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FranEMTnurse, LPN, EMT-I Pro 51,140 Views

Joined: Jun 7, '02; Posts: 14,618 (24% Liked) ; Likes: 7,855

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  • 11:11 am

    OMG reading what is being wrote by my professional peers in the school is scary. My children are all grown and I am not a school nurse I do teach Sunday School to teens though.

    I cannot help but think what Mental Health Issues and bad behavior these kids have. We need to start thinking of mental health as a medical condition and not separate the two. The thought of harming another individual to me is scary.

    I do not know what the answers to solve these issues would be, am at a loss because although I think law enforcement should enter the picture once a person is introduced to this environment (I am a former prison healthcare manager) they only learn to hone their anger, their "craft" of steeling...what ever it is. They learn to talk the talk, leave and practice what they are even more but now it is harder to discover.

    I do think this, coming from a highly dysfunctional family (5 half sister who are meth heads and prostitutes since they were 14): environment has a lot to do with their behavior. I left and never looked back, went to college and made something of myself. They stayed around in an environment that bubbled with violence, abuse, and manipulation and learned to be better at this each year.

    Getting away from the environment does help and I think the time away (my observation from inmates) should be the 2 year mark inmates think before they act when they go back into the environment that got them in trouble. They seem (not all) to have some what of an awareness that what they are in is abnormal and will seek out behavior modifications to combat the environment.

    I think (again observation from the prison environment) that support groups should be mandatory with random people where they are taught to get along, to listen politely to others view points/feelings/concerns and accolades. To start to learn what kind of behavior they are presenting based on Ericksons stages. No cliques allowed and the group changes every 90 days randomly. I think allowing idle time i.e. putting child in time out is not good. I never let my kids go to time out...they pulled weeds. I told them they had from here to there to pull all the weeds I do not care if it takes you 5 mins or 5 hours you have to get the job done, I did not want them to think about what they did, but wanted them to know there are consequences for their actions.

    Peers please be safe for these young children/adults have no self awareness, and no situation awareness. Be on your guard and have that awareness not only for yourselves but for other students as well.
    Lastly I know you have a hard job and I thank you for your willingness to be there to make a difference. My heart is sad for our future population.

  • Feb 23

    "Become a nurse," they said. "It'll be glamorous and you'll save lives," they said...

  • Feb 23

    How Nurses Bond....
    By Having my Back as we walk into the unknown!

  • Feb 23
  • Feb 12

    Dear Nurse Beth,

    I am a nurse with 4 years experience. I am also an observant Jew hence I observe the Sabbath. At my current job, I work every Sunday instead of alternating weekends (Saturday and Sunday). I went on a job interview today and the manager straight out asked me about working the weekend which would be Friday and Saturday for the night shift.

    So obviously I had to answer and tell her I would not be able to work any Friday nights and many Saturday nights wouldn't work as well but I am willing to work Sundays every week and legal holidays and ie i am flexible and accommodating. There was a awkward feel in the room. The interview went on but I can't help but feel I will lose the job because of this. Could have I done something different? Is the manager correct for asking me this? I feel like she's opened a religious can of worms and as this is a really big corporation, how could they not be accommodating? Please tell me your input, Nurse Beth. I so badly want this job but the possible worst thing could be is me turned down because of something which is personal while I'm an excellent candidate otherwise.

    Dear Observant Jew Who Cannot Work Friday Nights,

    Some organizations are more flexible than others, and many, if not most, do try to accommodate personal requests. However, organizations are not required to change requirements of the job to accommodate individual employees.

    The problem comes when accommodating an individual request comes at the cost of another individual and affects the ability to provide services.

    Let me see if I can help you see this from a manager's point of view. Let's say there are 10 nurses on night shift. To keep the unit open and provide patient care services, 5 nurses are needed every night.
    Hence each of the 10 nurses are required to work every other weekend to evenly share the burden of weekend requirements.

    Let's say that weekends are defined as Friday and Saturday nights for night shifters. That is customary for hospitals. (Sunday nights are typically not counted as a weekend night, as 3 nights cannot be designated as the weekend for purposes of meeting the weekend requirement).

    So you and 4 other coworkers are scheduled to work every other weekend as part of your job. If you cannot work your weekend shifts, the manager is unable to cover
    the unit, and cannot provide the required patient care services. You must think through how your shift will be covered.

    You are willing to work Sunday nights, but in return you want every Friday night off. That may not be seen as a fair trade-off. To balance the schedule, you would need a co-worker who wants Sunday nights off as badly as you want Friday nights off, and who is willing to work every Friday night. From a co-worker's point of view, it is highly unlikely that one would agree to working both her required
    weekend shifts...and all of yours.
    And that's the problem.

    I myself work for Adventist Health, which also observes the Sabbath. But that doesn't mean the hospital closes on Saturdays, or that employees do not have to work Saturdays. Nurses, Nutritional Services, PBX operators....everyone works their share of weekends.

    When interviewing and trying to land a job, it's important to present yourself as a solution to their problems, and not to present a problem. Your best bet is to look for an organization or a unit that operates Monday-Friday.

    Best wishes,

    Nurse Beth

    Author, "Your Last Nursing Class: How to Land Your First Nursing Job"...and your next!

  • Feb 6

    Dear Nurse Beth,

    Good evening, I graduated from an ADN Program in May of 2016 and I passed my boards October 2016. During that time I was still working as
    a LVN, but I was applying to multiple residency programs here in the DFW area. One of my instructors had said that I should have been applying to RN1 positions because of the 14 years of LVN experience that I have. Long story short, I was applying to residency programs and RN1 positions but was either told you have too much experience, when it came to the residency programs or you don't have enough experience for the RN1 positions.

    I have now been an RN for 1 year and I'm still being told that I don't have enough experience. I am currently working as a Case Manager for the Texas Star Kids Medicaid program, but I really want to be in the hospital setting. I am in the process of getting my BSN due to the Magnet Status of our hospitals.

    My question is should I continue trying for a hospital position or just continue doing what I am doing now?

    Dear No Experience,

    You will most likely have to give up hopes of getting into a new grad residency program since you graduated over a year ago. At the same time, you don't have acute care experience, so it's a tough spot to be in. But when there's a will, there's a way.

    It will take persistence and strategy. Activate your network and contact your classmates who landed jobs in acute care. Ask them to put in a good word for you and let you know of any openings. A personal reference and introduction can go far. Likewise, contact your previous nursing instructors because they have ties in the local hospitals.

    I recommend you read my book "Your Last Nursing Class: How to Land Your First Nursing Job"...and your next! because it shows you how to pull out all the stops and stand out in a competitive market.

    You will learn how to effectively cold-call a nursing manager (from my hiring manager experience) and how to compose a resume that targets application tracking software keywords.

    Another strategy for you is start out in sub-acute, where it is easier to land a job. Sub-acute is often seen as a stepping stone to acute.

    Best wishes,

    Nurse Beth

    Author, "Your Last Nursing Class: How to Land Your First Nursing Job"...and your next!

  • Feb 2

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  • Jan 24

    I love this!

    Is there a way to get them to work on their time management? Perhaps give them a detailed hour-by-hour brain sheet?

    I can do that.

  • Jan 24

    Half the people in DC would benefit from psychiatric treatment. Sadly, I don't think we have enough volunteers wanting to come out of retirement to handle THAT assignment. I could only imagine a group therapy session....

  • Jan 23

    Quote from Sour Lemon
    I don't necessarily want other people to take "excellent care" of me and keep me alive to age 100. I'd rather live my life independently and exit quickly when the time comes.
    Me too ... but I know I can't totally control that. So I am making plans for a variety of possible end-of-life scenarios.

  • Jan 23

    Quote from FNPOwlGal

    And why are we acting like LTC is a fate worse than death? I know of many fine LTCs and assisted living facilities. They take excellent care of their residents.
    I don't necessarily want other people to take "excellent care" of me and keep me alive to age 100. I'd rather live my life independently and exit quickly when the time comes.

  • Jan 22

    What truly saddens me is that prisoners who have committed crimes & broken the law are the ONLY US Citizens ENTITLED to healthcare due to the 8th Amendment of our constitution. Get Hep C from IV heroin usage? Here's some Harvoni for ya at $96,000/treatment course! Got Aids? Only the best antivirals for you! Meanwhile if I got Hep C and wanted Harvoni? My insurance would tell me to go pound salt because it's too expensive! Criminals get 3 hots and a cot and elderly people have to struggle to survive. It's just not right.

  • Jan 22

    Quote from VivaLasViejas
    Someone asked me once when I thought it would be a good time to die. I said, "Five seconds before my feet cross the nursing home threshold." Seriously, if I ever get to the point where I need to be turned and changed every two hours, to be fed by hand, to be unable to do anything for myself, I hope the Lord will take me home. Sometimes there are things that are worse than death; for me it would be life in an LTC.
    It's an irony that I work at one now, because that's how my mom felt - she loathed nursing homes, and part of it - besides wanting to be at home - was that her mother was in one for her last several years. I'm not bragging on myself when I say this, but I'm glad I was able to be her caregiver and allow her to pass at home.

  • Jan 22

    Nothing to do with anything specific. But my husband worked for Adult Protective Services for a few years. There was an elderly couple who someone (adult children? neighbors?) reported them to be living in squalor. They kept refusing Adult Protective Services permission to enter their house, and legally APS couldn't enter.

    Because the couple had dogs APS was able to notify animal control, or the SPCA, and they were able to enter the house to check on the dogs. APS went with them and able to intervene with the humans.

  • Jan 22

    Quote from bikegirl
    Can someone be "of sound mind" but not physically able to take care of themselves?
    APS seems to think so. My neighbor is 83 years old and moves at a snails pace due to his parkinsons BUT he moves, even if it does take him an hour to get out of bed and into his wheelchair. He can apperantly feed himsekf also even if that means a loaf of bread and old ham slices for breakfast, lunch, dinner. He doesn't shower for days (I am sure its more like weeks on end), BUT he showers.