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Hygiene Queen, RN Guide 27,414 Views

Joined Sep 13, '07. Posts: 2,397 (73% Liked) Likes: 8,244

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  • Aug 15

    For real on that education stuff. A fairly smart guy showed up for treatment with almost no information after being discharged from the hospital. Imagine his response when we told him he needed to stay 4 hours.... and come back three times a week.... for the rest of your life...

  • Aug 15

    The poster that mentioned going home smelling like feces:

    That had to have been a pretty bad situation and is not the norm! I've done this job for about 30 yrs and have never come home smelling like feces.....maybe smelling of bad body odor from my own sweating! but not feces. Not gonna lie tho, I have gotten feces on my scrubs and I have been pee'd on. ...it's happened only a handful of times to me....I keep extra scrubs in my locker.

    As far as the pay...for what we do and what we put up with...it will NEVER be enough pay! I can however, live comfortably in a nice safe apartment with a nice reliable car. I may not have a fancy phone or go on a fancy cruise every year but, I can make ends meet without being stressed out.

    I agree, the worst part of the job by a long shot, is dealing with "co-workers" who don't want to work!! Who roll their eyes or disappear all together when you ask them to help with a 2 assist transfer!
    Who get all bent out of shape because a resident with dementia is calling out to them for help into bed for the 5th time in 10 minutes.
    Who has no patience for the confused/scared resident.
    and the CNA who gets SO offended because a resident with dementia comments on their messy hair or a tattoo they have!
    Seriously!!??
    .....sorry, I think I slipped into a little rant there....

  • Aug 12

    I liked being a CNA more than I like being an RN.

  • Aug 8

    There are people like that throughout nursing (and presumably every other working environment with more than one person). You just happened to hear yours in the act of being an unprofessional jackass.

    I think also that when a person holding authority or responsibility in a workplace is the source of the trashing, it's even more reprehensible, as that becomes a fruitful ground for a toxic workplace by a ripple effect.

    Since the preceptor phase is temporary, I personally would stay away from that person if at all possible. If you're stuck with him for the duration, don't engage with him beyond basic civilities. Don't talk about him to others. It won't make him change, but you can provide less fuel for people to twist your words to suit their own agenda.

    It may be tempting to complain that he wastes time and flaunts the HIPAA, in the end that's the employer's problem.

  • Aug 8

    I very clearly remember thinking, "I could do this the rest of my life and be perfectly happy" when I was a nurse's aide in a residential home for the developmentally-delayed. Of course, I was 20 years old and still living at home--ie, had no bills to pay. CNAs don't make enough for all the stuff they have to do and put up with. Still, they come to work, and I couldn't do my job without them. Nothing beats a good CNA.

  • Aug 8

    I loved being a CNA. If it had paid better I probably wouldn't have hurried myself through nursing school. It is very satisfying to make sure your patients are clean and comfortable.

  • Aug 8

    Quote from JKL33
    Thank you for the excellent article. To expand on your zero-tolerance idea, I believe we have to stop making and accepting excuses for threatening and violent behavior. For many years we have been taught that the "stress" (of hospitalization, of illness, of social factors) manifests in many different ways, some of which may not be our own personal style. While that's true, "stress" can not continue to excuse the types of behaviors being discussed here.

    People all over the world experiences stressor of the worst kind (things a far cry worse than having temporary illness or being temporarily hospitalized) and do not react with violence or threatening behaviors towards others. It is not a given that one "might" act that way. Most people do not.
    Exactly! I don't act that way when I'm sick or stressed.

  • Aug 6

    They didn't correct her on your previous complaints, or if they did, it didn't work. I think that firing was coming for a long time, and you did a good thing.

  • Aug 6

    Quote from Zyprexa
    I thought this thread was called "Why are some nurses so pretty?"

    Never mind.
    I was about 30 seconds from posting a response that said, "I've noticed that where I work too - everyone is beautiful! I figured that it must just be Texas." Glad I saw your comment first!

  • Aug 3

    Quote from AnnG_
    Hi wise and wonderful Nurses!

    I'm hoping to be accepted into a BSN program for the Spring 2018. I know I shouldn't think too far ahead, but I am already worried that I'll graduate, and make a mistake that'll get me fired. I believe that I can learn from other's mistakes, so I'm wondering if any of you would be willing to share some of the worst mistakes you done or seen someone else do? Thanks in advance!!
    Welcome to AN

    I think that you are thinking too far ahead. You are years from graduating. For now focus on absorbing as much knowledge in school and at clinicals that you can.

    Your primary concern as you start your nursing career shouldn't in my opinion be that you could make a mistake that could get you fired, it should be that you could make a mistake that harms a patient. The worst nursing mistake I've seen cost a patient their life. I'm not entirely convinced that hearing a lot of nursing horror stories will make you a better nurse. Instead focus on what you can do to be a safe, conscientious and competent nurse.

    We're human, human beings make mistakes. We can only do our best to keep them to a minimum and make sure that the mistakes we do make, aren't because we're being sloppy, lazy or wilfully ignorant.

    I'll share a few tips, but please know that if you feel that you have no idea what to do with most of the advice right now... That's what nursing education is for. You will learn a ton of new things in the coming years.

    Breathe


    * Advocate for your patients. Always.

    * Listen to your patients! They know their own bodies better than you do.
    You might know more about the nitty-gritty details about the physiological processes in their bodies, but they LIVE in it.

    * NEVER skip over safety rules regarding medication administration.

    * Learn/understand the rationale behind orders. Ask or find out the why.

    * Even as you've completed your formal education, NEVER stop learning! Invest time in continuing education.

    * Don't EVER pretend to know what you don't know.

    * Learn about the medications you administer and use the resources available to you (pharmacists, drug reference guides etc.)

    * Learn to organize and prioritize your work.

    * Familiarize yourself with your facilities' policy and procedure manuals.

    * Respiratory rate is often the overlooked vital sign. Respiratory rate can be an early indicator of physiological changes/deterioration.

    * Listen to your "gut feeling"/instinct. It will develop over time but even as a new nurse, if you think something might be going on with your patient, ask a more experienced coworker for advice.

    * Make time to socialize and engage in hobbies/leisure activities and get plenty of exercise to strengthen your emotional stamina/resilience. Nursing can be stressful and we owe it to ourselves to take care of us.



    I wish you the best of luck and much happiness in your future career!

  • Jul 31

    i've been a travel nurse for 20+ years and most facilities have some disturbing occurrence. currently i'm at a hospice facility and occasionally i get a feeling that i'm not alone, although i've never 'knowingly' seen an apparition. however....
    i do have an experience. my patient was a young woman dying of cancer and getting very close, her husband had a habit of leaving his shoes outside the door. noticing them there i started in to talk with him and the door was slowly opening a little. as i went in the husband was at bedside and seeing me said "i think she's gone" and i concluded that she had. the husband immediately left, and i called the funeral home for transport. meanwhile, i had past the room twice and the door was standing open of which i closed it on both occasions (this room dosen't have that tendency- normally).
    later, i asked the cna why she had left the door open has we had visitors there for other patients. she said that she too had closed it and thought i had left the door open. i had assumed the husband had been opening the door when i went in to speak with him, but now realizing he was about fifteen feet away by the bed. this has not reoccurred, so strange. i do believe the woman's spirit wanted the door open, after the body was gone it didn't seem to matter. what do you think?

  • Jul 31

    Been a Nurse over 10 years (7 years as an STNA before that) and I have had TONS Of experiences. But, my most profound was a cpl years ago, my Fave Resident (I work in nursing home, it's my passion) passed away. We became very close during her stay with my facility and even exchanged birthday cards and gifts (yea, not suppose to do that, but I loved this lady and her daughter). Well, the day she passed was an extremely emotional one for me as I was the one that had to pronounce her and what not. Well, she passed at 5:57pm and I have a thing that the window needs opened right away to allow the spirit to leave. Sadly, the window did not get opened right away. Anuway, I finish up my shift and leave about 11:20pm. I lived about 25 minutes from work and it's all expressway. About half way home, coming up yo a split in the eway (could go east or west on the next connecting expressway), my brakes go ALL THE WAY TO THE FLOOR! I am coming around the bend and going about 50 (let of the gas from about 65). I have NO BRAKES! I'm freaking out because my exit is the next exit and there is a stop light at the top of the exit ramp and it's a main road and is ALWAYS busy. Well, miracles happen and as I let off the gas again on the ramp (it's going up hill so I am slowing down), I realize I will not be slow enough to check for traffic AND turn left (have to turn, can't even go straight across). So, crazily, I try the brakes and OMG, they worked! I stopped, and was able to safely turn left. I have 1 more stop and right turn before my street. I am able to stop and turn right on the next street and also safely turn left onto my street and even pull in my driveway. I get out and run in to get my husband and tell him about what happened. He comes out and checks my brakes, they go all the way to the floor and there are NO BRAKES again. He pops the hood, no brake fluid. Looks umderneath, no puddle of fluid (which proved it was leaked out BEFORE pulling in my drive) and my drivers side brake line was rusted and broken in half. I'm in shock I made it home. Well, next day, my mechanic comes and tells me there is no way I stopped and how did i get home. I tell him how they started working again at the exit ramp and he says there is no way. Anyway, I post on FB about it and Beryl (that was my Resident that passed away), her daughter Christina messaged me and asked if I was ok and she said the weirdest thing was before I came to work the day before, Meryl told her she had to see me that day because she needed to make sure I made it home. Chris chopped it up to confusion from being at the end because why would Beryl wanna see me at work to make sure I made it home. Well, we decided she wanted to see me one last time and she made sure I made it home. I still thank Beryl all the time for me being here today. I love her and miss her and think of her often. I believe the window didn't get opened right away so her spirit could stay with me and keep me safe that night... and one more crazy part was, after the brakes went out, I cracked open my driver side window a cpl inches so I could listen to the car (something I have always done when I think there is a problem with my car) and I believe once she made sure my brakes would work enough to get me home, her spirit went on it's way. My most memorable spiritual moment of my Nursing career which is over 17 years now. I do have many other incidents, but this is the most important. Maybe soon I'll share the others. This is my first time ever posting.

  • Jul 21

    I'm just finishing my cna class and was wanting to work has a cna while in high school. Do nursing homes do a 4-10 shift or something that I could work after school? For a few months I would need every Saturday off for sports, would a Ltc faculty allow me the time off that I would need?

  • Jun 3

    Someone mentioned in another thread that it's unprofessional to mention that you have other patients.

    I disagree. There is definitely a tactful way to let a patient know that you have an urgent matter with one of your patients, but will get that extra pillow as soon as you can. I find people very understanding when I communicate in a friendly and informative manner.

  • May 30

    Quote from NurseCard
    There are tons of options available to you, as far as nursing jobs with a slower,
    less stressful pace. Psych nursing is one option. I loved going from a post
    surgery/ortho floor to an adult psych unit. I worked night shift on the psych
    unit. Very low stress!
    Depends on the psych unit.

    I walked in two days ago on a rapid response being called on my patient ... my schizophrenic adult patient who fought us tooth and nail.

    Also define "low stress." I have a guy who loves to expose himself to women, a woman who threw the weighted chair at my preceptor because she didn't like his response with one of her questions, and a woman who refuses to walk because she thinks someone poisoned her limbs with lead.

    And this, including the rapid response, was all on Friday.

    I see psych tossed out as an "easy" option quite often here on AN, and maybe it's considered easy due to jobs viewed as being "easier" because it's our niche. I certainly find it enjoyable, preferable to other specialities because it's *my* niche. But easy?

    I'd encourage the OP to find that niche.


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