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Yes, and the patient is fine!

Bump!

Hi everyone, I have been a nurse for 1 year and just had a question about a situation, wanting to make sure I did the right thing. A patient was sitting up at 90 degrees eating, talking on phone as well (yes, while eating) and began choking and then started vomiting. Patient already had suction at bedside due to swallowing issues and confirmed silent aspiration. I was in the room at the time and began suctioning the patient. I pushed the emergency button to get help immediately after I started suctioning. I suctioned the patient for several minutes until they could speak clearly and they said they were okay. Cleaned patient up and checked on them again about 10 mins later, they were asleep and appeared in no distress. I told the MD after and wrote a note. Vital signs taken shortly after were okay. I don't remember really being scared, everything felt instinctual. I just want to make sure I did the right things. Is there anything else I should have done? Would you have done anything differently? Thanks

And that's because I do want to get the good solid foundation before I go back to school. I'm just trying to think ahead and figure out the smartest way to do it so that I can come out with minimal debt.

Thanks guys! I wasn't planning on going back immediately. I'm thinking about a year or more from now.

Hi everyone! As the title says, I'm thinking about going back to school. I graduated with my BSN in May of 2017 and have been working full time since. I worked in post-op Ortho with Med Surg overflow and now I'm working full time in an acute inpatient rehab. I absolutely love rehab. All of my nursing experience is with the adult population. I want to go back and get my MSN. I'm leaning towards doing the ACNP route because I have no experience working with children and do not desire to treat that population. Don't get me wrong, I love kiddos and want my own in the future, but I just don't have an interest in pediatrics or anything like that. Which is why I don't really want to do FNP, unless I can get in somewhere that only sees adults. I'm also looking at the financial aspect of things. I currently have $10k in student loan debt from my BSN that I have started paying on, and my payments are $102 a month. The hospital I work at will pay up to $5,250 a year in educational reimbursement. I want to avoid going into any more debt if at all possible, but in order to do that I would have to hope I get some scholarships and completely wipe out my savings account and start over. Do you guys think I should take out some smalls loans and utilize my hospital's reimbursement and apply for scholarships to help me, or do you think I should use the hospital's reimbursement and my savings to pay for school?

If the patient would have been more unstable, would a rapid response have been appropriate? I just want to know if I am ever faced with this situation again

Hi everyone, I am a new nurse, have been on my own for 2 and a half months. I recently had a situation in which a patient with chronic stable Afib stated that they felt themselves go into afib. I promptly called the doctor and got an order for an EKG and put the patient on telemetry. EKG showed Afib RVR, called back and reported results. I gave a fluid bolus after which did nothing. I called again and reported this and received orders for a Cardizem bolus. I had never given Cardizem before so I got someone to help me do it. Patient had a stable BP and denied chest pain and SOB. They were then moved to a different unit to be put on a drip. Patient is fine. I guess I am just happy in how I handled the situation being a new nurse and especially one with anxiety. Have you been in a similar situation? Would you have handled it differently?

It is, and it does count.

Thanks everyone for the great advice. I feel better knowing that how I feel isn't abnormal. I'm hoping that seeing a counselor for my anxiety will help me too.

Thank you!!

That's awesome! í ½í±Œí ½í¸Š

I did a new grad program and we had 3 days of simulation and a TON of mock codes. For some reason I'm still anxious though.

Well, they did. Not sure what else you want me to say.

Thanks! That's great advice. I know I get ahead of myself in my thoughts due to my anxiety. I just have to find a way to reign it all in. I am seeing a counselor in 2 weeks - hopefully that will help me too.