Chaya 6,849 Views
Joined Mar 5, '03 - from 'Bosstown metro area'.
He has '15' year(s) of experience and specializes in 'Rehab, Med Surg, Home Care'.
Posts: 1,117 (19% Liked)
Who would use a place that fired them as a reference?
"If it wasn't written down, it wasn't done." You can't be expected to read minds re: what previous doses were actually given but not recorded accurately (not to mention how future doses of warfarin are based on knowing accurately what dose received caused a given response). If you have a med discrepancy the only safe option is the one you chose; notify the MD for any change in the order since prescribing is NOT in your scope of practice.
"If it wasn't written down, it wasn't done". (I'm guessing you've heard this a time or two). I don't know about your nursing curriculum, but mine did not include psychic divination of patient care delivered on previous shifts but not recorded. You had no way to know what doses were actually given; plus to further complicate the issue, future doses of warfarin would be based on how well the assumedly correct dose regulated coagulation. Even if you had been able to verify that the actual dose being given differed from the recorded dose, this is a med discrepancy and your only safe option was the one you chose, to present the situation with as much info as you could obtain to the covering MD for evaluation (not in your scope of practice as an RN.
Once I came to that realization, I became fine with putting 70 percent to 80 percent of my efforts into providing the care.
I know the aforementioned statement may have sounded terrible to some readers, but hear me out. 70 percent is still passing. 80 percent is still passing. In addition, when I didn't put my all into the job, it led to self-preservation since I didn't burn out or take the negative aspects of the job home with me.
Some would say, "I don't want a nurse caring for me or my family who gives less than 100 percent!" However, that outlook is unrealistic because no stranger in healthcare cares about you or your loved ones as much as you.
Look up "Imposter Syndrome"; there's been a lot written about it recently. ( And it wouldn't hurt to watch the classic Wizard of Oz!)
The coursework will be challenging but doable. Working in the medical field will help you with some of the basic skills (as long as you are willing to adapt to alternate methods) and some of the time management. Sound like you have the basic stuff, plus some; you just have to put it together. Concentrate on critical thinking, common sense and especially growing a really thick skin emotionally (lots of head trash and bullying out there), then keep your goal in focus.
You got this- just gotta go get it!
Also look into whether you need to continue to work full time at your non-nursing job to become vested. You may need a minimum number of hours in each year you work in addition to remaining there for a specific length of time so if you have already accumulated the hours for this last year they may let you work a reduced number of hours thru the 5 year mark. Ideally when you start a nursing position you will be able to concentrate exclusively on that, but walking away from being vested in a retirement plan a few months short of the time requirement should not be taken lightly with the financial shortfalls many retirees experience based on fluctuations in the economy. If the position you are applying for doesn't have a hard-wired starting date (like an internship program) and it's getting to be within 6-8 weeks of your vesting date, you could legitimately state that you are looking to start in October. Lastly, if your current position will let you work reduced hours and schedule them around your nursing position, it may may be possible to have both overlap for a short without overwhelming you.
Knowing that her team was right on top of the situation and did everything possible is a great comfort to family/ friends.
The denial mind set that goes hand in hand with addiction-of any sort. A patient lying to my face about when they last drank/ used drugs or what they really were eating the last few days doesn't hurt me but giving HCP's inaccurate info could delay or prevent appropriate treatment and ultimately cost the patient their life. This kind of stuff really pushes my buttons. I just wanna say "you're wasting my time, the doctor's and your own-why even bother?"
Conspiracy theorists don't care about science, factual data, or the sad truth that before the advent of vaccines, millions upon millions of people died from infectious disease.
Some of our patients are entitled/ have an attitude but I truly believe most are just scared, in pain and preoccupied.I can't tell you how much we appreciate you making a special effort to give us your kind words. We don't hear them often and don't really expect to, but when someone lets us know our efforts made a difference to them, we get that extra boost that helps us go in and start our shift knowing just why we are there.
(If you don't have it down by this time-you shouldn't be doing it!)
Second that. Can't help mentally inserting "in the" when I hear it. (Ocassionally, but I do hear it used)
I so try to counteract the terror families feel at the term "hospice" and to emphasize that it is a different type of care that is at present more appropriate for their loved one and NOT a timetable for counting down their last days. Attitudes are changing but it's a slow process.
We were "spoken to" if we failed to clock out for meals. You could put in for an exception but you'd better have a stellar excuse. If you were unable to take breaks on a regular basis you were admonished about your time management.
Condolences to the staff, friends, and family of Brian Short. I've been a member here for a very long time. It was this site that helped me to decide which career path to take, where to complete said career path, kid with colleagues, and I also referred other nurses here to answer what I liked to consider "frequently asked questions in nursing". Nurses do indeed cry too. I'm very sorry this happened and I hope the allnurses legacy continues on. We truly lost a pioneer.
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