r/nursing 2h ago

Rant Enough with the methamphetamine, please. Cardio-renal + psycho-social. Almost every freaking day. I can provide awesome care for you based upon YEARS of experience with the many that have come before you. "Hello new friend, I will be caring for you every few months until...well, you know."

0 Upvotes

r/nursing 4h ago

Seeking Advice Sent in my vacation request for new years, denied šŸ˜ž

0 Upvotes

Like the title says I sent in my request 2 weeks ago and got back that my request was denied.

I had already booked my flights and hotel for my trip

I have the hours I may just call out for that week each shift, how else would yall proceed?

For some background: I work at a CNA union hospital in SoCal for one of the hospitals of the university system

HELP!

****Because yall are jumping to conclusions, it is NOT my turn for new years, in fact the holiday sign up sheet hasn’t even been released yet.

Yall are the kind of nurses that make the profession insufferable Jesus.

And I will always put myself first regardless. I have a life outside of this profession so there’s that. Take that what you will. The one time I put myself first, I get a bunch of know it alls chiming in with their opinions on how they feel about my comment. Discernment is a skill that needs to be learned around these parts

*** also I’ve been a long time employee and never call out, only for medical reason have I had to


r/nursing 7h ago

Question I see a lot of people who are a bit older wanna do nursing, why?

49 Upvotes

I’ve been seeing a lot of people asking if they can be a nurse at 40 and up. I was wondering why the career switch now? Did the job you had before not make much money, or do you think nursing will be easier? Just curious what people did before


r/nursing 49m ago

Serious Did I probably get fired today basically ?

• Upvotes

So I work at a hospital as a PNA ( psychiatric nurse assistant. I was on direct observation with a client . The patient was unscrewing a screw from the door and I did my best to verbally de escalate her into giving me the screw . I honestly didn’t know that in this case I could grab her hand / initiate contact to get the screw from the patient . I hit my badge but my badge was in my pocket and I found out later that’s why it didn’t go off . I called for help and the nurse came over to assist , she still refused to give up the screw . Other staff also came to assist me with getting the screw from her When security came and asked for the screw that’s when she swallowed it unfortunately . I had an interview with APS & patient relations about my mistake , I explained truthfully what happened. I also explained that I didn’t call for help when a staff walked by because I didn’t want to escalate her further , I wrote everything that happened on the investigation form as it happened

I made a huge mistake , I honestly didn’t mean to neglect a patient . I’ve been there for 10 months and I’ve never had any type of interaction or complaint . I explained that I didn’t call my best to talk her into giving me the screw.

This is my fault %100

They also stated that the final decision is made by the CEO

I just hope I get another chance but I’m probably fired aren’t I ?


r/nursing 3h ago

Seeking Advice Broke a HIPPA Policy - In Trouble-Need Advice

0 Upvotes

I typically don't do things like this, and I don't know what I was thinking. I am very sorry for what I’ve done. Please be gentle. I am pretty shaken up by this whole experience.

A few weeks ago, I accessed my deceased relatives chart. They have been gone for 6 years. After one particularly bad shift, I stayed after work (still clocked in) and was finishing up some leftover charting. Basically, (maybe due to unresolved grief and stupidity), I went into my deceased relatives chart. And printed out progress notes to keep, but I discarded it.

A few weeks later, I get notified by two compliance officers, the HR director, and my nursing director that there will be a meeting. I attend the meeting. I told the truth (mostly) about what I did. I did not tell the truth about what I did with the papers. There was a second meeting the next day, and they told me they couldn’t find the papers. I came clean and let them know I ripped them up and threw them away in the trash cans near the nursing desk (bad move, I know).

The HR director is throwing the book at me. They want me to write a statement for the CNO. I am suspended to work until they are done investigating. They let me know I need to come back in later and talk to the CNO, where they most likely will report me to my state’s nursing board.

I have been a nurse for 7 years and have never gotten in trouble to this extent before in my life. I’ve never hurt a patient. I’ve never messed with any patient’s scheduled or controlled meds. I don’t know what to do. I don’t want to deal with this hospital any longer. Not because of this incident, because they’ve been treating us nurses like garbage lately unless you’re one of the director’s favorites.

I understand what I’ve done wrong and I have been honest with the investigating administrators. I will never do this again. I have been placed on suspension, and they want a statement from me to go to the CNO and another meeting. I haven’t gotten to that point yet.I am considering contacting an attorney before I go any further.

Please help me. Should I quit? Should I cooperate? Should I get an attorney? I don’t know what to do. I am terrified. Please send advice. I am using a throwaway account, and I am typing on my phone. So apologies for the grammatical errors.

TLDR Got caught accessing my deceased family members chart. Violated HIPPA and need advice.


r/nursing 7h ago

Question Pedes med surg

0 Upvotes

I’m interested in a position in pedes med surg. What are the most common pediatric conditions managed/treated besides appendicitis and bronchiolitis ?


r/nursing 16h ago

Seeking Advice Starting nursing this fall, how can I desensitize myself to ā€œgrossā€ things?

0 Upvotes

I’ve never been horrible with needles or blood but I see a lot on social media that nurses have crazy experiences and deal with the most ā€œdisgustingā€ things. I’m just wondering how I can go about becoming used to the worst of the worst. Sometimes I worry I may not be cut out for it but I’m not sure. Don’t know what to expect.


r/nursing 17h ago

Seeking Advice Adult ICU RN hoping to transition to NICU—would love your advice

1 Upvotes

Hi everyone!

I’ve been doing a lot of thinking lately about making the jump into the NICU, and I’d love to hear from those of you who’ve been there—whether you’re a seasoned NICU nurse or a NICU parent.

I’ve been a nurse for 6 years. My bedside background is adult critical care, but I’ve always been drawn to the NICU. For the last 3 years, I’ve been in a remote nursing role focused on patient/family education and support, along with mentoring members of the interdisciplinary team. I love what I do, but I really miss bedside nursing, and I keep finding myself coming back to the idea of the NICU.

That said… I know NICU is its own world. I know I’d basically be starting over, and I’m completely okay with that. I’m excited by the idea of learning something totally new.
One thing I’ve wondered about is that I don’t have children of my own. I know you don’t have to be a parent to care for babies, but I do sometimes wonder if that would make it harder to connect with parents during such an emotional and vulnerable time. I’d really appreciate hearing your honest thoughts on that.

For those who’ve made the switch (especially from adult ICU), what was the hardest adjustment?

And if you have any favorite resources—books, podcasts, YouTube channels, websites, Instagram accounts, anything at all—that helped you learn NICU basics, I’d love to check them out. I know nothing replaces orientation and hands-on experience, but I’d like to go in as prepared as I can.

Thanks so much for reading. I’d genuinely appreciate any advice, encouragement, or even reality checks you have. 😊


r/nursing 19h ago

Seeking Advice Advice for someone considering ICU nursing?

1 Upvotes

I have 3 years of nursing experience; 1 year of step down, 1 year of float, and 1 year of OR. I really liked my step down experience (but was bullied to an extent that I had to choose my peace over the job) and have always wanted to go more toward critical care. I also liked my float job until we were taking a whole set of new patients every 4 hours (so 3 times in a 12 hour shift, this is now against our contract to my knowledge). I know the OR is not for me.

I really do think I want to do critical care though and have applied to positions. I just would like some advice on going into critical care in general. I got great experience with vented trachs and just a lot of stuff in general on the step down unit. I need the stimulation and tasks. Give me the good, the bad, and the ugly.


r/nursing 58m ago

Seeking Advice Nurse for less than a year: already hate it

• Upvotes

I’ve been a nurse for less than 6 months and i really hate my current nursing job. I was so excited to become a nurse, after my preceptorship I just hate going to work now. I feel inadequate as a nurse, i don’t feel supported as a new nurse and going to work makes me feel anxious and sad because I don’t feel like I know what i’m doing, and when I ask for help from more experienced nurses they treat me as if i’m a bother, or if i should know all of these things even though i’ve been a nurse for a couple of months. My last day of preceptorship, i asked my preceptor to go in the patients room with me just to make sure i was performing a skill correctly and she refused and stated i need to be more independent. I just feel stressed and find myself wanting to escape whenever i’m not at work. Is there easier during jobs than being bedside for new nurses?


r/nursing 19h ago

Question Would u do overnights for free?(pca)

36 Upvotes

I’m a pca and I am getting asked to sleep over night but I won’t be clocked in all night. Basically I work for this in home agency and the wife sleeps with the person I take care for (her husband) and she is going out of town and needs someone to sleepover with him but they don’t want to pay. I have a relationship with them or will I say it’s just for work they are very nice I don’t wanna seem Heartless and not sleepover because she can’t go out of town but dude I would still be working if I sleepover and he would disturb my sleep and I would not be in my comfy home and bed and that’s still working in some way 😭I help him out of his wheel chair to his bed and in the mornings out of his bed to his wheelchair and I deal with his fecus it’s hard working with him already on my regular shifts(I would not be doing this for overnights ) , he’s very nice but it’s work for me am I wrong for asking 50 per night ?


r/nursing 22h ago

Discussion Stanford Nurses!!

0 Upvotes

Can we wear crew neck sweat shirts? Or does it have to be a scrub/ under scrub? Asking before I purchase bc I hate the way scrub tops fit fit


r/nursing 4h ago

Seeking Advice How slow is a slow iv push for chronic pain patients?

22 Upvotes

I have quite a few sickle cell patients who have insisted their 4mg IV Dilaudid be a rapid push (the other nurses do it). I understand that they have a crazy high tolerance, but it honestly scares me considering they get this amount every 2 hours. I just don't want to be on the business end of a malpractice lawsuit. Any words of wisdom?


r/nursing 1h ago

Question Did I just give someone cancer?

• Upvotes

I was putting in an IV on someone's hand and there was a mole right on top of the vein further up the path. When I got to the mole part I met a little resistance so I pushed a little harder and I got through, IV flushed and good blood return. Did I just bust through the mole and put potentially cancerous cells into this ladies body? Did I just doom them?

EDIT: They made it out of the procedure and are ok... FOR NOW. I'll give an update if they ever come back.


r/nursing 3h ago

Question Patient Observation Technician

0 Upvotes

Hi! I was just wondering if anybody here has worked as a patient observation technician. If you have, what can I expect and how difficult or stressful is it from what I have seen it doesn’t seem like a difficult or stressful job. Obviously, you need to be keeping an eye on the patients, but I would appreciate more information, please! Especially if there’s any particular difference with working a day or an evening shift.


r/nursing 4h ago

Seeking Advice Next steps as an RN?

0 Upvotes

Hi everyone! Thanks for taking the time to read this post. I’m 24 years old and I’ve been an RN for two years. I’ve worked primary med surg, but have been working in a procedural area for the last 6 months. I’m debating advancing my education but I’m stuck between wanting to go to CRNA school vs FNP school track. I’m interested in CRNA as I work alongside them in the role I’m currently in, and through watching them have gathered that it may be something I’m interested in. I love being in the OR and I love caring for my patients in a sort of ā€œbehind the scenesā€ way. My main hesitation with CRNA track is the three years of school and the rigorous curriculum. I know I would also need to get ICU experience prior to applying, which would mean I most likely would get a nightshift ICU position, and my body unfortunately really cannot tolerate being on night shift.

The FNP track interests me mostly because it is so broad. I like the idea of caring for patients on a higher level and being there for them throughout different stages in their lives. It also seems like based on my research an FNP can work in a variety of settings like outpatient clinics or even in an educational setting like a university. My hesitation with the FNP path is that it seems like my earning potential seems capped, and I’ve read a lot about the FNP job market being oversaturated :/.

If anyone could lend insight as to why they chose FNP or CRNA and if they feel like they have a good work life balance that would be much


r/nursing 6h ago

Seeking Advice Self Guilt & Blame

0 Upvotes

Hi!! I’m a nursing student and also a CNA. I have a really bad habit of blaming myself and feeling extreme guilt and anxiety when a patient deteriorates or passes. I can’t help but replay all the moments I had with them. For instance, I found out a patient I had passed away 2 nights after I had them and I felt so guilty. I’m so scared to become an RN because of this extreme anxiety and fear. My coworkers tell me that we did everything we could but i just can’t help but stress. I was wondering if any nurses here could share any advice or experiences with this.


r/nursing 10h ago

Discussion Has anyone worked for Amedisys Home Health?

0 Upvotes

I’m interviewing for an RN position with Amedisys Home Health working Friday–Sunday, 7 AM–7 PM. Has anyone worked there? I’d love to hear your honest experience with management, workload, scheduling, and work-life balance. Would you recommend it?


r/nursing 16h ago

Seeking Advice What is 'too much' vs 'expected' as a grad?

0 Upvotes

Most of my cohort is graduating this year, though I'll be graduating next year as I'm doing a double degree and taking a bit longer. Thus the classes have been geared towards near-graduation, grad years, that sort of thing.

One thing I particularly noticed was one of the teachers saying that we should expect to be totally overwhelmed, crying etc. in our grad year. It made me wonder if there's any advice on ways to perceive if that's within the normal and expected level of overwhelm, or when additional support is needed; I personally have a history of managing things, at times really well, for a time, until it all falls apart (for instance, a 4-week placement this year, which went fantastically and I scored well in, was followed by a psych ward stint shortly after during which I was at times verbally and mentally unable to form a coherent sentence).

As someone with known vulnerabilities, therefore, I'm rather uncertain as to how to make sure I'm working to my full capacity and not just avoiding everything out of fear In Case, but also that I don't push things too far. Obviously this is something I am and will continue to discuss with my treating team, so I'm not asking for medical advice, but wondering if any other nurses with severe mental illness have any experiences that could be shared or advice for management that may have worked for you, or how you've seen others work it out. (Any advice around self-disclosure within the workplace, yea or nay or nuance, would also be appreciated, especially with things that visibly take more complex management than 'just' something like straightforward major depressive.)


r/nursing 17h ago

Seeking Advice Worth job hopping?

0 Upvotes

I've been an RN for 2 years now and am currently working full-time in a CVICU at a hospital with good benefits, pension and insurance.

Recently, I see a lot of opportunities that I find really enticing and have travel opportunities both across the country AND overseas. There's also different types of nursing which would be a dream to try a contract and then do another job if I don'tenjoy it.

My issue is that I get so worried about taking the risk and leaving my full-time job with benefits, pension, and insurance to go do something else... I still want to gain at least 1 or 2 years of CVICU experience anyway, but afterwards I would love to experience something new.

Is taking a possibly risky job contract worth it? If I don't do it soon, I feel like I won't be able to do it when I'm older and more settled in my life...


r/nursing 22h ago

Seeking Advice New Grad - SNF PRN & MSU full time.

0 Upvotes

Hey ya'll! So I need some advice from more seasoned RNs because I was liscenced literally last week.

I have an MSU job with the full new grad training process starting on the 29th. The snf I worked at PRN as a CNA wants to keep me on PRN as an RN now. I only plan on working my prn like twice a month. But it pays very well. They offer $50/hr and my full time will only pay $37 so I thought it wouldn't hurt to supplement my income a little. However, I don't know what my onboarding & training length will look like for the snf. It is usually one nurse per hall with 20 residents. Is this a good idea as a new grad, or would it be a potential risk to my liscence?


r/nursing 22h ago

Discussion Dealing with hard situations

0 Upvotes

How do you handle a bad day like a trauma, bad code, difficult situation at work? When you get off how do you handle it?

When its a real bad day I cry. What are other outlets of handling bad days that work for you?


r/nursing 12h ago

Question How does your unit monitor Q2 turn compliance?

0 Upvotes

I work on the neuro PCU and frequently notice nurses/techs not turning our patients on night shift. I feel like it’s easy for them to right it off as the patient is asleep which I totally think can be appropriate. But for the patients who are trached/pegged and absolutely need to be turned it’s really hard to walk by and see them in the same position all night but not wanting to accuse the nurse of lying on their turn charting. I’m just wondering if your unit has any technology or systems in place to monitor that turns are actually getting done?


r/nursing 15h ago

Seeking Advice Who made the hospital schedule for breakfast tray to come around 7:45 AM- 8AM and then morning meds are due at 8 o’clock. Isnt this just rushing things?

6 Upvotes

there are a lot of reasons why I am so fed up of this schedule

  1. patients, as soon as they receive their breakfast trays around 0745, they would start pressing calls and because the nurses are busy with other patients, now they’re mad that no one has come helped set them up for breakfast. sometimes they would be so mad that they do not want to take their morning pills unless you set up their tray for them or unless they’re done eating which I totally get.. you probably don’t take pills with the breakfast when you’re at home, but it is so annoying because now I have to chart why the medication was given late. all that ā€œeducation providedā€ and all.

  2. sometimes setting patients up for breakfast takes 10 to 15 minutes of your time and by this time you have not done their assessment, you have not given their medications. Everything is focussed on just eating and treatment can wait. While I agree that eating is part of being healthy and improving health, but It doesn’t have to be an epicentre of everything you do in the hospital. This is so worse they would want their doctors to come back later just because they want to eat first.

  3. By 0730 when you have all the medications prepared, and you see patients (5 patients); spending at least 15 minutes with them; thats around 0845. when at least 2 of patients ask to be sit on chair or ā€œset them upā€ for breakfast, it adds another 30 minutes.

I just had the worst meltdown (in private, of course) because three of my such patients were asking to sit in chair for breakfast, read them their menu and won’t take pills before I get them set up.

I believe trays should be schedule for 0830 and meds at 0900. It’s always the hospital messing up the nurses.


r/nursing 17h ago

Seeking Advice ā€œBehavioralā€ issues at work

5 Upvotes

I’ve been a nurse for two years at a Children’s Hospital in the pediatric ICU. Overall, I think I’ve been doing a great job at my work. I get compliments from families, compliments from the doctors I work with, and I’ve made quite a few friends with my coworkers. recently I’ve been having issues with one or multiple coworkers that I don’t know about. They have been lying to management about me that have been proven false by management. Yet last week I’ve been informed that I’m being placed on a personal improvement plan for being ā€œunapproachable ā€œmy manager stated that this PIP was not disciplinary at all and it is to ā€œmold me ā€œ. When asked for specific examples, he was not able to tell me any and was just giving me vague comments. These included that I need to be not so robotic in my communication with my peers, to soften my edges, have more conversations with my peers, and not talk about my ambitions with people. I guess someone or multiple people feel that I’m competitive in my career, which I don’t think that whatsoever and again I cannot be given any specific examples of these behaviors that they were talking about. I explained that I didn’t understand how any of these were accurate because I regularly hang out with coworkers after work, I’m on a committee, and I’m always helping out my fellow pod mates. I think specifically my Charge nurse does not like me because I advocate for myself I’m all for constructive feedback and I’m always willing to grow myself and my practice as I’m still brand new to the field. I just feel like it’s not fair that I’m being given subjective feedback with vague goals versus objective feedback with specific goals.

Specifically one of the lies that were told to my management was I was a part of a code and I was helping resource the unit. I’m brand new to helping resource the unit and I had never been a part of a code as a resource. There were multiple nurses techs and RTs in the room and felt like I would be more of a hindrance if I was inside. So I went to the seasoned nurse that was doing code documentation and I asked him if he could walk me through the code documentation in real time as I’ve never done it before. The code was over quickly like two rounds of CPR and I went off to help others around the unit. Someone wrote leadership saying I was doing nothing in the code and just standing there while people were asking me to help. Multiple people from the code were brought in to management and they all told management that no one asked me to do anything they didn’t need help, and I was actively being taught how to document.

I really love what I do and the patience I take care of, but I don’t know if this is a sign that I need to start looking elsewhere