Latest Likes For rngolfer53

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rngolfer53 3,916 Views

Joined Sep 13, '08. Posts: 687 (53% Liked) Likes: 978

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  • Sep 23

    Debt can be a lot like C-diff. Pretty easy to contract, hard to eradicate, painful and debilitating while you have it.

    Obviously, many young people who get out of school today have piles of debt. (The education establishment should have much to answer for, but that's a topic for another place or time.)

    Be as smartly frugal as you can and pay off the debt as fast as you can. Then avoid borrowing except in a dire emergency and put something into savings every paycheck.

    Don't leave money on the table. Take full advantage of your employer's 401 K match.

  • Aug 7

    Quote from robigayle
    Thank you so much for your support! I guess my next question is, if I'm fortunate enough to get my license back, will I be able to get a job? How willing are facilities to give you employment opportunities once they know of your back ground or that your license was revoked?
    I can't speak to having my license revoked, but my license endorsement to a second state was held up because of a 26 year old DUI stop. (Don't get me started on the ability of bureaucrats to lack any sense of reasonableness.) I had already been offered a job, one that I really wanted, and I was scared to death the delay would lose it for me.

    I've never hidden the fact that I was a practicing alcoholic for many years, and my experience is that people understand that people can and do overcome addictions. Perhaps because the employer knew about my hx, they were willing to hold the job for me for six weeks while the BON muddled along and sent me on wild goose chases for records that had been destroyed years before by the municipality where I was arrested.

    So, my advice is let an employer hear bad news from you, and not someone else.

  • Aug 1

    Quote from earle58
    i have learned not to predict death...seriously.
    we're all familiar with the s/s of imminent death, yet i've had too many pts that exhibited these s/s, only to bounce back for a bit.
    i've also had pts that didn't exhibit any s/s and just died.

    so whenever i'm feeling righteous and confident about the path a pt is taking, i immediately recall all those pts who proved me wrong.

    enjoy the calm.
    in the absence of distress/pain/suffering, it's really a beautiful process.

    I'm with you. I hate being asked how long, etc. I've proven to myself that I have hardly a clue. When families ask--usually a few minutes after I tell them that I can't predict--I just suggest that if there are others who want to see the Pt while still alive, it would be a good idea to call them.

    Anybody have approaches they use?

  • Jan 20

    Quote from TiredMD
    Bingo. If this wasn't the admitting physician, there was no reason to call that late. It's just completely inappropriate. This isn't a case of a "rude doctor", it's a rude nurse. Would the OP have called a family member that late to ask the same question? And I wonder, if a telemarketer had called the OP that late, if maybe they wouldn't have done a little yelling too?
    Yes, but the OP indicated that it was hospital policy that the call be made. The policy may be coocoo, but you still have to follow it, especially if you're new.

  • Dec 31 '15

    You mean there's a difference between ER and Psych? :chuckle

    Seriously, while you many not be able to land jobs in both right out of school, I see no reason why you couldn't eventually work PT in both fields.

    The sticky part may be getting benefits from either employer, as part time often comes w/o.

    Of course, depending on your stamina, you would work FT in one and PT in the other.

  • Dec 24 '15

    Your inbox contains a memo from management that begins:

    To improve Client satisfaction..............................

  • Dec 24 '15

    When the family member in the room says, "I used to be a nurse."

  • Nov 1 '15

    Quote from RN-Cardiac
    I think we all learn some of our behaviors by trying to avoid feeling guilt. Think about all the lessons we learn growing up. I remember feeling "bad" about standing up my girlfriends when we had plans for a girls night out and suddenly Mr Wonderful calls at the last minute and wants to take me to dinner. We learn our behaviors by experiencing the feelings associated with them. At the age of 16 I would have dropped my friends and went out to dinner with Mr Wonderful, the time I was in my 20's I probably would have called my friends and begged to change the night or meet them later. We learn to be responsible and accountable partially to avoid those guilt feelings when we aren't!

    I would love to see some of your research. I work in the ER and yes it's very frustrating to be expected to coddle patients who refuse to help themselves, especially the patients we see several times a month. I'm not sure I'm doing them any favors by ignoring the smoking, excessive drinking, drug abuse, obesity, etc. Recently we had 2 young adults who were having hallucinations and seizures after smoking something similar to K2, that they purchased at a local convenience store. The parents of one of the young men were livid that this stuff was making their Son so sick. They were talking about finding out who made the product, hiring a lawyer,...yadda yadda. Is the best thing to do in this situation to pat everyone on the back and agree with all they have to say? I think it's my responsibility as a nurse to educate my patients and give them all the facts I can that will allow them to make responsible decisions and choices. When they chose to make poor choices I still take care of them, but re educating is part of that care! Sugar coating the real issue isn't in the patients best interest. It might make them feel less awful at the moment but is doing nothing to empower the patient to be healthier!
    There's a difference between being sensitive to the feelings of patients, and being afraid of their feelings.

    The first requires tailoring the necessary message in such a way to minimize the discomfort the patient may feel, while still recognizing the message must get sent.

    Being afraid of the patient's potential feelings means we abandon our duty to deliver the message because it may cause pain.