ScrappyEDRN 2,993 Views
Joined Dec 4, '02.
Posts: 51 (55% Liked)
Thank you for this series of articles. As an RN interested in this profession and yet wary of going into even more debt taking one of the big certification classes, I welcome all the advice I can get ahead of time! I am very interested in the work and have no doubt of my ability to produce a quality product but am a little trepidatious of the marketing aspects and the start-up process itself. My parents used SCORE before and I will definitely be contacting them but your articles are great because they are specific to the specialty!
A couple of questions
1) Since I will have to continue working my hospital ICU and ER job while getting started with LNC is it feasible to tell clients that I cannot work on cases that involve my current employer? I'm afraid that if I limit myself from the start that it will be harder to sell myself to attorneys. I don't want any antitrust issues but also don't want to run off potential clients.
2) On that same note... Since it would probably be easier to work with attorneys not in my general area (because of the above limitation) in your opinion is it harder to market oneself at a further distance (other than the actual travel involved)? I.e. will attorneys be more liable to hire a local LNC than one elsewhere??
3)I would love the information on the legal software mentioned above. Can you send me the info also??
Thanks in advance!
Kellie G., RN
I have mixed feelings on this subject. As a libertarian I am strongly opposed to government restrictions on freedom of speech AND freedom of private employers to hire/fire employees who do things that harm their business.
There are legal and tactful ways of disagreeing with your employers without posting it for the world to see. I think anyone who doesn't understand the public nature of the internet maybe shouldn't use it to make denigrating comments until they can figure out how to do so privately.
Companies routinely fire employees for poor hygiene, using rude language or cursing in front of customers, bad attitudes verbally expressed constantly to co-workers etc. They are all hurtful to the company. Bad comments posted on the Internet can be too. We have a professional code of conduct at our hospital that we agree to when we are employed that includes not denigrating the employer in a public format. Most professionals have similar contracts with their employers. "Public formats" obviously include FB and other social websites.
I have always been able to freely voice my opinion at work without needing a union to support me. But I do it in a professional manner. Haven't been fired yet, and believe me I am very blunt about what I disagree with. I just bring it up in the proper setting, in the proper manner, without resorting to name calling like an elementary school child.
I really do sympathize for a person who has lost their job for this but we do have to have personal accountability for our words and actions. Hopefully, they will learn from this and go on to get an even better job!
Chart from a critical care pt for my ER pt, all written at the same time with other admit orders in between--not after pt reactions:
---- "Dilaudid 2mg IV stat"
---- "stop dilaudid"
---- "Dilaudid 1mg stat"
---- "change Dilaudid to 1mg prn"
---- "hold Dilaudid"
---- "Dilaudid 1mg IV stat"
---- " narcan 0.4 mg IV"
---- "hold narcan"
---- "Dilaudid prn"
Seen in chart: " Dx: pneumocephalitis " for a pt who was unusually ditzy
" Reassure pt q hr " reassure them about what??!
We frequently use:
T2T Teeth-2-Tats ratio
FOS Full of S**T
DSP Day shift problem (usually in the half hour before shift change, lol
NPI New-parent-itis (for perfectly healthy newborns with extremely anxious parents)
DSJ Drug-seeking jerk
You are so welcome Corey. I come back to that article myself occasionally after a really bad trauma to reflect and remember all the wonderful people who feel the way I do.
Glad my words touched you!
By the way, I'm a nerdy RN too!!
RN: So what brought you into the ER today?
PT: My penis burns like the dickens.
RN: Okay...Do you have discharge? Does it hurt when you urinate?
PT: Oh no, no, no. i found out this morning that my girlfriend has crabs...
RN: So you think you have crabs?
PT: Well, no, not anymore anyways. I got rid of them.
RN: How did you get rid of them? Did you get a prescription?
PT: Nope. "I shaved my goods and then sprayed a half a can of Raid on them. I'm pretty sure the crabs are dead, but it burns like he**".
Have you tried talking to management or HR about how you feel? Large corporations like hospitals have to have guidelines in place to protect their business but sometimes exceptions can be made for good reasons. If I were your manager I would try everything I could to get you into a better position for your situation if you've been an asset. If you have been a good employee with a good attitude and come to work on time and don't call in all the time then they might be willing to let you change in order to keep you. If you've been a good employee and they are not willing to help you then you need to find a different organization anyway. If you've not been a great employee than I would keep that in mind for next time and start looking for a new spot! Just be careful about the facility you choose. I have a friend who worked at a SNF right out of school and was able to get a hospital job 6 months later so it is possible--just make sure that you are not hung out to dry while there! Nursing homes have bad reps for placing RN's in positions they aren't ready for yet with way to much responsibility for their experience.
Hope this helps and good luck on the baby!!
In TN you can work as a "nurse tech" after one semester of nursing school (where you learn how to take VS, do bed baths and other fundamentals). I would talk with HR at your local hospital(s) and get their opinion. Actually, you may be better working as a unit secretary--no certification required--less hard on the body, and you will learn a lot that will help in school about meds and labs and things. I did both before becoming an RN and the secretary position helped more than anything!
if we have a pediatric loss in the dept we have special boxes for the family. inside the box is an envelope or container to place a lock of hair. there are supplies to create clay hand/foot prints. we keep a camera on our unit as well because sometimes the parents want a picture....especially if it was a matter of pre-term labor or stillborn. there's also the info for funeral homes, etc. like in the adult packets. there's a little teddy bear in there as well. just anything we could think of that could help the parents commemorate their loved one. oh, we have small blankets in them too to wrap the child in for pictures and then for the family to take home.
we also give anyone with a fetal/neonatal/pediatric loss our resources (i.e. support groups) so that they know they have that option to help them grieve and cope.
i hope this helps!
I wanted to start something very similar to this in our ER and am in the process of gathering info. Would you be willing to share your protocol and any other info you have? We see so many miscarriages and occasional pediatric losses in our dept and was surprised to find out there was nothing official done for these families! Most of the info I find is just for miscarriages so anything specific for older kids would be great too!
I just started as an RN last year at the same time my husband got back from Iraq. I have an awesome ER job that I worked my tail off to get at the only Level 1 Trauma center around but... we just got word that my dh is probably going to get deployed again this summer and I am freaking out because we have three children--only two of which are just now old enough to stay home alone during the day--let alone for my 12 hour 9a-9p shift where sometimes I don't get home until 10 or 11 pm. My youngest is NOT old enough to stay home alone. I am trying not to get too worried, I guess I could work in a doctor's office for a while but man I don't want to leave the ER. I am hoping that maybe they can work with me for the year that he is gone.
I was a compulsive nail biter until age 14 then moved on to food so I feel your pain. The underlying problem is not a fake nail or real nail issue--it is the chewing desire and the anxiety. Maybe the gum idea would work--I constantly keep a pack of gum with me or sometimes mints or something. (The pt's probably appreciate the good breath too :wink2: ) Try adjusting your meds also if the anxiety is not under control. It sounds like you have a lot going on in your life right now so I would have a talk with your doctor that is prescribing your Zoloft. And get a manicure, pedicure, massage on a regular basis! They help me tremendously!!
Wow! I have seen attendings sit back and let resident MD's jump in and help us control a combative pt but never seen it in that kind of situation! I would be writing a letter of complaint to someone higher up on the nursing and medical sides for sure!!
I dont recommend "schooling" the patient or even confronting them about their attitude. Instead, point out how well they are doing, how you have great faith in them getting better. That will go much further in preparing the patient for returning home.
Wow, you should be very proud of yourself! Look at all that you have overcome and are now doing something as awesome and fulfilling as nursing (and sometimes nerve-wracking! LOL). I am impressed with your drive and your passion.
By the way, there are some great books by David Weber and Eric Flynt (sp?) in military-sci. fi also that deal really well with those kind of "end-of-the-world" scenarios that are awesome too!!
Congrats and thanks for sharing!
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