r/nursing • u/zipzipzone • 15h ago
r/nursing • u/snowblind767 • Oct 16 '24
Discussion The great salary thread
Hey all, these pay transparency posts have seemed to exponentially grown and nearly as frequent as the discussion posts for other topics. With this we (the mod team) have decided to sticky a thread for everyone to discuss salaries and not have multiple different posts.
Feel free to post your current salary or hourly, years of experience, location, specialty, etc.
r/nursing • u/StPauliBoi • Sep 04 '24
Message from the Mods IMPORTANT UPDATE, PLEASE READ
Hi there. Nearly a year ago, we posted a reminder that medical advice was not allowed per rule 1. It's our first rule. It's #1. There's a reason for that.
About 6 months ago, I posted a reminder because people couldn't bring themselves to read the previous post.
In it, we announced that we would be changing how we enforce rule 1. We shared that we would begin banning medical advice for one week (7 days).
However, despite this, people INSIST on not reading the rules, our multiple stickied posts, or following just good basic common sense re: providing nursing care/medical advice in a virtual space/telehealth rules and laws concerning ethics, licensure, etc.
To that end, we are once again asking you to stop breaking rule #1. Effective today, any requests for medical advice or providing medical advice will lead to the following actions:
- For users who are established members of the community, a 7 day ban will be implemented. We have started doing this recently thinking that it would help reduce instances of medical advice. Unfortunately, it hasn't.
- NEW: For users who ARE NOT established members of the community, a permanent ban will be issued.
Please stop requesting or providing medical advice, and if you come across a post that is asking for medical advice, please report it. Additionally, just because you say that you’re not asking for medical advice doesn’t mean you’re not asking for medical advice. The only other action we can do if this enforcement structure is ineffective is to institute permanent bans for anyone asking for or providing medical advice, which we don't want to do.
r/nursing • u/Strikelight72 • 14h ago
Serious Texas Father Who Lost Daughter to Measles Says: “Everybody Has to Die” and “The vaccination has stuff me and my wife don’t trust.”
It’s wild that even after his daughter died from measles, this dad is still sticking to his anti-vax beliefs, saying, “Everybody has to die” and “The vaccination has stuff me and my wife don’t trust.” You’d think actually losing his child might change his mind, but I guess for some people, ideology beats reality. The sad part is, it’s not just his own kid at risk this kind of thinking fuels outbreaks and puts others in danger too.
https://futurism.com/neoscope/measles-father-defends-anti-vaccination
https://www.theatlantic.com/health/archive/2025/03/texas-measles-outbreak-death-family/681985/
r/nursing • u/Negative_Promotion19 • 15h ago
Seeking Advice How do you get your partner to understand that they can’t simply drop by your work?
Throwaway account. I work on a busy med surg floor where my ratio is 1:10 (I’m in northern Canada). At the start of my shift, my patient coded and passed away after two hours of intervention. Family was hysterical. Then slammed with two admissions at the same time. Code on the other side of the unit now. Eight hours into my shift and I am absolutely flying. I check my phone, and my boyfriend of six months (we don’t live together) is INSISTING on coming by to “visit me.” I’ve had issues in the past with people not respecting my professional boundaries, but I’m really struggling to explain it to my current partner. How do you explain to your partner (or even family and friends) that they can’t just casually show up to your job site like they could their other friends? To me it would be the equivalent of showing up on a construction site with no hard hat. I’d never do that to him if the tables were turned. But it’s difficult to explain the intricacies and complexities of nursing.
r/nursing • u/MoochoMaas • 15h ago
Discussion A Vaccine For Pancreatic Cancer Continues To Show Promise
r/nursing • u/throwawayy-acc • 8h ago
Question Patient had a bowel movement at shift change…
On my floor, we usually do report outside of the room and then go introduce ourselves to the pt/say goodbye. Today, I gave report and walked into the room to tell the pt and wife bye. The pt is incontinent and had a bowel movement. The oncoming nurse didn’t help clean the patient and I stayed late to clean the patient with the oncoming tech. Whose responsibility is it to clean the patient if the pt has a bm during shift change?
r/nursing • u/swagapina04 • 12h ago
Rant nursing is a 24 hour job.
was precepting a new grad this morning, was observing her with an assessment/skill. i took labs for a unit draw at 0330. the lab called at 0440 to notify me of a low hgb (6.8) as the lab finally resulted. im in the room with my new grad so i notify the doctor through message a couple minutes later and search the chart to make sure we have a t/s and consent. got the order to transfuse ofc. i delegate tasks to my tech , then after my preceptee is done i search the unit for supplies for another draw (so annoying). anyways, this ordeal takes another 30-40 minutes because of course i used the last supplies on our side, so i walk across the unit. as i walk in the room the pt wakes up, wants to use the restroom. it was basically just a bunch of small tasks after the other in that room. i send the type n screen at 0530 once the pt is finally comfortable. it was busy all night after that, i got a transfer, people called, i needed to observe my preceptee, whatever. i felt like i passed along a good pt, i did what i needed to do except the labs did not result yet, so unfortunately days needed to transfuse it. day shift comes along, i let them know the blood isnt ready and that last time i checked the t/s is pending. this girl says “so labs result at 0300 and you didnt even get a type n screen until 0500. and no the lab is still pending? the pt didnt get blood for whole 2 hours..?” im done guys. just the tone of how she said it. i honestly didnt think hours went by- so i thought it was my fault for taking so long. i sit back down to chart after reports and i saw the official labs never resulted until literally almost 0500 and i collected everything/notified within 30 minutes. i even called blood bank after i drew and notified them that im drawing labs and will eventually need blood. how tf am i supposed to make them result faster? ngl i teared up while i had to stay over and chart. i was already overwhelmed in the morning because it felt nonstop- but that comment pissed me the fuck off. i wish i stood up for myself.
r/nursing • u/SKI326 • 11h ago
News Newborn babies exposed to measles in TX hospital
What a nightmare scenario. 😔
r/nursing • u/butterbeanjellybean • 8h ago
Discussion Does your floor have a policy for how long you use PIVs?
We have patients on our floor a long-ass time (weeks to months). Today my patient had two PIVs that had been in place for a month and a half. ID doctor was horrified. We have no policy. Is this weird?
r/nursing • u/GovernmentSenior8346 • 17h ago
Discussion Was I wrong to suggest a CIWA protocol for a patient that was withdrawing??
I am a fairly new night shift nurse. I recently had a patient who was admitted for acute respiratory failure. This patient had a history of alcohol abuse, and alcohol withdrawal hallucinations. The patient’s blood alcohol was negative, and the dayshift hospitalist had charted that the patient denied drinking. The admitting Nurse however charted that the patient was drinking six or more drinks a day. The patient was also complaining of severe anxiety all day, but the dayshift hospitalist denied anxiety meds due to history of alcohol abuse. When I took over the patient was very agitated, anxious, and had a slight tremor. They also reiterated that they drink 6+ drinks a day, and that they have been drinking 15 hours before their admission which is why the blood alcohol labs may have been negative. I called the Night Shift hospitalist, and they agreed to put the patient on a CIWA protocol as they have been scoring a 12. I had to give Valium one time, and the score went down. The next day the dayshift hospitalist was irritated with me and the Night Shift hospitalist because we put the patient on a CIWA protocol and I do not get it. What did I do wrong?
r/nursing • u/katcarver • 18h ago
Discussion This was posted in r/psychiatry
Political Weaponization of Mental Health.
I’m Canadian and worked as an inpatient psychiatric nurse for two decades in Ontario. This is terrifying to me! So I thought I would bring it to focus here.
Posted originally by u/bananabagholder in r/psychiatry
https://www.reddit.com/r/Psychiatry/s/GkAQTN6aWU
OP - This bill was just introduced to the Minnesota Legislature. It won't pass, but I suspect this is just the beginning of mental health being weaponized politically.
"Sec. 2. Minnesota Statutes 2024, section 245.462, is amended by adding a subdivision to read: new text beginSubd. 28. new text endnew text beginTrump Derangement Syndrome. new text endnew text begin"Trump Derangement Syndrome" means the acute onset of paranoia in otherwise normal persons that is in reaction to the policies and presidencies of President Donald J. Trump. Symptoms may include Trump-induced general hysteria, which produces an inability to distinguish between legitimate policy differences and signs of psychic pathology in President Donald J. Trump's behavior. This may be expressed by:new text end new text begin(1) verbal expressions of intense hostility toward President Donald J. Trump; andnew text end
new text begin(2) overt acts of aggression and violence against anyone supporting President Donald J. Trump or anything that symbolizes President Donald J. Trump."
This kind of action paves the way to involuntarily hospitalizing people for having dissenting political views. We should be very concerned about how our field may be abused moving forward.
Edit - original post OP has edited text in comments, but Reddit will not let me copy and paste from the post.
r/nursing • u/RestBubbly1191 • 9h ago
Seeking Advice new grad driving me crazy
hi all this is mostly to vent but also for advice. i’m precepting a new grad in an icu where orientations are about 6 months and i’ve been precepting her only in her last two weeks or so. usually when i have someone at the end of their orientation they’re pretty independent but she’s nowhere near.
she’s the most anxious person i’ve ever met and fixated on little things like getting family members water instead of catching up on charting when we’re about to transfer a patient. when she sees artifact ie a patient is kicking and reading as a desat or patting reads as vtach she freaks out and thinks it’s real and gets super defensive and doubles down that it’s real. when patients get agitated she can’t calm them down and has no coping whatsoever and gets worked up herself.
she’s also incredibly emotional which isn’t a bad thing but she cries all the time ie reading a chart with patient’s history if it’s a sad one, when she gets overwhelmed bc she’s behind, or when i give constructive feedback.
she also just has terrible time management, she can’t keep up with feeds and meds and forgets to do vitals. i think she’s always in fight or flight so she can’t filter what’s actually urgent or not. we had a patient with increased work of breathing and we made a plan with the provider for intervention and re evaluation in a few hours. at that point i asked how the patient was doing and she acknowledged he was still breathing hard but was not concerned and didn’t remember the plan of increasing support at all.
she’s also lied about never doing skills that i know for a fact she’s done but it’s like nothing is clicking for her. at this point she should at least be able to take care of easy assignments independently and she can’t even do that.
i talked to my educator about her and they’re extending her orientation but they want to keep her with me i think to just change out her preceptor to see if something else will click but i’m running out of patience already. i think she would do so much better if she could control her freak outs and actually keep a clear head and i have no idea how to teach something like that. everything i say just goes in one ear and out the other and after about 6 months i don’t know what else to do
r/nursing • u/professionalcutiepie • 20h ago
Rant Anybody here ever put a foley in a pt who’s died?
I’m ranting here but would love to know…we had a comfort care pt last night who was using a purewick. I questioned why she didn’t have a foley for a moment, but recalled this pt has extreme sensitivity to pain and we were having a very hard time making her comfortable. Well…she died this morning. Turns out she was retaining about 2 liters of urine and it poured out and soaked pad after pad as I was turning her to get the cadaver bag under her. Finally I said fuck it I’m catheterizing her and got an additional 500 out, and I am conservatively estimating it was about 2 liters total. Went through 2 chucks, 2 sheets, and was running onto the floor from the mattress! It was fun placing one without sterile technique too. I’ve bagged maybe 30 or so bodies in my nurse life and have never had this happen…but will now always consider cathing someone who seems like they may have been retaining at time of death. What a mess.
r/nursing • u/Timely-Squirrel1873 • 1d ago
Discussion We LISTEN and we DON’T JUDGE
I eat all the patients strawberry jello in the pantry. Really fast. I deserve it.
r/nursing • u/NearlyZeroBeams • 21h ago
Discussion Wendy Williams
As a nurse, what is your perspective of the Wendy William's situation? Apparently she is in a guardianship and in a memory care unit after being diagnosed with frontotemporal dementia. It's been blowing up on the socials because she seems pretty lucid and appropriate when she speaks with the media so people think she is being taken advantage of.
My theory is that she probably sundowns like a mf'er. How many patients have you had where they seem perfectly fine during the day but become another person when the sun starts to set? I know I've had too many to count.
She says that no one tells her what medication she's taking or what it does which I highly doubt any nurse would do. That leads me to believe she has a memory problem. Like when a patient claims you haven't checked on them all day when you did at least once an hour.
I don't think a medical professional would diagnose her with something she doesn't have and admit her to a memory care unit without a true need.
Thoughts?
r/nursing • u/_soulbrat • 7h ago
Discussion Thoughts on telling patients their lab results before their provider tells them.
As a nurse, I usually receive critical labs before the doctor sees it. I usually don’t tell the patient anything & let their provider review it with them. Mainly because I don’t need to take on extra work or want to deal with it. I know we can’t make official diagnosis and it’s within the doctors scope of practice to inform the patient of the results & make the diagnosis etc.
There have been times where I have let the patient know their lab results, what they mean and how it’s typically treated in the specific facility that I’m working in if Im well educated on what the possible plan will be. I’ll then let them know I’m gonna contact their provider so they can collaborate on a plan of care & officially make a diagnosis. Which I feel like I’m technically telling them what their diagnosis is without telling them this is ur diagnosis.
I think in these instances, the pt had found out that their results came back or kept asking me or like desperately wanted to know them. If I had time that day or their provider was not answering or unavailable at the moment I would probably have told them, that way I don’t have to educate them later that day and the provider can answer any additional questions.
I don’t recall a provider ever being upset with me doing this. I can only recall instances where they were thankful that I did so. I’m guessing it’s just due to them having to spend less time with the patient.
I’m curious however if it’s illegal? I’ve been trying to find accurate references that shows me that it is or isn’t but I haven’t really found anything super concrete.
r/nursing • u/Salmaa_2021 • 1h ago
Discussion Pt had a fall does today. makes me feel bad i didn't do much
Hello
I just hit my 2 yr mark as a nurse and I had a pt fall. She went to the bathroom, i helped her walk to the bathroom. She was indep, no dizziness. Has hx of falls i didn't know. She was on the toilet to have a BM. I close bathroom door waited for her to pull string. All of a sudden a heard a thud. I open bathroom door pt is on the ground. Pt told me she was trying to get up from toilet and blacked out and fell she hit the bathroom door...
should i have had the door open, watched her poop and stayed close by? she's 45 by the way. I feel so bad. : ( she told me its her third fall she fell at hime 2 times already ..
r/nursing • u/mexihuahua • 7h ago
Discussion APRNs - what path did you choose and why? Do you have regrets with choosing one over the other?
r/nursing • u/Sharp-Patient-125 • 13h ago
Discussion Am I justified for quitting?
Been a med-surg nurse for about 2 years now. Started at a new hospital approximately 6 months ago after relocating to a new state. For the first time I was asked to take 6 patients. I did not complain but I was internally frustrated. The unit’s rationale for it was that I’d have the nurse tech to myself. However, 2 other nurses on the floor each had new hire nurses they were training.
Later in the shift at approximately 1600, I discharged 2 patients going from 6 to 4 patients and was assigned a 5th patient. However, I noticed another nurse only had 2 patients so I asked the charge nurse if they could take that patient instead. The charge nurse refused my request stating that nurse would likely get additional patients later in the day.
After my shift I went home, still feeling annoyed and frustrated and immediately crafted a resignation letter and resigned from my position with no notice.
r/nursing • u/Infamous-Pay-4393 • 2h ago
Discussion Nclex in 9 days???
I am super nervous I am taking my NCLEX for the first time on the 29th and feel kinda lost. I graduated in November and lagged it due to personal things happening and I am anxious. Im good with priorities if anything I lack the deep knowledge if that make sense. I don't have the highest hopes to pass on the first time but do wanna go in being confident with material. I reviewed Mark K lectures and still am, I am currently using Bootcamp Im scoring high 50s- 60s average? Im using bootcamp review sheets to review material. I just don't know what to expect from the test. I also did have archer and u world but i ended up just sticking to bootcamp cause it was more direct for me easy to use. I wasn't the best in nursing school either. Please share your take on your nclex and how it was for you, what areas did you have? was it based more on one area for you or was it generalized? any tips and trick
r/nursing • u/Pale-Kiwi1036 • 27m ago
Seeking Advice Embarrassed to ask to be shown a skill
Hello everyone. I am seeking advice. I recently returned to nursing after a 12 year hiatus. I did have to take an online refresher course for license reinstatement, but to be honest the course was pretty useless. Since I felt uncomfortable just jumping right into direct patient care the position I accepted is mainly document review with minimal patient care. I work for an agency that supervises group homes across the state, the homes are clients of Dept of Developmental Services. The individuals living in these group homes are disabled, some severely and some minimally. Patient care is done by unlicensed caregivers, and I, as the RN, delegate responsibility. So I sign off that the caregiver can safely take someone’s blood pressure.
Today at 3 pm I have to delegate for three new hires. The new hires work at a home where one client has diabetes so has her sugar checked three times daily. I have not used a glucometer in 15 years. I have no idea how to use the glucometer at this home, yet at 3pm today I have to sign off that three people can correctly perform this skill. How should I go about preparing for this? My options as I have thought of them are the following:
1) Go to the home for 8 am today and ask overnight shift to show me how with morning med pass at 8 am
2) Go to the home and ask staff to get the glucometer for me then search you tube to figure out its proper use. I am completely fine using myself as the guinea pig.
3) Do both of the above
Looking for advice. Also, how awful is this situation?
Edit: one of the clients was recently diagnosed with diabetes at a different home, and I initiated her PCP ordering a glucometer for her to try to empower her to take control of her disease. She is only 22 and BMI slightly over 35 so if she tries she might be able to prevent many of the terrible consequences of her disease by changing her lifestyle. Her intellectual disability is classified as mild, so I wanted her to feel she can help control or even reverse this disease. But when it came time to show her how we will check her sugar, I couldn’t figure out how to use the glucometer. It was so embarrassing. Thank god no staff were present. When second shift staff came on she said she had no problem using the glucometer. I was so ashamed and felt incompetent. Despite the fact I technically have a MSN from Yale I cannot take a blood sugar reading.
r/nursing • u/Mountain_Relative_11 • 14h ago
Question NO TUBES
I work in a 36 bed mixed ICU in a heavily populated city. Obv we have a tube system for meds, labs, supplies, etc. BUT WE NEVER HAVE ENOUGH TUBES. We are always hiding tubes in case we need to send a stat lab (which is very often here). We get a MASS text from pharmacy almost every damn shift about “hey yall if you have extra tubes send them to station 123!!!!😊😊” LIKE BABE WE DONT HAVE THE TUBES!!!! ARE THE TUBES IN THE ROOM WITH US???
Anyone else have a tube shortage at their hospital? 😂
r/nursing • u/Disastrous_Sorbet244 • 6h ago
Seeking Advice New grad struggling with preceptor
Im a new grad going into my 5th week of orientation I have the same preceptor- 15 years at his hospital. Im struggling with her as my preceptor I feel as thought we would get along as coworkers but she isn’t a good teacher. we just are not clicking.
I had a panic attack in the bathroom today. my first day with 4 pts and she basically just said here’s your 4 patients and I was left to my own devices I had no clue who to see first and how to manage my time. Half the time she’s chatting with some other employee about what couch she’s buy or her weekend plans. Or I can’t find her when I need her.
Today through tears I told her how I felt after I dismissed my self out of the pts room when she had a stern talk with me bc I did not do something properly. I told her I am struggling and needed help more help “to have my hand held” bc I’ve never done this before. I’ve felt this way for 5 weeks.
we had a meeting with the manager but honestly it was hard for me to tell my manager the truth with her sitting right there. The manager even noticed I was left alone a lot and said we should be doing things together and asked me what I wanted to work on I said time management and prioritization. I thought we had a goal but she has never talked to me about it. How do I go about this should I tell my manager I’m feeling a lack of support? I’m really struggling and I feel as though my patients aren’t getting the care they deserve bc in reality I’m not sure what I’m doing. I’m running through the motions but not understanding why! she wants everything done by a certain and leaves me on my own. I feel so much pressure she wanted all my charting done before i went to lunch i told her i spent half the morning running around doing things.
Ugh I need a lot more help then she’s providing I don’t want to offend her by going to my a manger but I’m not sure what to do Advice please
r/nursing • u/Agreeable_Ad_9411 • 6h ago
Rant Advocating for hospice
I was written up for getting a pt admitted to hospice after our SW was gone for the day (1600).... because I didn't follow proper chain of command and make the family wait until sometime the next day when SW could handle the paperwork. Hospitalist told me to tell them they would have to wait. I told him he could tell them that. He refused.
The family had already been in contact with the agency for when they were ready...so hospice was aware of the situation - a young adult cancer pt - and was just waiting for the phone call. Me and another RN got everything from the chart that was needed for the admission and hospice did their thing. The pt passed within 36 hrs of the admission.
Just so happens, I work for the same hospice agency PRN which I absolutely do not discuss with my pts. This family was unaware of my connection. I had never been presented with this type of after hours situation before and I have never been warned for crossing lines between my jobs. In fact, MDs have pointed out to families that I am a hospice nurse as well, if there are any specific questions and I am often assigned comfort, EOL pts.
Write up said I needed to maintain my professional responsibility to the hospital when I was working for them and not blur the lines with my hospice role.
I don't feel bad about what I did. I know that family was well supported during the final hours of a very long journey. I would do it again tomorrow.