dream'n, BSN, RN 10,785 Views
Joined Aug 28, '06.
Posts: 907 (57% Liked)
The abuse I've seen so far in psych nursing is done by the patient to the staff.
Even if medical marijuana is legal in your state and you have a valid prescription, you are at risk of your license being suspended or revoked by the BON. Or as it is more likely, you may be placed in the substance abuse program through the BON in your state.
It seems that Postpartum nurses are being held to an almost impossible standard. First they are very heavily pushed to encourage breastfeeding to the point that offering a bottle is a fire-able offense. Then the nurses are given several couplets to watch over and have no nursery to take the baby to if it is needed. The nurse cannot be in all rooms at all times, it's impossible. And does it really matter if the nurse was out of the room for 5 minutes or 15 minutes? Brain death from suffocation happens quicker than that. The only way to prevent this is that mother's on mind-altering medication CANNOT room-in with or feed their babies without a nurse in constant attendance and therefore healthy baby nurseries will have to be rebuilt.
Do the right thing by your patient's and your license. Who cares if other employees get pissed off? Jobs come and go, but you won't get any work as a nurse if you lose your license. Do your work so that you can always defend yourself with the BON and continue to look yourself in the mirror.
The administration needs to get serious about this. They need to tell the family that the rules are that patient's are not allowed lighters for the safety of ALL patient's and staff and if they continue to provide them, they will be unable to visit without supervision. The facility can also be changed to non-smoking, almost all of the LTC in my area do not allow smoking on their grounds by visitors or patients. And if a patient won't abide by the policy, they are given a 30 day notice to vacate.
And if the patient is not demented, but continues to be physically abusive, staff can press charges with the police each and every time.
Basically just don't flush the line at a rate higher than the medication infusion rate. Therefore the left over medication in the line won't infuse too fast.
The low down as I know it; If the biggest trauma hospital is what you're looking for, then Maricopa Integrated Health is the hospital you should look at. Not in a good area of town and is really the "County ER", but the biggest traumas tend to go there. The same with major burns. BTW, anyone that loves Neuro. should look closely at Barrow's at St. Joseph's. Banner is a good place to work in general as they have so many different facilities all over the valley, but I don't personally care for Banner Samaritan...older building (although it seems that maybe they are expanding, I'm not in area close enough to be sure) that has some weird vibes. IASIS/Abrazo hospitals do not have a very good reputation in my experience. Banner Gateway Hospital is attached to MD Anderson Cancer Center and is tops for Oncology. Phoenix Children's Hospital is the place to work if into Pediatrics. Mayo Clinic, I've been there done that, just not my cup of tea although many love it.
Your employer should not be asking you to assess any patient. Why would they have you call the Dr? You can't take orders since you aren't a nurse. BLS, first aid in emergencies and call 911, that's it. Notifying the nurse is of course important, but she should not be making decisions based on something you assessed, since you are not supposed to be assessing.
She probably just wants to vent. I'm sure she has her reasons for staying and is smart enough to leave if she needed to. I doubt she even wants suggestions, just commiseration. But if it bugs you too much. then move on from the friendship. Some people are generally negative, while others are generally positive. Personally, I'm a fairly negative person, but I do recognize that about myself and try to add some positive at times.
It means you had sex outside of the sanctity of marriage. You also had negative thoughts about someone in power. You kicked your dog three times, and picked your nose while driving. Additionally, you made politically incorrect comments and were disrespectful to the joint commission.
There are LPN to BSN programs that take 2-3 years. Have you worked as a LPN since your 2014 ADN graduation? I always find it hard to digest that a person puts so much time and effort into nursing school, but puts off licensing for so long. I know life happens, but seriously I don't get it.
Nice to know I'm not alone. Seems like asking a certified medical professional to get vitals would be acceptable but now I know better.
I've never heard of a nurse doing a Pyxis inventory. Pharmacy has always handled it where I've worked.
I just got home from night shift and my brain might be tired, but can anyone else think of a professional career that routinely cancels/on calls their regular scheduled employees to save money? I know Dr's are on call at times, but they are salaried. I honestly can't think of any other profession (except commission jobs) where employees can't trust that they will receive a full paycheck without having to use their PTO time.
I keep seeing post after post from nursing students that they are drawn into this field because they "care so much and really want to support hurting people"; that they are born to be "caregivers." Well not to bust anyone's bubble, but most of my experience as a nurse has been running around and putting out fires. Very few nursing positions now days will pay to staff enough so that nurses have time to provide any type of hand holding or really get to know their patients. Most nurses barely have time to keep up, and most shifts are way too busy with immediate needs and tasks that nurses simple run out of time to provide that extra special personal touch. Of course most nurses have those rare occasions when they feel that they were able to provide total nurturing care to a patient and those moments are cherished, but in all honesty a large amount of a nurses time is spent running from priority to priority. There is way more work to do than there is time to do it in. As a nurse you will earn every penny you make, because the 'bean counters' make sure of it.
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