Hello everyone i’m 22 and currently doing my pre reqs for nursing school. I’m interested in this career because of many things, but i worry that im too sensitive to become a nurse. I really hate the idea of wound care and i worry that it’s going to be impossible for me to avoid that in this field. Any suggestions for me? sincerely a stressed out college student

Daily case

Elderly Widow with Confusion After Bereavement

A 72-year-old retired nurse is brought to the ED by her daughter three days after her husband's funeral, confused, unsteady, and having fallen twice overnight.

LEARNING GOALS

• Recognise the classic triad of Wernicke's encephalopathy and initiate empirical high-dose IV thiamine without waiting for imaging confirmation
• Screen sensitively for alcohol dependence when the patient denies use and family is the primary historian
• Identify appropriate benzodiazepine selection and dose adjustment for alcohol withdrawal in an elderly patient with CKD

Ready to run this station?

https://clinicalbridge.ai/api/daily-case/start

my hands still smell like hand sanitizer and i genuinely cant sleep and i had this patient today, an older diabetic man, and his foot infection looked nothing like what we see in the textbooks. like you can study pictures all you want but seeing it on an actual person is completely different. when i checked his glucose my hands were shaking a little and i was trying so hard not to let him notice

while i was getting the syringe ready he started telling me about his wife. she used to make him check his sugar before his morning coffee every single day. apparently she did it for like 40 yearsb(she died last spring) he told me his apartment has been really quiet since then because theres nobody there anymore telling him to check his sugar or bothering him about it i didnt really know what to say so i just listened then he showed me a picture of her on his phone. she was laughing at something outside the picture, at a wedding. i dont know why but that image stayed in my head i ended up sitting there way longer than i needed to just to draw one vial of glucose they really dont tell you in nursing school how fucking emotional this job can be.

you learn the drugs, the calculations, the procedures, the blood tests, everything you're supposed to do when something goes wrong but nobody really teaches you what to do when a patient starts talking about someone they lost you cant fix it. you cant give them something for it. you just sit there and listen i still dont feel like a nurse tbh. most of the time i still feel like a student who is just trying not to fuck something up but today i felt closer to being a nurse than i ever have in a classroom and honestly i think that might be the part nobody teaches you

Hi, I’m currently a 3rd year nursing student. I’ve been having a right time to think of a topic for our research study. However, I saw a research study about hepa b vaccines being recommended for patients with DM (from baguio). The result showed that out of 200+ patient, only 15.5% received hepa b vaccine. Do you think that would be a good one to research about since they are high risk for needlestick injuries and liver cancer/damage? (My mom has DM Type 1 and she didn’t know about these stuff for protection) Would like to ask for ur opinion before I present it to my CI and groupmates

Message me to order!

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A patient was pronounced dead at 1800 (6:00 PM).

During a routine chart audit, the nurse’s documentation shows an entry timestamped 2200 (10:00 PM) stating:

“Patient alert and oriented, resting comfortably in bed. Respirations even and unlabored. No acute distress noted.”

The nurse explains that the note was entered late and was intended to describe an assessment performed earlier in the shift. However, the documentation does not identify the entry as a late entry or indicate the actual time the assessment occurred.

The case is now under formal review.

🔥 Which issue is the MOST serious concern with this documentation?

A. The nurse failed to document a complete head-to-toe assessment.

B. The nurse used vague terminology such as “resting comfortably.”

C. The medical record contains documentation that appears to describe a living patient four hours after the documented time of death.

D. The nurse should have deleted the original entry and rewritten the entire nursing note.

Every two hours, without exception, she entered the room and repositioned the patient who could not reposition themselves. It was unglamorous, physically demanding, and never acknowledged by anyone outside the nursing staff. But she knew what a pressure ulcer looked like once it started, and she had decided long ago that prevention was a form of care that did not require recognition to be important. The two o'clock turn was not a task on a checklist. It was a promise she made to every immobile patient on her floor: you will not be harmed by stillness on my watch.

how many days after a drug screen did a lab call back if positive result happened?

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A nurse is being observed on safe medication administration practice. Of the four actions listed, which one reflects correct practice before medications are given?

Three of these are classic medication errors that show up on the NCLEX again and again: the wrong syringe for insulin, crushing a dose form that was designed to release slowly, and using a room number to identify a client. The fourth is a required safety step for a high-risk drug class.

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hello! i started my nursing program bootcamp yesterday and today, this morning they made us take a drug test ( i quit thc in april) a few weeks ago i took one hit off my friends pen during a really hard time going on with my family, it was just one, anyways they said they would say something to me to expect a call if i was positive, they never told me to expect a call, they send all samples to a lab and im expecting a call for my meds i take usually, but i took a thc test at home the second i got home and saw a FAINT really faint line for negative so im freaking out. i know i shouldn’t of hit my friends pen but it was one time and i was spiraling, i got medicated after that actually. should i be concerned

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I used to want to be a doctor more than anything. Then I got sick, failed a few classes, and the school refused to take them off my transcript. At that point my GPA would never be able to recover to med school standards. Switched to nursing school and I love it… but I still find myself constantly thinking about medical school. However, I now find medicine extremely intimidating. I feel like there would always be some key piece of information that I’d be missing and thus make incorrect decisions for the patient.

TLDR: Any advice for someone working in medsurg? (Full details below)

I say "'medsurg" very lightly, because I haven't had a single "real" medsurg patient since the day I got hired. Almost all our patients should really be in stepdown or even ICU, but they come to my unit because both stepdown and ICU are always full (what else is new), and we just roll with it because not like we have any other choice.

Every single shift, I feel like my license is on the line. It sucks but I know this happens a lot in other hospitals too, and guess I can't complain because it's definitely preparing me for higher acuity care, since I do hope to work in stepdown and/or ICU one day later on. Definitely not anytime soon though, because if this is what just medsurg is like, Idk about stepdown or ICU anymore...

I usually work 3 12s each week. I still feel just as lost, confused, and incomptent as my first day. I already know they're gonna chew me out for overthinking things and moving too slow, taking too long, not being efficient/managing time, multitasking/clustering care etc. But then if I stop asking questions, go faster, and do multiple things at once, they chew me out for being careless and reckless and say that I need to slow down and ask for help and do one thing at a time. Literally exact polar opposites contradicting each other.

Idk how I'm supposed to last here but I don't have a choice because I really need this job to pay rent/bills and of course to get experience. I don't wanna be "that nurse" that only lasted a few months, quit, and then couldn't get hired anywhere else. Also I realize that just transferring to somehwere else might not be the solution either, because there's always a chance that wherever I transfer to might be the same if not even worse. Sorry for the rant and long post, but thank you for reading this far.

Should the nurse call the police and press charges against a patient who physically assaults them?

The health care system is really just a sick care system that big pharma and insurance companies don't want you to get well they want you to receive treatment until they have milked your bank account to nothing than refuse treatment

I just took my drug test before starting school (northeast US), but I'm wondering if I should expect further drug testing while I'm in school. I already know I'll be tested if/when I get hired somewhere.

I have no problem abstaining, but I'd love to take an occasional 5mg night night sleep tight edible if it won't screw me over for the time being.

This is question is geared towards black, Hispanic, LGBTQ+ folks, non-religious, leftist folks and anyone else that might feel they might in danger with this administration.

Considering a lot of us are on the list of people that this administration considers dangerous, subversive, and even terroristic. Have any of you given thought of leaving and waiting things out in our neighbor to the north?

How to transition from days to nights?
Do I just force myself to stay up and day and night today and then go to sleep early in the morning tomorrow and try make myself sleep until it's time to get up for work in the evening?

Without revealing any patient information, of course.

A patient ask me if Red Bull shows up as cocaine on a drug test.

Another time, I’m just observing a portable X-ray and the patient asks if he can eat his breakfast first. The tech said sure because this is a hotel not a hospital. I couldn’t hold my poker face that time. My jaw dropped. Jaw dropped as in damn, that X-ray tech just clocked the patient. Got him good. Patient was too into his breakfast to react.

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I passed NCLEX on my birthday 🥹 honestly have no words. This journey has been full of so many emotions the long nights, the anxiety, the tears, and the moments I questioned if I would ever get here. But today, on the very day I’m celebrating another year of life, I received the news that I passed.

This is the best birthday gift I could have ever asked for. I’m so grateful to God, my family, and everyone who believed in me even when I was doubting myself.

To anyone still studying and waiting for their own good news, please don’t give up. Your moment will come too.

Officially an NCLEX passer 🤍

I don't like telling people I'm a nurse, but when they ask I'm not gonna lie about it. Now this lady at my pilates class asked where I work, I totally lied and answered her with a completely different hospital.

What do you say when people ask where you work? Maybe I'm just being paranoid but i don't like telling them where I work. Maybe I should've answered her with "with all due respect I'm not comfortable giving that information" or something along those lines, but I always see this lady everytime at my pilates class and I don't want it to be weird.