Ruby Vee's Nursing Blog - page 3

By Ruby Vee

Joined Jun 28, '02. Posts: 8,987 (66% Liked) Likes: 33,335

Ethics in Nursing -- Ethics in Life

Starting in a few years, my state is going to requiring background checks and fingerprints as a condition of license renewal for all nurses. Whew! What a pain in the posterior! I mean, I’ve been a nurse for over three decades and they’re just asking for it NOW? And I’ll have to pay for all that in the last few months before I retire -- either that or retire a few months before I’m actually eligible. I’ve heard all of my colleagues complaining about the new law; I’ve done my fair share (or... Read More →

The Trouble With Women . . . .

ok, most of you who know me are going to be shocked when you read this header . . . ruby? talking about the problem with women? no way! and you're right. no way. but if i entitled this article "misogyny", which is really what it's about, how many of you would have started to read? misogyny is defined as "the hatred, mistrust or dislike of women." as a survivor of domestic violence, i thought i knew about misogyny. during the years of my abusive marriage and the recovery period... Read More →

Compassion: A Dirty Word

I'm beginning to feel as though the word "compassion" is a dirty word. Maybe it's the way people use it these days. It doesn't seem to be about an actual feeling of empathy toward a patient, family member or even a colleague. It seems to be more about "ME ME ME." The word is used more as a bludgeon to impugn someone's character, motives or behavior than as a descriptor. It's used to induce -- or to attempt to induce -- feelings of guilt rather than to praise or validate. "I'm pregnant... Read More →

The Ethics of Managing Your Personal Time

There's a lot said about ethics in nursing, and much of it -- most of it, probably -- pertains toward the ethical treatment of patients. Not charting meds you haven't given or procedures you haven't done, admitting your med errors and setting about to mitigate the damage just as soon as you realize you've made an error, truth and honor in communicating with other members of the health care team. Those are all examples of nursing ethics and I won't denigrate their value. But it seems to me... Read More →

How To Tell If You're A Bully

are you a bully? i’m getting fed up with some of the threads on there’s a 2000+ post thread on “do nurses eat their young?” and the majority of the posters seem to claim that they know it for a fact that nurses eat their young because they’ve been “eaten.” usually they go on to describe one incident with one nurse which they’re using to characterize an entire profession and sometimes the whole gender. sometimes the story smells of bullying, but often not. yet no one admits... Read More →

Precepting the Preceptor

If you believe everything you read on allnurses, preceptors, by and large, are awful people put on earth to torment new grads. Since I genuinely believe that most preceptors honestly try to do the very best they can (however reluctant they might have been to take on the task) I'm concluding that it is their precepting abilities, not their intentions that are lacking. The awful truth is that very few hospitals put a genuine effort into precepting the preceptor, mentoring the mentor or... Read More →

Night Shift For Newbies

most of us don't get much choice over whether or not we work nights, although we might get a choice about when. we also get a choice about how we handle our night rotations. there are plusses and minuses to working eight hour shifts, to working twelves, to working straight day shift, straight night shift or rotating. that's for you to decide for yourself. but here are some tips that have helped me and some of my night shift colleagues survive and thrive on the graveyard shift. attitude... Read More →

What To Do After You've Made A Mistake

nursing school doesn’t really teach you how to be a nurse, it just gives you a glimpse into the world of nursing and the nclex gives you a license to learn. if you’re smart, you’ll learn something new every day of your career. if you’re very smart, you’ll learn how to handle those moments when you’re very, very stupid. everyone makes mistakes. everyone. there are no perfect people, and anyone who would have you believe they are perfect is a damn liar. so know from the very first... Read More →

Alzheimer's: Communicating in Pictures

it started as a lark -- i got a free all-in-one printer with my new computer. mom's photo album was just sitting there in my dining room, waiting for me to decide what i wanted to do with it, so just for kicks, i scanned a photograph or two. or sixteen. then the child came home with a school assignment: assemble a family tree. since i had all of mom's photographs right there, the child -- or maybe it was me -- decided that the family tree would be better with pictures of her ancestors. ... Read More →

Welcome to the ICU

It's January, and the December graduates from nursing school will be taking their NCLEX exams, looking for jobs and starting those jobs (if they're lucky enough to get them!) in the next few months. That means that the ICU is going to have another huge influx of new graduates sometime in the next month or two. It happens every year. Some of them will actually want to work in the ICU, but most will be on "the two year plan," meaning they're here to get their two years of ICU experience... Read More →

A Waiting Room Christmas Story

Christmas of 1981 -- it had been a horrible year. In May, I found my husband of three years, the church choir director, in bed with the soprano. In the wake of that disaster, we pulled up stakes and moved three thousand miles so that we could "work on our marriage" in the absence of what turned out to be Gerry's many mistresses. I was young and more or less fresh off the farm when we moved to the Big City. I didn't know anyone in the city except Gerry, and after I caught him cavorting with... Read More →

A REAL Nurse

when dad was ill, my sister went to the hospital and told everyone that she was a nurse and she'd be watching them. she is a nurse -- sort of. she's a "gucci nurse". she comes to work in her gucci suit and her prada heels carrying her designer handbag and her coach briefcase and sits in her corner office with the gorgeous view making policy for a chain of hospitals. she hasn't been near a patient in over 25 years (except for that time where her "fire most of the rns and hire non-licensed... Read More →

Sitting Is Overrated

sitting is overrated. i say that because at present i can't sit. it isn't that i'm far too busy to ever point my posterior at a chair -- although i am busy, that's not the problem. and it isn't that my world famous teaching hospital spends millions on conference rooms for executives and dining rooms for physicians but next to nothing on chairs for charting, paperwork innundated nurses who have no fewer than four places in three different computer programs to record the hourly glucose checks.... Read More →

CPAP: Tips for Nurses

so your patient comes into the hospital, assisted living or long term care facility with a diagnosis of sleep apnea and one of those dreaded cpap machines in tow. congratulations! your patient is more compliant than the average patient! from my (admittedly limited) experience, the majority of patients with sleep apnea have never gotten themselves a cpap machine, have it but don't know how to use it, know how to use it but won't or use it only inconsistently. the "reasons" for their... Read More →

CPAP: Use It And Live

i work in a cardiac intensive care unit; ccu and sicu together. as an icu nurse, i'm well acquainted with the correlation between untreated sleep apnea and heart disease, stroke or sudden death. and i wish i had a dollar for every patient with "obstructive sleep apnea" listed as a diagnosis on their chart and no cpap with them when they're admitted to the icu. pauline (not her real name) came in for an mi, proceeded to have a cabg and then stroked while still in the icu. her history... Read More →

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