oncivrn

I disagree. Being a nurse entails doing a lot of what CNAs do but there is a whole lot more critical thinking involved. I did not enjoy being a tech, but do love nursing profession.

I just sit down on the wheelchair myself and it opens up. I was woefully unprepared for my first nursing job, skill-wise. But after about a year I realized that I had a decent knowledge base. Nursing school can only really introduce basic skills. You don't leave knowing how to do it all. You learn most things on the job.

I think it is still fresh and you are upset about it understandably. Get another day under your belt and you will feel better. The more successes you have the more you will be able to get past the occasional missteps. Seriously tho.if this is the worst mistake you ever make then be happy!

Needs to be reported to administration. Definitely promotes an unsafe environment for the patient to call nurses stupid

You have gone above and beyond. I agree with the previous poster, time to move on.

Well, that's ridiculous for anyone to tell you that you will never work again. Get that out of your head. And I agree with the previous poster, 7 patients is a lot. Actually, 5 is a lot. 4 is ideal on a general unit. Try for a fellowship somewhere. In my area there are sign on bonuses galore. Definitely work on the anxiety thing. It might make you self-conscious in the beginning, but it would help you in the long run. I have had the same problem as your fellow nurses, anxious people in turn make me anxious. Save the adrenaline for when you really need it. Good luck :)

It's not sensitive or specific and also, eliciting the homans sign could potentially cause a clot to be dislodged.

Sounds appropriate to me. As long as you documented. I thought we weren't supposed to check homan's sign?

Do you use pumps? Personally I do not wake patients to assess piv sites and none of the nurses I work with do either. Ivig infiltrate is no big deal, since it can be given sq anyway. Chemo is another matter. I have had a few infilatrates since working in infusion. Normally the pump beeps distal line occlusion or else the patient will complain of burning. We have a policy not to give chemo in AC. If it is chemo I would be more worried than an antibiotic or remicade or even rituxan.

I've never done ICU so hat's off to you. However I do infusions in an outpatient center where we are the unit that does more drugs that pose risks for anaphylaxis. When I have an infusion reaction I may be at my best professionally but when I go home my whole body hurts. It's like I'm fine during the emergency but afterwards....so I can imagine ICU is like that every day. There is a lot of stimulation and you have to be on heightened alert at all times.

She needs to be reported to the board. Her behavior towards patients is abusive, at the very least.

would a radiation oncology nurse OCN be proficient to admin chemo? Probably not.

Never heard of such a thing for RNs. But each institution has their policies. We used to have a certification for phlebotomy but did away with that. I don't know how a class can really teach IV skills. Unless you are talking about just operating the infusion pumps.

Totally agree with vanilla bean. Soups reheat well and are very nourishing. Or leftover protein and a fresh salad. If I cook after a twelve hour shift it's just eggs. I'm usually exhausted and too tired to even eat.

Sounds like a great deal if that's what you really want to do. I am am an old school nurse who thinks everyone should work in the hospital for two years but if case management is what you want to do forever and you're sure, then take it. But if you don't do bedside now it will be very hard to EVER do it without a refresher course. Good luck :)