nurse2033 17,133 Views
Joined Jun 6, '07.
Posts: 1,905 (46% Liked)
I am currently half way my AGNP, and I still work 1 full time and part time, plus gf and I hit the gym 3-4 times a week. However, i wake up 5 am and go to sleep at 11pm, i take advantage of every minute in my day. You can do it!!!!
Why would you think it would not? Life always throws us the unexpected and you learn to roll with it. Now you have two great things to look forward to.
You are a nurse not God, there is just so much you can do. You did the right thing. These teenage kids will learn their way to deal with problems. Don't feel bad. The parents of these kids should feel bad. It is their responsibility to raise their kids and help them out.
First off, discharging late at night is a bad idea. We would have held off discharge. What was the baby eating when he/she was there? I'm guessing formula since the parents/mom wasn't in too often. And depending on the insurance they have, social
worker can set up X amount of transportation rides in to the hospital. I know that Caresource does this.
I work in a large inner city hospital. We have instituted mandated discharge classes, parents have to bring in the car seat prior to discharge (if they do not have access to one, they are given the names of organizations to get one at no to low cost), we make sure they have WIC lined up and provide 24 hours worth of formula, we keep vitamins in our Pyxis to give at discharge instead of sending them to pharmacy. If they haven't been in for a while or are infrequent visitors, they have to come and spend at least 2 feeds with the baby.
As as for pushing you to discharge because housekeeping was only there until 2300, are you kidding??? Housekeeping shuts down or what? And we clean our own spots if they are back logged and we need spots.
Maybe be you could talk to your manager about starting up a discharge committee. We work with the neo who runs our follow up clinic and over the years have developed all the things I listed. We do discharge rounds to see who is going home, what they need, what follow up they need, things like that. Makes discharge a lot easier!
Our hospital is baby friendly in Postpartum only, not NICU. We give out formula all the time. Many times new parents do not have time on day of discharge to prepare at home. This buys them time to get settled. I'd be more concerned to discharging to parents that do not seem capable to care for their infant. I would make sure social work follows up.
A mistake to provide food for a baby?? What could be more "baby friendly?"
I would have given her formula.
I don't really know where to go to talk to active duty or veterans, I really don't know anyone other than my recruiters that are even in the military........I feel like I'm probably going to have to give up on the Marines because it really isn't fitting in with my plans.
I feel like Im mainly doing nursing for my parents. Who I owe everything to. They've done so much for me.....when I told my mom that I wanted to join the military she gave me this heart broken look and she said she thought that this time I would make her proud, finish school and get a job, so she can rest easy and know that I'll be okay.
I feel so stuck, like i have no choice but to finish school, Ive wasted so much money. I mean I do like the medical field, I like being in the hospital and treating people and just talking & being around them & a fast paced environment. I don't mind the throw up or any other body fluids or the gore that would come my way. I know I would make a great nurse. I just don't know if that is what I want for the rest of my life....yet it is affecting so much of my future....
I think that I am going to look more into the Army nursing, see if I can talk to someone currently in it.
I would bring a back-pack filled with a few emergency supplies and maybe even a few comfort items you might enjoy that might not be readily available. Sanitary pads/tampons (if you use them), emergency flashlight (I like the headlamp hands free one). No perishable food (granola/protein bars, nuts etc.) Water purification tablets. A change of cloths/underwear etc... Tylenol/Ibuprophen / Imodium. Just a few of my favorite things.
I used to do this...extra underwear, deodorant, baby wipes, hygiene items. Steel toe, high boots. Water bottles. Most of the time you will be working with no air conditioning, limited electricity, in dirty situations. Not sure your age, but news articles of Katrina was a pretty accurate account.
You do realize that this hospital is violating Federal labor laws? If you contact the Wage and Hour board, they can give you more information.
I ran into this when I worked nights on a Gero Psych unit. Staffing was one RN and one CNA. This meant that the RN could not leave the unit to eat, and had to be available for anything during meal break.
Because of this, I put "No lunch" on my time card each and every time I worked. I also contacted Wage and Hour, and had them sent me the rule, that if you are hourly and required to perform any job duties, or be available should any arise, then you are on the clock and must be paid that 30 minutes.
During a staff meeting, some little pissant suit decided to get in my face and scream at me that I was NOT to ever do this again.
I calmly handed him the statute, said "If I'm required to be available for work during my meal break, yes I will."
Never heard another word about it.
When I first started a few years ago, I bought 6 sets. This would last me for one working rotation and I would have one extra set just in case. Fast forward to now and I show up to work in a plain shirt and hoodie when I work a later shift or on a weekend. I've found that I go through a set or two throughout my working rotation.
We have pink sleeve that are made out of sock like material that have no stick/BP printed on them that go on that arm. When stretched full size, it will usually cover about the size off a full forearm so it's pretty darn noticeable and hard to miss. Then I think the floors also have signs to put at the head of the bed as well.
The problem with LTC is that most of them are for-profit, so their primary consideration is maximizing their profits as much as legally possible. That means keeping staff and care down to a minimum. IMO, as long as that is the case, nothing is really going to change.
Get your ADN, work in a hospital that has tuition reimbursement. Get the BSN while working and have them pay for it and if they know you are in the program to get your BSN you will be more likely to get hired or get retained!
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