Latest Comments by nurse2033

nurse2033 20,025 Views

Joined Jun 6, '07. Posts: 1,994 (46% Liked) Likes: 2,911

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    I was a paramedic to RN. Accept it. Most people have no idea what the capabilities of EMS are. Put your energy into showing them what an awesome NURSE you can be. It's like fighting racism. You can rant and rave but that doesn't solve the problem. I take every opportunity to praise EMS, but it's not nurses' fault. They just haven't been under that car with you, or in that tiny bathroom, or in that drunk crowd. Suck it up, get through school, and sooner or later someone will notice that you rocked it when your patient went down the tubes. And don't forget, you have a ton to learn about nursing. Good luck.

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    not.done.yet likes this.

    I hope you have some education in adult educational practices. Really use that to develop effective education. The most important thing is that the education is meaningful. Selling the "why" is sometimes essential. Just because the boss says so will NOT win the hearts and minds. If the boss wants something taught that is BS you need to say so (diplomatically) and defend your position. Be sure to research the steps of change theory to develop your plan. Too often education is pushed through in a ham-handed fashion that is not well received by staff. A lot of our educational needs come from the top down, but you can have some control over how it is delivered. Good luck.

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    I do this also. If I am able, I attend all codes, full traumas, and emergent patients. I lend a hand until the situation is stable, then get out of the way. This helps me to learn from the A team, and stay current.

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    Hmmmmmm... I disagree. Both experience and personality are very much needed. And I don't mean just experience in your area, but also with teaching. I would wait until after your MSN program. I doubled my teaching knowledge from my program, and I had a lot of teaching experience prior. You don't have to be the best expert in your area, but you need to have a depth of experience. You must understand the culture and experience of your "students, clients", whatever you want to call them. You are right that the old boys/girls network will doubt you. If you have the confidence and the knowledge to stand you up, you can win them over. Don't ever pretend that you "know more" than them. But if you present your material in an effective manner, chock full of effective adult learning theory techniques and appropriate approaches, they will appreciate your efforts. Good luck.

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    amoLucia and PMFB-RN like this.

    Just say "no thanks". No elaboration, just let the silence hang there uncomfortably until they close the conversation. No one ever asks "why?", but if they do, make it game to come up with the most cringe worthy response. Such as:
    1. We are trying to get pregnant, I'm ovulating at 1000 tomorrow. If I come in, I need my break then.
    2. My significant other is getting out of jail then, I need to pick them up.
    3. The man who murdered my family is having his parole hearing and I need to be there.
    4. I'm almost finished with a bottle of bourbon, I don't think I'll be sober by then.
    5. My purification ceremony is then and I can't be around the unclean.
    6. I'm having my *** bleached.
    7. That's my vulvoplasty appointment.

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    Don't wear anything made out of plastic like spandex, polypropylene, fleece, and the like. All you underclothes should be natural fibers. Natural fibers won't melt onto you if something bad happens. Always carry a flashlight, gloves, and a pocket knife. If you do a lot of 911 a headlamp can be very helpful. Good luck!

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    HIPAA works under a "need to know" principle. You are authorized to review the chart to the extent you need to know.

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    The ratio of acuity to patient numbers might be the same, but you won't get the wide variety or sheer volume. Your best bet is to be a continual learner, kick ass at your current job, and take every opportunity to proress in your practice.

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    That all sounds good. I'm a big fan of Sheehy's book published by ENA. This will really prepare you for CEN, oh and your job.

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    What an awesome cocktail!! Don't forget lifesaving tetanus!!!

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    Plus the news media is not a covered entity and not subject to HIPAA.

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    Yes, as long as it is not in area 51.

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    JaxJax5423 likes this.

    I think it is essential to keep working at the bedside, although it can be almost impossible to balance the schedule and time commitments. I'm lucky to have an educator job 24 hours a week, which allows me time for a 12 hour shift. I find most educators are not able to do that. You will fall further and further behind the constantly changing practice over time. There is not an easy fix for this problem. Perhaps if you could find a place that would hire you back during school breaks, like summer, you could stay current. But of course, who wants to work on all their time off... Good luck.

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    Paper, paper, paper!!!! Write up everything she does that is not according to policy such as behavioral guidelines or her job description (and anyone unresponsive to verbal direction). You are building a case to fire her, and do so.

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    If you can afford it, get your degree quickest. You can always join the military later. Depending on your husband's location, there should be chances to work as a civilian nurse. That way you will have a portable skill as you move around. Good luck.


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