Content That JBMmom Likes

JBMmom, MSN, RN 9,816 Views

Joined: Jun 24, '09; Posts: 546 (46% Liked) ; Likes: 1,122

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  • Apr 22

    My wife, she almost got away!


  • Mar 23

    But wait, what words did she use, and the context? That would factor into my opinion.

    Did she say something like "It's a damn fine department and you'd be hella lucky to work here" or did she say "The position is vacant because the previous nurse was a no-talent assclown mother ******" ?

  • Mar 23

    Yes nursing has its problems, but for a little perspective...I still remember working at McDonald's for $5 an hour, getting covered in grease for minimum wage, I remember cleaning people's toilets for $3 where the cost of the train ride home barely made it worth going to work. I remember being a motorcycle courier risking my life in the rain and the cold to deliver parcels for $1.50 each and having a serious accident that put me in hospital for weeks. Compared to all of that, nursing is amazing. It's given me two degrees, a six figure income, respect and comparably good working conditions...oh and 4 days off a week! Sometimes, it's all in your perspective and your attitude. Feeling entitled won't get you where you need to be. You can do anything in nursing...make it work for you.

  • Mar 23

    It makes me chuckle when people bust out the axiom "if it wasn't charted, it wasn't done." Because I've been around enough to know that "just because it was charted doesn't mean it was done..."

  • Mar 18

    Quote from montov
    How do you like the change? I have same experience med/oncology and very burned out. I'm about to start my ICU position in a week. I'm excited and nervous.
    Honestly, I can't imagine not making this change and going to ICU. It was a steep learning curve, but my onc/med-surg experience prepared me well. The burnout is a different kind in ICU than the floor, I can say for me personally it has been much better not having to care for 5-6 people anymore. Now whenever I have a patient ready to transfer to the floor, I think to myself "I cant imagine how I ever took care of 5 of these!" So whiny and demanding, lol. It is a nice adjustment to care for people who are too sick to complain. Like, don't even have a call light because they can't use it. But there are other things that can potentially burn you out, the morally distressing situations (never fully realized how miserable "life support" can actually be) and the fact that even when people are on the vent, they are often not fully sedated so you have to deal with the stress of that. However, not to put down med-surg, but I've learned more in my 1.5 yrs as an ICU nurse than I ever learned on the floor. Also getting to focus on only 1-2 patients at a time is awesome, getting to know literally everything about them and "dialing them in" So to speak is something I really love. Even though some shifts are more routine than others, I could never see myself getting bored with ICU and that's what keeps me there. You will do great! Remember that when it comes down to it, nursing is nursing and since you already have experience, even though this is a challenge you will do just fine. You already know how to be a nurse, now you're just learning how to be a nurse in a totally different environment. Best of luck to you!

  • Mar 12

    Quote from RockinNurse2018
    I get what you've saying, that you shouldn't need compliments to do your job. However, compliments in nursing are very minimal so I would accept the compliment and feel good about the situation, instead of wondering why you were given one.
    I'm pretty sure the OP is not concerned about being complimented. I think he/she is concerned that his/her recognition of the problem was perceived as "good nursing" instead of the situation being perceived as a big wake up call for nurses to look out for this type of problem. The OP is saying: "This is basic nursing, folks."

  • Mar 12

    Quote from Merky101
    Thank you everyone. Your answers really helped. I am the bread winner of the family and my wife is also taking prerequisites for nursing.

    Because of my own bouts within the mental health system is why I am leaning towards psych. As a occupational therapy assistant I was lead wrongly to believe I could work in psych. There are no jobs there with my degree, only in skilled nursing facilities.
    Be very careful about telling anyone you have had mental health treatment as a nurse. There are a number of nightmare-ish stories on these boards about what can happen

  • Mar 11

    Quote from Davey Do
    Understandable situation. Appropriate feelings.

    It is good that you're re-evaluating the situation and looking for ways to gain a new perspective, Dawneibals. A sign of good mental health and a desire to grow. Kudos to you!

    Sour Lemon's advice was gold: Illicit help. Be an example of one willing to do grunt work for the benefit of the patient.

    Hey Dawneibals- keep on keeping on!
    Elicit help, don't do anything illegal.

  • Mar 7

    Really??? There are very few posts that drive me to actually take the time to respond, but this one struck such a chord that I just cannot shake it off. It's clear from the number and types of responses, starting at the very beginning and continuing on through 5 pages worth, that the single "most pressing issue in nursing today" is exactly the same as it has been for the last 45+ years that I have been a Registered Nurse: the inability for nurses to get along with each other, as evidenced by the ongoing competition amongst nurses to always be "right", the continued lack of compassion and consideration for colleagues, the persistent bullying of younger and/or weaker colleagues, and the rampant defensiveness and dishonesty should anyone dare to challenge motives that are clearly self serving and intended to fit a personal agenda, regardless of whether it's a need for a graduate level research topic or just a plain old desire to stir up trouble. The original post asked a question, for whatever reason, the asker obviously doesn't want to hear an honest answer, but rather wants to continue to bait the audience. The audience takes the bait, as I acknowledge I myself did, and the bickering continues. And in the end, it's all just like arguing with a teenager: you both get dirty and the teenager loves it.

  • Mar 2

    Quote from RNFiona
    Folks who enter nursing for no other reason than financial security usually make lousy nurses.
    Then again, I've met more than a few substandard nurses who claim that they were 'called' to the nursing profession by some intangible higher power. Although money was not their primary (or even secondary) motivation for becoming nurses, their love of humankind and proclamations of a calling still do not render them safe to practice.

    Some sloppy nurses are solely in it for the money. Some sloppy nurses were 'called.' Also, excellent nurses are cut from both types of cloth. It takes all types to make the world go 'round.

  • Feb 27

    I did 2 years of private duty nursing and now going on 3 years LTC. Boy are you right about needing excellent time management skills and assessment skills. I have learned so much working in this environment!

  • Feb 27

    My previous, hospital employer did away with their tiny new grad program and started hiring LTC nurses who wanted to move into acute care, instead. One was a real weirdo, but the rest had mad skills and transitioned very easily. I'd try to show an orientee something (or help them with something) only to find out that they'd already "done it half an hour ago". It was a super-busy, high acuity unit, too.

  • Feb 27

    It's not that I don't like LTC, I love it when I don't feel like I'm putting my license in jeopardy. Having a CMA who was diverting meds at one facility and a patient having a grand Mal seizure as a result is ultimately going to fall on my license, thank god that's the only bad thing that happened. And having 40 residents, 20 of whom are skilled and probably belong in an LTACH, for one nurse and 3 CNA's can be done, but not in 8 hours. Not when you have to knock 30 minutes of your shift for report, 1 hour off your shift to round with doctors, 1 hour off your shift to go to standup, and another 30 minutes off your shift to give report. Let's not forget your mandatory 30 minute lunch break which I clocked out for but never got to take. That gives you 5 hours to obtain 20 full sets of vital signs, perform 20 head to toe assessments AND document them in PCC, put orders in, call pharmacy 75 times about medications you are suppose to have but don't, do 10 fsbs and administer ss insulin, draw lab work from PICC lines so the pharmacy can adjust the TPN, spike and hang new bags of TPN, change 3 wound vac dressing, change 3 wet to dry dressings, put cream on literally everybody's rear because everybody would come from the hospital with at least a stage 2, administer 6 duonebs which takes 10 minutes apiece and you are NOT allowed to leave the room, administer meds to 3 different people with PEG tubes, bolus feed 1 of of the PEG tubes, spike and hang 2 new bags of tube feeding on your other PEG tubes, obtain urine and stool samples on multiple people. And that's just what I had to do for the 20 residents on the SNF hall. I had a LTC hall where people were on neuro checks, or they are c/o dysuria and need a ua, or they are going to the Dr and need an order summary printed. All while our fax machine and our printer did not work so we had to print clear across the building and then walk 1/4 mile to obtain it. It can be done but not in 5 hours. Most days I was there until 6 pm finishing my skilled notes. So I was working 12 hours a day 5 days a week.

  • Feb 27

    Great post, JBmom! Embracing your lot in life! Or the job doled out to you.

    Quote from JBMmom
    When I first started, I had classmates that would apologize to me when I told them where I worked, as if their hospital positions were what I really wanted, but just couldn't get.
    I can identify, JBmom. Not only am I not a real nurse, I don't work at a real hospital:


    However, I do have interesting situations to relay:


    But I love my coworkers and the patients with whom I serve- what could be better?

    Here's to those who bloomed where they were planted!

  • Feb 25

    Your article is convicting. It is downright goofy to want to work in a "cool" setting. It is like everyone in high school saying they plan to major in marine biology or something. We've all known and respected those nurses who felt a real calling to care for those who aren't in the prime of life. Do you think it is because we recognize our day will come? Part of the preconceived negativity is that nursing homes are always hiring. We assume they have a high turnover because they staff so scantily.

    I will always be grateful for the nurses who cared for my strong-willed mother who lived 1,000 miles away from us. She behaved poorly and never would have put up with such antics from her children. For example, they didn't have the food she wanted on her evening tray. She called the local grocery store and said, "Can you please come help this home? They seem to have run out of food." She made similar calls to the hospital when her nebulizer treatment was late and even to 911 when her call light wasn't answered promptly.

    I called the staff to apologize for her mistreatment of them. This one gracious nurse with the patience of Job said, "You know, I believe her intentions are good. She is trying to remain resourceful, but there is so little left in her life that she can control." I was grateful for this longterm care nurse's wisdom and compassion. Her words come back to me when I encounter the cantankerous.