Latest Comments by JBMmom

JBMmom, MSN, RN 8,300 Views

Joined Jun 24, '09 - from 'CT'. JBMmom is a Nurse. She has '4' year(s) of experience and specializes in 'Long term care; med-surg'. Posts: 457 (41% Liked) Likes: 763

Sorted By Last Comment (Max 500)
  • 2
    luey87 and Crush like this.

    I don't have much experience in your position, but I want to let you know I was let go during my orientation from my first job and since then I've gotten a better job where I have been recognized as being an asset to my new unit. Somethings even bad things happen for a reason. Maybe if you're let go it will be for the best. Don't let it get to you too much, I really started questioning whether I could be an acute care nurse at all, and it turns out it just wasn't a good fit for a number of reasons and I was meant to end up where I am now. GOod luck!

  • 0

    I certainly wasn't trying to say that providing personalized care isn't important, I'm just trying to find additional justification in a presentation I'm building for my coworkers about why we should be filling it out. Management doesn't seem to get on board until it affects our bottom line, though, so getting buy in from others about answering the questions hasn't been easy. I don't always have a chance on third shift to have interactions that lead to the answers to those questions, most people aren't interested in a conversation about their care at midnight. Thank you for your feedback.

  • 0

    Thanks everyone. I appreciate the responses. I guess the bottom line is that while it's nice for people to do to provide the best care, no one is really looking at it that closely as an endpoint.

  • 0

    My organization went to the EPIC EHR a few months ago. I also worked at a previous hospital and used it and while I worked there I was told that the "Individualization and mutuality charting" questions like "do you have any questions about your healthcare?" "what information can we provide that would help you with your care?" and patient specific goals- are a key component that JCAHO looks at when evaluating the EHR for meaningful use and reimbursements. I've been search ing to find more information because I would like to share accurate information with my colleagues about the importance of this data. (currently those questions are often left blank) I'm not finding any specific references to individualization and mutuality EHR with JCAHO. I understand that these questions are where we show that we are providing care individualized to the needs of the patient, whether it's something like "John prefers to be called Jack", or "patient prefers to sleep until 8am if possible and will ambulate later in the morning" but does anyone know where this might be identified as a real goal for JCAHO. I think maybe management just threw that around to sound official.

  • 8
    Cat365, h00tyh00t, student_nrs, and 5 others like this.

    There are janitors out there that are geniuses (Good Will Hunting anyone?), and I've worked with MDs and PhDs that could easily get lost in their own neighborhood. My husband has joked for years that if I went back to school and new things I learned would push out the little common sense I have left. People are people and sometimes smart people do dumb things and dumb people do smart things. That's why it takes all of us together to make the world work. No need to point out when you're in which camp, because at some point we're all short on knowledge about something. Brain capacity itself doesn't impress me much, it's how people use that knowledge to benefit the world that drives my respect, or lack thereof.

  • 0

    Quote from Skudley
    If you knew anything which obviously you don't fast track is nothing to worry about worry about the people that spent 4 years to get their FNP. The top schools for nursing are fast tracked for future reference.
    Wow, that was pretty harsh. People choose the programs they choose for any number of reasons, and suspecting their abilities based solely on that criteria is quite judgmental. There are probably excellent NPs from accelerated programs and four-year programs, conversely there are awful ones from both as well. People have different strengths and weaknesses across all professions, I would hope that those RNs that are choosing to further their education for some reason will find success in their new roles, however they completed their education.

  • 3
    AJJKRN, poppycat, and Sour Lemon like this.

    I would probably confront her directly, or it might be more effective to request a meeting with her and either your charge nurse, supervisor or administrator. I've found that sometimes when people are called out directly, a positive outcome can be reached. If nothing else, it will bring to the attention of other coworkers that you're making a proactive move to improve a work relationship. Good luck.

  • 1
    rileowski likes this.

    It's not really going to be geared towards anything you'll cover in nursing school specifically. It might be nice to have exposure to some community resources for basic first aid, but I don't think it will make much impact for you.

  • 10
    rn1965, h00tyh00t, Here.I.Stand, and 7 others like this.

    We've had many conversations at our house about the drug commercials. My kids often ask, with all the side effects listed at the end of the commercial- why would people even take that medicine when it sounds worse than the illness! And, there's nothing like a Cialis commercial in the middle of a family show to bring about some awkward silences.

  • 0

    Quote from Insperation
    Good thing they didn't have a reaction...then you'd freak out too like ahhhh what's wrong with my blood?!
    That thought did cross my mind, but I didn't know it was my blood until the next day.

  • 0

    I did not receive any information in the past, but I haven't donated in a while.

  • 0

    My husband and I have each had small health issues over the years, and it's a challenge to balance being a loving and supportive spouse with encouraging change. I think that in most cases like this, the spouse with health issues knows what needs to be done, but there's something blocking that from happening, and it's unlikely that outside influence (especially from a partner) will fix that. I think it's more likely to come across as nagging or coaching, and then the partner dynamic changes, and sometimes that backfires into someone digging their heels in and just not changing. Just like with patients, we can provide education, but they have to take the initiative and responsibility for their own health. Otherwise the balance of a marriage is in danger of being tipped into something more like parenting. I hope that your husband finds a motivation to make the best health decisions he can, but don't put it all on yourself, you've done your best and you have to let it go and enjoy your years together. Here's hoping there are many left with wonderful memories!

  • 1
    EGspirit likes this.

    I went the ADN to MSN route. Everyone I spoke with told me there would be no downside to that route. Well, when I applied for a bedside position I was told that because of union rules I couldn't be hired in at the BSN rate, I would be on the ADN pay scale, the MSN didn't count (I think it was because they want magnet status which looks at BSN specifically). Unlikely that you'll find an organization as ridiculous as that one, but just cautioning you that they do exist. I haven't had a problem other than that. I agree you should go with what's going to meet your personal goals, good luck.

  • 37
    LibraSunCNM, Maritimer, FutRNJ, and 34 others like this.

    I gave blood last month and I kept the paper that has the pint identifier on it. I got an e-mail the other day saying my blood was sent to the hospital I work at. What are the chances, I infused my own blood into my patient the other night (not that I would tell the patient). Small world, made me glad I could make a difference- in more ways than one.

  • 0

    I don't necessarily agree with the first advice. I completed my MSN in management and executive leadership, I really thought that was where my career should go. I realized in the two final classes, I would hate being in management. Wished I knew that earlier, but now I'm moving on towards NP. Guess I have some unnecessary credits, but I think all education can be beneficial, so my post masters NP certificate program will hopefully get me what I want. All I mean is waiting until your sure, doesn't always mean you're sure. Good luck.