Not_A_Hat_Person, RN 34,686 Views
Joined Dec 5, '08.
Posts: 3,479 (51% Liked)
In some of the large metropolitan areas, the only reason there is a "nursing shortage" is because the facilities REFUSE to hire enough nurses. They don't want to pay to staff their units well, so the "nursing shortage" excuse given to patients and families when they complain about the nurse to patient ratios is total bunk.
One of my first time cathing a man was an older gentleman with dementia. He was in the ER for altered mental state and I needed urine. I asked him to pee and held a urinal for him. No go. I would ask one thing and he would respond with a comment completely unrelated to the conversation.
So here I am with his penis in my hand and he suddenly looks up and says ""Does it still work? Is it doing what you want it to do? I think it's broke."
Many years ago, I answered a call light and the person needed help getting off a bedpan. So I got the person all cleaned up and was heading to the bathroom with the bedpan full of one of the biggest code browns ever without an epidural. I had forgotten to turn of the call light and the nurse came into the room and scared the beejeesus out of me, causing me to jump and drop the bedpan.
The patient laughed so hard they got the hiccups and complained their ribs and abs were hurting. The nurse froze and could not help me from laughing so hard. And I am torn between laughing and throwing up cause guess who needed cleaning up then? This is why I now ALWAYS have a second pair of scrubs in my car.
I know that the laws vary by state but here in WV, you do not touch an IV in nursing school at all. You learn how to spike and hang bags and work the pumps etc but yeah, we are trained on the job or our employers send us to a 3 day class and we get certified in IV's PICC's Midlines for two yrs. I actually learned IV's as an LPN working on a Med Surg floor.
Be wary of prn "requiring" a number of shifts...they usually do the schedule and fill in the blanks with prn so it's unlikely they'll let you pick 8 shifts at your convenience and fill in the blanks with permanent staff.
Not going above and beyond.
Employer and patients do NOT appreciate it.
Do the bare minimum and go home.
This same thing was standard in my previous workplace (not nursing), and I hated it too. I didn't mind if I was *requesting* personal time off, but there was one time I had to call off because of a serious family emergency (child rushed to ER, very serious situation, ended up in hospital for 10 days), and they expected me to call around finding a replacement. I was livid - I wanted (and needed) to be with my kiddo - not sitting in the waiting room trying to locate a replacement; at that moment in time, I didn't give a flying **** about work.
So many pigs in healthcare. You know, I work in a manufacturing plant now (left nursing completely because of b.s. like this garbage). I make more money with better working conditions, security, benefits, blah, blah, blahblahblah...I love and miss nursing but there's no way in holy hell I'm ever going back...
How did this crap (amongst all the other crap) of finding your own replacement *evverrrr* get started anyway?
It is called bull **** when there is an urgent medical need. You have a stroke and need to dial up your replacement?
Not gonna lie, I planned for egregious spending in my first year of working. I bought everything I told myself to wait until I was done school for: a big rock, clothes, trips to see my friends and a very expensive sewing machine.
I paid cash for it all so I can't say I overspent. Though as I said almost all of it was planned spending. I have no kids and I paid my own way through school so going from cutting my own hair and budgeting down to my last dollar, to getting whatever I wanted was fun. After that first year I had all the stuff I had went without, so I could cut back considerably.
YES!!! ABSOLUTELY!! I find myself buying full price from the thrift store. Before nursing, I only bought when it was 50% off. I even freely indulge in goodwill online and eBay. (Actually, I bought all my first scrubs and lab coat from the thrift store. They were new with tags )
I only get a new car every 10 years, so I tend to buy durable ones. Truthfully, my only real luxury purchases are fragrances, shoes and accessories--but in moderation and after saving up specifically for them. I know quite a few young, single nurses making $70k plus and they get carried away sometimes with their spending. Having a family kinda keeps me in line. However, I do plan to treat myself to a Chanel jumbo flap when I get my DNP.
Person A over doses on the streets, spends weeks in an ICU, then moved down to a floor bed, then discharged, then the cycle is repeated.
Person B over doses at the site, is able to get help then and there. MAYBE spends one night in the hospital. Oh, and also doesn't spread HIV or any other disease because he or she used a clean needle. Visits the site a few times, notices that there are resources and support services....because that is the point of this service.
I am baffled that America is so behind, when usually they are the "leaders?" Hmm...
Many of them beg, prostitute themselves and use cheap, low-qualty drugs which kill them quicker and more painful. Real hard vore addicts will do pretty much anything to avoid police because being in custody = withdrawal.
Since we as society have no tools to force addicts into treatment (which is, in turn, notoriuosly low effective), everything that remains is to make using safer for everyone. This way, at least, you and me, hopefully, won't have those 3 to 6 months of soul-searching after an accident poke with insulin needle waiting for HIV and hep panel "window" to pass.
Although I too do not support making those "safe houses" pretty much about everywhere, especially near schools and known tourist zones.
Sadly, it is not only in the NICU that people want "everything." Our culture is simply not comfortable with death. It is amazing how many people simply do not discuss the topic at all. I had one woman recently tell me that she would rather decide when to pull her father off of a vent than to discuss a DNR or hospice with him. It is really amazing the things we hear and see.
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