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So I had this patient that was incontinent of bowel and bedbound, who had not had a bowel movement in a few days. He had received a suppository from the day shift nurse around 1700 and the patient who was oriented x2-3 said his bottom hurt (he also had a stage 1 pressure ulcer on bottom). Since he had not had a BM family and patient were agreeable to trying an enema. I came in with the supplies to administer the enema and the patient and was preparing to administer it, only to discover that patient had already had a BM. So I obviously didn't give the enema and we just cleaned the patient up and turned him. Family came back in after we were done. I told them that since he had a BM, an enema wasn't given. I checked with patient if he was comfortable and told him I would be back a little later with his medications. As I was washing my hands family said that patient was still reporting pressure. I told the family we would come back in and check on the patient. The family complained about me bc of this. Do you think I was being negligent in not checking to see if he needed to be changed again after we had just changed him?

I've been a nurse for about six months. Yesterday I inserted a foley catheter into an older man. I didn't encounter any prostate issues and it went in smoothly, I got urine return and then advanced the catheter to the bifurcate site before inflating the balloon. Then I pulled down to make sure it was in place, then attached the stat loc. The urine was clear and yellow. Flash forward about three hours, I went to check in on the patient and the urine was now reddish colored. Patient did not complain of any pain. Is this normal or did I do something wrong?

Hello All, I just graduated with my bsn in May. I've been working on a busy med/tele floor for about two months now. I had six weeks of orientation. I just feel completely overwhelmed and like I'm missing a lot of things. One particular instance happened a few weeks ago, and recently my manager talked to me about, which has made me feel even more incompetent than I already do. I had a patient and she was in A-Fib, her rate was tachy all night (like 110-120's). Then at 0700 (shift change) she went into A-Fib w/RVR and her rate was in the 150's. Since it was change of shift I was unsure of which doctor I should as I didn't know if night shift on-call doc was there, or if they had changed shift. I was really unsure of what to do. Since it was shift change there wasn't really anyone at the nurses station that I could ask. So, I didn't notify anyone of this except for the oncoming nurse who was taking that patient for the day. My manager talked to me about it last night, and was just wondering why I hadn't told anyone. I just feel so stupid and incompetent, I was clearly in the wrong here. Any advice on my situation?

Hello, So I am taking my NCLEX-RN on Monday 6/12. I am freaking out about it. I've done about 4000 practice questions between Hurst, Kaplan and UWorld. So, I did about 1300 q's in the q bank for Kaplan and results were 59% average, I got at 58% on the readiness exam. Then, Hurst my average score was 78/125. And finally my UWorld score is 60% and it said that I scored in the 74th percentile for their practice test. I already have a job lined up, and I feel a lot of pressure to pass this exam. I did really well in nursing school, and had a 4.0 the entire time. I just feel like I don't know anything, and like I am going to fail. Do you think these scores are indicative of passing the NCLEX? Also, anyone who has experience with any of these q banks, is the NCLEX similar, easier or harder to these questions? Thanks for all the help!

Hello, I'm close to graduating, and am now applying for jobs. Right now, I am applying for a very competitive nurse residency program in my area. One of the application questions is "What accomplishment are you most proud of professionally?" For some reason I found this question very difficult to answer. Anyways, here is what I said: "Prior to the start of nursing school, I was unsure if I would be able to handle the immense responsibility that comes along with this career choice. Upon entering nursing school, I realized how much drive and passion I had to succeed in nursing. I put forth great effort and dedication throughout my nursing school journey to make sure that I could become the best nurse I possibly can. I have worked two jobs throughout nursing school, and have maintained a 4.0 GPA. I am proud of this accomplishment, and have a strong desire to continue this commitment to learning throughout my nursing career." What are your honest thoughts on this answer, and/or any suggestions?

Hello, I am graduating with my BSN this coming May (yay!!). The area in which I'm living in is very competitive in terms of applicants. I'm really interested in a new grad residency program in my area, and I have spoken to them. They told they take approx. 70 new grads out of an applicant pool of 300+. I have a 4.0 in nursing and am graduating summa cum laude, and then I also have worked as a cna for the past two years as well as a nursing student extern in ICU at another hospital. I don't really have any leadership or volunteer experience though. Do you think I would be considered a "competitive" applicant? Thank You

I'm going to into my last semester of nursing school (yay!!!). I work at a local hospital right now in ICU, they've offered me an externship in the Emergency Department, which is like my dream area to work in. However, they want me to sign a contract that obligates me to work for them for 2 years upon getting my license. If I were to leave before the two years, or get terminated I would have to pay them $18,000. I don't really like the town that I currently live in, its very small and I have no family/friends here, so that would be the one detriment about this contract . What are your thoughts on signing the contract??

I'm in my last year of my BSN program (YAY!!!), and am starting to think about job opportunities post graduation. I go to school in a small town in Colorado, and am originally from Denver. I have an externship at a local hospital in the ICU, and they have offered me a position upon graduation (which would also come with a 2 year contract, and hefty fines if you don't fulfill said contract). I am unsure if I want to take this, because although I think its a great opportunity, all of my family and friends are in Denver. I'm also nearly 30, so I'd like to start settling down with my boyfriend and all that stuff. My grades thus far have been good (4.0), and I have my externship experience as well as 2 years as a CNA in rehab facility. I am wondering what chances I would stand at getting a new grad residency, specifically at University of Colorado Hospital in Denver? Is it worth it to try to go for this and turn down job offer from local hospital?

You don't absolutely need it, but I think it is beneficial. I didn't get my CNA license until after my first semester of nursing but I think working as one has helped a lot. It helps to get that interaction with patients as well as nurses. I strongly dislike nurses that act like they are above doing any type of CNA type of work. If they are in a pt's room and the pt needs to use the restroom, they can put them on the toilet themselves rather than going and finding the CNA to do it.

Hi, I am a current BSN student, who will be graduating May 2017. It's my dream to work in the emergency department. I live in Colorado, but was offered a summer externship in the ED in Fort Worth, Texas. I currently extern at a hospital here on the cardiac floor, but none of the hospitals in my area offer ED nurse-extern type jobs for students. I know its unlikely for me to get a job in this specialty area as a new nurse without any prior experience. Do you think it would be worth it to travel and do the nurse externship if you were in my position?