Latest Comments by noreenl

Latest Comments by noreenl

noreenl 5,213 Views

Joined Jul 8, '09. Posts: 341 (28% Liked) Likes: 176

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  • 1
    uRNmyway likes this.

    Congrats on Step 2. I did Float poolfor 4 years whilee i was the union rep for the nurses at my old hospital. it let me see who/what worked on each floor and where i definitely would not want to be without "friendly backup" if you want you can PM me anytime!

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    As an agency school nursing supervisor i am extremely proud of you!!! i wish i ceould do more but i want you to know i support you in everything you have done so far. now it is time to take care of you tho. please get in touch with NASN (National Association of School Nurses) chapter in texas and your malpractice attorney for guidance. you will be in my thoughts and prayers. be proud of yourself, you were thinking of those students!!

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    Janfrn, is there any way possible to make that system-wide module on "goals of Care" available? it shoulds like your facility is on the right track when it comes to end of life care.

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    I taught CNA classes for 2 years and I can honestly say that with very few exceptions, i thoroughly enjoyed everyminute of it!!! I lewarned how to deal with multiple language and education levels and that if a student is passionate and willing to learn they can overcome tremendous odds to get a good job with decent pay, health insurance (for some it was the first time they accomplished these 2 things on their own!) watching those men and women put together their graduation dinner and then receive their diploma from the school but handed to them by me(this part was important to me) with such a sense of accomplishment on their faces just made me so proud! i still receive letters at holidays from a few and thte thank you letters i have in abox at home really pick me up on some of the rougher periods in school nursing!!

    As far as what io recommend, listen to your students on the first day. do some kind of "ice breaker" excercise that encourages the students to talk about themselves for at least 3 minutes. this does a few things for you: it allows you to see their level of their English language skills as well as assessing accents. this way you know who may need extra help with those long complex medical terms! it also lets you know if your class is composed of working folks especially if you are teaching evening classes. the reason this is important is if you notice that you have some "nappers" you may need to change to a "skills lab" right then and there to keep them awake and interested. I know what its like to try to work and go to school and some of these folks are single parents as well. i always had 2 different plans for each session 1 skills based and 1 class based. You have got to be flexible. Also, as far as the language skills, with one evening group i had to get really creative. most of my students in this particular class were bilingual spanish and i found that during the breaks 2 of the students were meeting with about 6 others and were going over the day's lesson in Spanish. the class then met as a group and we decided together for this class all skills were spoken in Spanish until the "Physical " part was understaood then they had to speak to the resident in English. one of my "coteacher/students" took it upon herself to take my "skill script" and write it all out in Spanish. this class worked particularly hard and all 17 of them passed the state exaam the firstr time and 2 of them were hired by our clinical site!

    you must be organized or you can get behind very quickly. each state has a mandatory curriculum and a set numberof hours to learn all this material and skills and its your job to make sure you cover everything. Every student plans on passing all state written and skills exams the first time. as long as you do your best and DOCUMENT ON YOUR LESSON PLAN FOR EACH CLASSwhat was covered and you cover everything the rest is on the student.

  • 2
    NutmeggeRN and SopranoKris like this.

    yesterday i sent out an email to all my school nurse and quite a few of them said thank you for "being a good boss" It really does feel good torecognize each other. i sent them out just as a reminder that they matter and i ended up feeling great about it; not just for doing a positive shout out, but because i received so many in return so unexpectedly!!!!!

  • 2
    Purple_Scrubs and NutmeggeRN like this.

    happy school nurses day to all my sisters and brothers in this never boring practice!! go ahead.. take a bow!!! give yourself a hug and a kiss :kiss or just go crazy !!! go on celebrate you know you earned it!!!!

  • 1
    sissiesmama likes this.

    I just wanted to see how Olivia is doing today. My prayers are with you and your families

  • 0

    My personal record is eleven discharges/admissions on a 3-11 shift on a telemetry unit!

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    Often an agency will not post jobs available because they want to interview each candidate and obtain all the candidates info to see if they are a good fit., Another reason is if a job seeking nurse see a job on an agency site they can go directly to the facility and say "i saw it on so an so's website" and that nurse may not be a good nurse. Now the facility says "Wow, I can't believe so and so sent us such a crappy nurse and now ther facility may not contact that agency anymore or now ANY NURSE coming from so and so agency will start out prejudged if they are seen at all. Its a way an agency can protect their reputation and quite honestly their income.

  • 1
    lindarn likes this.

    How many nurses from NUMC got laid off and when?

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    I would also question suctioning anyone every 15-30 minutes. irritaion to the trach with that much suctioning could cause inflammation or bleeding, both of which would impede the airway. i absolutely agree to meet the child and parents in a safe evironment (usually their home and I ask the parents all about how they care for their child and i aleays ask them to demonstrate any special techniques that they have found work well for their child. You absolutely follow doctor's orders and only doctor's orders but i find my nurses have a better rapport with the parents if we "consult" with them. i would make sure that you had an ambu bag and portable oxygen at the very least!

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    Ashley I am so proud of you!!!!!!!! you are doing really well on your clinical rotation and i just wanted you to know it was noticed!!!!! Keep up the good work! and I will be here if you need any moral or educational support!!!

  • 1
    badmamajama likes this.

    Quote from dizzyray822
    Now I'm gossiping!! As a STUDENT we tell our experience at our post conference and how we felt about it. That's not gossiping. I have very strong gut feelings that what happened yesterday was completely wrong. COMPLETELY, no question about it. I didn't feel comfortable learning much from this nurse because of it. This feeling has never happened to me before but as far as I'm concerned I did that right thing by reporting to my instructor.
    You absolutely did teh right thing and it was not gossiping if it was said in the context of post conference. That's where the good the bad and the ugly is discussed! just be sure that everyone remembers confidentiality of the patient and does not discuss teh details of post conference in the elevator or anywhere else!!!

  • 2

    that is part of the challenge of peds. you will find that this is part of your education where you have the opportunity to build on your psychosocial skill set. i tell my students there is "Book life" and "real life" and nowhere is that more apparent than in pediatrics. you need to do things by the book especially until you take the boards , but unfortunately real life has a way of making this seem impossible! Parents and siblings, extended family, moey issues, housing , availability and affordability of meds for all family members all play a role in compliance for your littlest patients! just remember we are all here to help you get thru and keep on going!!! the fact that you are recognizing your strengths and weaknesses and working with them puts you ahead of alot of folks in this world!! keep up the good work!!

  • 1
    ashleyisawesome likes this.

    I think you need to slow down a little and pay attention to the lessons at hand. I am not picking on you but i noticied that your entries alll have a common theme "What's next gimme more." you had 1 day on peds and another nurse tried to show you what you may not have noticied and you didnt even seem to acknowledge the lesson. Just because you had a different patient the next day all the psychosocial things must be done and do matter. Please try to take your time and learn while you only have one or two patients and have the opportunity to really study your patients. There are plenty of med surg floors with not enough staff or supplies in your future. Take the time to learn now please. (Yes I am an instructor)


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