Content That klone Likes

Content That klone Likes

klone, MSN, RN 57,547 Views

Joined Apr 2, '03 - from 'Denver, CO, US'. klone is a Charge Nurse, Women's Health/Public Health. She has '10' year(s) of experience and specializes in 'OB/Gyn, research, lactation'. Posts: 10,773 (54% Liked) Likes: 25,365

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  • Jul 25

    Quote from klone
    Sounds like a fridge purge is in order! One of my favorite things to do. Plus, I keep all the Tupperware.
    We once went into our breakroom fridge with gloves and masks on on a night shift. Made a lot of room for other things. Make a rule for your fridge. If there's no name/date on the food, it's trash the next time the fridge gets cleaned out.

  • Jul 24

    Quote from klone
    Yep. In fact, he did not say that she wanted to induce at 36 weeks, just that she is 36 weeks NOW and wants to induce "early". "Early" might be at 38 or 39 weeks. The article also didn't say that the OB was in favor of inducing at 36 weeks, just that he agreed that the last couple weeks of gestation are mainly about the baby gaining weight.

    It doesn't sound like the husband actually witnessed the OB say "Yes, induction at 36 weeks is perfectly fine and safe" but that perhaps the wife simply told him that the OB agreed with her that the last couple weeks are just for fetal weight gain. That is a LOT different than an OB agreeing to induce labor at 36 weeks.
    Yep, and patients are also notorious for selective hearing, and for hearing entire conversations that never happened.

  • Jul 24

    Googled it. Trawling is dragging a net along the bottom of the lake, etc. trolling is the bait thing. So we are both right.

  • Jul 24

    I've never been in your position, but I have other leadership experience.

    First, listen. Just listen. Meet with each individual, like you plan, and just hear them out. Don't offer solutions or opinions. Ask them "What would you like to see happen?". Take notes.

    Look beyond specific issues to see what the over-arching theme is.

    Develop a plan to address the over-arching theme.

    Identify your informal leaders and try to get their buy-in to your plan by making it seem like their idea.

    Just my uneducated humble opinion. Good luck!

  • Jul 24

    All I can say is good luck. No one likes change and if management won't enforce your changes it'll be a waste.
    (Dealing with a mess at my current employer and I'm kinda bitter at the moment).
    Maybe you'll be able to make a huge difference.

  • Jul 24

    Quote from Anna Flaxis
    And this is exactly why many of those suffering burnout/compassion fatigue don't feel safe coming forward. This saddens me.
    I think that, if the OP had posted something about being concerned that s/he was starting to experience burnout/compassion fatigue, s/he would have gotten different responses. Instead, s/he posted a rather grandiose rant full of condescension, hostility, and condemnation toward her client population, stating that s/he now understands (unlike any of the rest of us) what is wrong with the healthcare system (and, in the process, implying a resemblance to Martin Luther!), and then suggested that the reason people aren't all agreeing with her/him is because we are too stoopid to realize that s/he is right. I think that's the problem, not that it's not "safe" for people to come here and talk about burnout.

  • Jul 24

    Quote from Anna Flaxis
    Because it was posted in the General Nursing Discussion forum, not the Emergency Nursing forum.

    OP, I feel you- and I guarantee there are many, many other ED nurses who feel you, too.
    So you have to be an ER nurse to "get it"? I think that's a too simplistic explanation. I don't think that the lack of ER nursing experience is the only reason why some of the content of OP's post is challenged by some posters. Eventhough I didn't work that many years in an ER I've still worked twice as long as OP has according to OP's previous posts. And I can't identify at all with what OP describes. I've seen it in others, both cops and nurses I've worked with but I don't think that burnout is the sole reason behind it. I think that what you bring to the table from the get-go when it comes to how you view your fellow man, has a bearing on the development of feelings of disdain and callousness towards some categories of patients. I do think that stress and burnout exacerbates this mindset, but as I said, I doubt that it's the only reason behind it.

    Another factor that I believe might lead to this mindset/attitude is the support the new nurse (or cop) gets from their "elders". If you have a mentor that you can turn to for guidance who might help keep you grounded in a stressful profession, things might turn out differently. The opposite is also likely true. If you take your cues from someone bitter or cynical, that'll likely rub off on you.

    Surely you don't think that feeling that "to me they can go die on their own accord either through OD or chronic illness they brought on themselves" and "the patheticness of people" is an unavoidable consequence of working in an ER?

    The law enforcement officers I worked with who exhibited this attitude towards addicts generally also felt contempt for all human weakness/frailty. Fortunately they were a minority. People who are constantly angry at the world can in my opinion be quite draining to be around. And I assume it's not much fun being them either.

    As I've mentioned several times, I think that it's a good thing that OP's has taken charge of his/her life and changed jobs since the previous job seemed to negatively affect OP's well-being. I think that it's the responsible thing and the smart thing to do.

  • Jul 24

    OP, I'm struggling to understand how your opinion of modern healthcare pertains to the 16th-century German theologian Martin Luther? What am I missing?
    Nothing. You're missing nothing.

  • Jul 24

    Quote from rearviewmirror
    95 Theses of Healthcare Injustice
    OP, I'm struggling to understand how your opinion of modern healthcare pertains to the 16th-century German theologian Martin Luther? What am I missing?

    As someone who no longer belongs to the bedside, I write about the injustice of healthcare.
    I took care of many people across different acuities and ages on the floor and in ER, and the ones who truly needed to be there due to sickness, I did not mind at all. But growing up in a very disciplined, strict household, my standards and the patheticness of people, and also the complete injustice of healthcare industry wore me down inside and out.
    The part I bolded doesn't paint a very flattering picture of you. Is this really how you view other people? If people don't live up to your standards, they're reduced to "patheticness"?

    Pain is now 6th vital sign because no one values overcoming pain or suffering anymore, they just want that instantaneous high, instead actually fixing the problem through diet, exercise, lifestyle change.
    If you do a little reading I think that you'll find that patients have historically been severely undertreated when it comes to pain and that many people suffered in agony while under medical, including palliative, care. I think that it's a good thing that pain management has gotten a more clearly defined focus in today's healthcare.

    I won't deny that the problem of over-prescribing narcotic medications exists, but as I've written in other posts on the topic I'd rather medicate ten so called "seekers" than let one patient suffer severe pain and have me standing idly by. Yes, addicition is a real problem but it won't be solved in the acute care hospital setting, like the ER I believe you used to work in, OP. And as has also been mentioned many times before, an addict can experience pain that needs to be treated.

    I dare say, to me they can go die on their own accord either through OD or chronic illness that they brought on themselves, I will not be demanded to be compassionate and understanding to them to get a check mark on some score sheet. My dignity and standards will not allow that!
    I am not a bleeder at heart.
    I seriously question your standards if they prevent you from giving medical care to people because your standards have led you to pass judgment on their behavior and as a consequence deem them unworthy of medical attention.

    Don't be a bleeding heart if you don't want to or can't be, but medical attention shouldn't be given or withheld based on the nurse's individual preferences or notions regarding a patient's personal accountability.

    My personal opinion is that the inclination/desire to just let people go and die of the diseases "they brought on themselves" is inhumane. But even if you can't summon up any compassion for drug addicts (and obese individuals, smokers, alcoholics?), you should still want them to get healthcare purely based on rational reasons. People with untreated diseases dying left, right and center out in public will become a problem and a safety/health hazard for the society you live in. I think that when people feel ostracized or abandoned by society it increases the risk that they will lash out at that society and decreases their motivation to strive to be a productive member of it. Not providing care for the lowest socio-economic classes comes with a cost.
    It already does and will continue to affect you.

    Well, I am out. I am happy in my cubicle.
    That's probably a good thing. I believe that you took the behavior of others far too personally and when you start to view the behavior of your patients as a personal affront to your standards and dignity, the only possible outcome is burnout and bitterness. When you reach that point it's better to make a career change and find a niche that gives you job satisfaction instead of draining you of energy and happiness.

  • Jul 24

    There is no grace period at any of the three hospitals I've worked at. You're suspended until it's brought up to date. I've never worked as an agency nurse.

  • Jul 23

    No one is getting their RN or LPN completely on line.

  • Jul 23

    Quote from DelaneyB
    I was reading a post earlier. Normally I love to do that, when I get some downtime I am entertained/educated by posts here and I enjoy it. However I saw something on here that bothered me. It is a recurring theme.

    A user said that since a poster was a nursing student and not a nurse she should change her username. I see that a lot here, other users telling posters to change their name because they are students, or CNAs, etc. Does that really bother you??? It's not like it's that big of a deal. If I was a culinary student I would call myself DelaneyBaker and it would be fine. If I was an engineering student I would call myself DelaneyEngineer. It wouldn't be a big deal. Y'all act as if there aren't millions and millions of nurses in the world and are so prideful. It's not that hard to be a nurse. People from dinky little schools are "nurses". People who did things completely online are "nurses". It isn't a big deal.

    I don't know why this riled me up so much but it did. Sorry for the rant.
    I'm going to excuse your ignorance about what it takes to get through nursing school, pass NCLEX, and work as a nurse. You obviously don't know what you don't know.

    But perhaps you can understand this sentence from the RULES of this message forum:

    8.You agree NOT to use titles that you have not earned. (RN, Dr, LPN, LVN, Nurse, etc)

    So when people tell nursing students to change their screen names, that is because they have violated the terms of service that THEY AGREED TO when they signed up. This is a privately owned web site, and they can make the rules.

    So basically, if this bothers you, TOUGH.

  • Jul 23

    And not knowing the situation, I don't know if the risks DO outweigh the benefits. Do OB-GYNs really still do convenience inductions at 36 wks? I know they still do at 38-39 wks, but 36 is actually preterm, right?

  • Jul 23

    It's Dear Abby, not a medical advice column. Of course she didn't cover it.

  • Jul 21

    Of course there's no law about how many hours a per diem employee needs to be offered. Does anyone honestly think the legislature would sit down and write/debate/vote on such a law? Can we please stop with the "is this legal?" or "is there a law?" nonsense with topics that clearly have nothing to do with the law.