'd be curious t...

You sound very new. That's ok, we all were at one time. A few things: 1. Get to know your insulins. You need to understand how insulin works before deciding whether or not you should hold it. Lantus is long-acting, whereas Novolog is fast-acting...

This is how it works on our floor. Morphine is only given if pain relief is not achieved with Nitro, and Nitro is only given if not contraindicated based on the results of the EKG.

Sorry guys, I'm new to replying on these boards and I'm not using the quote function correctly. Eeek.

Thanks for clarifying. I should have quoted the post I was responding to that asked what she should do in the following scenario: "If the troponin levels are elevated, what do I do? I know its elevated when there is CP and indicates that there has ...

Definitely call the MD. Don't initiate anything except O2 without either a Medical Directive, existing PRN order, or new order from the MD.

You're correct, I am a new nurse. I have alluded to it in my previous posts. I tell people every day that I have no idea what I'm doing, and I don't know if I'll ever feel like I do... but I'm told that's a good thing. I re-read my response to your c...

I don't understand why you are upset with my apology. It was sincere. Did you infer a tone that wasn't there?

You're right, I'm sorry. I participated in beating a dead horse. Apologies.

While this is true, asking patients if they know who they are or where they are, when they have a history of not knowing (which was the OP's specific complaint), is not going to assist in the assessment of a UTI. Assessment of restlessness, agitatio...

Hallelujah. I understand, my friend. I really do. Thank you for sharing your perspective with us.

I don't agree with this. I don't think the OP was being unreasonable. Yes, some patients and family members can be unreasonable (I've met them myself), but the OP was not. I am a nurse. I understand what nurses go through. But sometimes I think ...

I agree there are more than just systemic issues at play. I believe some nurses are burned out and have lost their compassion, which is unfortunate and unfair to those like yourself and your father. I am a new nurse so I haven't yet experienced this...

I am a nurse and I have been a patient - and the loved one of a patient - as well. I understand both sides. There are times when I hear the call bell ringing for me and I'm literally up to my elbows in poop with a patient, I have another patient wai...

I arrive about 20 min early to get my schedule in order. I eyeball my patients before my shift starts to get a sense of their status, as stated by previous posters. Next, I review the Kardex and get report. My hospital uses pre-printed worksheets. ...

A few examples: Your patient is admitted for a hip replacement. He is on narcotics for pain relief, which can cause constipation, so it's not surprising that he has not had a bowel movement in 3 days. However, you read in his medical history that h...

I think I may just be overthinking. #newnurseproblems

Hello: I'm a new nurse. Two weeks into my first job out of nursing school. I'm on a surgical unit. I remember hearing that nursing school teaches you what you need to know, but you only learn how to actually be a nurse by working on the floor. I can...

Thank you for your response. I communicated the bleed to the MRP when it first occurred and he ordered a CBC. I communicated each subsequent bleed to the Charge Nurse. There were a total of 4 bleeds that day of large amounts of frank blood from her...

Hello: I'm a new nurse. Two weeks into my first job out of nursing school. I'm on a surgical unit. I remember hearing that nursing school teaches you what you need to know, but you only learn how to actually be a nurse by working on the floor. I ...

Hello: I am a new grad working on a surgical unit in a hospital setting. I had a patient yesterday recovering from a bowel resection. She was started on full fluids POD1 and advanced to a regular diet by POD2. I documented BS as hypoactive as I he...

Thank you!

Hello: I am a new grad RPN. I had an interview at a nursing agency recently where they asked me a prioritization question. I was curious how another nurse would answer the same question... The question is: "You just started your first shift at a ne...

I completely agree! The answer depends highly on the context. The only context I would have here is from my research of the patients' charts prior to the shift and report from the previous nurse. I told the interviewer that the context of the patie...