LetMeGrabSomeGloves

I would have looked them right in the eye and responded "My job is to keep you alive and safe. I will do my best to also keep you happy, but that is a two-way street. Is there anything that you'd like to talk about right now that is making you unhappy?" I always try to keep in mind that people in the hospital are usually at their worst both physically and emotionally. Regardless, I do not allow them to abuse me.

If it makes you feel any better, I absolutely hate when people whine and was all prepared to come in here guns blazing - my jaw dropped reading what they expect of you. It's ridiculous and it's not safe for you or the patient. I agree with PPs, apply elsewhere, get a job, leave and don't look back.

So you have an 8+ year old Westie who you need to leave alone for 12+ hours a day, but based on prior suggestions and responses you don't seem very willing to explore reasonable options. This dog could technically live for another 8 years, so installing a fence seems to be something that makes a lot of sense. Even if it is just a small area that the dog can be given access to through a doggie door. As someone who used to work in a dog daycare, most well socialized dogs actually enjoy it quite a bit. You might want to look into that for her one day a week (maybe the second of your three shifts) so that she has something to break up that period. I would not try training her to go inside as it could potentially lead to her going elsewhere in your house where you don't want her to. I understand your wanting your daughter to take her, but ultimately you were the one who purchased the dog and are therefore the one who is responsible for the dog. Perhaps once your daughter is set up and established she can take her, but until then it definitely should be what is best for the dog as she is the innocent party. Good choice on dogs by the way, Westies are adorable and so smart.

I do not carry a clipboard as a student. We usually get a handout packet of our patient's current information. I've never been in a clinical that didn't give us this and most of the time I see the nurses use them as well. I used to fold them in threes, but found that they fit in my pocket folded in half as well. What I do to take report is fold them in half and use each half page for something. The first half page I use when taking report (I divide it into neuro, heart/lungs, abdomen, GI/GU, skin/MS, labs, and other). The second page I use for vital signs. The third page I will tape the patient's baseline tele strip. Each patient's "packet" gets stapled together. I write the room number in the upper corner of each outer page so I can grab them at a glance. They go in my (deep) leg pocket of my scrubs and I never have a problem with losing them. When I go to the bathroom they get put on the top of the paper towel dispenser or I hand them to a fellow student for safe-keeping. I also black out any patient information with a sharpie when getting report and go based on room numbers alone. When writing the room numbers, I take care to only write the last two numbers of the room. For example, in the hospital that I'm currently in, each floor starts off the floor number. i.e. The first floor will have 1001, 1002, 1003, the second floor will have 2001, 2002, 2003. On my sheet I would write 01, 02, 03 so the info can't even be traced to a specific floor. I try to be as conscious as possible about confidentiality. I just can't carry a folder or clipboard; I find that they get in my way and annoy me during the day. If I had a traveling computer like the RNs use it might be a little different; then again at that point I wouldn't need it because I would have the "desk" on that.

So I feel really silly for asking this question, but it was never really explained and every nursing instructor I've ever had has brushed me off when I've inquired. What is the difference between an IV, INT, and Saline Lock? I've googled it, but it's not providing much clarification for me; I'm still finding myself confused. Clarification is greatly appreciated! :)