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ProfRN4, MSN 15,492 Views

Joined Apr 5, '03. ProfRN4 is a Staff Educator. She has '22' year(s) of experience and specializes in 'Pediatrics'. Posts: 2,279 (22% Liked) Likes: 1,378

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  • Jan 19

    Ooh ooh ooh...settle in. I hope to be brief but that is unlikely.

    When I was in nursing school, I had the vaguest of ideas that I would be working with adults, maybe in a CCU or med-surg or something like that. I didn't mind working with adults. I was fine with it. I also enjoyed the teaching aspect and geriatrics was nice -- old people like me for some reason. Whatevs, not too exciting, not really clear on what my future would really hold. I knew that I would never work with peds. Never! Hah! Me with kids and babies and, ugh, teenagers?!?!?! NEVER!

    Lol.

    And then I had my first day in my peds clinical and I had hemonc patients (which I was totally freaked out by because cancer was something I had 0% experience with) and IT WAS AWESOME and I knew exactly what I wanted to do. I still did health coaching with adults and that annoyed me to no end. Imagine: patients we try to keep from going to the ED who are homies with everyone in the ED and like going and waiting for 8-9 hours in the ED for dumb stuff that the primary medical doctor could easily deal with but can't because the patients don't trust their PMDs. Adults. So much disappointment.

    Anyway, my first job is in a top hospital for pediatric hemonc. I couldn't be more thrilled. I actually am sad because I had to call of work today because I am quite sick and can't really mask it as well as I wish I could. I love my hospital. I love my patient population. I love my patient's families. I am in the best possible place to do this type of work. However, there are some drawbacks that make me look back to the adult world. I drive very far (80 miles one way in terrible traffic) to work. People think I'm nuts but I'm not moving closer in the near future. I worked on the unit I am employed as an RN as a nursing assistant about a year prior. This summer had quite a terrible string of deaths -- nothing really unexpected, most brain tumor-related (not coincidentally, brain tumors overtook leukemia this year as the top cause of cancer-related deaths in pediatric oncology). I was already emotionally wrecked going into my new position as an RN (textbook case of moral distress over here). I always say that, when I'm tired of working with a broken heart, I will seek work elsewhere.

    Now, I am getting platinum class training at a world class hospital. I look forward to, maybe, one day, a long time from now, bringing my expertise and training to a hospital closer to where I live. Where I live, kids in the hemonc population are terribly underserved and burdened to travel to better treatment. Maybe I can help make that less awful one day.

    Then again, maybe I'll go to hemonc for adults. Or, ICU.

    There are a lot of times where I think, "If this was the same situation with an adult, I would be out." But, I don't hate adult nursing. It's not something that I count out completely. I seek versatility in my experience. Many of the nurses I work with work per diem at the hospital a block away with an adult population.

    The long and short of my story is that, ultimately, I cherish versatility (because I hope to teach at my nursing school one day and they always need someone for something) and being well-rounded as a nurse. I will never say no to adults. Pediatrics, unfortunately, is kind of a money pit where medicine is concerned. I have been told that a peds unit in a hospital is meant only to increase community access but ultimately runs at a loss for the hospital (because kids don't have jobs and don't have awesome insurance like middle aged adults). The hospital I work at is only peds and we run on donations and grants and are lucky to be based where celebrities love us and love to give gobs of money to us. However, we are still a money pit. So, finding work in peds is not easy and it's better to maintain versatility and be able to work with the wealthier, ever-growing adult population.

    So, I guess all I can say is, no, you aren't alone. If you want to work with adults, you can. If you want to also work with peds. You can. I may one day switch to a per diem position at the hospital I'm at and work full time with adults. It depends on where the currents of life take me.

    Good luck!

  • Jan 19

    It is sometimes hard to turn off the "I am a nurse and I want to fix everything I see/hear/encounter". As in those threads "you know you're a nurse when..." and people post all the crazy stuff we do outside of work (like fixing the slings of total strangers in Walmart).

    It took a while, but when I'm off the clock, my nursing is OFF DUTY. Except for emergencies. Or slings in Walmart . My facebook people are not my patients. My facebook people are not my patients. My facebook friends are not my patients. ad infinitum!

  • Jan 15

    You answer your question in the first line of your post: "I know it's not my job to police my friends and family...."

  • Jan 15

    Quote from Emergent
    I've had to unfollow a lot of people who mainly post about how much they hate Hillary or Donald. I get sick of that tiring subject.

    I generally find Facebook posts of people's meals ridiculously boring. I prefer pet videos, family photos, and interesting discussions. (Sadly, the latter is rare on Facebook).
    I unfollowed a lot of people during the election . . . and while I check in on them periodically to see if it's "safe" to re-engage, the most vociferous among them are still ranting. I've also unfollowed a few cousins and one friend who obsessively post pictures of every meal they are about to eat, every craft project they finish and more than one picture per day of their "awesome baby." (That includes the two-legged AND four-legged variety.) Generally, if you're posting multiple times a day, most of it is not interesting.

  • Jan 15

    Quote from ClaraRedheart
    I know it's NOT my job to police my friends and family... However,
    My aunt just posted a photo of heavily carb-laden Chinese food plates that she (diabetic) and her husband (also diabetic) are about to enjoy. She does this all the time. I have told her this is dangerous and she needs to be careful, but now I'm just biting my tongue and hoping she doesn't get a nasty ulcer.

    Also have a friend with a morbidly obese 5yo child that she buys 2 adult sized meals for (have witnessed this when I was in town to visit family... , I wondered what was causing it until I saw it first hand) . It's hard not to cringe when seeing photos, knowing how the parents feed him. Said friend does crossfit and eats healthily herself, but why stuff the child like that? Her other child is obese too. Have not said anything to this one.

    Of course, there are the hoards of anti-vax friends... I just bite my tongue and move along.

    Just curious what the rest of you encounter on facebook or even on a daily basis. Do you feel compelled to "educate", or are you like me and keep your mouth shut and wish you'd have said something?
    I'm sure your friend with diabetes knows by now that her lifestyle choices are not good. She is an adult. Let her deal with the consequences.

    The five year old child who is morbidly obese and being fed two adult sized meals bugs me. But we also don't know the full story. Hopefully, something can be done for this child because that is just sad. Children need our guidance and he is not old enough to decide for himself.

  • Jan 15

    Quote from Farawyn
    MMMMMMmmmmmmmmmmm, carb laden Chinese food!

    NOMB

    I do, however, open my mouth, loudly and often on the anti vaxxers.
    If they don't like it, they can unfriend me. Meh.
    I'm with you on the anti-vaxxers. But I usually just link articles, share other FB pro-vaccine pages, or put up memes on my on FB page and don't respond to family or friends personally.

    I am friends with one young woman who went to school with my kids and I worked with her mom. She has a troubled family history that I won't go into here but suffice it to say that I keep her as a "friend" in hopes that she will at least see the scientific research regarding vaccines. She's pretty rabidly anti-vax though and won't get her 3 kids their shots. (I've noticed people from all over the world will say "jabs" or "needles").

    The political stuff got kind of heated during the election. My FB friends run the gamut of the political spectrum which kinda drives my own husband crazy. I didn't post political stuff though . . . and I'm not outing myself by saying who I ended up voting for in this election.

    Speaking of diabetics, I gave up a long time ago trying to do any teaching to someone who is diabetic and still makes choices that are not healthy.

    As to kids who are obese, I was a school nurse for 5 years and this is a big problem. Actually, it is a big problem for Americans. Just look around you when you are out at a public event. Most people are overweight.

    One thing that really does frost my cookies is when someone posts about a medical issue or about someone dying BEFORE asking the family if it is ok or even true.

    Last week we had a family member call us to ask if another family member had died - "It was on FB". Well, no . . . the family member was alive and well. I told that family member to kick the person in the tush and tell them to never post things like that unless you check to make sure it is true AND have permission from the family.

  • Jan 15

    These days it's safer to just not have a public opinion about anything...

  • Jan 13

    The aunt and uncle: My grandmother was diagnosed with diabetes at around 65. Everyone told her to eat healthy, etc. She ate how she wanted, lived it up, and died at the ripe old age of 90. Until about the last year, she had a very good quality of life. Instead of giving her crap about what she ate, I talked to her about her past, life lessons, etc. Did both me and her a lot of good, I think.

    The friend + child: Well, if you must say something, I would write her privately and express your concern in a way that shows you respect her and her mothering, and the child seems so happy and well-adjusted, but did his doctor say anything cuz you're concerned. This would have to be done very carefully and craftily, or you will lose a friend and no one will benefit.

    As for CPS, IMO that's nuts. I have seen them rip families apart for a LOT less than overfeeding a child (which may even be happening because the child has a goofy metabolism, some condition, or God knows what else). To me, that's just a sad commentary on the state of our often hysterical society, and definitely not the route to go. But I could be wrong, of course.

  • Jan 13

    Quote from dirtyhippiegirl
    Economists who write articles on wage compression cite nursing a lot as an example. I guess the trade off is that beginning wages tend to be a bit higher than in other entry level jobs that require a similar level of education.
    That seems to be what attracts people to nursing, higher entry level wages but 20 yrs of solid in demand experience rarely results in commensurate wages.

  • Jan 13

    Most of my neighborhood friends drive expensive cars and live paycheck to almost paycheck. Looks can be deceiving. An RN makes more money than the average American. You wouldn't ball out of control but you have a solid middle income. Top 40% income earner

  • Jan 13

    Certain professions (nursing, school-teaching, librarianship, social work, psychology) offer mediocre salaries. Guess what they all have in common? These are all female-dominated professions.

    And no, I am not a misogynist. Nonetheless, those who want to become high income earners should consider entering a male-dominated occupation.

  • Jan 13

    I would recommend refraining from commenting since it will probably cause anger. I unfriended a cousin who decided to argue about something that did not involve her. Basically I reposted someone complaining about the hospital and it turned into a back and forth about whether her broken foot was an emergency and should have been brought back first. She lived in a different state so the hospital post has nothing to do with it. My sister who just graduated nursing school was laughing when I informed her that I have to decide what constitutes as an immediate emergency because I triage in the ER frequently. She asked about why do I think it's my job to determine what is an emergency.

  • Jan 13

    I don't give my opinion on someone's health/life choices unless directly asked.

  • Jan 13

    Quote from Davey Do
    Pardon my ignorance.

    What is "Facebook" and why are people posting food on it??
    And what is ADN, ASN, CNA, LPN, RN, EMT-B, EMT-I, can you answer me that?

  • Jan 13

    I've had to unfollow a lot of people who mainly post about how much they hate Hillary or Donald. I get sick of that tiring subject.

    I generally find Facebook posts of people's meals ridiculously boring. I prefer pet videos, family photos, and interesting discussions. (Sadly, the latter is rare on Facebook).


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