Hoping4RNin2010 3,958 Views
Joined Jul 26, '07.
Posts: 203 (16% Liked)
We have discussed this ad nauseum. When an NP introduces themselves as Dr., we DO also tell the patient that we are a NP.
Hi, I'm Dr. xxxx, a nurse practitioner or Hi, I'm Dr. xxxx, a nurse anesthetist. ALWAYS.
Many times it will open up a discussion on the differences. Perfect time for patient education. I also have a big sign on my wall describing what a NP is.
We are not trying to pretend we are physicians, why would we? I've been to school for 12 years. I have every right to call myself Dr.
Why would you want to be called Dr.? I think the only people who care are academia or people with massive inferiority complexes. Let the physicians have the term, they earned it.
I was accepted off the waitlist! See you guys Dec 3rd!!
I am sorry but in this economy, if you have a family to support, you do need to be worried about your wage. Worry about how much money your bringing in to feed your family does not predict that you will be or are a BAD nurse. I find this extremely offensive. I wanted to be a nurse because I had bad and good experiences while in the hospital. However, if it only paid 10.00 per hour, I absolutely could not do it. At the end of the day, I am responsible for feeding and taking care of my family and my wage DOES matter. But guess what, I can be a good nurse at the same time.
Thanks to all who have offered their prayers and good wishes . . . Some of your comments helped me to see how things could have ended in a more serious situation but also gave methe strength to make it through until today, so thank you ! ! !
Today I went to my meeting with a typed apology in-hand and also took with me pictures of brains, kidneys, etc (these are pictures I took in my biology & A&P classes) I plead with them to understand how sorry I am over the whole situation and for placing the school in a bad situation with the clinical facility.I explained that I felt as though I was disconnected from the patient in thiss ituation as I was in the OR for over 10 hours when this happened, and I was not allowed to participate in any patient care because my clinical instructor was not present. I felt like I was in a lab or something similar as I could not see the patient that was being operated on, only the monitors showing the patients abdomen.
I do own that what I did was a severe lack of judgment, unprofessional, etc but I will not admit that this is the way I make my decisions on a daily basis. I am a very professional, well-mannered individual with the biggest heart you could ever imagine. I would never knowingly put my school, the hospital, the patient, or my career as a student or as a nurse at risk. At my meeting today I offered to put together a presentation for the 1st year students in regards to HIPAA, privacy, cell phone usage, and what all of the papers they are signing really mean, the nursing school faculty thought that this was a great idea !
I was accepted back into the program with the understanding that I will work with nursing faculty in preparing the presentation and also that my name would not so much as be mentioned until it is said at graduation. All I can say is I'm so thankful that my Dean, my professors and all involved could see that no harm was meant and that I have most definitely learned my lesson but that I also want to educate others to hopefully prevent any incidences like this one from happening in the future.
Again thanks for all of the prayers and good wishes . . . Now I have some serious studying to get back to, thankfully !
Sorry, all advance practice nurses are created equally. None of them is superior to any other, and I don't know anyone who thinks otherwise except students who don't know any better. We think of ourselves, along with our PA brethren, as well as MDs and DOs, as colleagues. We have different specialties and backgrounds, but we are all peers. This constant need to "rank" people is jejune, and only diffident people feel the need to play that game. Everyone brings something unique to the table. When you are working within a group, you quickly learn how to work together toward everyone's strengths and all that ego nonsense falls away.
Grown ups do not discuss their salaries, how gauche.
I've got news, the coding police, practice managers and risk mangers ultimately out "rank" us all.
Geeze, I say and do stupid things all the time. I have posted this story before, so some may remember...I was getting a check up at my doctors (who works with me mind you) and he was listening to my heart, shirt pulled up and all. He tells me to hold my breasts, so obviously I think he can't hear my PMI clearly so I move them around, he looks and says to hold my breasts again so I am there.....fondling myself and I say "can you not hear? Do you want them up, down, to the side?" He says "no, hold your BREATH....I thought I was going to croak right then and there.I have a cousin who has a new born at home, and she asked me if its normal for a new born to cough, and I told her "well when you smoke around him all day and night I'm not surprised he coughs" and she looked at me like I had 3 heads....I was like what? Was that rude?
We have a good natured but smart a$$'ed Dr at my LTC. One of the nurses faxed him because a patient had a sinus infection and wanted something to relieve symptoms. Dr faxed back "Tissues to nares PRN". That was the only order.
Years ago I accompanied a very distinguished OB doc to do a vag exam on a grand multip (her 11th baby) also this patient was rather large. Outside it was a raging thunderstorm, just as the doc started the vag exam a clap of lightning and boom, the lights went out. Without missing a beat I heard this very quiet little voice say, "Oh my God, I've fallen in." I thought I would die laughing. Even the patient and her husband thought it was hilarious. I never looked at that rather stuffy, dignified doctor the same after.
Can you waste with me?
Here's the latest comparison, PA-NP head to head per specialty
In some the difference is marginal, in others, significant.
National Salary Report 2011 on ADVANCE for NPs & PAs
I have had no help from Vandy in locating clinical, and for the amount of money the school will cost me for only 12 months ($76k).. Yes, its what I want, I wanted this for a long time... But, as I recently was told in an email response after I had yet again been turned down for a NP clinical..... your a distance option student, your on your own....
Im in the Northeast, I turned down several schools here (that would have set me up in a clinical taking this out of my hands) and I wish I had not burned that bridge,
Vandy has been cold as ice, I cant even get the financial aid office to direct me or give me a fax number...
Im not impressed so far, especially after I have struck out with clinical, in desperation I offered to fly there and stay for several weeks to complete each requirement, NO...
I post under the assumption that everyone already knows who I am: that is, I don't say anything here that I wouldn't own up to saying in real life. The strategy has worked pretty well online for the last 18 years...I find it makes life much easier that way, as well as keeps me out of trouble.
When I give a patient a full bath, I cover the bases I do in the shower- PTA (pits, tits, @ss), feet, behind ears, face, and for patients, skin folds. The hospital I do clinicals at as no-rinse soap so I use that if the patient is totally bed bound, washclothes in soap, then a clean water basin to rinse, then plenty of towels. I make sure their peri-area is free from feces or urine, and make sure it's covered with a nice layer of barrier cream. When I wipe their bottoms after they go to the bathroom, I often wipe up residue left from the last person to clean them, but I always make sure they're clean because I know how gross I feel if I don't shower the important bits at least everyday, let alone a week! Just last week I was cleaning an obese male patient and I retracted his foreskin and saw just tons and tons of smegma behind his foreskin. I felt so bad for him that nobody cleaned him fully before me. I know it's not the most appealing thing to do (clean the glans of an uncut male) but it's an important area to keep clean, and pericare is so important for females because UTIs and vaginal infections are rampant in facilities because 'it's gross' to clean them well down there. COME ON PEOPLE. It takes 3 minutes to wipe them down well after they BM or urinate with bath towels or a wash cloth, and they'll definitely appreciate it. Things like deodorant, getting their teeth brushed and cleaning their dentures/partials really makes people feel a lot better when they're ill or in a facility.
So, if someone tells me in report they were bathed, I expect clean bottoms, clean pits, clean faces, brushed teeth, barrier ointment to the butt and peri area, and washed/combed hair, and a happy clean patient.
What is a bath? When you say you "bathed" someone on your shift, what should I expect was done?
I'm getting frustrated. Being a tech is frequently an icky job, but don't we have an obligation to get people clean? Going after some techs when I change a diaper, it's very clear that the patient's bath wasn't thorough. Dabbing at someone's armpits with a wet washcloth and calling it a day just isn't cutting it.
If I'm paralyzed one day, I hope someone is reeeeally cleaning me to make sure funk isn't building up somewhere on my body. We recently had an MR patient for almost two weeks on our floor. I first had him as a patient about 10 days in. While in bathing I retracted his foreskin to clean and there was... well, a solid sheet of smegma underneath. It was difficult to even move the skin out of the way in the first place and cleaning it was awful. It had clearly been building up since before he was in our hospital, but why -after 10 days under our care- was it still a hot mess?
How does this even happen? I asked around on my floor and no one retracts foreskin during a bath, not even our two male techs. Yes, it's incredibly awkward and distasteful. Yes, I hate doing it, but aren't we obliged to make sure our patients are clean and sanitary everywhere? If they're incapacitated and bounced to us from a nursing home, shouldn't we make sure they're actually clean?
It's increasingly difficult for me to ignore when this stuff happens - like when the patient that was "bathed" still has stool on her perineum and between her lower labia. Sure, it's horrible to clean that up, but it's worse to sit like that.
Just venting. Just angry that it seems like not enough techs that I work with care enough to get under the skin folds, even when they're in ick places, even when the patient is hundreds of pounds overweight. No one likes doing this, but if I'm a patient care tech, shouldn't I be really caring for the patient?!!? When I first started I gave techs benefit of the doubt more often, but 8 months in, not so much. After a while you know who does and who doesn't do the job... I have no idea how to constructively talk about this with coworkers. I doubt the tech that's worked nights for 15+ years would be swayed by anything I did or said. Just had to vent. Thanks for reading.
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