hherrn 13,893 Views
Joined: Jun 13, '07;
Posts: 1,068 (71% Liked)
; Likes: 3,840
Honestly, this bit of idiocy is just the tip of the iceberg for this particular idiot:
""Working her way up from struggling single mother to registered nurse and Dare County Commissioner, Beverly rejects the liberal notions of victim-hood and government dependency "
Her response to student led protests against the being used for target practice for psychos:
"So the students that were eating tide pods last week run your school this week?"
She is a peach.
OP- I appreciate your concern, and also believe that subjecting a child to that kind of hatred is, in fact, abusive.
But- this is now the America we live in.
Nazi groups in this country openly support our current leader. Don't you know there are fine people on both sides of this issue.
A Nazi who likes wearing one of those "Make america great again" hats just won the the republican nomination in an Illinois congressional race.
Our commander in chief has claimed ignorance of the existence of an alt right movement in this country despite their ardent support for his presidency.
Hate crimes are up.
Publlc bigotry is gaining acceptance.
Bottom line is there is nothing illegal about raising your child to be an ignorant, hate filled bigot. And, there is no longer the same stigma attached to this, so expect to see more of it.
This behavior is common in quads. Not to insult the many kind and good quads everywhere, but it is common maladaptive coping. Its about control.
He wants control because he feels he has none. He is not coping well with his dependence on you.
The best way to respond is to not react emotionally and show total control over yourself.There are certain things you have to do for him no matter how he acts. Just do them, in the order you decide, in the manner you decide, at the time you decide, unless he refuses care. Don't respond to the abuse. Pretend it's the sound of someone else's cell phone-- possibly annoying but not your problem.
Him: "You ****** dog! I told tou to get your fat *** in here 10 minutes ago!
You: I'm turning you to your left.
Him: don't you touch me you *****!
You: I'll be back in 2 hours to try again.
(Document refusal of care.)
2 hours later.
You: I'm here to turn you to your left.
Him: b*****! You ******! You should have done that before!
You: (Turn the patient. No need to speak. Don't explain yourself.)
Him: I'll report you to the Board! You ****!
You: (finish your duties and leave. Nothing deserves a response.)
Just keep doing it that way, with no expectation that he'll change his behavior. You don't actually need him to change his behavior and that is where your power is.
I have a quick questions if any of you would be so kind to answer.
My nursing program is holding a disaster drill and I am on the triage team. We had a discussion about triaging individuals and how to properly do so using the START algorithm.
If we had a patient who was ambulatory but was confused or stuporous, would they still be considered a green tag? I think they would be but one member of my group is adamant that they wouldn't be. My rationale is that we are using the algorithm, and that if they can walk, they would be green -- there is nowhere else to go from there on the algorithm without jumping steps.
Any insights? I can't exactly find any info in the literature regarding this specific type of scenario.
I make a living working only two PRNs.
Neither had to invest money in training me.
It is a great deal offering me flexibility, and allows me to learn more by working two very different ERs. It makes me a better nurse, and that is good for my employer.
And, my employers know I do it for flexibility, and to avoid a commitment. Since they have no commitment to me, we both know it is a good deal.
I wouldn't worry much about explaining it to anybody- it is obviously a good deal for those who can afford to risk variations in pay.
Thanks Davey. But what are those appropriate outside agencies? And the write-up really just pissed me off more than anything. My DON said if I'm not comfortable bringing in a pt without talking to doc, that's fine. But the administrative people are the ones insisting we do this. They say the doctor's wife (she owns the hospital) complains when the doctor doesn't get enough sleep. So administration doesn't want him called. Either way, I'm sticking to my guns.
I work at a adult day center, I sent someone to the hospital because he demanded it. It was for itching. I didn't call his emergency contact until 3 hours later. The emergency contact called the center and is upset, wanting to sue, call department of aging.
no dementia but forgetful.
Yes I will definitely get trained and have my permit. I just want to keep it in my vehicle just to feel safe.
Nobody at work cares where you live. Nobody at work will know where you live unless you tell them.
As far as the van- Why not? You need to make sure you get a good night sleep, and show up to work on time. For some people, camping or living a bit rough is a hardship, for others it is normal. I have lived in a 22 foot sailboat while working as a nurse. I know nurses who would consider my house a hardship- no cable TV, no take out, and come home to a cold house and have to turn the heater on.
A relative of mine struggled with drug addiction for years. She was in and out of rehab in another state. Now she's suddenly pregnant, married, and going to nursing school, having moved back to her home state.
I'm pretty sure she's concealing her past struggles. I'm torn between hoping for the best for her, and fearing that nursing is not a good choice for a recovering drug addict.
Lovenox and insulin are also positional. As are vaccines...pharmacist giving me a flu shot was waaay high last year and I said something....
Oh and you should ask your employer about CPI training. This includes verbal de-escalation training, some fast easy moves and holds as well as training into you own trigger/behavior which you may be doing unconsciously do that may trigger a patient. If your work doesn't offer it you can find it on the internet and get CEUs as well.
We really do. I had a conversation with a coworker about it yesterday. I can't tell you how many times a code is called for security. We should be able to carry mace.
There was a patient on the floor who got irate & had a pocket knife. You're telling me I have a whip out my ascom, call a code & wait for security to get there?
It's one thing if a patient is verbally abusive when if someone ever starts to become physically abusive with me, I will do whatever it takes to protect myself. I have 2 little ones at home & I want to go home at the end of the day.
And document. In quotes. "Patient said she would punch me in the face." And document what you did to de-escalate (which was really good, BTW).
In the example you gave, pt was leaving but maybe she'll be back.
Also make sure you're aware of where you are in relation to the door every time, and do your best to be closer to the door than your patient is. This is more of an ambulatory nursing thing but a quick exit may be your friend.
Is that going to help you not get hit? Nope. Probably someone's going to swing at you. It's happened once in the 10 years I've been a nurse. And if it comes to it - yell for the code. That's going to get people where you are if you're really in danger.
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