dorselm

I worked in acute care for 5 yrs, then I come to Ltc and find that's it's a totally different nursing world that's gonna take some getting used to. Recently I was caring for an 86 yrs old man. The day before the CNA was preparing to shower him and ...

Thanks to all who responded I see that everything that was done in the hospital could have been done in house. I'm learning to put all of the pieces together.

I know just how the OP feels. Though I have experience as a nurse, LTC nursing is new to me and it sucks. At the facility in which I work there is only one vitals machine for the whole 5 floors. They're constantly over staffed. Some nurses get...

I recently went from 5 years of med surg to being an LTC nurse working on a skilled floor. I was told that I would have 5 DAYS of orientation which turned out to be 3. I quickly went on this site and found that that is not uncommon (I had 6 wk of o...

Also, you want to study lab values, you must know what is abnormal because you will need to notify the MD to get orders to correct imbalances. You should try to arrive 1/2 hr early to check the labs, vitals, to see what orders still need to be compl...

I had a patient who had Alzheimer's disease. She was as sweet as pie while I was giving her some applesauce with her meds. She said can I please have some more and thank you. When I had to turn her to change her dressing, she called me the N word ...

Last month, I posted mistakes I made while being overwhelmed with charge nurse duties and staff nurse duties. I ended up being terminated. I think the punishment was way harsh (I thought I would have been suspended for a few days) but I can respect...

Recently I made some very stupid mistakes. I had a patient who was admitted for hypoglycemia. When he came to our floor his blood glucose level was 94. Later he was ordered 30units of lantus. I was supposed to scan the patient, scan the meds and ...

Yup the doctor ordered the stress test and the bb but I got yelled at for giving it. Thanks for the comment.

Absolutely Sally I will do just what you said thanks for the feedback.

I had 5 patients to care for the night I gave the betablocker. I was doing q1hr pressures on her and Q1hr blood sugars on another patient and straight catching a patient and I was charge nurse. The night of the blood sugar incident there was no ex...

Hello all, I need help on this subject. Recently, I received my performance review. It was the worst review I ever received. I sat down with my unit director and we went over the topics. She couldn't tell me why many of the negative comments were...

Thanks for the responses unfortunately I work for a major corporation and if I wanted to switch positions the hiring manager would have access to my performance review so I'll just do like you all have said and work on making my review more positive ...

I have been where you are and truth be told, I'm still there but it's getting a little better. I work nights on a 28 bed unit and I get no less than 8 pts every night. I have 6months experience now but I still feel like I'm running around like a ma...

Take comfort in knowing that he was surrounded by caring people in his final hours. That's how it should be. God Bless You.

Hi Rivernurse, I'm sorry this is happening to you. It truly is a learning lesson though. Everytime something like this happens, you have to learn what you did wrong so that you're less likely to repeat it. When you find abnormalities, you have to ...

I too oriented on days for about 6 weeks and then my last two weeks were nights. This week will be my third week on my own. I'm still trying to find my rhythm but I am very glad that I had a chance to see how things operate in the daytime. It's a ...

:angryfire After class today, I happened to look at the poster board situated outside of my classroom and I saw an interesting flyer, which apparently no one else took the time to read. It said "We have some exciting changes happening to UPMC, effect...

Yesterday was a pretty bad day. There were a few things that went wrong but I think my ultimate problem is a lack of time management due to me wanting feeling like I need to do everything. My patient's light went off. He had diarrhea and needed h...

Jka, I know just how you feel. It sounds like you are telling my story! I work on a med/surg floor. I'm in 4th week of orientation. I am up to 5 pts and have to get to 6 by the end of orientation which is in another two weeks. I too will soon b...

Congratulations on finding a job. I think 10 weeks is a good amount of orientation time and you should make the best of it by being a sponge and absorbing all that you see and hear and by asking questions on every single thing you are unsure about. ...

I was so worked up because I saw that my temporary permit said null and void. I now know that its because whenever you take the NCLEX, your temporary permit is immediately no good because you either passed or failed. I did another search on my name...

Hi, I took the NCLEX yesterday and am waiting for the quick results. I looked on my state board of nursing website for license verification and it says that my temporary permit is null and void. The quick results are not available for 48 hours. Do...

Oh yeah!!!!!!!!