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Joined Mar 6, '07 - from 'Alhambra, CA, US'. fjellgren is a Nurse. He has '5 1/2' year(s) of experience. Posts: 55 (35% Liked) Likes: 69

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  • Sep 15 '12

    When communicating with others we assume that what we say is plainly understood. Often this is not the case. The meaning gets lost in the delivery.

    What have you done to improve your communication skills?

    How does your place of work ensure good communications between staff/dept?

    Please share any tips on how we can improve our communication skills...

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  • Sep 11 '12

    From Scrubs Mag:

    These are very interesting. Some are downright horrifying!

    I should start telling the MDs that I'm not allowed to touch male patients lol!

  • Sep 3 '12

    Although I do not regret this career (yet), I'll readily admit that my personality is not compatible with nursing.

    I am an introvert who does not particularly like meeting new people, even though I put on the acting game for the sake of my patients. In addition, I am not the type who seeks validation or deeply desires to 'be needed' by others. I also do not have a yearning to help people. In a nutshell, I am a self-centered person with no sense of altruism.

  • Sep 1 '12

    Although I am not making excuses for poor hand hygiene, keep in mind the number of residents that each caregiver has in LTC/nursing homes.

    I have had up to 68 residents while working the night shift at a nursing home. That would amount to 204 hand washings or alcohol gel rubs per shift, assuming I performed hand hygiene 3 times for every patient (68x3 = 204).

    Other issues exist. Sometimes soap dispensers would be empty. Sometimes the alcohol gel dispensers would be empty. Some staff members purchased hand sanitizer with their own hard earned money to comply with hand hygiene rules while working for wealthy companies who could definitely afford supplies.

    I think the folks in LTC are doing their very best in the face of a lack of staff and supplies. There's no need to demonize them personally. The whole system needs an overhaul.

  • Sep 1 '12

    The membership at cannot determine what will happen to your friend.

    LTC staff members cannot curse, swear, or verbally berate residents, even if the residents are being vulgar and yelling profanities at the staff. It is up to the professional to maintain composure and avoid stooping to the profane resident's level.

  • Aug 29 '12

    The Bureau of Labor Statistics reports employment among Registered Nurses will grow faster than the average for all occupations through 2018. They also report that large metropolitan cities such as New York, Philadelphia, Los Angeles, Houston, Phoenix, etc will be hiring the most nursing jobs.

    According to PayScale, new Registered Nurses (RNs) earn between $30,233 - $63,540 per year (2012). That's not bad compared to other professions.

    How do you feel about your salary compared to other professions?

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  • Aug 28 '12


  • Aug 27 '12

    The Merriam-Webster dictionary defines oppression as unjust or cruel exercise of authority or power. Due to its position on the social ladder combined with the sometimes unprofessional behaviors of its members, nursing is an oppressed occupation.

    According to Whitehead (2010), the position of nursing within the socioeconomic framework is one of a relatively oppressed group - not as low in the social scale as some, but certainly not in the upper professional tier.

    Oppressed people tend to lash out at each other as the result of a strong sense of displaced anger along with an overall lack of group empowerment. Many nurses are truly upset at their superiors and 'the system,' but end up displacing the anger onto their much less-threatening coworkers and subordinates.

    In many healthcare facilities, administrative hierarchies promote and perpetuate oppressive conditions, such as inability to take uninterrupted breaks or meals, inadequate staffing ratios, limited supplies, and little recognition of nurses' ability to think critically (Townsend, 2012). In other words, many hospital units and nursing home wings are home to toxic working environments where oppressed nurses behave rudely toward one another, engage in gossip, start rumors, and act like immature schoolyard bullies while management looks the other way.

    Let's examine the crab mentality for a moment.

    Any person who has been in an area where fresh seafood is sold has likely noticed that crabs are left in open buckets. There is no need to place lids on the buckets because, when one crab climbs near the top of the container, the other crabs latch on and pull it back to the bottom. Hence, all of the crabs experience the same fate. If one single crab is in the bucket by itself, it will make it to the top, leverage its way out of the container, and escape to freedom because nothing holds it back. Although the lone crab almost always escapes, none ever get away if other crabs are at the bottom of the bucket. Crab mentality is also a powerful metaphor for human behavior, especially in oppressed groups such as nursing, where some of its members do everything in their power to latch on and keep others down.

    However, oppression can stop with you. Power comes in numbers. Remember this saying: United we stand, divided we fall. It is time for nurses to stop lashing out at each other and start funneling the negative energies into more positive endeavors such as mentoring newer graduates, helping coworkers feel welcome, providing the best patient care possible with the constraints involved, and getting politically involved to help bring about beneficial changes.

    The nursing profession in the United States has more than three million members, and is the largest healthcare occupation in the country. History shows us that oppressed groups can push for change if every individual in the group pulls together, supports one another, and organizes effectively. The Civil Rights movement of several generations ago is a prime example of oppressed people coming together. Oppression can stop with you, and empowerment can begin with you.

  • Aug 22 '12

    I'm so happy to hear that since I've been also wondering about renewing my CA License that will be expired 6 months from now. I've been looking for a thread and finally got an answer about the issue. Like you I also got my degree from the Philippines migrated here in CA,got my ATT and took my NCLEX without any problem. Please let me know once you've done with your renewal.Thank you...

  • Aug 18 '12

    The nursing homes of today have greatly evolved from the facilities of yesteryear. Long term care (LTC) facilities are admitting higher-acuity patients to make up for declining Medicare and Medicaid reimbursement rates. Some nurses would say that the Medicare skilled units inside modern-day nursing homes are taking the same types of patients that would have remained on medical/surgical units in acute care hospitals just a few years ago.

    According to Fiegl (2012), the Centers for Medicare & Medicaid Services (CMS) requires Medicare beneficiaries to spend at least 72 hours as hospital inpatients to qualify for skilled nursing facility care, which can provide patients with therapy and other services needed to recover from injury. After the minimum 72-hour acute care hospital stay, many of these patients are discharged to Medicare skilled units of nursing homes to continue recovering in a cost-effective post-acute setting. Once these patients arrive on the Medicare skilled unit, they can expect to receive basic nursing care in addition to rehabilitation services such as physical therapy, occupational therapy, and (if indicated) speech therapy.

    Nurses who work on Medicare skilled units may deal with PICC lines, central lines, Mediports, Permacaths, and peripheral IV access since a number of the residents might be receiving TPN, Procalamine, IV antibiotics every four hours, normal saline for hydration, and other intravenous fluids. These nurses also provide care for short-term residents who require post-op recovery. Much of the time these residents are only two to three days post-op when they are admitted to the nursing home after having undergone hip and knee arthroplasties, ORIFs, laminectomies, limb amputations, colectomies, kyphoplasties, CABGs, craniotomies, aneurysm repair, hysterectomies, gastric bypass, thrombectomies, and other major surgical procedures.

    Some short-term residents are admitted to Medicare skilled units to recover from medical issues such as pneumonia, CVA, acute MI, cancer, COPD exacerbation, debility, closed reduction fractures, deconditioned states, failure to thrive, CHF exacerbation, status post falls, contusions, and generalized declining functional status.

    The nurses who work on Medicare skilled units perform skills such as surgical staple removal, suture removal, intravenous therapy, wound care, tracheostomy care, ostomy care, management of cervical halos, appliance of braces and splints, respiratory therapy, nephrostomy tube maintenance, diabetic management, emptying of JP drains, continuous ambulatory peritoneal dialysis, continuous positive motion, indwelling urinary catheter insertion/care, enteral feedings via gastrostomy tubes, and so much more. Some nursing homes have pulmonary units that contain residents who have tracheostomies or stable ventilators.

    The short-term residents on a Medicare skilled unit normally have length of stays ranging from a few weeks up to 100 days while they recover from their various issues through rehab. Once they are deemed to be reconditioned and strong enough, their attending physicians discharge them to home. Unfortunately, some residents do not regain their strength or become fully rehabilitated. These individuals sometimes become long-term residents of the nursing home.

    Medicare skilled units inside nursing homes offer post-acute care to people who need extended recovery in this day and age of increasingly shortened hospital stays. In addition, they offer fast-paced environments and excellent experience to the nursing staff who work in LTC. Post-acute care is becoming the wave of the future in today's healthcare system.

  • Jul 31 '12

    Not rumors at all, all harsh realities for many foreign educated grads and nurses, as many are not meeting CA BON minimum requirements that have been on the books as written policies since 1987.

    CA BON is cracking down hard on many applicants. You have to basically be able to pass CA's requirements, even if you're trying to endorse any out-of-state RN license. You have submit your college transcripts and there stands a very high chance, it will be denied.

    Depending on which country you got your degree from, it ranges from not having taken the clinicals and the theory section in the same semester, not months or years later (concurrency issues) or lacking in certain courses or lacking sufficient hours. It doesn't matter if you have 1,000's of hours of experience, it will always fall back to your original education.

    This affects just about every country, even those from the UK, Russia, Phillipines, China, India, etc. With the high unemployment of new grads and even experienced nurses in CA alone, I don't think you find CA BON budging off their recent enforcements of the various 25 year old rules.

    You do have the option of making up those deficient courses, but realize you'll be competing with already enrolled students on a very limited open slots for foreign students, with an excepted time frame of about 18-24 months or longer to complete those.

    You could ask this same question in the "World Nursing" forum and under the "Nurse Registration" section, just take a peek over there, you'll see plenty of foreign students all caught up in this scenario. Sad, but true.

  • Jul 31 '12

    OP, your case is a bit different. You got a California license in 2008 and did you let it lapse? Most of the issues in the applications involve those documents that were turned in after 2008. The applicants affected were never issued a license (i.e., failed the exam on first attempt) and some were not even allowed to sit for the NCLEX-RN when they applied for the first time. Some were endorsement applicants from other states but never got a license in California to begin with. You should try to reinstate your license and see what the board does, what have you got to lose?

  • Jan 11 '09

    Yes. IV therapy is part of the RN ciriculum.

  • Apr 12 '08

    Quote from mishart
    Hi kababayan!

    I took it last March 14 and got my results last March 29...I was asked 75 questions, much like you had!

    And guess what, I passed it one-shot.

    I'm living here in Alabama, US and I took the NCLEX-RN of California.

    What state are you up?

    Good luck and keep your fingers crossed.

    congrats kababayan