Chaya 7,570 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: 1,125 (19% Liked)
I loved hands-on nursing. However, at one of my last positions, one of the questions posed in the written self-evaluation portion of our yearly evaluations was "what are your career goals and what do you plan to be doing in 5 years. Ambition was valued perhaps more than technique, good bedside manner or staying current with new nursing practice. This was a med/ surg position at a magnet hospital; many of the nurses there were just starting their careers and there was an almost condescending attitude toward those who chose to remain at bedside instead of moving on to become educators, administrators or at leasT advance practitioners.
I wish you the best. You sound like a caring, responsible caregiver. Hang in there.
You would think by now I would know better than to even think there was nothing left that could surprise me...
The other name I see used for "they" is "TPTB" or "The Powers That Be", meaning those who actually hold and wield the power to make those decision and take those actions that impact our policies and resources to care for our patients.
I am heartened to hear from so many nurses who have not forgotten what it's like on the clinical side and genuinely struggle to balance budgetary prioroties with excellent patient-and staff-care. There need to be more of you.Please keep on fighting for our patients AND those of us still in the trenches with them, Quixotic though it may seem at the present.
I'm so sorry for what you and your family went through and that your experience with hospice, instead of easing some of the difficulties and pain of your family's last hours together made them that much more difficult.
It is heart wrenching to read your words and I'm sure even more difficult for you to relive these hours in sharing them with us but know that your story will stay with your many allnurses friends and remind each of us to see the situation thru our patients's/ family's eyes and go that extra mile.
May you find peace.
I became a nurse at 50. For me, it was easier to study than it would have been in my 20's because I was steadier; more focused and less distractable in general than when I was younger. I found I was better able to handle it emotionally after a lifetime of working in a variety of positions with coworkers having a wide range in temperment and personalities. I had also seen and weathered many life events and crisises in my life and those of family members and close friends and I came to believe that nursing was a good fit for me in terms of skills and outlook at this point in my life. Physically, it was more endurance than brute strength; although I did work with many obese patients that required extensive assistance with personal care we were well trained in body mechanics, had mechanical lifts and followed a strict policy of having 2 or more caregivers assisting with transferring, boosts, etc. I also had to become used to 12 hour shifts (but found working fewer days less stressful); had to invest in really good orthotic arch supports and shoes, and keep healthy.
Good luck if you do make the decision to go ahead; it can be crazy at times but I've found it very satisfying-and never boring!
See, now I thought it was going to go something like "you'll have to do a fingerstick, and his glucose will be high, and you'll have to get the lab to verify it, and you'll need to call the MD for extra insulin coverage, etc, etc...
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?"
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