CT Pixie, BSN, RN 24,960 Views
Joined Jan 21, '07 - from 'Southern New England'.
CT Pixie is a RN.
Posts: 4,312 (42% Liked)
Interesting to read that you can have shared rooms in LTC. These a very much frowned upon in the UK.
Many of my Alzheimer's and dementia pts 'pick' as if they are picking lint off something. I've also seen it in pts who's health declined and they were heading for the "Celestial Discharge" and right before some of my patients started actively dying.
I work with a person who was born with disfigured fingers. On one hand he has 2 fingers (2 fingers fused together and the other 2 w/the thumb fused making two abnormally large/wide fingers and the don't bend very well, if at all). The other hand has 5 fingers but they aren't shaped in the 'normal' way and are on the smaller side.
He's a floor nurse and does quite well. So he was able to go through school and obtain employment as a floor nurse. He is capable of doing everything that we nurses with 5 fingers on each hand are able to do. Our patients are elderly and most have lost the 'filter' on their mouths...meaning they say what they feel/see regardless of whether or not it maybe insensitive. I've only heard of one resident who made a nasty comment..something along the lines of "I didn't order seafood, why is a lobster here'. He's made very nasty comments to basically everyone he comes into contact with. One little 'flaw' on a person and he's all over it. So to me he's (the resident) not really treating the nurse any differently than the others, he just saw that nurses flaw and zoned in.
None of his co-workers feel he is a liability. If there is something he can't do for whatever reason he will seek out assistance and receives it without anyone feeling put out about it.
Until you try, you will never know if you can or cannot manage some skills. Will patients all be fine with your hand/fingers, probably not but those are the same people who find fault with anyone.
I wish you the best!
Oh, I did say something to her..it was during graduation AFTER they sent my paperwork to the State for clearence to take the NCLEX and I had my NCLEX test date...
After I had accepted my diploma, I stopped right in front of her leaned in and I hissed in a hushed tone ..she had better hope and pray I never ran into her in the community because I could not promise her I would not lay her out. Her face was priceless. This was a woman of close to my age (I was 39 and she was only a couple years older than I). I did see her out in the community (we lived in the same general area) looked her dead in the eye. She saw me, spun on her heels and went in the other direction.
Of course, now thinking about it I really should have reported it. Why I didn't, I'm not sure.
Was anybody on this forum working as a nurse that day? In NY or Washington? Or, even if you weren't there, what did that day mean for the hospital, anywhere in America? It's hard to imagine the world didn't just stand still.
I'd love to hear the other side of this story. Not that I doubt the OPs interpretation of events. It's just that I sometimes read about people being bullied by clinical instructors and the description of the behavior is just out of this world unacceptable with seemingly little to no reason. I find it very odd and wonder what the instructor would have to say.
Just re-read my orig reply to this post from 4/22/12...at the time I was in the LPN to RN program.
Fast forward..graduted the RN program and continued on for my RN to BSN. Still worked full time job (40hrs/wk) and a part time job (24hrs/wk) and graduated cum laude with my BSN this past May.
I've carried malpractice insurance since I was an LPN student (yes students can be sued for things done during clinicals). Once licensed as an LPN, I kept it. I'm currently set to graduate with my ADN in May and once I take and pass the NCLEX I'll change my insurance from LPN coverage to RN.
Why? No one is going to get my back other than me when the dookey hits the fan.
Working LTC I've seen this often. One patient and her family stand out. The husband would not leave her side for a couple of days. His children, grandchildren and I all pleaded with him to go with them to their house (literally 2 minutes away) if to do nothing else but to shower, change and brush his teeth.
Thankfully, he agreed to do just that. He came back and she was still with us which made him realize that his leaving would not cause or stop her from going. The family all gathered around again and then later left. The husband stayed behind. He told me he was running down to the vending machine downstairs and that he'd be right back while the CNA's tended to the patient. It was no sooner than the elevator doors closed that the CNA came to me and said the patient had passed. I know she was waiting for him to leave.
And then there were those (my own grandmother included) who hung on until every one of their loved ones that they held close and dear were 'home' with them. My grandmother was 'waiting' for her son. Calling for him frequently. (her grandchildren had all come to the house, some of us flew into be there, her daughters and husband was there). My uncle was a long distance trucker and was on the road when my gram declined and was close to death. We did not want to call him and have him drive like a maniac trying to get home before she passed, knowing that could lead to more tragedy. Gram hung on....we all prayed she'd let go. Then it dawned on me, she was waiting for her son. I told my grampa, the next time she calls for him, you go in and just tell her 'you' are there (acting as the son). She was in and out of consciousness and when she finally called her her son my grandfather went in and said, its ok mom, i'm here. You could actually see a change in her, it was as if she relaxed and were at peace. Five minutes after my grandfather did that, she took her last breath. I don't care what anyone says, I 100% believe she was waiting to pass until her family was ALL there.
A cool way we were taught to convert from units of say grams to milligrams etc was this:
First you have to know bigger to smaller measurements for example:
Kilos, grams, milligrams, micrograms.
Then are you converting from larger to smaller? Think of the L in Larger..the bottom part of the L is pointing you in the direction the decimal place must move. For each measurement you are moving you move the decimal point 3 places. Going from kilograms to milligrams..you are going from a Larger measurement to a smaller one so the L is pointing you in the correct direction (to the right). Ok, so now you know which way the decimal is going..now you need to know how many times you must move it. Kilos to grams (3 places) grams to milligrams (3 places) now you know you are moving the decimal in the kilo measurement 6 places to the right.
The same can be done for converting smaller measurement to larger ones. The S in smaller also points you in the direction you are to move the decimal point..to the Left (see where the bottom part of the s is going..to the left). Then again, you figure how many spots to move it. Volia' your done.
You do have to memorize the basic measurements from Larger to smaller k, g, mg, mcg..and so on.
To remember grains to milligrams think of a clock. 15mg is 1/4 grain, 30 mg is 1/2grain, 45mg is 3/4grains and 60mg is 1 grain. 15 minutes after is quarter after, 30 minutes is 1/2 hour, 45 minutes is 3/4' of an hour and 60 minutes is 1 hour.
When ever I have conversion tests I always put the L and S at the top of the page, write down the order the measurements go larger to smaller and I put a clock on the paper marked with the 1/4hr, 1/2hr, 3/4hr and 1hr and inside put the corresponding conversion...
Hope all that babbling helped some.
A month before I turned 38 I started my LPN schooling. Graduated a couple months after turning 39.
At 42 I started the years worth of pre-reqs for the LPN to RN bridge, and at 44 I graduated with my ADN.
In a couple of weeks my first classes for the ADN to BSN begin at 44 1/2 years old to the day.
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