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Jolie 26,386 Views

Joined Oct 17, '01. Posts: 9,470 (48% Liked) Likes: 13,427

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  • Nov 16

    I value patients being able to rest, but would manipulate pillows & blankets enough to be able to visualize an IV site, even if it meant disturbing the patient. I believe an hourly check is standard.

  • Nov 15

    The notion that a financial judgment is not enforceable is fantasy.

    I no longer work in healthcare, but own a business in an unrelated field. Not a month goes by that we don't receive a court order to garnish someone's wages for any number of reasons, back child support and unpaid financial judgments most common.

    Moral of the story, if you choose not to honor a contract, be prepared to pay the consequences. Running from job to job or city to city may temporarily delay the process, but won't prevent it.

  • Nov 10

    You are 100% correct that he used you as a pawn to avoid directing his concerns to anesthesia. He did that because he is weak and unsure of himself. Most bullies are, and compensate by acting tough toward anyone they believe they can manipulate. You have unfortunately become that "anyone." It won't stop until you stand up to him, and in a somewhat public way. By the sound of your post, I believe that you are up to this challenge, but you have to be smart about how it is done so he can't claim that you have acted inappropriately towards him.

    Please seek the support of your manager and/or a respected nurse on your unit. Once you have their back-up, be ready for your next interaction with Dr. Jerkface. If he says or does anything inappropriate or threatens you, remain calm and inform him that you will continue your conversation at the nurse's station, then walk away. Once there, and with your mentor present as a witness, firmly but politely state that you will not be spoken to in a threatening manner. Suggest that he take some time to re-word his message to you. He will either get the message and knock it off, or he will explode in front of witnesses who saw you acting professionally. Either way, you win.

    As tempting as it may be to ask someone to intervene on your behalf, in my experience, that shows the bully that you are afraid, and the behavior grows worse. If you stand up for yourself, he will either give up or explode. Either works to prove your point. And as long as you have witnesses to confirm that you acted professionally, you will be able to defend any claim he might make that you incited his behavior.

    Personally, I prefer to get them in private and tell them to go to hell, but that's risky Good luck! You have a good head on your shoulders and are an asset to your unit.

  • Nov 6

    Quote from medsurg4ever
    Hello all,

    I am not a nicu nurse, I work with the elderly mainly on med surg. I have so much respect for what you nicu nurse do on a daily basis. i am posting here because I would like to know your opinions on this matter. Some background, my niece was born at 25 weeks, weighed under two pounds at birth. Had 2 bouts of NEC, was resolved with antibiotics never needed surgery.

    My niece at two months of life was given three vaccines one day apart, dtap, hib and ipv last week on mon, tues and wednesday. on the overnight shift Saturday sometime after 1 am she went in distress, 02 desats, bradycardia and low bp's, she had previously been stable, on what looked like nasal canula, i'm not sure what you would call it but she definetely wasn't on cpap or vent. She needed to be intubated and they were never able to stabilize her, she passed saturday late afternoon.

    I had no idea that vaccines would even be offered so early as she wasn't even at her due date. Is this common practice? The doctors deny this could be related to vaccines as it was several days after the fact. the autopsy isn't complete but didn't show anything wrong with her gross anatomy. Your opinions, could this be vaccine related? And on a personal level, would you consent to these vaccines if it were your own child, a 25 weeker at day 60 of life?

    Please tell me I'm wrong
    My heart breaks with yours. As a NICU nurse and mom of 2 former preemies, I know that there is nothing more agonizing than the deterioration of a baby believed to be stable.

    We are unable to provide answers to medical questions, but I can tell you that the vaccine schedule you describe is fairly standard, and in my experience, not linked to complications. Please accept my prayers that your family finds understanding and comfort.

  • Nov 6

    Quote from medsurg4ever
    Hello all,

    I am not a nicu nurse, I work with the elderly mainly on med surg. I have so much respect for what you nicu nurse do on a daily basis. i am posting here because I would like to know your opinions on this matter. Some background, my niece was born at 25 weeks, weighed under two pounds at birth. Had 2 bouts of NEC, was resolved with antibiotics never needed surgery.

    My niece at two months of life was given three vaccines one day apart, dtap, hib and ipv last week on mon, tues and wednesday. on the overnight shift Saturday sometime after 1 am she went in distress, 02 desats, bradycardia and low bp's, she had previously been stable, on what looked like nasal canula, i'm not sure what you would call it but she definetely wasn't on cpap or vent. She needed to be intubated and they were never able to stabilize her, she passed saturday late afternoon.

    I had no idea that vaccines would even be offered so early as she wasn't even at her due date. Is this common practice? The doctors deny this could be related to vaccines as it was several days after the fact. the autopsy isn't complete but didn't show anything wrong with her gross anatomy. Your opinions, could this be vaccine related? And on a personal level, would you consent to these vaccines if it were your own child, a 25 weeker at day 60 of life?

    Please tell me I'm wrong
    My heart breaks with yours. As a NICU nurse and mom of 2 former preemies, I know that there is nothing more agonizing than the deterioration of a baby believed to be stable.

    We are unable to provide answers to medical questions, but I can tell you that the vaccine schedule you describe is fairly standard, and in my experience, not linked to complications. Please accept my prayers that your family finds understanding and comfort.

  • Nov 6

    Quote from medsurg4ever
    Hello all,

    I am not a nicu nurse, I work with the elderly mainly on med surg. I have so much respect for what you nicu nurse do on a daily basis. i am posting here because I would like to know your opinions on this matter. Some background, my niece was born at 25 weeks, weighed under two pounds at birth. Had 2 bouts of NEC, was resolved with antibiotics never needed surgery.

    My niece at two months of life was given three vaccines one day apart, dtap, hib and ipv last week on mon, tues and wednesday. on the overnight shift Saturday sometime after 1 am she went in distress, 02 desats, bradycardia and low bp's, she had previously been stable, on what looked like nasal canula, i'm not sure what you would call it but she definetely wasn't on cpap or vent. She needed to be intubated and they were never able to stabilize her, she passed saturday late afternoon.

    I had no idea that vaccines would even be offered so early as she wasn't even at her due date. Is this common practice? The doctors deny this could be related to vaccines as it was several days after the fact. the autopsy isn't complete but didn't show anything wrong with her gross anatomy. Your opinions, could this be vaccine related? And on a personal level, would you consent to these vaccines if it were your own child, a 25 weeker at day 60 of life?

    Please tell me I'm wrong
    My heart breaks with yours. As a NICU nurse and mom of 2 former preemies, I know that there is nothing more agonizing than the deterioration of a baby believed to be stable.

    We are unable to provide answers to medical questions, but I can tell you that the vaccine schedule you describe is fairly standard, and in my experience, not linked to complications. Please accept my prayers that your family finds understanding and comfort.

  • Nov 5

    Quote from medsurg4ever
    Hello all,

    I am not a nicu nurse, I work with the elderly mainly on med surg. I have so much respect for what you nicu nurse do on a daily basis. i am posting here because I would like to know your opinions on this matter. Some background, my niece was born at 25 weeks, weighed under two pounds at birth. Had 2 bouts of NEC, was resolved with antibiotics never needed surgery.

    My niece at two months of life was given three vaccines one day apart, dtap, hib and ipv last week on mon, tues and wednesday. on the overnight shift Saturday sometime after 1 am she went in distress, 02 desats, bradycardia and low bp's, she had previously been stable, on what looked like nasal canula, i'm not sure what you would call it but she definetely wasn't on cpap or vent. She needed to be intubated and they were never able to stabilize her, she passed saturday late afternoon.

    I had no idea that vaccines would even be offered so early as she wasn't even at her due date. Is this common practice? The doctors deny this could be related to vaccines as it was several days after the fact. the autopsy isn't complete but didn't show anything wrong with her gross anatomy. Your opinions, could this be vaccine related? And on a personal level, would you consent to these vaccines if it were your own child, a 25 weeker at day 60 of life?

    Please tell me I'm wrong
    My heart breaks with yours. As a NICU nurse and mom of 2 former preemies, I know that there is nothing more agonizing than the deterioration of a baby believed to be stable.

    We are unable to provide answers to medical questions, but I can tell you that the vaccine schedule you describe is fairly standard, and in my experience, not linked to complications. Please accept my prayers that your family finds understanding and comfort.

  • Nov 5

    Quote from medsurg4ever
    Hello all,

    I am not a nicu nurse, I work with the elderly mainly on med surg. I have so much respect for what you nicu nurse do on a daily basis. i am posting here because I would like to know your opinions on this matter. Some background, my niece was born at 25 weeks, weighed under two pounds at birth. Had 2 bouts of NEC, was resolved with antibiotics never needed surgery.

    My niece at two months of life was given three vaccines one day apart, dtap, hib and ipv last week on mon, tues and wednesday. on the overnight shift Saturday sometime after 1 am she went in distress, 02 desats, bradycardia and low bp's, she had previously been stable, on what looked like nasal canula, i'm not sure what you would call it but she definetely wasn't on cpap or vent. She needed to be intubated and they were never able to stabilize her, she passed saturday late afternoon.

    I had no idea that vaccines would even be offered so early as she wasn't even at her due date. Is this common practice? The doctors deny this could be related to vaccines as it was several days after the fact. the autopsy isn't complete but didn't show anything wrong with her gross anatomy. Your opinions, could this be vaccine related? And on a personal level, would you consent to these vaccines if it were your own child, a 25 weeker at day 60 of life?

    Please tell me I'm wrong
    My heart breaks with yours. As a NICU nurse and mom of 2 former preemies, I know that there is nothing more agonizing than the deterioration of a baby believed to be stable.

    We are unable to provide answers to medical questions, but I can tell you that the vaccine schedule you describe is fairly standard, and in my experience, not linked to complications. Please accept my prayers that your family finds understanding and comfort.

  • Nov 5

    Quote from medsurg4ever
    Hello all,

    I am not a nicu nurse, I work with the elderly mainly on med surg. I have so much respect for what you nicu nurse do on a daily basis. i am posting here because I would like to know your opinions on this matter. Some background, my niece was born at 25 weeks, weighed under two pounds at birth. Had 2 bouts of NEC, was resolved with antibiotics never needed surgery.

    My niece at two months of life was given three vaccines one day apart, dtap, hib and ipv last week on mon, tues and wednesday. on the overnight shift Saturday sometime after 1 am she went in distress, 02 desats, bradycardia and low bp's, she had previously been stable, on what looked like nasal canula, i'm not sure what you would call it but she definetely wasn't on cpap or vent. She needed to be intubated and they were never able to stabilize her, she passed saturday late afternoon.

    I had no idea that vaccines would even be offered so early as she wasn't even at her due date. Is this common practice? The doctors deny this could be related to vaccines as it was several days after the fact. the autopsy isn't complete but didn't show anything wrong with her gross anatomy. Your opinions, could this be vaccine related? And on a personal level, would you consent to these vaccines if it were your own child, a 25 weeker at day 60 of life?

    Please tell me I'm wrong
    My heart breaks with yours. As a NICU nurse and mom of 2 former preemies, I know that there is nothing more agonizing than the deterioration of a baby believed to be stable.

    We are unable to provide answers to medical questions, but I can tell you that the vaccine schedule you describe is fairly standard, and in my experience, not linked to complications. Please accept my prayers that your family finds understanding and comfort.

  • Nov 5

    Quote from medsurg4ever
    Hello all,

    I am not a nicu nurse, I work with the elderly mainly on med surg. I have so much respect for what you nicu nurse do on a daily basis. i am posting here because I would like to know your opinions on this matter. Some background, my niece was born at 25 weeks, weighed under two pounds at birth. Had 2 bouts of NEC, was resolved with antibiotics never needed surgery.

    My niece at two months of life was given three vaccines one day apart, dtap, hib and ipv last week on mon, tues and wednesday. on the overnight shift Saturday sometime after 1 am she went in distress, 02 desats, bradycardia and low bp's, she had previously been stable, on what looked like nasal canula, i'm not sure what you would call it but she definetely wasn't on cpap or vent. She needed to be intubated and they were never able to stabilize her, she passed saturday late afternoon.

    I had no idea that vaccines would even be offered so early as she wasn't even at her due date. Is this common practice? The doctors deny this could be related to vaccines as it was several days after the fact. the autopsy isn't complete but didn't show anything wrong with her gross anatomy. Your opinions, could this be vaccine related? And on a personal level, would you consent to these vaccines if it were your own child, a 25 weeker at day 60 of life?

    Please tell me I'm wrong
    My heart breaks with yours. As a NICU nurse and mom of 2 former preemies, I know that there is nothing more agonizing than the deterioration of a baby believed to be stable.

    We are unable to provide answers to medical questions, but I can tell you that the vaccine schedule you describe is fairly standard, and in my experience, not linked to complications. Please accept my prayers that your family finds understanding and comfort.

  • Nov 4

    I value patients being able to rest, but would manipulate pillows & blankets enough to be able to visualize an IV site, even if it meant disturbing the patient. I believe an hourly check is standard.

  • Nov 4

    You are 100% correct that he used you as a pawn to avoid directing his concerns to anesthesia. He did that because he is weak and unsure of himself. Most bullies are, and compensate by acting tough toward anyone they believe they can manipulate. You have unfortunately become that "anyone." It won't stop until you stand up to him, and in a somewhat public way. By the sound of your post, I believe that you are up to this challenge, but you have to be smart about how it is done so he can't claim that you have acted inappropriately towards him.

    Please seek the support of your manager and/or a respected nurse on your unit. Once you have their back-up, be ready for your next interaction with Dr. Jerkface. If he says or does anything inappropriate or threatens you, remain calm and inform him that you will continue your conversation at the nurse's station, then walk away. Once there, and with your mentor present as a witness, firmly but politely state that you will not be spoken to in a threatening manner. Suggest that he take some time to re-word his message to you. He will either get the message and knock it off, or he will explode in front of witnesses who saw you acting professionally. Either way, you win.

    As tempting as it may be to ask someone to intervene on your behalf, in my experience, that shows the bully that you are afraid, and the behavior grows worse. If you stand up for yourself, he will either give up or explode. Either works to prove your point. And as long as you have witnesses to confirm that you acted professionally, you will be able to defend any claim he might make that you incited his behavior.

    Personally, I prefer to get them in private and tell them to go to hell, but that's risky Good luck! You have a good head on your shoulders and are an asset to your unit.

  • Nov 4

    Quote from KarenMS
    What makes you think troll? Probably just made an account to post because he/she was stressing and then forgot about it.
    I wasn't referring to the OP, but to the post from brpeifer, directly above me. Sorry for the confusion.

  • Nov 4

    New member, joined today, first & only post. Troll alert?

  • Nov 4

    You are 100% correct that he used you as a pawn to avoid directing his concerns to anesthesia. He did that because he is weak and unsure of himself. Most bullies are, and compensate by acting tough toward anyone they believe they can manipulate. You have unfortunately become that "anyone." It won't stop until you stand up to him, and in a somewhat public way. By the sound of your post, I believe that you are up to this challenge, but you have to be smart about how it is done so he can't claim that you have acted inappropriately towards him.

    Please seek the support of your manager and/or a respected nurse on your unit. Once you have their back-up, be ready for your next interaction with Dr. Jerkface. If he says or does anything inappropriate or threatens you, remain calm and inform him that you will continue your conversation at the nurse's station, then walk away. Once there, and with your mentor present as a witness, firmly but politely state that you will not be spoken to in a threatening manner. Suggest that he take some time to re-word his message to you. He will either get the message and knock it off, or he will explode in front of witnesses who saw you acting professionally. Either way, you win.

    As tempting as it may be to ask someone to intervene on your behalf, in my experience, that shows the bully that you are afraid, and the behavior grows worse. If you stand up for yourself, he will either give up or explode. Either works to prove your point. And as long as you have witnesses to confirm that you acted professionally, you will be able to defend any claim he might make that you incited his behavior.

    Personally, I prefer to get them in private and tell them to go to hell, but that's risky Good luck! You have a good head on your shoulders and are an asset to your unit.


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