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brandy1017 26,780 Views

Joined Jun 30, '02. Posts: 1,964 (67% Liked) Likes: 4,204

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  • 6:21 pm

    Ceiling lifts really only help with turns... if you need to look at the skin, you have to get the sling off and then it's just you and your muscles holding the patient in place. Sometimes it's really challenging to assess the skin no matter your tools. My facility also changed their policy that on the medsurg floors a head to toe is only required once every 24 hours. Whether or not that's good nursing practice is another issue... but maybe the op could say in interviews there was a misunderstanding in expectations and she's learned from it, etc.

  • 6:20 pm

    Quote from mrsboots87
    A skin assessment is done while completing the head to toe. Did you not do that either? In most patients, this take less than 10 minutes and should be the first thing you do in a shift so you have a baseline of patient condition. I check skin while assessing each body system. While I'm checking radial pulses, I'm looking the arms over then check the elbows before moving on. While listening to lung sounds, I check the chest and back. While it's too late now, PLEASE make assessment a priority. DTI's are usually preventable.
    Backside skin checks are unrealistic at the change of shift. If hospitals want to prevent DTI's they need to hire muscle to round on patients and not leave it as a nursing duty.. Another approach have ceiling lifts for every room to encourage turns without needing another person. VA hospitals nationwide practice this. Until then DTI's will continue.

  • 6:12 pm

    Don't sweat it. They told you it was a great interview. It wasn't a social date--they are under no obligation to say such niceties if it wasn't so.

    If you don't get the job, it won't be because you cried. But I hope you do get it!

  • 6:12 pm

    Judging by your whole post, I don't think you ruined your chances. They required you to relive a painful memory, then you rallied and told them how you overcame difficult circumstances. I personally think you should be a shoe-in. (For what that's worth.) I'm keeping my fingers crossed for you.

  • 6:12 pm

    I don't think that ruined your chances. I think it made you look sincere in your interview. I was speaking to my CNO about the possibility of a promotion, and she was telling me thibgs that concerned her about giving me the promotion. I teared up a bit and told her I was embarrassed for doing that. She said to me, "If walls could talk, they'd tell you how many people have cried in this office." I ended up getting the promotion.

  • 6:12 pm

    Even if you aren't selected, you won't know if this situation weighed more heavily than anything else in the hiring decision. Stop worrying about something that you can not change. This could be a good experience if it allows you to progress to a better interview experience in the future. You are less likely to tear up again. Good luck.

  • Feb 13

    Quote from Cat365
    Well we are a boring lot. I called in when my dog died. Actually I sat on the couch crying and shaking for two days. He was my best friend for 14 years.
    I called in sick when my dog died, too. He was a member of my family. So I called in for "death in the family."

  • Feb 13

    As you said, you do NOT have to give a reason. Management cannot ask the reason, or ask for your PHI.
    I have called off because I could not sleep. I have also called off because it was time for a mental health day. Neither are unethical.

  • Feb 13

    I've taken sick days, mental health days, and "I'm sick" interviewing elsewhere days. The last two due to management practices that created a toxic work environment that the majority of staff are looking to escape.

  • Feb 13

    I have had a day or two when I was mentally in a place where the thought of going to work that day was beyond my ability. I called off.

  • Feb 11

    Definitely enforce the call out rules but also consider examining morale. In my experience when people won't pick up OT or are calling out in large numbers its often the result of poor working conditions. Are they burnt out?

  • Feb 1

    Quote from SisterofMary
    nursing may not be that profitable a career. (I entertained a job offer of $22 dollars/hour as an R.N. in a town in small town New York).
    For someone like me who comes from a lower working-class background, $22/hr seemed profitable. It is all about perspective.

    I was raised in a financially-stressed household where my parents existed from paycheck to paycheck. The electricity and phone were disconnected at one point in time. The fridge and cupboards sometimes had no food. A car was repossessed.

    I entered nursing for the career mobility, middle income, job opportunities, educational progression, and advancement potential. Nursing had not been a childhood dream or fervent calling for me. I suppose I did not become a nurse for the supposedly 'correct' reasons.

    Prior to becoming a nurse, I was a factory worker for three years. Manufacturing is about as precarious a job as one can find. My highest factory wage was $15.20 in 2004, but if I had lost this job, the only other jobs for which I was qualified would not have paid much more than the prevailing minimum wage of $5.85 in those days.

    I was first licensed as an LVN in February 2006. My first nursing position paid a starting rate of $18.50/hr, which is a higher wage than anyone in my family had ever earned. I have since progressed educationally in a stair-step pattern by earning an ASN degree, then RN license, then the BSN.

    Again, it is all about perspective. To someone who comes from a more moneyed background, $22/hr would seem paltry. To someone like me who has experienced a lack of money and deprivation, $22/hr seems livable.

  • Jan 31

    Oh Lord Davey Do, sometimes I wonder what it would be like to get a glimpse into your mind...and sometimes I wonder if you're either missing or have too many crayons in your box!

    Either way, I have the same sense of humor but without the savvy art and technical skills.

  • Jan 27

    Quote from roser13
    Yes, seriously. At least at the hospital level. Our Echo techs have never had a patient yell at them, answer incessant call lights, get food and other objects thrown at them, get punched, etc.

    They are not rated on whether they brought sandwiches and pop to the pt. They dont get threatened if the MD doesnt order the patient dilaudid, xanax, fill in the blank.

    And for the pay we get in this area, the echo tech I spoke to told me her salary - and its very close.

    I was actually going to consider going back to school for this.

  • Jan 26

    I fail to see how this is "new". It's an enduring myth arising from the idea of nursing as a vocation & promulgated by an industry that has refused to institute the same basic safety measures that protect truck drivers and airline staff.