10/24: What I learned in nursing this week - moral & legal decisions, patient acuity....

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After a week of deliberation on the WILTW threads, I can honestly say I'm glad for a new week! I have only worked one day this week so far, so not a very giant list to share.

This week in nursing, I have learned....

There is a very sad line between moral and legal decision-making in healthcare. When a DNR can be revoked by family only to prolong torture and a DNR not granted on an already terminal suicide attempt, we really need to find a way to make moral and legal stop being mutually exclusive.

After a month of horrible patient acuity, I'm realizing that now "normal" days actually feel a bit slow. Amazing how being pushed beyond your limits teaches you to increase those limits.

I've learned what pleurx drains are. Now I want to play with one.

It takes a lot longer to bring up a 2.3 potassium than a 1.1 mag. A lot.

I have a way about me that makes patients confess very, very strange things to me. (Apparently?)

I'm going to learn tomorrow if short hair is easier at work than long in a braid, bun or ponytail. Also, tomorrow I will get to compare my steps at work on my new Fitbit vs. the app in my phone. And..... Tomorrow is my last day in the 18-34 demographic.

I've realized that hospitals would be more mom-nurse-friendly if shifts were 9-9.

Looking at community health job postings has made me realize I have no idea how to figure out government pay scales. I understand the grade, but how does your starting step get determined?

I've included my children in the "daddy's schedule is changing, so mommy's might have to, too," conversation. It was hard to say no when my girl asked if I could "just" not work for awhile.

Crack is a hell of a drug.

Almost 1.5 years since graduation. I think I've decided I know how to nurse now. It's an amazing feeling!

How about you? What have you learned?

The weekly WILTW threads will remain in yellow as long as we remember to keep the majority of posts/comments focused on things nursing related. Students are welcome to share what they learned in their journey to becoming nurses, and of course, CNAs/PCTs/MAs and other unlicensed people who are part of the nursing team are welcome to contribute as well.

As this thread doesn't really have one single topic, it's very nature is to evolve into conversations that are off topic from individual points shared. This is okay, as long as the majority of posts in the conversations remain nursing, nursing school and UAP-related. Questions or comments on this can be shared in the site feedback thread with "WILTW" in its title.

Not yesterday, yesterday I was moving all around. I guess I didn't flop around in bed enough last night.

And yes Far, you're right. The tdap side (which is in my dominant arm) hurts more than the Hep B side.

I feel like I should be keeping track of this for a paper during Peds or something.

They should have known to do Tdap in your non dominant arm. I'm mad.

Specializes in Telemetry.
They should have known to do Tdap in your non dominant arm. I'm mad.

Huh. I was encouraged to get Tdap in my dominant arm because I would use/move it more which is supposed to help alleviate the soreness.

Huh. I was encouraged to get Tdap in my dominant arm because I would use/move it more which is supposed to help alleviate the soreness.

I never give it in the dominant arm. But I've never looked up anything about it either. That's just how I was taught.

I get the shot in my dominant arm usually, since I use that muscle more often. Except when I have to study right after and need it for notes.

Hmmmmm... more stuff to look up.

I get the shot in my dominant arm usually, since I use that muscle more often. Except when I have to study right after and need it for notes.

Look, I'm just happy it didn't have to go into a glute.

Look, I'm just happy it didn't have to go into a glute.

That's Depo.

Specializes in Behavioral Health.
Look, I'm just happy it didn't have to go into a glute.

Or the vastus lateralis (thigh)... this time of year in Portland that means pulling your pants all the way down.

Lining up for the employee flu clinic would be a lot more awkward that way.

Or the vastus lateralis (thigh)... this time of year in Portland that means pulling your pants all the way down.

Lining up for the employee flu clinic would be a lot more awkward that way.

It's only awkward if you think it is.

Specializes in Behavioral Health.
It's only awkward if you think it is.

Oddly enough, that's almost exactly what an instructor said to me when I was learning how to manage breasts during a heart/lung exam. "It's only weird if you make it weird." And then I was like,

That's Depo.

Been there, done that, gained weight.

Been there, done that, gained weight.

Yea, but it's awesome. You can leave that night and have your "sexy time" (... as I've heard it's been called.)

BAM, it works.

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