Latest Comments by armyicurn

armyicurn, BSN 5,442 Views

HI, got questions? Just ask. :)

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    Quote from Ruby Vee
    What does?

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    Have you ever been to the VIP wing at the former and new Walter Reed?

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    That is not excusable!

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    Swellz, BFD likes this.

    I would have told that nurse sup NO. I already started drinking.

    I hate management that panic to fast and call people off just to realize 30 minutes later that they really need all hands on deck. I do not condone such thinking. If you tell me I am off, then I go on to do other things as my mind is already made up.

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    Quote from Kooky Korky
    Why do you think the offgoing nurse should clean up?

    Why not? How critically busy are your shifts? On my 12 hr shifts, if there was a mess, I clean it up. Every unit I worked, has been this way. If the pt coded and the whole 5 pound bag of _____ (you fill in the blank) hit the fan and is like an IED went off right where you are standing before the end of your shift... that to me is understandable and I still will clean up a bit unless my coworker told to go home.

    Even when I was in the sandbox after 12-14 hrs of caring for casualties, we clean up for the next shift.

    What is your thinking? I work 12 hrs, let's say I was a sloppy/messy RN...yes, there are some that fit that title... YOU come in and you are ok with cleaning my mess? Just curious...

    The docs in my facility know damn well that if they make a mess, they will clean it. They cannot make a mess because they do not have access to the supply room. They find us and let us know that they need to do such procedure and will need such and such...

    If they came in without me noticing, they would be lucky to get away with it. My facility is a teaching facility and the white coats (baby docs) are trained from the first day to do it right.

    Now, if the coworker came to me all out of control like the OP states, I know that they are a lunatic for not being civil. I could pull many cards on them like call security and say that I felt threatened by their behavior... I seen this once and the outcome was not pretty.

    I do not tolerate such behavior. That is all I will say on that.

    And where do you work? ICU, MEDSURG, OR, L&D, PICU, ER, Pain Clinic????


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    Quote from billswife
    This is our situation also. For quite awhile we were working mandatory overtime. Now we have "incentive shifts" for people to sign up for. It's working pretty well from the standpoint of staff members. I'm not sure how our leadership team feels. I hope it is working for them as well. If it looks like there might be a low census situation coming up there are usually a ling line of us trying to sign up.

    Where are these hospitals? I need to go there!

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    I shower all the time. Before, after my work outs, after a crazy shift. Oh, and I put lotion during the winter months.

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    Outgoing shift should clean up. I expect the same when I return in 12 hrs. I might let you get away with it once but that depends on the pt's acuity. Do it again and I see it as habit forming, I take you in my office and deal with it right there.

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    Sassafras6 and NurseEmmy like this.

    I go home with pay. I am a salary employee. Other times, I catch up on the tons of mandatory training required or other government related politics.

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    That is exactly what I tell everyone when I hear them freak out about the autoinjectors. I tell them to get the vial.

    Who did your voice over?

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    BeenThere2012 likes this.

    Have you contacted your BON? It may be a while before anything shows up on your record. Has it been a month? It would not hurt to call the BON and check for yourself. According to some of your postings, I do not agree on how they behave. It sort of boils my blood that there are some spineless lifeforms out there. Good luck.

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    I prefer to dive in and take care of it. I do not worry about smells anymore

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    Quote from ProgressiveActivist

    The reason that most nurses don't want to orient is that we have taken new nurses under our wing, helped them develop skills and confidence - and then had them stab us in the back. I guess that is just the nature of the business. I am very jaded when it comes to mentoring or precepting because I have given 100% and then been treated like crap once the new grad can function independently. It sucked and I will never ever do it again.

    Been there too... Kudos for sharing part of your CCTK-critical care toolkit.

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    Quote from Sun0408
    If you can't handle codes, don't do it. Codes don't bother me but the pts that are rotting from inside out, or outside in. Laying in the bed crying, on the vent, pressure to soft to medicate are the problem. Families that want everything done while mom sits in the ICU alone with the most horrific skin, wounds etc. That's the part about ICU that can get to you. One thing I have learned in the years of being a ICU nurse is... There are worse things then death!!

    Well said! OP, if you have the burning desire for critical care, start in the ED. As already said, less codes. If you go for it, you need to expose yourself to them. It is not easy and EVERYBODY goes through a stressful time. Practice, practice and practice what you would do in a code. Did not read the entire thread, but not sure if you mentioned you have ACLS. How do you do with mock codes? What part of the code stresses you the most? giving meds? compressions?

    If you are the type that gets easily attached to your pt's, then be very careful what you ask for. I've only experienced being emotionally attached once or twice... The one that is very vivid to me is when I took care of a WWII, Korea and VietNam conflict veteran. He worked my rear off and I was on my feet for my entire 12+ hours except for the 3 min bathroom breaks. I worked very hard to keep him alive until his last family member flew in later that night. He passed shortly after all the family was there. It was such an honor to have cared for him.

    Good luck!

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    SororAKS, JustMe54, BeenThere2012, and 1 other like this.

    Quote from Mhsrnbsn
    I find those Pyxis machines are horrible. Sometimes my finger print logs me in under someone else! My facility is aware of this issue. We have manual log in with a username and pass but only after 3 failed attempts to finger in. Its biometrics but I doubt it's the most sophisticated level. .
    This is nuts! What is that facility doing about this issue? How long have they been aware of it? Perhaps a call to the state's agency or other higher regulating body needs to be involved ASAP on their relaxed approach to fix that issue.

    I hope for the OP that all goes well. I deeply wish there is video surveillance in that facility. Using video and the reports with time stamps from the Pyxis should help clear your name. OP, remain cooperative and do not come across as resisting during any part of the investigation. I've read the entire thread and so far you have volunteered to provide samples. That's good. Think before you speak and document everything. Yes, everything! Time, date, location, people involved, times they were there in the meeting, what was said and so on.

    I've been involved in peer review panels where I've served as the senior member and it does help that you come across as cooperative. Come forward denying and refusing to provide a urine sample is not good for you. Good for you that the urine sample came back negative.

    You did not make any mention on video. I hope there is video. In my facility, the one I am currently stationed at, security keeps the video for 30 days. After 30, it is gone. Video does not lie. My last peer review was a nightmare but the video clearly showed who was at fault.

    Like others have mentioned, I suspect that you did not log out and someone got in under your log in. As already mentioned, these systems have an auto log off, but the time out allocation is ridiculous! Anyone can get in after you leave and can get whatever they want under your log in.

    I am very OCD when it comes to narcs. We have fingerprint technology plus video. When we log in, the system greets us with an auditory message plus my name. This helps since there are times that I do not look at the login section showing my name. Because some of the comments made on this post, I am now very curious to see how the fingerprint algorithm works at my current facility. I have one colleague that can't log on with her fingerprint no matter what she does...

    I also make it a habit to change my password often because there are many of my colleagues that do not bother turning their heads while I login and get fuzzy when I tell them to look away. I tell them not call me to help them be their witness during narc waste. That usually works.

    I would recommend that the chart on that pt gets reviewed and see who signed giving the narc. I hope for you that the administration has done this.

    These investigations take time. A lot of time and I feel for you. In the end, if the admin does not find anything pointing towards you, they will take a bit more time to figure out how to pull their head out of the sand and come up with an apology to keep you happy from not seeking further legal action against them.

    Until then, I am keeping my fingers crossed for a positive outcome on your favor. Please let us know how things resolve.