LadysSolo 7,587 Views
Joined Dec 17, '06.
Posts: 387 (72% Liked)
First of all, Congratulations Been There,Done That on retirement! My nightmares are all the same, I am running and my legs won't move. My real life nightmare is my alarm clock - the beep is identical to the beep of an IV pump going off! I HATE my alarm clock!
I have read in several threads that dialysis centers will hire nurses in monitoring.....
I'd love to see just for "kick and giggles" what one of these evaluators would say about me - the last time I had any alcohol was before I got pregnant with my son, and he's 32 years old, and the last time I took anything stronger than Ibuprofen was when my horse stepped on my leg in 1999 (1/2 Norco.) What do you bet I would fail an evaluation and be recommended for treatment? (Just from reading the threads on this site......)
But wouldn't that be the whole point of an "evaluation"? So people aren't railroaded into a one-size-fits-nobody? I, too, had no idea the whole thing was such a racket till I started reading about it on this site.
I red about a nurse who got a DUI on vacation (not scheduled to work for days, not even in home state!) who got thrown into a BON program. Seems like it hits no matter where you are.
You could perhaps try medical billing an coding, or transcription, or something like that. Good luck!
"Well, I must be moving along. My next patient is waiting for me now ......."
I had norovirus last November, my boss gave me a hard time because I was off for 5 days, 3 of which were spent throwing up and having diarrhea (often both at the same time,) and two days recovering enough to work. Such fun dealing with people who supposedly care about their workers -NOT!
I can understand if you want the time off to go to a party or concert, but unexpected surgery is not a good time, and not always easy to schedule, the surgeon and OR have to be available. Management should step up and handle it.
She may have done what she did trying to cause an abortion (just guessing) or because of not seeing a future with an infant since she is only 13. You did great trying to help her, and she obviously trusts you, but she has HUGE problems and sounds like she gets minimal to no support at home. You may be the only person she thinks cares about her. Huge kudos to you, and keep trying to get a debriefing for the rest of the kids.
"If a patient with known and proven beyond reasonable doubts CHF chooses not to follow salt-free diet, it is his business as long as he is informed about what happens as a result (no improvement in his condition doesn't matter how many miracle pills he is taking and eventually death). Now, if that patient is in health care facility, has an acute CHF exacerbation directly related his refusal to follow salt-free diet, has direct provider order for that diet and still demands salt, would it be ethical to allow him to, essentially, aid to his disease in the name of keeping him "satisfied"? Or, even more, try to influence provider into dropping the diet order and not providing salt-free food at all under the same premice (recently witnessed practice in LTC)?"
I have witnessed in LTC because of state regulations, if diabetics want pancakes with ice cream topping for breakfast, lunch, and dinner, the facilities have to attempt to accommodate these requests because the LTC facility is their home, and if they were living in the community and that was what they wanted they could have it. In theory I agree, but often these people are not cognitively capable of making appropriate decisions, hence the LTC facility. So why are they allowed to make inappropriate meal choices? If their guardian signs off on it, okay, but otherwise, I don't think unwise decisions are appropriate. If they wanted to go outside in only their underwear in 20-degree below zero weather, should we allow it? If they wanted to drink bleach, should we allow it? It is their right, because they want to do it, correct? Competent adults are allowed to make bad decisions, but not all adults are competent (even some who have not been declared incompetent.)
I agree with the above posters that the encounters do not rise to the level of abuse, probably pretty rude, but just try to chalk it up to they are having a bad day and you just happened to be there. With the NP, I also am an NP and I love to teach and share knowledge, so perhaps she does too and just didn't handle it well. I usually try to preface such encounters with "for your future knowledge," or "just a teachable moment," realizing these phrases can come across as rude, but the people who know me and hear my tone of voice know I am really trying to be helpful. So don't be too hard on yourself, and know that some cardiologists think they are "god" and you aren't going to change them, and others don't always realize how they are coming across to you.
Pay, staffing, respect, and LEAVE ME ALONE WHEN I'M DOING MY JOB!!! I don't need someone looking over my shoulder, I KNOW how to do my job! You don't, and don't walk in my shoes, so GO AWAY! And if I NEVER hear "work smarter, not harder" again it will be too soon!
And I try to treat my patients the way I would like to be treated, I show my patients their lab work and explain it to them, I explain how their bad choices are impacting their health, I explain what their meds are and the side effects and benefits, and am ignored regularly. I frequently think it is a shame I care more about my patents' health than they do, when they come in and expect me to "fix them in spite of themselves."
I agree, more specific questions would help. I consult with two home health companies, and in both of them I know the RN case managers are stretched very thin, and do the best they can for the patients, so "poorly managed cases" may be "people stretched too thin," perhaps if the case managers are still with the company get their input and ask what they may need to do their jobs better?
Advertise With Us