Latest Comments by hherrn

hherrn 13,893 Views

Joined: Jun 13, '07; Posts: 1,068 (71% Liked) ; Likes: 3,840

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  • 1
    Wannabenurseneko likes this.

    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.

  • 6

    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.

  • 1
    riverlands likes this.

    Quote from FolksBtrippin
    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.
    In general, I agree with your approach. Not validating, not arguing. The OP has a job which is independent of the PTs behavior. Being offended is pointless, and a poor use of energy.

    But, as far as this being a coping issue: Maybe. Also possible the guy is an a**hole. Plenty of people with four functioning extremities are, and having quadriplegia is no protection from this phenomenon.

    Either way, it's not the nurse's problem.

    I would continue to do my job, and document. Absolutely nothing wrong with giving him a bit of a time out, and document your reasons.

    Basically, his current behavior get's him what he wants. As long as this is the case, the behavior won't change.

  • 2
    TigraRN and chare like this.

    Quote from waterdrifter
    Hey all!

    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.
    START is meant to do the most good for the most people. It is not perfect.
    I think that the whole point is that by keeping things simple, more will survive. If rescuers are expected to do a more complex assessment, (Well, they follow simple commands, but falter with complex reasoning....) fewer will survive.

    A non weight bearing ankle sprain will be yellow, while an early tension pneumo will be green. Clearly bad priorities but, if you take the time to fully asses these two and get them properly sorted, you will have used too much time. What about the guy that needed a simple airway intervention, but didn't get it while you were working on those other two?

  • 4
    Davey Do, Krither, Kitiger, and 1 other like this.

    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.

  • 1
    elkpark likes this.

    Quote from bossfrog
    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 don't know if this nonsense is legal or not. An ER nurse can put in orders, including medication based on a nursing assessment and protocol. This includes, meds, fluids, EKG, CT, etc.......

    So, maybe the same holds for admitting.

    Should you report a bad and dangerous practice? Sure. But....

    This is a bad place to work.
    Reporting it will not make it a good place to work.
    You have conflict with the core staff.
    Reporting it will not resolve this conflict.

    But, maybe other parts of the job make it worth keeping. Only you can make that call. It is just unrealistic to expect that anything you do, especially if you are in the minority, will improve this ridiculous place. The doctor's wife owns the hospital and wants him to get a good night's sleep?????? Good grief.

  • 9

    Quote from Elmstreet209
    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.
    Good you don't have dementia, and we can all be forgetful.

    As far as your license goes:
    For some reason this fear is drilled into nurses. It is a frequent subject around here. Go to your BON website, and have a look at what causes discipline. Believe me, it is not what you did.

    Good luck.

  • 0

    Have you?

  • 4

    Quote from MotoRN34
    Yes I will definitely get trained and have my permit. I just want to keep it in my vehicle just to feel safe.
    You will be in three environments:

    • Car
    • Walking from the car to the home
    • In the home

    Of those three places, the safest place you will be is your car.

    To my thinking, there isn't much logic in having a gun to protect yourself in your car, then to leave the relative safety of your car, and head into a higher risk area unarmed.

    Personally, if I thought I needed to carry a gun to safely do my job as a nurse, I might consider other jobs. Carrying a gun means being prepared to kill somebody, which is not a part of nursing for me.

    I own two guns, obtained a CCW when my state required one. My guns are well secured and easily accessible to me in my house, where the Castle Doctrine definitely applies. When I leave the house, I avoid going places where I think somebody might try to kill me.

  • 3

    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.

  • 7
    ruby_jane, Kitiger, pixierose, and 4 others like this.

    Quote from Emergent
    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.

    No need to be torn between hoping for the best for her, and fearing that nursing is not a good choice for a recovering drug addict.

    You can do both.

  • 2
    klone and JKL33 like this.

    Quote from ruby_jane
    Lovenox and insulin are also positional. As are vaccines...pharmacist giving me a flu shot was waaay high last year and I said something....
    What position does a pt need to be in on order to get either of these. I have given both to PTs who were supine, HOP 30 degrees, sitting up, and standing.

    Are you referring to proper landmarks for a shot? While I can't imagine what is meant by "positonal", I am pretty sure that's not it.

  • 2
    hotpeppa and OrganizedChaos like this.

    Quote from hppygr8ful
    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.

    This is great- in theory.
    In my experience, courses offered by the hospital seem more geared to reducing liability for the hospital by establishing a standard of care, and training for it.

    While some of the principles taught for de-escalation are reasonable, most of the physical techniques taught to protect oneself are useless and potentially dangerous.

    The techniques I have been taught could be used to get a 90 y/o LOL to let go of you, and do so without hurting her. Which is nice.

    Actually physically defending yourself from a real assault takes hundreds or thousands of hours of practice- not a 2 hour session once a year.

  • 3

    Quote from OrganizedChaos
    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.

    I completely disagree that we should be able to carry mace. It is absolutely inappropriate for a health care professional to use mace in a health care facility. What on earth are you thinking?

    When used inside, mace sucks. PD used it once when I was working, and I got itchy even though I wasn't very close.

    We should carry Tasers.

  • 18
    Elaine M, hotpeppa, Smarietb, and 15 others like this.

    Quote from ruby_jane
    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.
    Good points. But, when you use quotes, what goes between the quotation marks is exactly what was said:
    Rather than "Patient said she would punch me in the face." , use patient stated "I am going to punch you in the face."

    Also- distinguish between bad behavior in which there is no actual threat, and real danger, and act accordingly. As a fit 180 lb man, my level at which I am concerned for my safety my be different from somebody else's. But, my safety comes first. By a long shot.

    Threatened by a visitor or family member? Call security. If security is ineffective or non existent, call the police.