Am i the only one here where this doesn’t make sense? I have CNAs and other RNs place one pad underneath a patient, and one in between the legs (if they have a foley or purewick/primofit)

I also see doubling or even tripling up on certain patients along with a pull-up or diaper. I feel like i am going insane?

I feel like I'm having imposter syndrome

I give vaccines at my job, all IM

I go three fingers below the acromion process, I do within the triangle.

Sometimes I am off center and that stresses me out, but I try and find the center as best as possible.

But I still feel like I'm giving the injections wrong, I always ask if it hurt and most of my pts say no they didn't even feel it or they felt a pinch . So now I'm extra stressed.

Debating if I should have my supervisor shadow me again just to make sure I'm giving them correctly, when I started she shadowed me and said my administration was great but i still feel like I'm doing it wrong.

Any tips to know for sure it went into the muscle and I didn't destroy someone's arm for months ?

Hi everyone. I’m a nursing student graduating in 2 semesters! I’m wondering if anyone can give me some advice and help me prepare for an interview in mother/baby & labor & delivery. I got pregnant during school and took a leave of absence after my maternity class, so it’s been over a year since I took that class and did clinicals there. What should I refresh on? Any advice is welcome!

This is gonna be a long post but its been really bugging me. I dont get a lot of falls, so im just not sure what to expect.

So this is night shift... I was sent to lunch after 2 hours into my 8 hour shift. When I came back, I checked on one of my patient (80 yo F, soft gcs 15, could be gcs 14 at times) in one of the rooms. I saw that the patients daughter was no longer in there (she was there before I went on lunch). I checked vitals and made sure the patient was comfortable. I left with the curtains half opened, not thinking much because the patient hadn't tried to get up before and wasn't agitated or anxious or anything. I go into my other patients room and see the other nurses who had relieved me for break in there, and he tells me the daughter for the other patient had left home. So as I'm in this room, maybe about 5 minutes later, my charge nurse came by and said that my patient that I had just checked on previously had fallen. So I leave this room and go to that 1st patients room to see that she is now on the ground. Unwitnessed fall because nobody saw how she fell. We got her back into bed, the doctor was notified and ordered a brain CT. Vitals were stable, no obvious deformities or bruising or skin tears that I could find. I tried calling the daughter twice via phone after I got the patient dialed in bed again, but no answer so I left a voice message for her to call us back.

CT brain vame back normal... i eventually ask the doctor if he wanted to do anymore imaging besides the brain CT, and he asks me why (which kind of baffles me cus patient just fell) so I explain to see if patient has any fractures or anything from the fall. And he asks if the patient was ambulatory before, and ifnshe was, then to get her up to walk her and see how she does. I go and ask my charge nurse about that since it seems risky and the charge said that it might be good to try it just to see how far away from her baseline she is now. So eventuslly we get her up to walk with a walker and with several staff standing by to watch and assist. Patient actually ambulated pretty well... slow, but still able to walk nonetheless.

I document everything, including how I asked the doc about more imaging and that he wanted to just road test her instead of doing more imaging. Post fall documentation and everything was completed. To the best of my knowledge, all the required documentation was done.

I'm just concerned about the patient and the what if she had a fracture or develops some kind of debilitating condition as a result of this. And if she did, will the patient and family will try to sue and claim something like negligence. Ive had a colleague be in a deposition before for a fall when they worked in a floor unit and I think her story spooked me a bit with falls. Regardless, should I be really concerned ?

TLDR: patient fell 15 minutes after I rounded and checked on her after I came back from lunch. Patient had no deformities or skin tears or any obvious traumatic injuries. Patient was able to ambulate even after the fall. Brain CT was negative. Should I be concerned that patient/family might file some kind of litigation?

I'm a 37 year old male in my second year of an ADN program. Last week during clinical I was able to be a part of a C-section. I was completely blown away by watching a baby being born and had such a strong emotional response to it that I wasn't expecting. I don't have any of my own children yet. I had no idea I was going to have that type of emotional response to it. It was such a beautiful experience and doing an assessment on a newborn, seeing their eyes lock with mine while they grasped my fingers made me realize how precious a new life is and how lucky I felt to be there that day to help care for them in the first few hours of life. Today I was paired up with a labor and delivery nurse who has been graduated from the same program I am in for about a year and half now. We had a G2P0 in labor. She was 6/70/-2 when I came on at 7am.

She had no problem with me being there and had an epidural before I came on this morning. Her husband was there as well and I was kind of surprised because they were both Chaldean and I was expecting pushback with me being involved but there was none the entire day. The nurse that I was paired up with was amazing even though she's only been working for a year I thought she was incredible in how she coached our patient through everything and how much time she spent to teach me things like reading the EFM, labs, protocols, pushing positions, ect. I was able to be a part of all of it and I even stayed way later past my go home time to see this baby be born. I helped hold this woman's legs and coach her along with my nurse that I was shadowing and help support her and her husband for hours today. My patient's sister was there as well as her mother. I quickly built a rapport with them and felt very comfortable, we all laughed a lot and tried to help support mom as much as possible They trusted me, they didn't treat me differently than anyone else on the team.

When she finally gave birth several hours later I had an even bigger emotional response to seeing this child being born. I spent most of my day invested in her health and the baby's health and skipped through a full lunch (crammed a pb sandwich and went pee real quick) just so I could be there to help whenever it was needed. The payoff was so worth it to see a beautiful baby girl being brought into the world, to watch a family grow. I was tearing up and when they went to take a picture with the nurse that I was shadowing they called me over to make sure that I was in the picture with them specifically. One of the senior nurses on the unit caught me before I was getting ready to leave and she said make sure you go back and ask for their family member to see if they're okay with sending you that picture because you will never forget this the rest of your life and you'll want to remember this. So I did and they were very happy to send it to me.

I can't explain how I feel right now even hours later I'm still processing everything but I am just so happy and grateful that I was allowed to be a part of this experience. I realized walking around that I was the only male on the unit unless a physician was there or a CRNA. I asked the nurse I was shadowing if there were any male nurses that she's ever seen work on Labor and Delivery and she said "Never" but did say she's only worked there for a full year.

I kind of feel sad because I am so interested now in working in this specialty and I loved the amount of attention to detail that goes into it and the science behind a lot of it. I loved figuring out what was going on with the contractions and problem solving how to get a baby that was originally sunny side up to flip to the correct OA presentation to make it better for delivery. The journey was just incredible and I wish that I could be a part of something special like that for more people.

I've been working in healthcare for 10 years at this point doing occupational therapy as a COTA and have worked with many people in very intimate or vulnerable situations involving ADLs. I'm not Cocky by any means but I do feel very confident my ability to build a therapeutic rapport with my patients relatively quickly and it's something that I think has helped me be successful in OT and I am hoping that it will be very consistent like this with nursing. I never thought that I would be interested in the birth process or even enjoy doing this clinical. I know more males are becoming nurses than ever before and I honestly think that we have our own value that we can bring to this profession but understand this has been dominated by women, rightfully so.

I do wonder if I would ever have a shot in this area. I am supposed to be going to work on the NICU in a couple of weeks on the 21st of September so I will get some more experience in that area as well but there was just something so special about being there for a live birth. I would be very happy to be a part of that again in the future. I guess I would like to ask people that work in labor and delivery how you would feel with a man on your team or what your experience has been working with men in labor and delivery. Any male L&D nurses? Should I even bother trying to look into doing this?

I recently got dismissed from my nursing program after failing a particular prerequisite twice. I never wanted to go nursing. For context i’m 20F and i’m from a traditional african household. i wanted to do law post highschool but my family wouldn’t let me have peace and my mom was constantly putting pressure on me. I moved to a college to do nursing and I was also working a healthcare job as well whilst dealing with constant degradation from my mom and ultimately now my mental health which honestly has been unstable from my teenage years is terrible. i’ve been in a bad headspace for the past two weeks and i don’t know what else to do. I don’t know how to make my mom stop talking. I applied to other schools as well because during my time in college i did pick up an interest for nursing and lost my love for law but now Im not sure if that’s the career path for me. I used to be creative. Lately I don’t know.

I have been worried that my coworkers would look at my medical records or hear about it and I think they have. I am back from my med leave and staff avoids me, bullies me and calls me names behind my back. I feel like I should move.

Soooooooo I have had three separate instances with the MAs at the clinic, and it's not for "small snd silly" reasons, like clinically these MAs need more training. The first time I don't exactly remember what she did, but it was somrthing with vitals and her not having any clinical understanding of what those vitals mean. So I immediately told my PCP who said she would take care of it when she came in. That same MA in a separate visit was asking me what I do, I said I was doing some travel nursing. The MA said, "Oh, I did travel nursing as well!" I kept my mouth shut, and have been sitting on telling the clinic until the newest problem.

I had to get a skin TB test and she first of all freaked out about my tattoos and she didn't know where to place it. I disclosed to her I am a RN and she can place it on a spot on my arm. She decided to ask the clinic RN (I'm not judging this part, like I actually want someone to verify placement if she isn't sure!) Who came in, checked my arm, touched the two spots and said those were good and left. The MA started getting the test set up, I'm sitting there with my arm out chatting and she touches my arm again and next thing I know the needle is in my arm. She's not wearing gloves, I now have my skin germs, her skin germs, and the nurse's skin germs on me. No alcohol swab, and I am immunosuppressed.

I ended up calling the clinic like 30 minutes after I left, but wtf? This isn't a down and dirty crash resuscitation in the ER, there's no rush, no go go go for her to have missed this. Like I was afraid of reporting her because I don't want to get them in trouble, but this is two times potential medical harm was directed towards me, and someone lying that they are a RN.

Hey everyone!!
I am an 22 year old Aussie nurse wanting to come over to Texas and work. I have my BSN and also a Masters in Midwifery!

I’m in the process of obtaining my Texas licensure and by God’s grace hoping to come to the US in 2028.

I am eligible for e3 visa status which is a visa for Aussie professionals (no sponsorship required, only takes a couple of weeks to obtain and absolutely free from the employers end) all I require is a job offer!

Just wondering if you all have any tips to get jobs in DFW. Would it be worth emailing nurse managers/recruiters?

Any tips will be greatly appreciated :)

One of the duties is to "maintain relationship between EMS company and hospital." What does that mean? Besides keep the EMS room in the ED stocked with Pop Tarts and Oreos.

any thoughts? anyone work in any of the hospitals? and any advices? 😭 any experience? how is the culture? acuity?

Okay so i am furious rn whilst im writing this,like bruh wtf is wrong with people????why tf do they think we nurses are their own puppets?????and think that we take the money of the hospital as ours??!!!
We are fucking underpaid,overloaded,not respected no matter from who.even the ceo of this hospital doesnt respect us and doesnt side with us whenever theres such disrespect.like wtf is wrong with people????we are human beings like you are,we have a family of our own we have a story of our own,we have kids.dont you people fucking think that we also have a life like yours???????
The scenario goes like this:
My colleague told me that theres this pt ill Name X,that was shouting on her that he needs smth for his sputum so she told him okay.she braught a nebulizer with some saline in it because theres no order of meds yet.so he calls again i go and he starts shouting on me and i told him im the incharge talk to me what happened,keep in mind he was smoking,and wants oxygen lmao he wants to kill himself and the others probably,when i tell him no smoking thats a policy he replies by “did i do sex or what?”and started shouting he disrespected my colleague badmouthed her infront ofme that she just administered some normal saline for him to push out the sputum and he started threatening me by his attending dr,as if that dr is anything better lol,as if i cared i replied by ok he knows us as well he started saying “do you who am i?” I said no he was like “im the ceo of xyz restaurant “i was like ok 😂😂and tbh his restaurant sucks bruh.then he was like “i have more than 30 workers” i was like ok and i started sayingg “sir please lower your voice so that we can talk respectfully and dont annoy the pt next to you”
He was like “madam are you annoyed,the pt next to him replied by no”and bruh his voice was super loud lmao people are shit fr.anws i told him what do you want in exact tell me ,apparently he wanted some atrovent and wanted the oxygen level on 10lpm😂😂i was like sir that-would kill you and the max ammount as dr order is 3 lpm.he was as well arguing about that my colleague added aroumd 5cc only of ns and thats so little and whatever…anws contacted the dr prescribed atrovent stat literally it was administered for only 3 mins and he removed it,when he says yeah im well now
Like wtf is wrong with theseeeeee people goddd.
Never saw someone shout on someone else because hes doing whats best for him lol.oh and our salary as an RN is 623$/mo 😂😂😂

I’ve been an ICU nurse for 4 years and lately I’m feeling pretty burned out. I still enjoy the clinical/critical care side of the job and have good shifts, but the combination of staffing, demanding patients, and general bedside BS is wearing me down.

I’m currently in NP school and have about two years left. Coincidentally, I also need roughly two more years at my current employer for my pension to vest, which makes leaving feel like I’d be walking away from something valuable right before the finish line.

I’ve been considering case management, utilization review, or preferably a procedural area with a predictable schedule and no call. I’m not necessarily looking for my forever RN job, just something sustainable while I finish school.
Has anyone been in a similar position? Would you stick it out for the pension, try transferring internally to something less draining, or just leave and prioritize quality of life? Also interested in hearing from anyone who left ICU for procedural nursing/case management and whether you regretted it.

I've got my CCRN if that makes a difference.

Tomorrow, I have a tech interview with the ER. I’m both excited and nervous at the same time. Does anyone have advice on how to rock the interview without your nerves getting the better of you? Thank you 🙏

Hey everyone, looking for some advice from people who have navigated the medical school/healthcare job hunt as a couple.

I’m currently in the middle of this med school application cycle. Based on the standard admissions timeline, I likely won’t have a clear picture of where I’m actually matriculating until late March or April.
Meanwhile, my wife is graduating nursing school this upcoming May. From what her program and advisors are telling her, major hospital new-grad residency interviews happen around January, and they generally expect offers to be accepted or commitments made by February.

This leaves us with a rough 1–2 month gap where she might have to commit to a hospital system before we even know what state I’ll be moving to for medical school.

For those who have been through this:

How flexible are new-grad nurse hiring timelines? Is it realistic for her to hold off on applying/accepting until March/April, or does waiting seriously hurt her chances at competitive units/hospital systems?

Can she accept an offer and renege if needed? We obviously want to avoid burning bridges if possible, but how standard is this in nursing?

How did you coordinate geographic overlap? Did you pick a target region based on interview invites, or just wait it out?

Any insight, personal experiences, or strategies from nurses or med spouses would be greatly appreciated!

Hi. I need advice from nurses in Washington. In the Bellingham area if there are any. I want to move from west Virginia to Washington. I need a degree in nursing. I want the fastest and easiest route to get me to WA. I have 3 cats and a dog that tie in here. I need a degree to guarantee me a job. I know I couldn't make it on a CNA salary. What about a LPN or ADN in nursing. I really don't want to have to spend four years on a degree. I just need to be able to afford to live. If you have any other spots in WA that you think are cheaper let me know. Also if this isnt the right subreddit im sorry. I want a studio apartment.

Hello, all! I’ve been a nurse for 9 years now and leaving my current unit after 7 years in a few weeks. I’m def grieving in a sense— leaving everything I’ve known and done to another role as a post acute care transitions nurse— helping prevent readmissions to the hospital, by way of telephonic follow-up, education reinforcement, and care coordination.

I’m def not going to miss the back breaking work (I work on a surgical floor, primarily trauma, ortho, and neurosurgery. I’ve decided to leave to find a better work/life balance as well as transition to something where I can flex a different part of my nursing brain in an outpatient setting, Mon- Fri, essentially a 9-5.

For those that made the transition out of bedside to the “soft nursing” side of the profession, how did you make this change work for you? Are there any growing pains? Any tips? Anything you love? Hate? Lmk!

Also, if this is what you do— how do you like it? I haven’t found many that do this work, yet.

Hi! I am looking for info on new grad pay for MUSC currently. I am applying to Acute care Oncology and Surgical Oncology.

Just finished school and new to SC! Any info is greatly appreciated!

A person with a business Bachelors degree completed an online MSN program, had about 2 months of orientation as a bedside RN, and is now going to be teaching students at the online school she graduated from.

They will be adjunct faculty for an online MSN–Direct Entry program and are “excited about the opportunity to help teach, coach, and support the next group of nurses coming through the program.”

They are, “especially excited about working with students in virtual simulation, clinical judgment, and NCLEX preparation.”

This person is now referring to themselves as “professor.”

Am I the only one who thinks this is wild? Someone with almost zero experience and beginner clinical judgment teaching others?

Just got off a 12 hour shift and my mom (retired doctor) told me she’s starting to get annoyed with the nursing strikes and that it’s “too much.” A little context, she used to work for Kaiser and she’s specifically referring to the Kaiser strikes.
I snapped a bit, told her “what do you want me to do about it? Maybe you guys should unionize too!” (But I know that it’s more complicated for doctors to strike and unionize).
I understand that doctors are also overworked, have their struggles, and deserve better work conditions but dang Mom sounds like you’re resentful (is that the correct word I’m looking for…?). Anyways, direct your anger towards admin! I wish we can all team up and fight for better workplace conditions for everyone in healthcare. It sucks that healthcare is pretty much all about business :/

There’s a lot of talk in here lately about correct charting and what that means. We’re taught this is nursing school but when you work in a hospital sometimes you’re taught incorrect charting habits.

For example, in my ICU they encourage that you chart your assessments at 0800, 1200, and 1600 even when if you have two patients. I tend to chart in real time (0800 assessment for pt 1, 0845 assessment for pt 2) because I want my charting to tell a story if I were to be disposed (I saw pt 1 first and pt 2 second, clearly due my charting instead of charting both at 0800).

I’m looking for good rules that help us discern bad habits being taught at hospitals vs what actually serves us in court. I’m not looking for “chart as much as possible” here because sometimes my shifts can be insane. Insights from nurses who have been deposed or from legal nurse consultants are ideal. Thank you!

Edit: I appreciate the answers so far, thank you. I particularly appreciate all of the conflicting advice. I think that’s part of the problem too. Many of us may think we’re charting correctly but in court it may be a different story. Having extreme clarity of what is and isn’t okay in real situations (we’re busy AF, hospital pressures, etc) is my goal here.

Hello All. I been a nurse in the ed for a bit and i am moving to a different er cause I hate mid-shift lol and I want part time and my current hospital wont give me a part time position. I tried to keep it discreet but since its a sister hospital my manager was made aware and kinda told everyone. I had so many co workers just be negative about my reasons for wanting to leave. Its just so annoying every-time i tell another nurse about my goals and WHAT I WANNA DO they always feel like they know whats best for me and what I should do. Anyone else experience anything like this?

I’m a new grad nurse almost 7 months into my grad program.

I interviewed for ED but failed the panel interview (1 out of 3 components) basically the face to face I’m not good at.
Anyway I landed my second preference of operating theatres
Initially I wanted anaesthetics as I am fascinated about learning all to do with the drugs, airways etc

I got put into scrub/scout, I am sinking I feel.
I do really well in certain specialty area/s mainly 1 out of the 6 I’ve rotated through
Then there are days where I’m put in an area and I flounder, I hate it and I don’t know why but it’s a mental struggle…. I’m relatively newly diagnosed ADHD and still trying to find the medication balance but then there is the Autism that isn’t officially diagnosed but my psych said it’s there for sure and we are treating me as such.

I’m finding myself getting bored, stressed/overwhelmed and just like I can’t cope anymore
Starting to not want to go etc
I am a mum of 3 young children also so I am burnt at both ends
All 3 have things going on, appointments after appointments and I’m drained from that alone…. Then this fulltime grad is absolutely killing me.

I don’t know if it’s where I want to be, I desire more critical care, more energy, chaos whatever it is I crave it almost but I’m confusing myself as the specialty I hate is because the surgeons are chaotic 🫣 and I can’t handle them….

Anyone been in this situation before or similar- obviously not exact same??

Why It Matters:

The rule would have let the Education Secretary disqualify employers found to engage in activities with a "substantial illegal purpose". One of the big focuses of the lawsuits was that the language was based on the administration's policy priorities about immigration, gender-affirming care, and DEl programs rather than settled criminal law. Teachers, nurses, and nonprofit workers faced losing credit toward forgiveness if their employer was cut from the program. This would include major non-profit University Medical Centers, and end contracts many Nurses entered into to reach PSLF after 10 years of payments while working for a qualifying facility. How day they target Nurses who have worked for years to achieve this changed employers to achieve this. Earned this benefit. Yet wealthy people qualified for PPP loans they didn’t have to pay back? No I’m sorry, this is political and they’re weaponizing the DOE against us. This is unacceptable.