Content That Hygiene Queen Likes

Content That Hygiene Queen Likes

Hygiene Queen, RN Guide 23,084 Views

Joined Sep 13, '07. Posts: 2,344 (72% Liked) Likes: 7,893

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  • 2:14 pm

    Yes. Even if there isn't a surplus of nurses, the job itself is awful. Find something else to major in.

  • 2:12 pm

    Quote from dream'n
    LTC facilities do not have the knowledge or staff to detox and provide substance abuse counseling to patients. They will need a behavioral counseling program for that.
    Unfortunately, many of the addicts and substance abusers who end up in LTC facilities usually come from a specific demographical subset.

    They tend to be younger than the little old ladies and gentlemen we envision when we think of nursing homes. My youngest LTC resident was an uninsured 29-year-old female who was being treated for infective endocarditis secondary to injecting heroin. She told me she had been using since she was 17. All the LTC facility could do was provide her with IV Nafcillin every four hours in addition to oxycodone. The resources for substance abuse treatment are not present in this setting.

    Also, the addicted residents tend to be uninsured, which is one of the reasons they end up in the nursing home instead of an inpatient chemical dependency program. Many LTC facilities of poor repute will accept uninsured Medicaid-pending residents without any regard for the staff's ability to address whatever addictions they may have. I have had residents leave the facility to score their dope, only to return a few hours later high as a kite. One 40-something-year-old resident had a MI soon after smoking crack across the street from the nursing home.

    I agree that the LTC setting is inappropriate for substance abuse treatment. However, the poorer addicts in society will continue to get the short end of the stick.

  • Sep 25

    Think about how they take them at home every day and no one monitors their BP

  • Sep 23

    OP, I hope that you come back & update us.

  • Sep 23

    Guess i dont remember asking for any opinions on an easy job...low stress doesnt mean easy....your job could be the most physically demanding job in the entire world..but if you are strong and know what you are doing its gonna be low stress because you are not worried or freaking out...you know what it is...you know what to expect ..say for example a person who does roofing....being in the heat all day working a physically demanding job isnt easy at all..but the guys ive talked to dont think its stressful at all because they all know exaclty what they are doing.

    It was my first post. Can i get a pass?

  • Sep 23

    Quote from Luv2baRNurse
    If you're already thinking about higher pay and less stress, then are you in nursing for the right reason? Nursing is a calling, not just a job.
    For me, nursing is a job and a means to an end. It was never a childhood dream or higher calling. Rather, it is a practical way to earn a living.

    I find it curious that no one really expects pharmacists, speech language pathologists, physicians in lucrative specialties, physical therapists, hospital dietitians, occupational therapists, and other healthcare professionals to arrive at the table with that intangible calling.

    Let's assume your employer abruptly announced that you'd no longer receive pay for the services you render after today. However, the employer also announced that "compassion will provide a place for you to live and caring will result in food on your table." Would you continue to report to work day after day, year after year without monetary compensation?

    I sure as heck wouldn't. If an employer could no longer pay me, I would refuse to provide even one minute of my labor to that entity. Again, I was not called to this profession. Nursing is an avenue to a decent livelihood.

  • Sep 23

    Document, Document, Document and let either social work or the case manager know. They need to figure out if he is safe to go back home.

  • Sep 23

    Quote from Nursein2017
    Honestly, who wants to be in a hospital bed for days on end watching peoples court and hearing beeping sounds and have cords all over
    Believe it or not, but some patients have absolutely nothing interesting going on in their lives. A hospital stay facilitates attention from kindly healthcare staff, three warm meals, multiple snacks, cable TV on a flat screen, daily housekeeping, laundered sheets, and the chance to rest. Some people do not get these things at home.
    Quote from Nursein2017
    What should a nurse do in this situation?
    You educate the patient about the consequences of his actions, then you document everything. However, we cannot really help people who have no desire to help themselves. Trying to help a noncompliant patient who has a death wish is like pouring one's efforts into a bottomless well.

  • Sep 22

    There is fat bias for sure. I weighed 235 in my 20's, but I fight hard to keep my weight at 160 for the last several decades for many reasons. A major one is employability.

  • Sep 22

    It depends...a multitude of studies have indicated that normal weight people are more likely to be hired than their overweight and obese counterparts. In addition, normal weight people are more likely to obtain promotions.

    However, other factors come into play. For instance, I am in a southern state where obesity is somewhat socially acceptable. I was obese at the start of my nursing career, standing 5'1 tall and weighing in at 216 pounds 10 years ago. However, I was always able to easily find work.

    I was born and raised in southern California, where obesity is not as socially accepted. Therefore, a pudgy nurse might experience more uphill battles in a geographic region where a high value is placed on looks and image.

    I now weigh 120 pounds. My smaller body has made things easier professionally and personally. Nonetheless, I have the utmost empathy for the overweight and obese. The "calories in/calories out" prescription simplifies a complex, multifactorial problem with hormonal intricacies.

  • Sep 22

    Take these answers for what they're worth. I've only been a nurse for ~1.5 years but have been in psych the entire time.

    Quote from julesjameson3333
    1. Is it emotionally taxing? In particular working with young people. I understand many have had bad experiences. Does it ever feel like it gets to be too much?
    YES! Some days more than others. I don't work with young people (I work with patients with dementia) so can't speak to that aspect. I try to take days off often enough so that it doesn't get to be too much to deal with.

    Quote from julesjameson3333
    2. Is it dangerous? How common is it for patients to become combative? Are there adequate measures in place to protect the safety of the staff? *note: I realize not everyone who has psychiatric issues is violent
    That's going to vary greatly. On my unit, I would say someone is hit, kick, scratched, etc. at least weekly. It just depends on the census. There's usually not bad injuries, though those have occurred also.

    Yes, we are all trained in de-escalation and CPI techniques.

    Quote from julesjameson3333
    3. What makes a psych nurse a great psych nurse? Qualities of that person and/or skills needed?
    Understanding, patience, and compassion. Not everyone can do psych, just like not everyone can't do labor and delivery.

    Quote from julesjameson3333
    4. If psych does prove to be what I'm still interested in, should I go right into psych or get experience on another floor first like med surgical first?
    I went straight to psych. That's what I wanted, that was the reason I went to nursing school, and I didn't really like anything else.

    Quote from julesjameson3333
    5. Do psych nurses deal with a stigma of their own?
    Some don't consider psych nurses "real" nurses so there is definitely a stigma of sorts.

    Quote from julesjameson3333
    6. What kind of recovery do you see with patients?
    I've seen patients come in who are hitting, kicking, biting, etc. just to get them changed into clean clothes, and they leave smiling. It's not always that dramatic of course, but those are the ones that stick with you.

  • Sep 22

    I work night shift in a large nursing home/hospice/psych facility. We have an operator who got a call one night from the assisted living apartments. The patient said she needed help to go to the bathroom. The operator stated she sounded "weak and slow". The patient gave her apartment number and her name. When the operator called the CNA who worked in the assisted living building, she was told that there was no one by that name who lived there anymore. She died 3 weeks ago.

  • Sep 22

    I would depend on you. I would find working with infants stressful. My aunt loves them.
    ICU isn't my cup of tea. I like to move on. ER suits me better, but I've heard other people say they can't stand that.

    I personally find that good coworkers decrease my stress level, but that doesn't narrow specialties.

    I would use your clinicals to find something that either pulls at you or interests you. That area is likely to be the least stressful area for you.

  • Sep 22

    That's obnoxious and utterly unprofessional.

  • Sep 21

    When the guard from the local jail (who you know has been sitting with an inmate/patient upstairs) comes by the station asking if you've seen a man in orange pants come by there.


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