Latest Comments by d!gger

d!gger 2,706 Views

Joined Oct 23, '06. Posts: 43 (60% Liked) Likes: 58

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  • 4

    Here's the whole, original (brief) text for the AP article in case it disappears into netland:

    "NEW YORK -- Drugstore operator Walgreen will offer free walk-in clinic services to the unemployed and uninsured for the rest of the year, though they'll still pay for prescriptions. The program provides tests and routine treatment for minor ailments and illnesses to patients who lose their job and health insurance after March 31.
    Walgreen says it doesn't know how much the program will cost the company. But it's likely to bring in new customers. Walgreen says 30 percent of walk-in clinic patients are new to the store. Typically the visits cost $59 or more.
    The program does not include checkups or vaccinations.
    Walgreen runs 341 in-store clinics in 35 markets around the country."


    It's a clinic. Not healthcare. And should some poor soul go in there and a lump's found, and they get sent to the ED, then they've got bigger problems. The ED won't treat them. The ED will stabilize them. Big difference.



    And now the poor soul has a "pre-existing condition". Good luck finding affordable private health insurance.


    Will Walgreen's cover followup visits?


    I applaud Walgreen's generosity-tainted-with-vested-interest. It shouldn't not be discounted off the cuff. But neither should it be held up as anything even resembling a "solution".



    Like Stanley said, it's a band aid on an artery.


    dig

  • 2
    lindarn and herring_RN like this.

    Fresh from the SiCKo threads...

    Tonight, Frontline aired "Sick around America".
    They came to many of the same fundamental conclusions.
    You can watch the whole 1 hour show and read extended interviews, etc here:
    http://www.pbs.org/wgbh/pages/frontl...aroundamerica/

    There's a GREAT interview with the head of the Kaiser Foundation and
    how they were forced to get a new policy for their employees.
    The Henry J Kaiser Foundation!
    They were built on the very thing they now can't afford!
    If I couldn't laugh at irony, I'd cry a lot more.

    I went into medicine to change some of these appalling oversights.
    And I'm not disillusioned yet.

    Just angrier. And as anyone in psyche will tell you
    "Anger is good. We can work with anger. We can't work with apathy."

    What do y'all think of Frontline's take on healthcare in America?
    dig

  • 1
    Straydandelion likes this.

    Took me about a month to be able to say "a-rip-PIP-pra-zole" without biting my lower lip off.

    I would've paid money to hear Otsuka pronounce it when they first developed it.

    dig

  • 0

    As my Dad used to say, "These are good problems to have. "

    Don't be worried about your education taking a while. You'll have more time to learn the crucial stuff, and learn why it's crucial. For me the latter is really important. ANd you'll know it more solidly once you're out working.

    In this economy, taking on more debt is not wise.

    There are plenty of ADN->BSN programs out there.

    I'd be worried about the 1 year accel program too unless they have massive amounts of clinical time or a really good Sim lab.

    Are you already admitted to any of these programs? That might sway my judgement too as a bird in the hand, well....uhhh... shouldn't throw stones.

    to mix proverbs,

    dig

  • 2
    lindarn and FireStarterRN like this.

    You're a different person now.
    They may be a different facility now too.
    They may need you more than you know.

    I agree. What have you got to lose?

    Go for it!

    dig

  • 2

    I'd highly recommend psyche nursing. It's what I do. It's my second career too. There's a LOT of counseling, exploration, behavior mod involved in psyche. I started out wanting to do counseling. After a few years nursing, I discovered that I really enjoy the med-surg part of my job as well. Being good at the med/surg part also builds trust with your patients. They will actually come to me for counseling because they like the way I did a dressing change or explained their meds or assessed something that got them the treatment they sought, etc. It's time consuming and sometimes frustrating when I'm slammed. But ultimately it's very rewarding.

    Just being able to listen patiently, like counselors do, is unbelievably therapeutic in almost any facet of medicine you go into. And should you ever need to, you have other skills to fall back on. When cutbacks hit (they will). That's comforting.

    Good luck! We need you!

    dig

  • 1
    ACRN06 likes this.

    Yeah Yoga! At first I thought it was organo-groovy nonsense, but it has done wonders to clear my head and thinking and makeme more limber. The slow, noncompetitive, stretching and deep breathing has really gotten me into evaluating how I respond to stress and how my thinking affects my muscle tension - and vice versa. It works. Plus, my back and shoulders feel SO much better. And my posture has improved too.

    And journaling works for me too... especially when I'm too tired/burnt out to write.

    Get out of the facility on your break! Then concentrate on something really small and insignificant (that has nothing to do with work) for a few minutes. Watch a bee hop from flower to flower. Watch a piece of paper being blown acorss the parking lot. Watch the ants move little pieces of whatever from here to there. Watch the traffic and see if you notice any patterns developing. It's a good burnout countermeasure.

    dig

  • 1
    RN1982 likes this.

    Quote from omgodzilla
    Where is the best place to work if cleaning bodily fluids make you really queasy and uncomfortable?
    Or is this something that any nurse must be able to handle?
    If bodily fluids make you uncomfortable, you really might want to re-evaluate your choice of profession.

    But like any learned behavior/reaction, it can be unlearned. The more exposure you can give yourself to cleaning bodily fluids (and the BSI precautions), the easier it gets... to the point where you don't even notice it eventually. It's natural. It's what our bodies do.

    I've worked with a few nurses and aides who won't go anywhere near a code brown (for example) but the sudden redistribution of responsibilities necessary to accomodate their aversion is annoying at best, and many times not possible with everything else in our workload. Plus, they lose out on valuable assessment data.

    You said you didn't want to work graves. But where I work, there's less bodily fluid's happening on graveyard shift cuz most patients are asleep. And I find that holds true until everyone gets up an hour before day shift arrives. Then it's incontinence charting time before day shift arrives. Anyone else had similar experiences?

    dig

  • 8
    Moogie, pagandeva2000, jpRN84, and 5 others like this.

    Someone who admitted to stealing narcs is now your boss? And you have documented proof of this?

    Start looking for another job. Any other job. That culture of fear will only tear you apart. And you'll have to endure watching your coworkers go through the same thing. This is not a pretty picture. Yes, it's possible to survive, but you're not gonna thrive. You see it. And your patients will see it. It's your license on the line.

    By the way, what's this "employee's association"? Is that some kind of arbitration entity setup by the company to handle worker complaints/concerns? Do they have any teeth? Who do they answer to?

    dig

  • 2
    Valerie Salva and rabbitgirrl like this.

    YAY! There needs to be more articles like this. A LOT more.

    The public's perception of our profession directly impacts our ability to bargain for things that directly affect immediate patient care. We need it if we are to bargain for lower patient ratios, or better training, etc. John Q public may think "Well, I can do without the hand holders, bedpan changers, chart getters, etc." But theyre much less likely to think that about "The person who deliverd my child" or "The person who cut a hole in my leg and threaded that fishing-line-looking thing 4 feet into my heart". <---actual patient quote)

    dig

  • 1
    ghillbert likes this.

    I'm sorry to hear it. That sucks. I wish I could put it more gracefully than that, but... well... yeah. There are much less healthy responses to impending grief and uncertainty than posting on the boards. We go where we feel supported. If that's here, perfect.

    You're never "ready" to lose anyone. And they're not lost yet. You're doing the right thing flying back there. I lost my Dad about 2 months ago to a massive MI. As of 2 weeks ago, I could finally look at a radiodye without freezing up. I could finally look at ST elevations and not catch myself holding my breath. Go see your Mom. That's what's ultimately gonna answer the swirl of questions slamdancing around your in your head right now.

    This is gonna sound ironic but - Dont let anybody tell you how or what you're supposed to feel like. Just be there.

    I'll keep both y'all in my prayers,
    dig

  • 0

    My "justice delayed is justice denied" side is battling my "wait 'til after graduation and then vent to the N school's DON in person AND in writing" side.

    Or see if you can land him a job on your unit after he graduates in 4 months? That might be the best redemption of all.

    dig

  • 0

    Quote from romie
    I did not expect that my female patients did not care about my gender or how invasive a procedure would be.
    This surprised me too. Pleasant surprise, but a surprise nonetheless. I still have patients that would rather have a female nurse do certain procedures. But not nearly as many as I was led to believe. I do my best to accomodate when the situation arises.

    I also didn't realize how deeply entrenched gender and power attitudes were in some places. When I started at my facility, my 57 year old, female charge nurse said to me "I'm glad more guys are getting into nursing, maybe nurses will be more assertive in the future!"

    What? Just cuz I'm male, don't assume I'm assertive. It turns out I am, but that has more to do with being raised by two cantankerous, opinionated, well educated, Irish parents than my gender. I completely agree with her about nurses needing to be more assertive and finding the inner strength to do so... but when did I get appointed to be the Medgar Evers leading the masses to overcome? It's not a bad position to be in, but I didn't expect people to look to me first for advocacy advice.

    I think I said something sarcastic to her like "I won't assume you cook if you don't assume I fix things." We've gotten along great ever since and she's been an unbelievably priceless mentor to me.

    I didn't expect to do so much chart translating for my ESL coworkers. I've learned some Tagalog, Creo, Igbo, Cebuano (spelling?) and even some Vietnamese, etc. That's actually proved to be a LOT of fun. I never in a million years thought I'd have to tell my German coworker that "wedging out with blanky" can be charted as "pt is calm, oriented and no longer DTS now that they have their blanket. Pt states 'I'm veggin out' ".

    There's other things, but those stick out.

    dig

  • 0

    Yes, changing careers is f%$g terrifying. But in today's economy, it's increasingly the norm. The sooner you convince yourself you can do it, the better.

    I'm a former sys admin.

    I got into nursing at age 30 because engineering was failing to inspire me like it had in the past. I got sick of working miracles for managers who had no idea what I or my team did. (you'll find that in healthcare too, though not as much because of much stricter licensure laws). I got sick of managers who had no idea what my experience meant. Experience still means something in medicine. And because we have to get licenses, not anyone can call themselves a "nurse" or "Social worker" or "MD" or "NP" etc.... I love nursing. I'm hoping to do it for a VERY long time.

    Paying for it? Hmmm... my recommendation would be a state school. But everybody's onto that, so competition will be stiffer. Take on a little debt as possible... especially in today's economy. Don't automatically assume credits from your original BS will carry over. None of mine did. It was tedious taking Chem again - you'll be amazed at how much it's changed since 1991! I remember we covered a whole year of 1991 chem in the first 2 weeks of my new chem classes.

    As far as gender roles go, you'll encounter your own situations that you'll figure out how to deal with. And if you can't figure it out, post the question here! You'll have several responses (maybe not good responses or the kind of responses you were looking for... but responses at least). I honestly think there are other dynamics of nursing that can create even more awkward situations than the "male entering traditionally female career" dynamic - parents vs non parents, older vs younger nurses, thorough vs fast nurses, language barriers, etc. Gawd forbid you get two type A personalitiies that don't see eye to eye - it's like those verbal fistfights between people who use different flavors of Linux. Ike and Tina all over again!

    I'd recommend you start collecting those pre-requisite classes now. Don't wait. The wait time here in CA for even the pre-reqs of the pre-reqs is 2 years in some places. My neighbor just started gathering her pre-reqs and she's got horror stories of what classes she couldn't get cuz they were all full.

    Keep the faith. And if it takes you a while, don't get discouraged. Personally, I think the more time you have to digest the material, and your experiences, the better you'll be able to recall it when you need it.

    dig

  • 1
    Jolie likes this.

    Quote from Jolie
    May I then propose June 1 for non-certified, middle-aged maternal-child RNs currently unemployed but volunteering in the school and parish settings?
    You could, but it conflicts with "blind, left handed, dentists without tonsils" day.

    Smirk,
    dig


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