jaderook01, BSN, RN 1,504 Views
Joined Jun 16, '16.
Posts: 105 (64% Liked)
I have a 5th grade student who came to me last week that I ended up making a child abuse report on. Today, she came to me and informed me that her "safe" caregiver has been removed from the house and is currently hospitalized (unrelated) and is possibly in a coma.
She has mentioned her faith a number of times to me and what a comfort it is. I am also a Christian. I have told her that I am praying for her and for her situation, but believe that encouraging her spiritually as well as taking some private time to pray with her at school would be of help to her physically, spiritually, and emotionally. She has been missing quite a bit of class time due to her emotional state.
I know that this is not legal. But for my Christian nurses: Where does our requirement to follow worldly laws end and our commitment to our patient and to God begin? Would you or do you pray with your students if requested or encourage them spiritually when necessary?
I've been older than all of my preceptors. I didn't care at all. They knew their stuff and were willing to share.
Or the visiting family members? Do you welcome it or do you find that it prejudice the report (does that make sense?). If you feel that a patients or family demeanor is important to pass along during a report, how do you word it?
Let's say you neglect to mention that a patient makes derogatory comments to you. The family member watches EVERYTHING you do like a FBI probe notes, names, and all. Would that lack of info matter to you?
That AMA paper would have been printed off and presented to her. Also, I would have fired her. However, I would have also called the doctor, explained her outrageous behavior and gotten her discharge underway.
I work on a floor where we all are expected to measure, interpret, and save strips. However, if we have to have a stat EKG done for chest pain protocol, we always have to call the provider to let them know and also ask for stat cardiac enzymes. We even have a number to call where we can fax the strip to a cardiologist and they will look at it if it is necessary (i.e. doctors aren't calling you back and/or the results seem weird).
OP: You did the right thing. I hope you documented it too.
True story: Back when I taught, I had a group of girls that constantly shared hair brushes. I repeatedly told them that was one way people got lice. One day, I was walking the aisles and saw the little buggers crawling in one girl's head. We took the entire team, put them in the science teacher's room, put on a movie, and had each kid come in the storage closet one at a time while we did head checks. Fifteen kids (boys, girls, black, white) had lice.
Then there was a time a social worker told the office staff that head lice was a lifestyle choice (mostly because she was tired of having to deal with one student whose mother kept sending her to school without treating the lice).
So, I get the paranoia. I itch just thinking about it, even now.
I know it is hard when you started one place and were transferred to another, but moving from ICU to IMCU is NOT a demotion. Read that again. ICU nursing is not "above" IMCU nursing. They are two different specialties and the fact that you were moved means they see potential in you, otherwise you would have been outright let go. This forum is crawling with people who weren't given the chance you are being given.
Is there a different pace in IMCU? Sure there is. Is it "easier" or "less important" than ICU? No. In fact, when an ICU nurse gets floated to the IMCU unit, the often have difficulty with the pace, the number of patients and the acuity they are required to deal with. Does that mean they are "less than" an IMCU nurse? Of course not. They are two different specialties, that is all.
Nobody is going to know you as the person who flunked out of ICU. They are, however, going to be judging how open, friendly, trainable, cooperative and determined you are to make it work. Shake yourself off and square your shoulders. This is NOT a demotion. It is an opportunity to shine.
When I was night shift I met more than one NP that picked up nights as a resource/float nurse because reasons. Their NP jobs, as they described them, sounded very crappy to me.
A lot of people have sussed out multiple potential reasons for why you're being fired by patients- even though many give you good feedback. I especially think the advice that you may not realize how standoffish you come across may be a contributing factor. However, I also think some folks come off as outright timid and scared, which can alarm patients and their families. They may think you are very new and don't know what you're doing. If you don't seem confident it will show.
Teacher. I love teaching.
I am a firm believer that people know themselves best. That said, I am also a firm believer that one should not use their first year of a career as the indicator of whether or not they should continue in that field. However, if you want to get a full-time non-nursing job somewhere then do so. Sit down and figure out what you'd rather be doing in life and then pursue it. There is nothing wrong with changing careers. I did it. I will do so again, as I fully plan to combine my old career with my new one.
Take anything regarding personality types and the resulting perfect careers that go along with them with a grain of salt. If I was doing the job one of those personality career tests said was perfect for me, I'd be a funeral home director. No lie. As it was, I spent fourteen successful years as a teacher before moving on to nursing. And, while certain types/sorts of teaching is a recommended alternative for my 'type', those that put the lists together don't account for anything other than a romanticized view of those professions. All careers have good and bad points. All personalities can do just fine in whatever career they choose for themselves. Everything is what you decide to make of it.
Thank you.. I know there's a wide variety of jobs available to nurses but I'm not sure it's even what I want. School just isn't really my thing and of course I chose something that requires tons of studying to do.. I've already failed my first test. I'm really trying hard just to make it through first semester but I don't even know if I can
RNs do not hire NPs, so who cares what you think? I don't.
OP: The best NPs have bedside nursing experience and the assessment skills that go along with that. Personally, were I you, I would gain experience first before becoming an NP.
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