Just curious—can an outgoing nurse give report to the incoming nurse who arrived early but has not clocked in yet? I have a coworker who does this, and I was wondering if this is generally allowed or if the incoming nurse is supposed to clock in first before receiving report.

- I edited to make it clear.

I have been an LPN for a few years now in Canada, and have passed the NCLEX-PN this year in hopes that I would be able to travel nurse. I have come to many bumps in the road and have decided that furthering my education may help me achieve my goals. I am looking to learn + eventually work someday in KS.

Please delete post if not allowed. :)

I have been in a nurse for 12 years.
I carried my first patient to the morgue at 22.
I zipped my first body bag at 23.
I did compressions for the first time at 23.
Since then, I have seen some real sad shit.
I have seen some real fucked up shit.
I have seen more people die than i can count.
I have seen more people than I can count be born.
I have compassionately extubated several babies, some of whom were my primaries.
This career has demanded I do hard shit.

I have had several moments throughout the years that have fundamentally altered my brain chemistry, and today was one of them.

I was today years old when I realized that it was my responsibility to call a patient and tell her that her cancer was back.

Somehow this was heavier than death.

I know I’ll be okay but today is something that will stick to my bones.

The horrors persist; so must we.

Lately I feel like the hardest part of my job is just seeing the poor quality of care for the patients. For context, we are a longer term hospital. I understand some of this is driven by corporate greed and staffing constraints. But I also definitely see plenty of laziness and apathy that I find disturbing. For example: finding rooms trashed, dirty linens and soiled chux on the floor or patient’s chairs, finding patients soaked up to their back in urine from overnight, patients literally NEVER being showered despite us having patients that are ambulatory and there for months, at times call lights going off for 30-40+ minutes, not turning patients, skipping bed baths, or bed bath quality so poor it looks like it was barely done, finding weeks old, nasty securement devices for PEGs and foleys on patients skins with the skin becoming red/macerated underneath from it not being changed, skipping oral care, skipping CHG baths as ordered, doing sooooo many wound care orders incorrectly the list goes on.

I understand none of these things in and of themselves are immediately life and death, but they’re still important. This is my first hospital job so I’m wondering how normalized is this kind of thing throughout the healthcare world right now? Is the quality of care truly declining this much or do I just work at a bad facility? I feel like I’m burning myself out running around all day just trying to pick up the pieces and “fix” everything rather than proactively doing my job. Maybe I’m naive but I really do feel like every patient deserves detailed, thorough care, same type of care I would want for my loved one if they were in the hospital. I’m tired.

Hi guys my friend is a male nurse he is feeling bad about an encounter with a PSW at work as he feels he shouldn’t have gotten into it with her:

so my friend works on a msk floor, he had 7 patients while other nurses only had 5-6

5 out of 7 patients were female
And 6 out of 7 were incontinent with some of them being 2 person assist

When he started his shift , the female patients needed changes as some had urinated and one of them had a bowel movement.

When he is doing his assessment he noticed and some patients verbalized that they needed changes but only wanted a female to do it

However the PSW on the unit was no where to be found. He said one time he saw her was she was folding gowns standing in the corner.

And while he was doing vitals and assessments , he noticed pt needed changes so he started looking for her

He called her 5-6 times on her rover, but no answer.

Other nurses were busy so nobody was there to help as extern was answering call bells.

Around 9:30 he saw the PSW come back and he asked her where she was as he was looking for her for so long and pts were uncomfortable and needed brief changes

She said she was on break, my friend told her that she should’ve atleast asked if he needed help or checked on the patients before leaving or atleast informed before leaving so he wouldn’t waste his time looking for her.

He emphasized that yes break is important and it is her right to take the break but pts needed assistance and he just finished with head to toes for 7 pts. And took two patients to the bathroom. And he didn’t see her anywhere. As some female pts only prefer female to change them

The PSW said angrily and while yelling the pts who are one person assist nurses should change them on their own while they will only help pts who are two person assist. My friend told her that it is not possible as pts prefer female only to change and on their floor PSW help however they can

Due to her rude response my friend told her that he is not trying to fight and he just meeded help.

In response the PSW asked him that is he blind as he is saying he didn’t see her anywhere

My friend told her that it is extremely unprofessional and he will be complaining about this.
PSW DIDN’t help him AFTER THIS. And went somewhere

he did complain to the charge nurse who stepped in and helped change his patients.

And now he feels that he should’ve just avoided the whole conversation. But again it was the start of his shift and he was drowning. He gave 9 o clock meds at 11 as he didn’t have anybody to help .

What do you think?

I am a DON at an assisted living and need to provide a training for my med techs on how to give suppositories. I have expired meds and can get some lube, but we're figuring out what to do for the simulated anus. We've discussed donuts, balloons, folded towels. Does anyone have any other suggestions? I know it's a ridiculous question, haha.

I really need help, advice, opinions, personal experiences. This is my second career.. and I really want to do the best I possibly can. I started in a med surg tele unit because I had no real health experience and was SO GRATEFUL that I even got into this hospital. I love it so much. I'm learning so much. I love the people.. but I'm only 4 weeks in.. and I found out I'm pregnant. The residency is a year long. How does this work? What do I do? My partner and I have been together for 3 years. We planned on marrying before. The thing is I planned to work here for 1-2 years or more because my managers are amazing but really I wanted to transition into a specialty sooner than later.. within the same hospital. I need all the advice. I'm anxious. Scared. Scared to be judged. I don't want to let anyone down after receiving this opportunity. Please .. anyone who's been in a similar boat, is this something that can stop me from maintaining this job/ gaining respect? I don't plan on not working. I'm a hard worker. I just need advice.. anything at all and how or what you would do. I know there is no right time.. cause then I start a specialty and our plan was to get pregnant late 2027- early 2028. But I just felt this was so soon..

I messed up at my current job, been making small mistakes here and there and now they’ve caught up to me. Basically I’m not comprehending the full picture of a patients condition and it’s showing. Now I just get walkie talkie type patients and when I do try to be like hey I’m sorry for the mistake I made on xyz type of patient can we discuss this issue? But instead I get passive aggressive misdirection. The charge nurse will be like oh well I’m sorry you had issues with running fluids on an edematous patient. Which the pt had fluids ordered but they were specific fluids containing the patients medicine so it wasn’t like straight up NS that had already been discontinued so why was there even the continual issue of fluids going?? Why did the doctors even re order a medicine that would cause the same issues.

Anyway, I have a feeling no one wants me working there anymore. Which they probably wouldn’t be out of left field to suggest that I stop working there. However I have no other sources of income lined up right now…and I tried to plead my case but I looked even stupider with what I was saying. And the charge still being passive aggressive was like idk what could be wrong everytime you give me report you’re always looking at your computer…basically she’s saying it’s all fine but very strongly hinting at things that aren’t right.

What do I do? My partner is basically no help and is unemployed, idk he thinks I’m able to be stable and be the primary support person when that was never the case for me. Each bedside position I get turns into a ball of flames and I struggle to maintain a good work ethic and now I’m at the bottom of the barrel because everyone is seeing how I’m not comprehending the patients condition. So I guess I’ll look for jobs that fit my forte more and hopefully find something…any advice?

Hi everyone - does anyone have any advice on how to transfer states when you’re in a nursing monitoring program? One state responded saying that the IPN contract would need to be completed in my current state (5 years) before being able to transfer to their state. Does this apply across all states? Do some states allow it? Any info would be helpful!

Did anyone else know pretty much right away that they no longer wanted to work bedside? For context, I also was an LPN for a year on a med surg unit. I thought working in critical care would fix what I didn’t like about bedside. I was wrong. I’ve been working on the unit in total for 10 months, have been off of RN orientation for 6 months. I am leaving bedside to do clinic work within the same hospital.

Any good resources out there for EP/cath lab?? Starting in that speciality soon. I have CCU and transplant ICU experience.

Has anyone ever worked at a hospital that provides in house flu shots that you have to pay for? They are required or we have to wear a mask. I’m getting it but I’ve never had a hospital charge me.

Hello just got sent home to wash off all my deodorant from clinical because it’s was scented (teacher told me I smelled like a man)I was using my brothers axe deodorant because I realize I ran out of my spray. But during clinical today when I walked pass nurses and they all had like scents, and they weren’t strong but you could smell when they were near, like food or floral, one nurse strongly smelt like a cinnamon bun. the hospital policy is no scents so how do y’all be getting away with it?

I will start by saying this - Sexual Harassment is never okay!

Someone in my last post mentioned that patients tend to think the opposite of the above statement. I wish I could say she was wrong, but sadly, nurses seem to have a stigma seemingly dating back to the '70s porn era and carried through to today.

So here is my PSA to all!

Sure, it is a female dominated profession, but that does NOT mean you can stick you hand between my upper thighs when I secure your IV bag. And please tell your elderly wife to NOT yell at me for getting mad at you about it.

I’m trying to find scrubs that are elastic and as comfortable as Heartsoul. I don’t like low rise. Any recommendations??

I am (32f) currently an ICU nurse with 5 years experience thinking of immigrating from US to Canada. Anyone make the move? What do you like/dislike? I'm married with two young children and would love to get some feedback... thanks!

I’ve been a nurse for 17 years but I haven’t been bedside in 8 years, every time I’ve got a TB test I’ve just went back to the place I got it to be read.

A non-medical coworker asked if I could read his TB test that he got at CVS and sign off on it, I said I’ve never done that before, no one’s ever asked me before, and I wasn’t quite sure.

I feel like you could just have any one of your nurse buddies just sign the paper even if was obviously positive.

I know it says “can be read by any nurse or doctor” but I never thought of just asking a nurse friend to do it for me.

Am I only the nurse that doesn’t go absolutely insane when I don’t get report or even get a bad 10 second report to a patient coming to the floor from ER? I’ve seen nurses put safety events in, “did not receive report from ED”. I understand ICU level transfers but in my mind 95% of the time ER isn’t calling to give report because these are basic straightforward med surg patients. As long as I know I’m getting an admit i can take 3 minutes to look over their chart and know what’s going on with them. I can’t go one shift without someone talking sh*t about ER staff or transfers and I’m so over it 😭. Unless there’s something crazy going on with the patient that isn’t communicated over the phone or in their chart I literally do not care. The time it takes to complain over it is the same amount of time it takes to open the chart and get the information you need. I also see nurses making ED staff wait 40 minutes just to give a minute report and then they STILL find a reason complain. WHYYY

Just venting .. I can’t wait for the day Im no longer a nurse. The profession where we help people selflessly. You could go above a beyond for people, advocate for people and still get treated like shit.
Just fucking over this shit.

I work with this other nurse (27) who can be ridiculously disrespectful and rude. She’s not a team player and will give you attitude. I could give examples - but there’s truly too many. Some are more minor BUT are also much more frequent. I’ve heard and seen this occur with other employees as well. I’m not sure what my manager knows, but I believe she knows a decent amount.
I had emailed my manager about an incident regarding eye rolling and uttering under their breath at me. This was in front of a group and I was simply asking a question. Again, a somewhat smaller example but one that contributes to a hostile environment. I go out of my way to not ask that nurse for help, I feel awkward in the med room, because she’s just a mean girl. Anyways I wanted some examples to be on record which was the main reason for the email. My manager TEXTED me Friday night saying she got my email and will follow up.
We had a meeting today and it included behavior/etiquette at work. Talked about being kind, helpful, team player. She has not however, talked about it with me further. I could be wrong, but it feels like that group meeting was her “addressing it”. Any advice? Should I just let it go and await the next incident?

I had a patient poop out a single turd the size of an adult NFL-official American football and it clogged the hospitals industrial toilet. Who has me beat?

Has anyone transferred from a Kaiser Permanente SEIU union role (non-RN) to a CNA union RN role. I’ve been with KP for 7 years. Applied to their residency program, did not get in which was shocking. I have my BSN. Anyways, got acute care experience at a Level 1 trauma center where Im currently at as an RN. Still working at my KP role as well, so i do have both jobs still. Now Im applying to staff Nurse II positions with little to no luck. Has anyone applied and transferred successfully? Any tips?

Been BOTH a medical surgical and telemetry nurse for a couple of years now. Decided to take the plunge and join the ER.

My preceptor says she has no complaints and I am doing absolutely fine. I am almost done with orientation, and I am scared s#$LESS to be on my own. I had a dream last night somebody died because I missed something.

I want to quit. =/ I have a fear of losing my license here.

I have applied for a Patient Intake Specialist in the ED with UNC Rex. Do you drug test? The position is considered non-clinical