Kitty Gatita, RN 2,050 Views
Joined Nov 10, '07.
Posts: 17 (35% Liked)
The interview, in my opinion, went well. The pay is excellent for my state as far as clinics, and full benefits including a 401k. I should hear something by Monday. Praying.
That physician you worked with... leaving early... sounds like some of the b.s. I put up with. I wonder if you could say something like, "I was terminated over a misunderstanding that I was never given the opportunity to clear up. Would you like to hear about it, or shall I move on?" Good luck to you!
I am from this area and all I can say is if you are able to look at different places to relocate, please do. Fort Myers the Lee County area is owned by 1 monopolizing hospital system Lee Memorial Health Systems. LMHS owns 90% of the hospitals in the area and over 75% of the doctors/urgent cares. LMHS will bring out all the streamers and balloons to get you on board, but once there you end up turning into their personal circus clown and if you do not jump through their hoops they way they want you to they will give you the boot and then you are forced to look for work in another county with is 60+ minutes north or south.
That is just it about the hospital. As for the school system down here. Let's just say I am so glad my children are out of it. Check out the Lee County School Board for more information on the schools in the area. The ones in Cape Coral are better than most of the others, but the web-site will give you more information.
Sorry if I am negative, but I have had way to many friends get burnt by LMHS and it's sad that they own Lee County.
PM me if you have any questions.
I would tell you to quit, but this is getting pretty interesting.
HECK NO. Nursing was a 2nd career choice for me after almost 10 years working IT helpdesk. I LONG to be back to fixing machines and computers and programming. I should have gotten an engineering degree or gotten into tech product design & fabrication. I've been a nurse for 6 years now and done bedside, public health, clinic, and home health and it has been a pretty universally awful experience. For many reasons I just don't have enough space or time to write down. Recently I finally escaped scrubs and punching a clock by escaping into case management, and it is so much less stressful and quieter - but it took all that experience to qualify for this. And I still regret it and still don't think it was worth it. Nursing is going slowly down the crapper, schools are churning out lower and lower quality graduates and employers are paying less and less, and patients are demanding more and more. No one wants to take responsibility for their own health anymore and health care in this country is treated like fast food. I know very few people who are happy in the medical field. The ones who are are newbies who still think they're gonna save the world and just haven't gotten kicked around enough yet.
One of my absolute favorites:
"Upon the Seashore"
I am standing upon the seashore. A ship at my side spreads her white sails to the morning breeze and starts for the blue ocean. She is an object of beauty and strength. I stand and watch her until at length she hangs like a speck of white cloud just where the sea and sky come to mingle with each other.
Then someone at my side says: "There, she is gone!"
Gone from my sight. That is all. She is just as large in mast and hull and spar as she was when she left my side and she is just as able to bear her load of living freight to her destined port.
Her diminished size is in me, not in her. And just at the moment when someone at my side says: "There, she is gone!" there are other eyes watching her coming, and other voices ready to take up the glad shout: "Here she comes!"
And that is dying.
-- Henry Van Dyke
Some low-risk employers will cover you under theirs so you may not even need your own.
The problem is greater than the "no unions"issue.
First, the majority of FL pts are primarily Medicare/medicaid, both of which are being cut to the bone. Second, given the age of the pts, there are multiple comorbidities and pts frequently over stay their DRGs. Placement also becomes an issue , when pts live far from their children and have a disabling illness-with nursing homes reluctant to accept pts with multiple comorbidities due to lack of payment.
Add in the proliferation of for profit facilities, and the stage is set for bad pay.
Given that FL recently elected to office one of the proven biggest Medicare cheats and a former executive of a major for-profit hospital chain, I don't expect things to change. A man who should be in jail and made his money cutting staffing and care is helping run the state.
If you work for a company like Kaiser under a union the clinic nurses are paid the same as everybody else. I am at $60/hr.
To the OP,
your friend's comments are bull excrement, IMHO. You can be a great nurse at any age, 18 to whatever!! Nursing programs cannot discriminate based on your age, so you need not worry . . . I started nursing at age 54! I say "Go for it"!! Nursing is a great profession!!
Great advice so far...
I would like to suggest getting into a ROUTINE so you don't miss anything. For example, when I'm circulating this is how my day goes:
1) Check my assignment
2) Get morning report
3) Look at the cases for the day, and if applicable, highlight which pts have right or left side sites mentioned (especially in ortho, etc. - so you pay attention to correct site)
4) Go to my room and check the following: Bed (correct one? is it locked?), Positioning Equipment (correct? do I need more/less?), Suction (cannisters present? suction working?), Implants (are they available?)
5) Depending on your hospital, I check and see what drugs I need if pharmacy doesn't already have them ready
6) Check to see if other necessary folks are present: sales rep (esp in ortho/neuro), nerve monitoring (for spine surgeries), cell saver tech, etc.
7) Help my scrub tech/nurse open and help facilitate getting the appropriate instrumentation
I have a routine for when I pick up my patient as well...
1) Review the chart
-Consent - Correct procedure? Is it signed by pt, witness, surgeon, and anesthesiologist?
-History & Physical (depending on hospital policy, it's good for 30 days in most)
-Labs (check Hemoglobin/Hematocrit, electrolytes, wbc's, etc. - anything abnormal?)
-Orders from surgeon's office
-Medical clearance (if necessary)
2) Interview pt
-Check name band, confirm date of birth
-What procedure are you having done?
-When was last time you had something to eat or drink?
-Do you have contacts, glasses, or jewelry on?
-Any metal on your body from hip/knee replacement/broken bones (if applicable)?
-Health history review (history of seizures? breathing problems? heart problems? high blood pressure? diabetes? GI issues like acid reflux?)
3) Explanations/providing comfort
-Talk through everything with a pt and their family - they appreciate that!
-"Keep your hands and arms inside the vehicle at all times... We'll be going through some narrow hallways."
-"It's cold in the room but I will get you warm blankets."
-"You might see a lot of people in the room; we're all there to take care of you."
-"I'll be right next to you as you're falling asleep."
Those are just a couple of examples. Hope that helps!
It is with a heavy heart that we announce the loss of one of our most beloved members, Daytonite.
Daytonite was instrumental in working with the nursing students here at allnurses.com. She was always there for them as well as the seasoned nurse. Her love, however, was teaching those in a nursing program by leading and guiding them here at allnurses.com.
Daytonite had been ill for a while; more seriously in the past 8 months. She passed away on April 8th, 2010.
Our sincere sympathy to the family of Daytonite. If anyone would like to place a condolence, here is the online obituary: JOYCE WAGNER Obituary: View JOYCE WAGNER's Obituary by The Plain Dealer. We think her family would be very touched reading the comments from our allnurses family.
We join you in mourning our friend...
Our fellow colleague...
A nurse above all...
A true advocate for the patient...
A teacher who gave of her heart for all who aspired to be a nurse.
Goodbye, Daytonite. You will be truly missed.
all the allnurses.com staff
I'm 56 and will be finishing my ASN in July of 2010. I plan to immediately start my prereqs for a BSN program. I always wanted to be a nurse and it just happened that this was my time. I really don't care if I can only work 10 years as a nurse. I hope to get my BSN and maybe even my MSN, and use those degrees to serve in areas that won't be as physically grueling on me. I can see myself as a parsih nurse in a church, as an instructor, or maybe even working in research. I don't think of myself as being in my twilight years at all. I think age is all in your attitude.
One reason why I believe that I am especially suited for hospice is that I served as a squad leader in the infantry in the Viet Nam War. I was faced with the prospect of death each day for about a year. I was surrounded by my fellow soldiers who also faced death every day. As a result of the same, I developed "defense" and "coping" mechanisms which the general public doesn't have. In Vietnam, I, also, had to counsel many of my squad members and others who faced death every day.
Most individuals don't think seriously about death until it approaches.
I "learned" to face death and to cope with it. I "learned" to help others cope with it.
In hospice, I feel uniquely qualified to help my hospice patients cope with the same also, because of the aforementioned.
I served with the U.S. Army;4th Inf. Div.;2/8th Inf.;Republic of Vietnam 1969-1970
She knew what she wanted.
She'd watched her husband of 52 years die on a vent, and followed his wishes to remain a full code. But she knew that was not what she wanted for herself.
So, she wrote a Living Will, had it notarized, gave it to her personal physician, told all her friends and family what she did not want. She wasn't eligible for a DNR, as she was a healthy 89-year-old, but she knew what she wanted.
"I do not wish my heart to be restarted through usage of any chemical, mechanical or physical intervention..."
Of her 6 children, one fought against her mother's decision, and it was this child, this one desenting voice, who found her mother collapsed on the kitchen floor.
"I do not want any external device to be used to maintain my respiration if my body is incapable of sustaining it on its own."
The daughter told EMS her mother was a full code, and they intubated her on the floor of her kitchen. Once at the ER, her heart stopped, CPR was performed, and her heart was shocked back into a beat. Under the hands of those trying to follow the daughter's wishes, the woman's ribs cracked and broke.
"I wish to die a peaceful, natural death."
She was then sent to ICU, where her heart tried to stop 3 more times. Each time, the broken ribs jabbed and ripped into the fragile muscle and skin as CPR was performed. Electricity coursed across her body and her frail heart was restarted a 4th time. By this time, the other children were there, but the act had been done, over and over. No DNR was written, and the Living Will fluttered impotently at the front of the chart.
"I do not wish artificial means of nutrition to be used, such as nasogastric tubes or a PEG tube."
Her swallowing ability was lost in the storm in her brain that had left her with no voice, no sight, no movement. A scan showed she still had brain activity; she was aware of what was being done to her. Including the PEG tube sank down into her stomach, and the trach in her throat.
"I wish nature to take its course, with only medication to prevent pain and suffering."
The daughter who wanted the mother to remain a full code also refused to allow narcotics to be given, stating she did not want her mother sedated, since she would "wake up" when the correct medical procedures were performed. Her nurses begged the doctor to write a DNR, and he said, "the family can't get it together, and I'm not getting into the middle of it."
"Allow me the dignity we give to beloved pets. Let me die in peace."
I met her one Tuesday night, and spent that night pouring Jevity into her tube, only to suction it back out. Her legs were cool and mottled, her bowel sounds were non-existant, and her blue eyes stared blindly at a ceiling she could no longer see. The MD refused to terminate feedings, but I held them since there was no digestion taking place. The woman was turned and repositioned every 2 hours, and each time, she moaned and gurgled as her lungs slowly filled with fluid. I whispered my apologies as I did the very things to her she tried so hard to prevent.
Suctioning improved her lung function, but would make her body tremble. Over the next 2 nights, she slowly died, all while the daughter demanded more interventions, and maintained that her mother wanted to be a full code. We had read the Living Will. We knew better.
"Thank you in advance for helping me in the last moments of my life to have a gentle, peaceful passing."
She had another stroke, and went back to the ICU, where she was coded until there was not enough surviving heart tissue to maintain a beat. Finally her heart was broken.
And so was mine.
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