jb_mmmm

it depends on how long the patients have therapy! < 3 hours is subacute and 3 hours is acute

I know I'm not OP, but thank you so much for writing this. I did acute rehab for two years and now I'm moving to complex med surg which is basically med surg + stepdown in my hospital, and I really appreciated your point of view!

Blood cultures please

can we order a rainbow set of labs including vitamin D?

I took Tylenol x2 after receiving my first dose and am scheduled for my second dose in feb, did I f up?

you'll probably be ready in January if you study until then. but giirrrrrlll don't do rotating shifts it's gonna mess you up

dialysis has more benefits, I'd say go for it and make sure that you're gonna get good training

LMAOOOOO ME TOO I just turned 24 a week ago and I'm hitting my second year at acute rehab. I really wanna try something new too but I don't have any intrinsic ~passions~ that I'm gravitating towards. I had an offer for ICU stepdown but I got blocked by my director. Apparently was supposed to get an offer from postpartum but I got blocked again, I have no idea what I'm gonna do now.

I've been a new nurse for just over a year now, and I'm still like this but it's a little bit better. She needs to up her nursing judgement, and perhaps a method of destressing. Whenever things hit the fan for me I have to remember to destress then tackle the problem rather than freaking out and not be able to do anything

She kinda sounds like a new grad, like me! Let her have some patients of her own and be hands off(unless things are about to hit the fan yk) and be there to answer questions. or even better, make her think through her own question!

He** no any unit that thinks three months is too much for a new grad is trying to yeet you out by yourself too early. go to another unit thatll guarantee your three months of preceptorship, and advocare for yourself if they try to cheat you out of it too

I did my residency project on bedside shift report. It's important cause physically seeing the patient helps you remember things, and reporting using SBAR won't leave the next nurse with any surprises. It also helps you make sure that the patient's alive! I definitely recommend BSR, change the board, look through the computer for orders, say hi to the patient all at once.

at my hospital they dont let us self schedule but let us switch "two times per two week schedule," so me and my friend get together whenever the new schedule comes out and switch around until we have the days we want. sometimes if the office secretary isn't there we go to the unit secretary on the floor and she'll switch for us. I'd rather be switching willy nilly than calling out and fcking the unit over sooooo

I knew a lot of female cheerleaders at my high school talked about wanting/going to nursing school on their facebooks but I honestly don't know if any of them made it. I also notice that it was the cheerleaders who were especially mean around the school. the one cheerleader who's my friends is a dude and he's an ob tech so hopefully he gets his residency there once he graduates from nursing school.

the ONLY RN? Are you working at a SNF? I work acute rehab and got my three months even though my unit tried to launch me out at 2 months cause I knew I needed more orientation to be successful

is that a thing? i haven't heard it at the hospital where i'm at

RUN

By law we're required to take 30 min lunch breaks but half the time I don't get them so I'm so overwhelmed being a new grad (8mo) but I've been making it a priority to take my break, even if I'm not all caught up because nursing is 24 hours.

I'm so sorry that the patient abused you like that. This happened to me too with a patient's husband to the point that I walked out of the room and cried. I actually went straight to my supervisor and security had to be called cause he was becoming louder and more aggressive. I would take it to whoever's above your charge nurse and see what can be done better and how the charge nurse reacted to your abuse.

That sounds hard sweetie, I'm sorry they're doing that to you. My unit tries to keep the census between 20-24 patients with 4/5 nurses so we always ended up with 5 patients (4 if it's a miracle, 6 if they really don't care about us that particular day) plus admissions. I'm two months in off new grad orientation and I remember this one week with my preceptor where we had 5 patients and three of them were quadriplegic sci patients with total care and it was literally IMPOSSIBLE. At the end of the shift we literally told the night charge nurse to take one of them off. We're chronically on 1-3 techs so I can't imagine how hard it must've been for you with no techs at all. How long have you been in this unit?

I also work acute inpatient rehab and they're "higher functioning" as in they're not considered "sick enough" to be in a med surg/stepdown but they're not healthy enough to go straight home. They're being managed medically by nursing to be able to handle their three hours (in my case) of therapy per day. Sometimes I wonder why there's even a stepdown unit when ICU sends their patients straight to rehab. This probably isn't helpful at all but I'm just ranting cause we're getting patients who go straight back to the hospital cause they're too sick to participate in rehab and end up deteriorating. We're basically a med surg now plus their needed three hours of therapy so it's just HARD.

That's crazy. I would definitely look into employee services to see if they have someone who helps new grads.

I work at a teaching hospital and I'm having that issue. I think it really comes down to how devoted your unit is to teaching new grads. For my case, I feel like they're implicitly comparing me to a few of the other girls whove had their practicums in the neuro icu. Stay strong sweetie!

It's changed!

I made edits to it. Does it seem okay or should I just take down the whole post?